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ECMC Storm Chasers “Keeping an Eye on Your Good Health”. Cathy Harshbarger, BSN, RN Lynette Dick, MBA, RD, LD. ECMC’s Adopted Models. “Improving Disease Management Across the Continuum of Care”
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ECMC Storm Chasers “Keeping an Eye on Your Good Health” Cathy Harshbarger, BSN, RN Lynette Dick, MBA, RD, LD
ECMC’s Adopted Models • “Improving Disease Management Across the Continuum of Care” • Focus on Removing Care Silos between Inpatient, Outpatient and Rural Health Clinic through adoption of the Chronic Care Model • The Improvement Process is Managed through our Diabetes Council and 12 Improvement Teams utilizing project management and PDSA cycles
Organizational Impact • Initially, the council and teams were a bit overwhelmed at first with the broad scope of the project • Momentum had built with each success • Increased number of patients receiving planned visits (medical plan, case mgmt, support, education, early intervention) • Communication of success across teams is essential to maintaining momentum • “Its not about perfection – its about progress”
Business Case • Meet Storm-Chaser SuperDAVE – “Keeping an eye on your Good Health” • Branding – gives a product “identity”
SuperDAVE • Icon for Chronic Disease Management • Market Tool • Schools to promote preventions and healthy lifestyle • Supermarket to flag healthful food and beverage items • Restaurants to flag healthy choices
Business Case • Established Diabetes Sets – Implementing Quarterly Planned Visits for diabetic patients. • Only 20% of identified diabetic patients had appointments 1-4 times per year • Rural Health Clinic diabetic visits averaged 9.5 per month • We identified ~ 500 diabetic patients in our population • Our Target is 167 diabetic patients visits per month
Business Case • Reimbursement per visit is $80 • Diabetes patient revenue • 9.5 visits x $80 = $760 per month • Target of 167 patient visits/month: 167 x $80 = $13,360 • Increase in monthly revenue = $12,600 • Current performance level is 23 visits/month • 23 visits x $80 = 1840 • Increase in monthly revenue = $1,080
Future Plans • Continue Marketing/Branding SuperDAVE in the community • Improve the Delivery Design in order to accommodate an additional 144 diabetic patient visits/month • Enhance Self-Management Support Services as part of the patient’s planned visits
Advice • Just get started • Success builds momentum • Make the business case