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Healtheast Emergency Medicine Practice

Healtheast Emergency Medicine Practice. State of the Practice. Healtheast Emergency Medicine. Healtheast Vision "Building on our benchmark performance, HealthEast will be a national leader in clinical quality, patient experience and cost effectiveness – the best value – by 2015 .”

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Healtheast Emergency Medicine Practice

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  1. Healtheast Emergency Medicine Practice State of the Practice

  2. Healtheast Emergency Medicine • Healtheast Vision • "Building on our benchmark performance, HealthEast will be a national leader in clinical quality, patient experience and cost effectiveness – the best value – by 2015.” • Emergency Medicine Practice • Best Practice Emergency Medicine • Clinical quality • Patient Experience • Practice of choice for area EM Providers • Financially Responsible Practice • 3 Departments • 93,000 pts • 35 MD’s • 7 PA’s • 2 NP’s

  3. Department Demographics • Johns • 40,000 pts • 27% Admissions • 74% of inpt admissions from ED • LOS 230 min • Joes • 24,000 pts • 31% Admissions • 60% of inpt admissions from ED • LOS 255 min • WW’s • 29,000 pts • 16% Admissions • 59% of inpt admissions from ED • LOS 171 min

  4. Practice Demographics 0-5 10 MD’s • Ashley Seivers • Dan Thomas • Eric Roth • Jeremy Joy • Alex Gerbig • Shani Go • Cindy Winebrenner • Dana Stephens • Jocelyn Wong • Jennifer Englund 6-10  10 MD’s • Maryam Shapland • Scott Nichols • Tony Nardi • Verna Arcedo • Kai Tuominen • Nancy Blonigen • Kurt Keogh • Deb Lidahl • Kearney Stakes • Pete Tanghe > 10  14 MD’s • Brian Ness • Grant Nakamura • John Flipovich • Paul Sovell • Paul McCormick • Ed Feinstein • Mark Newman • Bob Kile • Sam Rice • Tim Thompson • Dan Berndt • Brad Barth • Jon Grimes • Al Autrey • Gerald Hill

  5. Practice Demographics Joes • Mark Newman • Bob Kile • Sam Rice • Nancy Blonigen • Tim Thompson • Dan Berndt • Brad Barth • Brian Ness • Verna Arcedo • Al Autrey • Gerald Hill WW’s • Ashley Seivers • Cindy Winebrenner • Kurt Keogh • Deb Lidahl • Jocelyn Wong • Maryam Shapland • Scott Nichols • Jon Grimes • Matt Beatty • Dan Spielman Johns • Kearney Stakes • Jennifer Englund • Pete Tanghe • Dana Stephens • Dan Thomas • John Flipovich • Kai Tuominen • Paul Sovell • Jeremy Joy • Paul McCormick • Alex Gerbig • Ed Feinstein • Eric Roth • Shani Go • Mike Meyers • Jen Kipp • Deena G • Jason Dukes

  6. Financials Johns • MD FTE  9.11 • Mid FTE  3.88 • Total FTE 12.9 • Expenses 6,156,221 • Pro-fee Revenue5,790,016 Joes • MD FTE  6.81 • Expenses  4,122,049 • Pro-fee Revenue3,653,722 WW’s • MD FTE 6.2 • Mid FTE 1.91 • Total FTE8.1 • Expenses4,099,871 • Pro-fee Revenue4,072,163

  7. Clinical Measures • Malpractice Claims • 8 “claims” in the last 3 years • 1 Indemnity paid (HIPPAA issue) • Core Measures (clinical process) • 2012 3/7 at 90th percentile • PCI in 90 min, blood cultures, abx choice • HCAHPS (pt experience) • Pain mgmt, MD Communication, overall • 1/9 at 90th percentile • VBP (combine Core Measures and HCAHPS) • 1% withhold of Medicare dollars • EDCAPS coming 2014

  8. Where were we?

  9. Lots of Change • Amion • Dedicated Scheduler • Coding Education • Scribes • Productivity Payments • McKesson • Telestroke, OFI’s • Nighthawk Differential • Studor initiatives • QIP changes • Robust, EM only Peer Review • ED Clinical Council • Email communication

  10. Progress at what expense? • Frustration • Defections • Disengagement

  11. Our Vision • Vibrant, stable Emergency Medicine Practice which contributes positively to Healtheasts mission • Engaged (Satisfied) physicians and MLP’s with wide variety of backgrounds and experience level • Group of provider partners who are interested in and see value in: • Best Practice • Clinical Excellence • Patient Experience • Efficient Flow • Positive participation in group initiatives AND • Perceive themselves as leaders in department • Maintain Collaboration with departmental staff

  12. What is providers role? • Captain of Ship? • One of the team • “Just a trench doc” • Emergency Medicine Physician • “Nurses run the department” • “You guys” make the decisions, I just follow orders • Shift worker • Partner • Employee • Independent Contractor

  13. What do you want from a practice? • Input? • Improvement? • “Just see patients” • Participate? • Grand Rounds • Education • Career development • Stability • More money

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