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Integrating our community partners for a more accountable organization

Integrating our community partners for a more accountable organization. Presented By: Jon Holmes, Christopher Kelly & Himabindu Moram. Accountable Care Organization. Vision

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Integrating our community partners for a more accountable organization

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  1. Integrating our community partners for a more accountable organization Presented By: Jon Holmes, Christopher Kelly & Himabindu Moram

  2. Accountable Care Organization • Vision We 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.

  3. Our Accountable Care Organization

  4. 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

  5. John C Lincoln North Mountain 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.

  6. John C. Lincoln Physician Network ACO Participants John C. Lincoln, LLC John C. Lincoln Comprehensive Women's Center, LLC JCL Gastroenterology, LLC North Valley Internal Medicine, LLC JCL Neurology, LLC JCL Urgent Care, LLC Breast Imaging Specialists of Arizona, LLC

  7. Accountable Care Organization 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.

  8. Moving Patient Care and Assuring Quality Patient Outcomes A Path to Connectivity… You are only as strong as your weakest link…

  9. Key Challenges we face as an ACO • We have not identified as one organization yet. • Difficult Information Sharing • Variation of technology among service providers • Security • Providers seeing this as a priority • John C. Lincoln Deer Valley Hospital • John C. Lincoln Physician Network • John C Lincoln North Mountain Hospital

  10. 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 Deer Valley Hospital • Cerner • John C. Lincoln Physician Network • eClincalWorks • John C Lincoln North Mountain Hospital • EPIC

  11. JCL’s initial response to connecting partners… JCLMyChart Personal Electronic Health Record For patients of John C. Lincoln Physician Network Practices

  12. Reporting Today JCL North Mountain Hospital JCL Physician Network JCL Deer Valley Cerner Report EPIC Report eClincialWorks Report

  13. John C Lincoln ACO • One ACO • Not three institutions • Achieve collaboration through an EDW • Centralized repository of clinical data John C. Lincoln ACO

  14. Enterprise Data Warehouse (EDW) JCL North Mountain Hospital JCL Physician Network JCL Deer Valley JCL EDW

  15. Reporting with EDW JCL EDW JCL Report

  16. 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 Quality Dashboard Example

  17. 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

  18. 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 Patient Dashboard Example

  19. Request to JCL • 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

  20. Appendix 1 Financial Commitment Over Three Year Pilot Three Year Commitment for Each Institution

  21. Information is power… Sun Tzu Next steps in connecting the network

  22. Operational Transition 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 ESTABLISH • Steering Committee • Guidelines • Workflows • Policy and Procedures • Rules and Regulations

  23. Communications • 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 • 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

  24. Quality Care UtilizingNursePractitioners&PhysicianAssistants Group educational sessions on diagnosis Improved cooperation EHR, Screenings, EBM Decision-aided support in orderingexams Web based information made available “e-visits” 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)

  25. Conclusion Awards & Honors: 2008 - 2011 • 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

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