Roundtable Discussion_Test Utilization_Zhang 7/29/2014
|
|
- Gerard Bishop
- 5 years ago
- Views:
Transcription
1 Bending Your Financial Curve: Improving Utilization of Send Out Tests with Laboratory Formulary Y. Victoria Zhang, PhD, DABCC Judy Sterry, MS University of Rochester Medical Center Disclosures None related to this presentation 2 1
2 Learning Objectives List the challenges that are facing the health care system Identify the opportunities to reduce cost in send out testing Discuss the strategic steps to implement laboratory formulary system to improve send out test utilization 3 Outline Example Background healthcare URMC Laboratory formulary development results Tips that may help good Bad 1,25-OH VitD 4 2
3 BACKGROUND 5 Health Care Costs Keep Increasing Health care cost increasing rate > GDP US has the highest per capita health costs Sisko A et al. Health Aff 2009;28:w346-w
4 Laboratory Testing Costs $60 billions/year (~4% total health care costs) Annual growth rate : 6 7% Future: ~6 7%; some suggests 15 25% Molecular testing, whole genome sequencing 2010 accountable care acts 7 How to reduce costs? Annual pressure to reduce the cost to the hospital for laboratory testing Some solutions are to bring tests in-house but not always feasible So what s the next step(s) to monitor and reduce the costs associated with testing? 8 4
5 University of Rochester Medical Center School of Nursing School of Medicine and Dentistry 1,400 full-time faculty members 650 voluntary clinical faculty members 400 medical students, 550 graduate students, and 600 residents and fellows 32 departments and centers 9 University of Rochester Medical Center Medical center operating budget: $2.49 billion Strong Memorial Hospital 800 beds, 38,421 discharges Golisano Children s Hospital James P. Wilmot Cancer Center Highland hospital 261 beds, 16,140 discharges F. F. Thompson Health System 113 beds New comers: Strong west, Pluta Cancer Center, Interlakes oncology Eastman Institute for Oral Health 10 5
6 Department of Pathology and Laboratory Medicine 932 faculty and staff (56 faculty) 24/7/365 operation Clinical Pathology 2.3 million patient orders 3.5 million specimens received per year 7 million billable tests Anatomic Pathology 114,500 cases > 51,000 surgical pathology cases (89,000 specimens) > 63,500 cytology cases 350,000 specimens pick ups and deliveries per year 11 LABORATORY FORMULARY 12 6
7 Laboratory Formulary: what is? An approach adapted from pharmacy formulary system. To create a comprehensive menu of laboratory tests offered into different categories not all tests are available to everybody at all times. 13 Laboratory Formulary Transformation III Pre-approval required Test Menu Tier II Specialists Tier I Everybody 14 7
8 Laboratory Diagnostics Committee 15 Laboratory Diagnostics Committee Functions Define policy. Review recommendations from reference lab (ATOP Report). Review our send-out tests. Compile subcommittee s suggestions for tests clinical utility. Identify restricted and unrestricted referral tests. 16 8
9 Subcommittee Functions Led by senior clinical faculty members and/or department chairs. Provided insights of test utility in their specialty. Assisted review of restricted tests. 17 Laboratory Diagnostics Committee Top Down Initiation Bottom Up Execution 18 9
10 Two-Phase Implementation Planning Inpatients and ED Outpatients / / Lab Test Consent Forms 20 10
11 costs ($) Volume (#) By accepting this notice, you confirm the following: If this patient is currently hospitalized: I am the Attending Physician of record or a Consulting Attending caring for the hospitalized patient identified above. I am requesting a laboratory assay that is restricted or not provided by the Clinical Laboratories of Strong Memorial Hospital/Highland Hospital and may require shipment of sample to an outside reference laboratory to perform this assay. I understand that the time required to process, ship, and to receive RESULTS from an outside reference laboratory generally REQUIRES A MINIMUM OF FIVE (5) BUSINESS DAYS, and that for certain assays, results may not be available for several weeks. In making this request I CERTIFY that the results of the laboratory assay that I have requested are LIKELY TO ALTER MY TREATMENT PLAN DURING THIS PATIENT'S STAY IN THE HOSPITAL UNDER THE CURRENT ADMISSION 21 Inpatient Volumes and Costs $100,000 $80,000 $60,000 $40,000 $20,000 $0 0.00% % % % % % % IP Costs and volume IP$ IP# 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q3 IP Costs and volume % Change IP# IP$ 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q3 1,500 1,
