integrating our community partners for a more accountable organization
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Integrating our community partners for a more accountable organization. Presented By: Jon Holmes, Christopher Kelly & Himabindu Moram. Accountable Care Organization. Vision - PowerPoint PPT PresentationTRANSCRIPT
Integrating our community partners for a more accountable
organization
Presented By:Jon Holmes, Christopher Kelly & Himabindu Moram
Accountable Care Organization
• VisionWe will be a clinically integrated health care delivery system that is the health provider of choice in Phoenix and recognized nationally for quality, service and community programs.
Our Accountable Care Organization
The 203-bed hospital with all private rooms excels in emergency heart care, pediatric emergency and inpatient care, orthopedics, and many other specialties.
48,125 inpatient days and outpatient days.
25,946 patient visits to the 24/7 Children’s Emergency Center
48,950 patient visits to the Emergency Department.
John C Lincoln Deer Valley Hospital
The 266-bed hospital
71,917 inpatient days and outpatient days.
50,393 patient visits to the Emergency Department.
3,098 individual patients who needed Level 1 Trauma care.
John C Lincoln North Mountain Hospital
ACO ParticipantsJohn C. Lincoln, LLCJohn C. Lincoln Comprehensive Women's Center, LLCJCL Gastroenterology, LLCNorth Valley Internal Medicine, LLCJCL Neurology, LLCJCL Urgent Care, LLCBreast Imaging Specialists of Arizona, LLC
John C. Lincoln Physician Network
2011 AT A GLANCE
600,000 patient visits to our hospitals, physician and specialty practices.
36,391 emergency food boxes for the community.
9,749 visits to Adult Day Health Care.
3,849 employees in the Network.
3,100 children served at the Children’s Dental Clinic.
1,902 volunteers with 194,491 hours of service.
1,111 physicians on our combined medical staffs.
69 new homeowners created through Neighborhood Renewal.
Accountable Care Organization
You are only as strong as your weakest link…
Moving Patient Care and Assuring Quality Patient Outcomes
A Path to Connectivity…
• We have not identified as one organization yet.
• Difficult Information Sharing
• Variation of technology among service providers
• Security• Providers seeing this as a
priority
Key Challenges we face as an ACO
John C. Lincoln Physician Network
John C Lincoln North Mountain Hospital
John C. Lincoln Deer Valley
Hospital
John C Lincoln ACO
• Three institutions:• Separate
administrations• Separate IT
infrastructures• Must collaborate!!!• Quality metrics• Coordination of Care
• Sharing of data facilitates collaboration
John C. Lincoln Physician Network
eClincalWorks
John C Lincoln North Mountain Hospital
EPIC
John C. Lincoln Deer Valley
HospitalCerner
JCLMyChart Personal Electronic Health Record
For patients of John C. Lincoln Physician Network Practices
JCL’s initial response to connecting partners…
JCL Deer Valley
JCL Physician Network
JCL North Mountain Hospital
Cerner Report
EPIC Report
eClincialWorksReport
Reporting Today
John C Lincoln ACO
• One ACO– Not three institutions
• Achieve collaboration through an EDW– Centralized
repository of clinical data
John C. Lincoln
ACO
JCL Deer Valley
JCL Physician Network
JCL North Mountain Hospital
JCL EDW
Enterprise Data Warehouse (EDW)
JCL EDW
Reporting with EDW
JCL Report
• Ability to create performance dashboards
• Physician dashboards that summarizes patient condition across all JCL institutions.
• Patient portals to their own information
Benefits of an EDW
Quality Dashboard Example
Benefits of an EDW
• Ability to create performance dashboards
• Physician dashboards that summarizes patient condition across all JCL institutions.
• Patient portals to their own information
Physician Dashboard Example of Patient Medications
• Ability to create performance dashboards
• Physician dashboards
that summarizes patient condition across all JCL institutions.
• Patient portals to their own information
Benefits of an EDW
Patient Dashboard Example
• Three year pilot of the EDW. • Budgeted for implementation for FY14• Unanimous agreement across each institution• Financial support for a three year pilot of the EDW. – Hardware– Personnel
Request to JCL
Appendix 1
Year 1 Year 2 Year 3 Total
Hardware $500k 0 0 $500k
Maintenance $54k $54k $54k $162k
Personnel $600k $600k $600k $1,800k
Total $1,154 $654 $654 $2,462k
Financial Commitment Over Three Year Pilot
Three Year Total
Institution $821 K
Three Year Commitment for Each Institution
Information is power… Sun Tzu
Next steps in connecting the network
ESTABLISH– Steering Committee– Guidelines– Workflows– Policy and Procedures– Rules and Regulations
Process Change– Imbed meaningful use
into culture today– Align with ACO measures– Lean Six Sigma– Leverage best practices– Use of specialized
consulting firms– Potential for revenue
generation with successful changes
Operational Transition
Communications
• E-mail distribution groups• On-line Survey• Web-based questionnaires• Alternative electronic multi-media • blogs, website, etc
• Formal presentations • “Lunch and learn” education
sessions (offer CMEs)• Attend BoD meetings
Stakeholder Analysis• Essential stakeholders must be
identified and engaged
• Physician’s and nurses input should be proactively sought early in the decision making process
• Active involvement of stakeholders will facilitate end user to accept new system
• Engaging provider participation may be challenging
• Hospital will need to put in place special initiatives in order to engage partners early
Quality - Becoming an organization that emphasizes and adopts cooperation, savings, quality, more use of evidence-based medicine, more use of data and information technology (Harolds, 2010)
Improved
cooperation
EHR,
Screenings, EBM
Web based information
made available
Group educational sessions on diagnosis
Decision-aided support
in orderingexams
UtilizingNurse
Practitioners&
PhysicianAssistants
“e-visits”
Quality Care
• Beacon Award for Excellence in Critical Care
• Magnet Nursing Hospital• Chest Pain Center Accreditation• Heart Failure Center Accreditation• Primary Stroke Center Accreditation• Breast Imaging Center of Excellence• Blue Distinction Center for Knee and Hip
Replacement• Best Workplaces for Women Awards• Best Places to Work - Valley of the Sun• Business Woman of the Year• Arizona Pioneer Award for Quality
• U.S. News and World Report's Best Hospitals• Premier QUEST Award for High-Value
Healthcare• Premier QUEST Award for Top Performing
Hospitals• Outstanding Trauma Center and Outstanding
Trauma Surgeon Awards• Gold Medal of Honor for Organ Donations• Volunteer Heart of Business Award• Health Leadership Award• Lifetime Achievement Award Finalists• JCL.com: One of the World's Top 25
Healthcare Provider Websites
Awards & Honors: 2008 - 2011
Conclusion