NCH Healthcare System HIMSS Michele Thoman, RN - CNO Sarah Richardson - CIO Jeff Dindak Sr. IT Director

Transcription

1 NCH Healthcare System HIMSS 2015 Michele Thoman, RN - CNO Sarah Richardson - CIO Jeff Dindak Sr. IT Director

2 NCH Healthcare System Non-for-profit, multi-facility healthcare system in Naples, Florida 2 hospitals (715 beds) An alliance of 650 physicians and medical facilities throughout Collier County and Southwest Florida Extensive inpatient and outpatient services In 2014, the system had 28,938 admissions, 93,673 ED visits, 3,418 births, 453 open heart surgeries, nearly 11,000 surgical procedures and over 3,000 on staff Member of the Mayo Clinic Care Network

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4 NCH s HCIT Journey : ED Doc Tracking RHO 2007: : CPOE Physician Doc 2010: Infrastructure System Migration Domain Upgrades Workflow Opt. Device Int. Mobility NHIQM/Quality Ev. Based Care Lab Upgrades HIMSS Stage 6 Cerner IT Works ITWorks CPOE Mandate Smart Room Exp., CareAware Connect, Med Rec, CareAware 5.2, BMM, Blood Admin Physician Playbooks Ambulatory EMR HIMSS Stage NCH becomes a Cerner Lab/Rad Client 1998: NCH implements Cerner s CDR 2001: HIM CPDI MRP Clinical Doc & Orders 2005: Pharmacy emar Surgery 2009: Scheduling (replacing SMS) : Rev Cycle, Registration MU Stage 1 Care Management HIE, Patient Portal Women s Health Smart Rooms Infection Control & Rehab Most Wired

5 2015 IT Project Roadmap Anesthesia Acuity PC Endoscopy ProVation Infection Prevention Uplift NHIQM Upgrade Physician Playbooks Depart Process Optimization Lab Cardiac Panels Patient Portal Phases 2 & 3 Millennium 2015 Upgrade Smart ED Infusion Management Alarm Management Stryker Bed Integration HIE Expansion Telemedicine ICD-10 esignature Care Compass PowerChart ECG Dynamic Documentation Concurrent Coding

6 Full Smart Room Technology Suite Phase I March 2012 Vitals Link Integrated Vitals Collection Staff Link Staff Assignment Alert Link Secondary Alerting to Caregiver s Phone Phase II August 2012 Room Link Integrated Digital Signage My Station Enhanced Patient Engagement Capacity Management Provider/Resource Presence Detection Phase III October 2012 iaware Aggregated, personalized view (dashboard) of all information relevant to patient care Phase IV October 2013 Smart Room Expansion to an additional 71 patient rooms (163 total) CareAware Connect Development Partner

7 NDNQI RN Staffing & Resource Adequacy NNH DNH

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9 Jan Feb Mar Apr Ma Jun Jul-12 Aug Sep Oct Nov Dec Jan Feb Mar Apr Ma Jun Jul-13 Aug Sep Oct Nov Dec Jan Feb Mar Apr Ma Jun Jan Fe Ma Apr Ma Jun Jul- Au Se Oct No De Jan Fe Ma Apr Ma Jun Jul- Au Se Oct No De Jan Fe Ma Apr Ma Jun $5.8 million cost avoided 275 lives saved since 2012 Impact of Sepsis Improvements Actual # Mortalities Projected # Mortalities 50% 40% Sepsis Mortality (Actual vs Baseline) Actual Sepsis Rate Baseline / Proj Rate Linear (Actual Sepsis Rate) $5.8 million cost avoided 275 lives saved since % 20% 10% 0%

10 Join the Movement Blue Zones Project SOUTHWEST FLORIDA

11 BLUE ZONES

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14 The Power 9 Lessons for Living Life Longer, Better Move Naturally Right Outlook Downshift Sense of Purpose Eat Wisely 5 Plant Slant 80% Rule Connect Loved Ones First Belong Right Tribe