12 Transition between phase I and phase II: inpatient outpatient Data analysis LDC followed up with noncompliant providers Addition of unrestricted tests Additional guidelines implemented (preapproval required) Development of comprehensive data reports 23 11/2011 to now PHASE II: OUTPATIENT 24 12
13 Strategies Development of Tiered Laboratory Formulary Enhanced LDC membership: Subcommittees Authorized provider listing Support from Lab Sales Team (Outreach) to educate providers Additional website updates Additional training for providers and lab staff Enhanced security access options in EMR 25 Laboratory Formulary Tier I Unrestricted Available to all providers Tier II Restricted Restricted to Board-certified, specialtytrained physicians Who hold medical staff privilege at Strong Memorial or Highland Hospitals Tier III Off-formulary Tests of unclear, controversial, or poorly proven clinical values 26 13
14 Tier I Tests Examples Total of 1,553 tests All in-house tests Many send out tests 27 Tier II Tests List Total 225 tests 11DEC 11 Deoxycortisol 17HCU 17/OH Corticosteroids, Urine 17KU 17 KETOSTEROIDS TOTAL 18HC 18 OH Corticosterone 5MTF 5-Methyltetrahydrofolate, CSF 7DEHC 7-Dehydrocholesterol A1AST Alpha 1 Antitrypsin,Stool ACHRP Acetylcholine Receptor Ab Reflex Panel ACRBL Acetylcholine Rec Blocking AB 28 14
15 Tier III: not included in Tier I/II Approval Form 29 Laboratory Formulary Memo 30 15
16 How to order Tier II/III tests? 31 URMC LDC Process Provider orders send out test Tier I Tier I? No Tier II Tier II? No Tier III Providers fill One Time Authorization form and send it to Reference Lab Provider can order test Yes Yes Yes Is the provider authorized to order restricted test? No Reference Lab verifies if the provider board certified, subspecialtytrained provider holding Medical Staff Privileges at Hospital and Affiliates Reference lab informs LDC of their findings Reference Lab verifies if the provider board-certified, subspecialty-trained provider holding Medical Staff Privileges at Hospital Affiliates Reference Lab searches for appropriate testing lab, obtains pricing and sample processing requirements Provider is informed the denial Yes No LDC Approval No Reference lab informs LDC of their findings and sends One Time Authorization form to LDC for approval LDC Approval Yes 16
17 Costs ($) 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q3 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q3 Volume (#) Outpatient Volumes and Costs $1,200,000 $1,000,000 $800,000 $600,000 $400,000 $200,000 $0 OP Costs and volume 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q3 OP$ OP# 15,000 10,000 5, % 0.00% % % % % OP Costs and volume OP# OP$ 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q ,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 Quarterly Volume Change by Tiers Total Volume Percent Volume Change 0% Tier 1 Tier 2 Tier 3 All -10% -20% -30% -40% -50% -60% -70% Tier 1 Tier 2 Tier 3 All 34 17
18 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q3 2011Q1 2011Q2 2011Q3 2011Q4 2012Q1 2012Q2 2012Q3 2012Q4 2013Q1 2013Q2 2013Q3 $1,200,000 $1,000,000 Quarterly Cost Change By Tiers $800,000 $600,000 $400,000 $200,000 $0 Total Cost Change Tier 1 Tier 2 Tier 3 All 140% 120% 100% 80% 60% 40% 20% 0% -20% -40% -60% Percentage Cost Change Tier 1 Tier 2 Tier 3 All 35 Cost per Test By Tier $1,600 $1,400 Tier 1 Tier 2 Tier 3 All $1,200 $1,000 $800 $600 $400 $200 $
