south carolina hospital association october 4, 2012
TRANSCRIPT
South Carolina Hospital AssociationOctober 4, 2012
Data is not the answer: it Data is not the answer: it just points you in a just points you in a direction… direction…
DATA = Information + Experience =Knowledge … Wisdom….
GOOD DECISION MAKINGGOOD DECISION MAKING
Build your Community Health Plan
Implement your Community Health Plan
Measure the impact of your Community Health Plan
It all begins with …
Asking lots of questions,
Asking the right questions,
and
Knowing when to stop and when NOT to stop….
10%: No Teeth
8%: No prenatal care
17.2% live in poverty
25% Smoke
African Americans: Death from
heart disease 2X greater; Diabetes,
3X greater
49% ER visits – non-emergent
65% overweight or obese
Highest teen pregnancy rate in SC
High infant mortality rate
15% readmissions
BUT…
Data can be your best ally
or your worst enemyworst enemy
Example
Spartanburg Regional: 15% Readmission Rate
Solutions:
Internal Hospital Focus: Better manage the patient
while in the hospital Improve Discharge
Planning efforts Send the patient home
with medications
OR…..OR…..
Identify global solutions:External focus!
Upstate Care Transitions Coalition 4 Hospitals 3 Counties 20 Community Partners
Example:
49% ER visits: Non-emergent CareER at capacity
Solutions:
Discourage non-emergent use: Copays Discourage ER for follow-up
visit Require payment up front
Expand the ER
OR…..OR…..
Before finding solutions….
Determine the Cause Capacity Issues (Safety Net
providers full) Lack of primary care and
specialty care
Address the Causes Develop solutions to expand
capacity outside the ER
A shocking statistic A shocking statistic can motivate a community can motivate a community to changeto change
It all begins with awareness.
Awareness leads to emotion/anger/frustration/disgrace, etc…
Emotion leads to commitment.
Commitment leads to CHANGE.
10 % citizens have no teeth
Highest teen pregnancy rate in the state
Children in communities that have a Smokefree Ordinance are 44% less likely to ever start smoking
Improving OutcomesReducing Costs
Birth Matters
AccessHealth Spartanburg
Welvista
BirthMatters Participants and Outcomes
Spartanburg County BirthMatters
(mothers age 20 and under)
Racial/Ethnic Composition
85% African American, 8% Caucasian, 7% Latino
Low Birth Weight Births
2% (compared to 10.1% in Spartanburg County)
Mothers Breastfeeding at Birth
93% (compared to 61.2% in Spartanburg County)
Over 2000 clients enrolled750 Cases closed175 graduates
48% reduction IP admissions57% reduction IP charges32% reduction ER visits35% reduction ER charges
13 to 1 return on investment!!13 to 1 return on investment!!
Hospital Investment: $185,000
Return: $5.7 million free meds 50.6% reduction in ER charges 25.3% reduction ER visits 63.6% reduction IP charges 45% reduction IP admissions
$1.7 million savings/year$1.7 million savings/year!!!!
HospitalFinanceQuality Information Services
CommunityDHEC Local universitiesCouncil of GovernmentsCounty government
StateDHECORSState universities
Renee Romberger, FACHEVP, Community Health Policy & StrategySpartanburg Regional Healthcare System864-560-6407 [email protected]