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16 Blue Zones Awareness 16

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24 RESULTS WHAT TO EXPECT Measurable increase in Well-Being of the population Lower Healthcare Costs Improved Productivity Community seen as innovator in Preventative Health Alignment for Grants, Gifts, and Funding Less Tobacco Usage More Active Population Walking, Biking, and Moving Increased consumption of fruits and vegetables Local, regional, and national media

25 The 5 Elements of Well-Being Purpose Social Financial Community Physical Purpose > Social > Financial > Community > Physical > Liking what you do each day and being motivated to achieve your goals Having supportive relationships and love in your life Managing your economic life to reduce stress and increase security Liking where you live, feeling safe and having pride in your community Having good health and enough energy to get things done daily

26 Well-Being: The North Star for Accountability 25-year commitment initiated January 2, telephonic community surveys completed per day, 7 days/week 2,000,000+ completed surveys For results based on this sample of respondents, the maximum 95% margin of sampling error is ±0.2 percentage points Design support and oversight from leading behavioral economists, psychologists, and experts in psychometric survey design and statistical analysis Largest and most comprehensive health survey and Purpose Social Financial Community Physical database

27 Cost Goes Down When Well-Being Goes Up Population Well-Being 1 Point = 2.2% likelihood of hospital admission 1.7% likelihood of ER visit 1.0% likelihood of incurring healthcare costs Source: Evaluation of the Relationship Between Individual Well-Being and Future Health Care Utilization and Cost Population Health Management, Volume 15, Number Patricia L. Harrison, MPH, James E. Pope, MD, Carter R. Coberley, PhD, and Elizabeth Y. Rula, PhD

28 Performance Goes Up When Well-Being Goes Up Workforce Well-Being 10 % 5% 24% 5% 6% fewer lower higher reported more days of unscheduled presenteeism job performance best work in absences 28-day period Source: Evaluation of the Relationship Between Individual Well-Being and Future Health Care Utilization and Cost Population Health Management, Volume 15, Number Patricia L. Harrison, MPH, James E. Pope, MD, Carter R. Coberley, PhD, and Elizabeth Y. Rula, PhD

29 Beach Cities Well-Being Climb! 3.5 Beach Cities Well-Being Climb Finklestein, E.A., Trogdon, J.G., Cohen, J.W., and Dietz, W. (July 2009). Annual Medical Spending Attributable to Obesity: Payer- and Service-Specific Estimates. Health Affairs 28(5) w822-w831. Solberg LI, Maciosek MV, Edwards NM, Khanchandani HS, Goodman MJ. Repeated tobacco use screening and intervention in clinical practice: health impact and cost effectiveness. American Journal of Preventive Medicine, 2006;31(1):62 71.

30 Beach Cities Well-Being Jump by the Numbers! What it means? What it means? $2.35M h.care savings₁ $8.03M savings in work loss productivity $6.97M h.care savings₂ ₁Finklestein, E.A., Trogdon, J.G., Cohen, J.W., and Dietz, W. (July 2009). Annual Medical Spending Attributable to Obesity: Payer- and Service-Specific Estimates. Health Affairs 28(5) w822-w831. ₂Solberg LI, Maciosek MV, Edwards NM, Khanchandani HS, Goodman MJ. Repeated tobacco use screening and intervention in clinical practice: health impact and cost effectiveness. American Journal of Preventive Medicine, 2006;31(1):62 71.

31 Well-being Analysis of Florida Counties Top Quintile 2 nd Quintile 3 rd Quintile 4 th Quintile 5 th Quintile

32 Building Momentum in Naples to Set the Stage for Southwest Florida Positive engagement of city leadership, business, media, and other community sectors Opportunities to leverage current community efforts and partnerships Great variation in well-being within Naples 32

33 Questions? Join the Movement Blue Zones Project SOUTHWEST FLORIDA 33