19 2009 JAN F EB MAR APR MAY JUN JUL AUG S EP OCT NOV D EC 2010 JAN F EB MAR APR MAY JUN JUL AUG S EP OCT NOV D EC 2011 JAN F EB MAR APR MAY JUN JUL AUG S EP OCT NOV D EC 2012 JAN F EB MAR APR MAY JUN JUL AUG S EP OCT NOV D EC 2013 JAN F EB MAR APR MAY JUN JUL AUG S EP OCT NOV D EC 2014 JAN F EB MAR APR MAY JUN JUL AUG S EP OCT NOV D EC Example Case 1,25 Vitamin D Brought 25-Hydroxy Vitamin D inhouse Became reference lab for affiliate hospital Order Interventions Feb - Apr Targeted provider education 2. Remove test from "Preference Lists" 3. General education to all Medical Staff 4. Convert to "restricted" staus in formulary 5. Drop down test order display changed to show 25 OH before 1, Ambulatory EMR Go-live ARUP Grand Rounds ,25 Vitamin D Case Study Vitamin D, 25-Hydroxy is the appropriate test for routine assessment of vitamin D status. Vitamin D, 1,25-Dihydroxy is indicated for diagnosing patients with certain other conditions, primarily hypercalcemia. If used for diagnosing vitamin D deficiency, the results can be misleading. We decreased 1,25 Dihydroxy, CPOE requests by 60% in 7 months, saving $78,000 in reference costs by minimal order interventions As an academic medical center we have community hospitals using us as a reference lab. As a value add service, we can help them save upwards of $40,000 in reference costs by helping them educate physicians
20 Summary of Laboratory Formulary Both inpatient and outpatient showed significant decrease in test volume and test costs. Later increase seems to be associated with erecord going live and the cost per tests for Tier III. More investigation is underway to ensure the efficiency of the laboratory formulary. 39 Tips that may help your decision and implementation of laboratory formulary WHAT WE LEARNED? 40 20
21 Key points to a successful implementation High level Hospital Support High level Pathology and Lab Medicine Support Dedicated Lab Faculty Member Physician to lead the team. Effective Communication and Training Increased Reference Lab staffing Utilize Outreach/Sales Team to help communicate message 41 Initial Concerns Many providers unaware of LDC formation and restricted testing policies Approval process took too long. Providers didn t know a test was restricted at time of ordering. Specimens were being collected prior to approval of restricted testing. Providers upset with message to Patients 42 21
22 Resolutions Enhanced communication Established hours response time to restricted test requests. Created a list of restricted tests and added to website. Removed restricted testing from requisitions. Changed policy and educated provides: > Restricted tests would not be collected or tested without preapproval. > Patient communication for testing not collected would be Physician s responsibility. 43 Lessons Learned Timely communication of denials from LDC physician to ordering provider with recommendations for appropriate testing. Understand data requirements of the LDC Provide data reports on a regular basis with means of quickly adjusting data sets. Create a database for electronic submission of off-formulary requests: Better management of pending requests Store supporting documentation for approval or denial of testing. Support future decisions with query options Use as a training tool for residents
23 Communication Laboratory Diagnostic Committee Ordering Physicians Laboratory Supporting Staff 45 An Opportunity for Clinical Labs Beyond maintaining quality and fulfilling test orders. Actively involve in decision making and the appropriate tests to order
24 Thank you for your attention! END 47 24
Transforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
More informationHIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017
HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 Nebraska Medicine $1.2 billion academic health system 8,000 employees More than 1,000 affiliated physicians Primary
More informationFrom Big Data to Big Knowledge Optimizing Medication Management
From Big Data to Big Knowledge Optimizing Medication Management Session 157, March 7, 2018 Dave Webster, RPh MSBA, Associate Director of Pharmacy Operations, URMC Strong Maria Schutt, EdD, Director Education
More informationAdministrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Morgan Pendleton, PharmD, BCOP Hematology/Oncology Clinical Pharmacist Wake Forest Baptist Health Objectives Evaluate the need
More informationPatient Care: Case Study in EHR Implementation. With Help From Monkeys, Mice, and Penguins. Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007
Using Information Technology to Drive Patient Care: Case Study in EHR Implementation With Help From Monkeys, Mice, and Penguins Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007 MIT Medical Staff 122
More information1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationMoving an Enabled Patient to an Engaged Patient Our Patient Portal Experience
