Laboratory Impact on Avera s Journey Into The Future

Transcription

1 Laboratory Impact on Avera s Journey Into The Future Leo Serrano, FACHE, DLM(ASCP) Director of Laboratory Services Avera McKennan Hospital and University Health Center Sioux Falls, S.Dak. Overarching Philosophy In keeping with our Faith Based Sponsors: Do things because they are the right thing to do; ; and don t t worry, the money will follow 1

2 Who Are We? Our Current Campus 2

3 The First: 36 th Magnet Hospital in America and the 1 st in the Dakotas. 11 th e-icu in the country and 1 st in the Dakotas. Freestanding cancer care facility Freestanding heart hospital Certified stroke center Verified Level II Trauma Center in South Dakota. ISO Accredited Hospital Laboratory in the U.S. MLO 2010 Laboratory of the Year How Can Your Laboratory Impact Your Organization 3

4 Laboratory Influence on Strategic Planning It is your responsibility to show the value of laboratory services to the overall organization. You should have thorough knowledge of the strategic directions of your organization. You need to take a broader, more comprehensive view than just what affects your laboratory! How Do You Get The Lab Involved? Show an interest in the Organizational Strategic Plan. Develop a Laboratory Strategic Plan that supports the greater Organization Plan. Develop talking points on what the lab contributes to overall patient care and to the finances of the organization. Have data to back up those talking points. Develop your elevator speech. 4

5 Learn and be conversant on healthcare reform, realities and issues. Learn about ACOs, HIEs and RHIOs. These buzz words aren t t going away. Find out what is going on in your region about these specific issues (even though they aren t about lab per se). Join organizations such as the American College of Healthcare Executives (ACHE) so that you know what your C suite is learning and hearing about. Avera As A Future ACO We are an Integrated Healthcare System 5 Regional Centers & >24 rural CAHs An Integrated Laboratory Network for Outreach Laboratory Business Owned Physician Practices - >450 providers Independent physicians can participate Owned Insurance Plan Aligned Financial Incentives Multiple Health Plan Contracts EMR (spans all regions and points of service Outcomes are measured and posted. 5

6 Avera As A Future ACO Health Information Exchange Capability All Avera information (including lab) can be shared internally/externally as appropriate. RHIO Efforts Working with S.D. e-health e Collaborative and Dakota State University (starting( with lab data). Lab part of S.D. Dept of Health Data Exchange. Working with Regional Health System in Rapid City, S.D. in developing data sharing as appropriate. S.D. DOC Syscon System all prison inmates laboratory data is connected state wide. Avera Laboratory Specifics As We Move Towards Becoming An ACO It isn t t enough just to provide timely, accurate lab results. You need to be a truly consultative service laboratory! We employ many assets to address this: Lean and Six Sigma Commitment to World Class Quality and Performance ISO Accreditation CAP, AABB, FACT, ASHI Accreditations 6

7 Avera Laboratory Specifics As We Move Towards The Future Standardization of Vendors and Methods across the system. Standardization of the LIS operations, dictionaries and protocols across the system. Telepathology consultations across the regions to ensure quality, obtain second opinions and provide timely services. Avera Initiatives And How The Lab Integrates With Them e-icu = Using telemedicine to connect rural sites ICUs to board certified Critical Care specialists 24/7. Harmonization of test methods and normal values. Technical assistance to smaller, rural critical access hospitals (lab expertise available 24/7 via phone and electronically). Laboratory Clinical Support to Intensivists available 24/7 from Pathologists and Clinical Experts (Chemists, Microbiologists, etc). 7

8 Avera Initiatives And How The Lab Integrates With Them e-emergency Service Service connects small, rural, critical access Emergency Departments to our Board Certified, Fellowship trained Emergency Room Physicians 24/7. Largest e-ed e program in the nation (over 41 sites) We provide EPOC analyzers to each site so that the results are consistent across the continuum. Lab Experts available 24/7 to both the main ED as well as the affiliate EDs. The EMR And The Lab AVERA MEDITECH EMR ASHH HCIS ASL HCIS AMcK HCIS AQOP HCIS A M HCIS 8

9 How Lab Data Is Incorporated and Displayed Lab data is available in the EMR regardless of origin and mechanism LSS clinic based system tied to laboratory database providing a single point of data access. ATLAS Used for independent practices (and clinics not on LSS) to provide patient data to the EMR. All systems used to push CPOM. How Lab Data Is Incorporated and Displayed Data is displayed in multiple ways including graphing. BE PHYSICIAN FRIENDLY! 9

10 Summary GET OUTSIDE THE LAB Learn more and educate leadership on how your lab contributes to quality and cost effective patient care. Develop your elevator speech. Align your Information Sharing Technology Raise the quality bar higher-regardless regardless of where you are today. Be Physician friendly they see patients Health care changes are coming in one form or another. Adapt to them. Whether Obama Care or something else. The cost of healthcare must come down and labs can contribute to this dramatically Labs can impact utilization, costs and quality of care issues in your facilities. Maximize your laboratory outreach. Find a partner that can guide and assist you. The future is up to you! 10

11 QUESTIONS? 11