Moving an Enabled Patient to an Engaged Patient Our Patient Portal Experience Lori K. Posk M.D. FACP Medical Director MyChart Cleveland Clinic Foundation Disclosures No financial Disclosures Learning Objectives
More informationAurora will expand its geographic coverage within Wisconsin to achieve its mission to: Aurora Health Care 1991 Strategic Plan
Objectives To describe the 20-year evolution of Aurora Medical Group within Aurora Health Care To identify the cultural characteristics necessary to improve patient access from the patient s perspective
More informationNational Reference Laboratory Quality Dashboard. Quality Improvement Metrics Q4 2016
National Reference Laboratory Quality Dashboard Quality Improvement Metrics Q4 2016 INTRODUCTION Accreditation is an important tool used to demonstrate the commitment and competence of medical laboratories
More informationThe New Clinical Research Landscape Incentives, Opportunities and Support Offered by the NIHR
The New Clinical Research Landscape Incentives, Opportunities and Support Offered by the NIHR 1 September 2011 Dr Jonathan Gower Assistant Director CCRN The National Institute of Health Research - A real
More informationDischarge and Follow-Up Planning. Presented by the Clinical and Quality Team
Discharge and Follow-Up Planning Presented by the Clinical and Quality Team After today s training you will be able to: Identify and summarize important information about discharge planning Have adequate
More informationOverview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy
Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital
More informationMaimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology
Maimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology Healthcare Information and Management Systems Society Electronic Poster Session CPR System Planning The
More informationHPV Vaccination Quality Improvement: Physician Perspective
HPV Vaccination Quality Improvement: Physician Perspective Discussion of efforts to raise HPV vaccine coverage using quality improvement from a physician s perspective Alix Casler, M.D., F.A.A.P. Chief
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationFrom Implementation to Optimization: Moving Beyond Operations
From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest
More informationTransforming Healthcare Delivery, the Challenges for Behavioral Health
Transforming Healthcare Delivery, the Challenges for Behavioral Health Presented by: M.T.M. Services, LLC P. O. Box 1027, Holly Springs, NC 27540 Phone: 919-434-3709 Fax: 919-773-8141 E-mail: mtmserve@aol.com
More information1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy
More informationElectronic Physician Documentation: Increased Satisfaction
Electronic Physician Documentation: Increased Satisfaction Session 222, February 23, 2017 Robert (Bob) Diamond, Sr. Vice President / CIO, Health Quest Kshitij (Tij) Saxena, MD, CMIO, Health Quest 1 Speaker
More informationCompliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
More informationCatherine Porto, MPA, RHIA, CHP Executive Director HIM. Madelyn Horn Noble 3M HIM Data Analyst
1 Catherine Porto, MPA, RHIA, CHP Executive Director HIM Madelyn Horn Noble 3M HIM Data Analyst University of New Mexico Hospitals» The state s only academic medical center» The primary teaching hospital
More informationDepartments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence
Coordination of Multiple Departments to Improve ED Throughput February 2011 Chad Faiella RN, Terri Martin RN 1 Agenda OhioHealth information Grant Medical Center facts Bed assignment process Key takeaways
More informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More informationLeveraging the Attention
Leveraging the Attention HOW TEXAS TOOK ADVANTAGE OF HEIGHTENED NATIONAL AWARENESS TO EXPEDITE ONGOING SPECIMEN TRANSIT QUALITY IMPROVEMENT EFFORTS B RENDAN R EILLY P ROGRAM S PECIALIST Texas DSHS Newborn
More informationColumbus Regional Hospital Pressure Ulcer Prevention
Columbus Regional Hospital Pressure Ulcer Prevention Kathryn Jackson RN, MSN, CRRN Pressure Ulcer Prevention Columbus Regional Hospital, Columbus, IN Objectives & About Us Describe current pressure ulcer
More informationduring the EHR reporting period.
CMS Stage 2 MU Proposed Objectives and Measures for EPs Objective Measure Notes and Queries PUT YOUR COMMENTS HERE CORE SET (EP must meet all 17 Core Set objectives) Exclusion: Any EP who writes fewer
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationSTATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018
STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available
More informationInformation Technology Report to Medical Executive Committee
July 10, 20 Information Technology Report to Medical Executive Committee Contents 1 Medicare Meaningful Use 1 Drug/Drug Interaction Alert 2 Leapfrog Group 2 My Apps Icon/Shortcut 2 NHIQM Project 3 mpages
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services
More informationAchieving Operational Excellence with an EHR a CIO s Perspective
Achieving Operational Excellence with an EHR a CIO s Perspective Phyllis Schuck, SPHR CIO of Pinehurst Surgical HIT Session 6.02 Thursday, March 29, 2007 Pinehurst Surgical Organization Overview Founded
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationNURSE MONITORING PROGRAM HANDBOOK
Wyoming State Board of Nursing NURSE MONITORING PROGRAM HANDBOOK 130 Hobbs Avenue, Suite B Cheyenne, WY 82002 Phone: 307-777-7616 Fax: 307-777-3519 wsbn.nursemonitoring@wyo.gov I. Introduction Welcome
More informationUI Health Hospital Dashboard September 7, 2017
UI Health Hospital Dashboard September 20 September 7, 20 UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Discharges 4,558 4,680 4,720 Combined Observation Cases
More informationDiagnostic Waiting Times
Publication Report Diagnostic Waiting Times Quarter Ending 31 December 2015 Publication date 23 February 2016 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results
More informationOntario Shores Journey to EMRAM Stage 7. October 21, 2015
Ontario Shores Journey to EMRAM Stage 7 October 21, 2015 ICE BREAKER Agenda System overview & pervasiveness of use Review Clinical Practice Guideline implementation Discuss Patient Portal implementation
More informationFLORIDA CENTER FOR HEALTH INFORMATION AND TRANSPARENCY
FLORIDA CENTER FOR HEALTH INFORMATION AND TRANSPARENCY DATA CATALOG Rick Scott, Governor Justin M. Senior, Secretary Visit AHCA online at: www.floridahealthfinder.gov Revised 2017 TABLE OF CONTENTS PAGE
More informationQuality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals
Quality Measure Indicators +Throughput Metrics + Automated Dashboard = Innovation to Improve Quality Goals DMC Harper- Hutzel Hospital The DMC is an 8 facility academic medical center Harper-Hutzel is
More informationRenfrew Victoria Hospital
Renfrew Victoria Hospital Implementation of a Functional Abilities Measurement Tool TEAM MEMBER NAMES: Randy Penney, Executive Sponsor Charlene Hanniman, Team Lead Stefanie Coughlin, Team Member Chris
More informationHypertension. Collaborating to Control Blood Pressure: Knowing Your Numbers is Just the Beginning
Hypertension Collaborating to Control Blood Pressure: Knowing Your Numbers is Just the Beginning Al Bradley Senior Program Manager Director, High Blood Pressure Collaborative Finger Lakes Health Systems
More informationAgenda Item The report triangulates staffing levels against appropriate quality measures. The Report is provided to the Board for:
To: Trust Board From: Michelle Rhodes, Director of Nursing Date: 2 nd May 2017 Essential Standards: Health and Social Care Act 2008 (Regulated Activities) Regulation 18: Staffing Title: Monthly Nursing/Midwifery
More informationGreetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE
IN THIS ISSUE: Create Raving Fans of Your Idea P. 1 Where is our waste? P. 1 Sepsis Update P. 3 Quality Updates P. 4 APeX quality tips P.5 Division Incentive Metrics P. 6 Focus Group Findings P. 2 The
More informationPROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
PROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On February 23, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated proposed
More informationBIOMEDICAL SCIENTIST MEDIA INFORMATION 2017
THE BIOMEDICAL SCIENTIST IBMS.ORG MEDIA INFORMATION 2017 Highest circulation and the widest readership among medical laboratory scientists CIRCULATION 20,000 ADVERTISING FOR MORE INFORMATION AND TO BOOK,
More informationEnlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):
Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune
More informationBOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS
BOROUGH OF ROSELLE PUBLIC NOTICE ANNUAL NOTICE OF CALENDAR YEAR 2018 WORKSHOP SESSIONS, PRE-AGENDA MEETINGS AND REGULAR MEETINGS BE IT RESOLVED, by the Mayor and Borough Council of the Borough of Roselle,
More informationUCLA Newborn Screening Symposium 2018
UCLA Newborn Screening Symposium 2018 Facility Feedback HEPP Reports and Graphs How to Best Utilize These Reports for Optimal Outcomes Timeliness in Specimen Collection and Transit TRF Completion Early/Missing
More informationIntegrating Quality Into Your CDI Program: The Case for All-Payer Review
7th Annual Association for Clinical Documentation Improvement Specialists Conference Integrating Quality Into Your CDI Program: The Case for All-Payer Review Katy Good, RN, BSN, CCDS, CCS CDI Program Coordinator
More informationUHF Quality Institute. Patient-Reported Outcomes in Primary Care New York PROPC-NY. Module 2 Webinar
UHF Quality Institute Patient-Reported Outcomes in Primary Care New York PROPC-NY Module 2 Webinar Lucy Savitz, Assistant Vice President for Delivery System Science, Intermountain Healthcare January 24,
More informationBOARD OF DIRECTORS PAPER COVER SHEET. Meeting Date: 1 st December 2010
BOARD OF DIRECTORS PAPER COVER SHEET Meeting Date: 1 st December 2010 Agenda Item: 9 Paper No: E Title: Management of Pressure Ulcers Purpose: For Information Summary: This paper provides a report on the
More informationTina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN
Establishing a Conservative Approach to the Prevention of Pressure Ulcers with the Utilization of Data Analytics to Monitor Effectiveness of Quality Efforts and Best Practice Models Tina Nelson, MBA, BSN
More informationImproving the Chemotherapy Appointment Experience at the BC Cancer Agency
Improving the Chemotherapy Appointment Experience at the BC Cancer Agency Ruben Aristizabal Martin Puterman Pablo Santibáñez Kevin Huang Vincent Chow www.orincancercare.org/cihrteam Acknowledgements BC
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. 2320 RN Vacancy Rates for the Month of January 2013
More informationNorthern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention
Northern Health - Acute Services Evidence Based Practice Venous Thromboembolism Prevention (VTE) Jeannette Kamar Christine Lamotte, Liam Carter Improving Patient Safety Preventing and Managing Venous Thromboembolism
More informationDisability and Work Division. Jobcentre Plus Pathways to Work: Official Statistics
Disability and Work Division Jobcentre Plus Pathways to Work: Official Statistics October 2009 Jobcentre Plus Pathways to Work 2 of 21 Executive summary This is the official statistics publication of Jobcentre
More informationGRANTS.GOV Updates Federal Demonstration Partnership Meeting. Presented by Grants.gov September 7, 2017
GRANTS.GOV Updates Federal Demonstration Partnership Meeting Presented by Grants.gov September 7, 2017 RELEASE UPDATE 09/06/2017 GRANTS.GOV Updates Federal Demonstration Partnership JAD Meeting Slide 2
More informationPSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
More informationMeaningful Use: A Practical Approach. CSO HIMSS Spring Conference 2013
CSOHIMSS 2013 Slide 0 May 17 th, 2013 Meaningful Use: A Practical Approach Jay Brown Sr. VP & CIO, UC Health Rick Haucke Manager, IS&T, PMO, UC Health Ajay Sharma FHIMSS, Sr. Manager, Sogeti USA, LLC CSO
More informationReducing Elective Waits: Delivering 18 week pathways for patients. Programme Director NHS Elect Caroline Dove.
Reducing Elective Waits: Delivering 18 week pathways for patients Programme Director NHS Elect Caroline Dove What I will cover 1. Why 18 Weeks is different 2. Where are we now 3. New models of delivery
More informationSTAGE 2 PROPOSED REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1
STAGE 2 PROPOSED REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1 Requirement CPOE Use CPOE for medication orders directly entered by any licensed health care professional who can enter orders into the
More informationHow To Make A Good Vascular Access Program Even Better. Thursday, April 14, Welcome to our Webinar: Presenters: Cindy Miller, RN
Presenters: Cindy Miller, RN - The Renal Network Raynel Wilson, RN -The Renal Network -Julie Guss, RN -FMC Heart of Ohio Welcome to our Webinar: How To Make A Good Vascular Access Program Even Better -Heidi
More information2013 ANCC National Magnet Conference
2013 ANCC National Magnet Conference Our Expedition Everest Conquering the Staffing and Scheduling Yeti Session # C647, 3:30-4:30PM Thursday October 3, 2013 James Fenush Jr. MS, RN Director of Nursing,
More informationAnn Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program. Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence
Ann Klein, Wound Care Specialist Brenda Mundy, Manager, Skin and Wound Program Innovative Strategies lead to a Reduction in Pressure Ulcer Incidence Background Outline Innovative strategies to develop
More informationDecreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT)
Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT) Dr. Jose Cadena Dr. Amruta Parekh University of Texas Health Science Center at San Antonio San Antonio,
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836
More information2013 ANCC National Magnet Conference
2013 ANCC National Magnet Conference Our Expedition Everest Conquering the Staffing and Scheduling Yeti Session # C647, 3:30-4:30PM Thursday October 3, 2013 James Fenush Jr. MS, RN Director of Nursing,
More informationCultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director
Cultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director AMGA Pre-conference Workshop 1 April 14, 2011 Washington, D.C. Disclosure Nothing in Today
More informationLeveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
More informationExpanding Access to Financing & Telehealth for Rural Health Care Providers: Washington State
Expanding Access to Financing & Telehealth for Rural Health Care Providers: Washington State September 13, 2016 in Olympia, Washington September 15, 2016 in Cheney, Washington Leila Samy, MPH Rural Health
More informationLaguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017
Laguna Honda Lean Transformation Laguna Honda Strategic Performance Management November 2017 Background MAKE IT BETTER 4. 1. Performance Improvement FIX IT Do the work and make it happen 3. Create best
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationElmhurst Memorial Healthcare Successfully Attests to Stage 1 Meaningful Use
Welcome! Elmhurst Memorial Healthcare Successfully Attests to Stage 1 Meaningful Use Presented by: Larry Katzovitz & Judy Triano Elmhurst Memorial Healthcare Kay Jackson (978) 805-3104 Kay.Jackson@iatric.com
More informationAccountable Care Organizations Creating A Culture Of Engaged Physicians
Accountable Care Organizations Creating A Culture Of Engaged Physicians Judith Miller, VP Medical Services & CI Advocate Physician Partners August 14, 2014 1 Sites Of Care Advocate Health Care 13 Hospitals
More informationAldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1
Aldijana Avdić, BSN, RN, PBMS, CPHQ Assistant Director, Patient Safety and Privacy 1 Program Definition The timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin
More informationDriving the value of health care through integration. Kaiser Permanente All Rights Reserved.
Driving the value of health care through integration February 13, 2012 Kaiser Permanente 2010-2011. All Rights Reserved. 1 Today s agenda How Kaiser Permanente is transforming care How we re updating our
More informationLet Hospital Workforce Data Talk
Let Hospital Workforce Data Talk A Data Visualisation Exercise Health & Biosecurity Yang Xie yang.xie@csiro.au HIC, 08-Aug-2017 THE AUSTRALIAN E-HEALTH RESEARCH CENTRE Healthcare Marketplace: the big picture
More informationAchieving Consultative Lab Testing Services
Achieving Consultative Lab Testing Services Sandy Richman, MBA, C(ASCP) Manager of ARUP Consultative Services sandy.richman@aruplab.com Agenda A review of healthcare trends Impact on labs - opportunities
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationExperiential Education
Experiential Education Experiential Education Page 1 Experiential Education Contents Introduction to Experiential Education... 3 Experiential Education Calendar... 4 Selected ACPE Standards 2007... 5 Standard
More informationManaging Receivables Through Patient Access Ingenuity
Managing Receivables Through Patient Access Ingenuity Managing Receivables Through Patient Access Ingenuity About the Organization Cedars-Sinai Medical Center: 886 Licensed Beds in Beverly Hills, California
More informationAnalysis of Incurred Claims Trend and Provider Payments
Analysis of Incurred Claims Trend and Provider Payments Board of Trustees Meeting May 24, 2013 Presentation Overview Trends in Incurred Claims Paid through March 31, 2013 Per Member Per Month (PMPM) By
More informationPaving the Path toward Improved Specialty Access What it looks like
Paving the Path toward Improved Specialty Access What it looks like Paul Giboney, MD Director, Specialty Care and PRIME Program Los Angeles County Department of Health Services Where We Were - 2011 Very
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 17 February 2015 Chief Officer (Acute Services) Board Paper No.15/08 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More informationStage 1 Meaningful Use Objectives and Measures
Stage 1 Meaningful Use Objectives and Measures Author: Mia Evans About Technosoft Solutions: Technosoft Solutions is a healthcare technology consulting, dedicated to providing software development services
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationTRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS
TRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 def Agenda Item: 10c PURPOSE PREVIOUSLY CONSIDERED BY Objective(s) to which issue relates * Risk Issues (Quality, safety, financial, HR, legal
More informationMitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers
Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers HIMSS Stage 7: What it Means Heart of America HIMSS and the Missouri Health Information Management Association
More informationCHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.
PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected
More informationColorado Medical-Dental Integration Project (CO MDI)
Colorado Medical-Dental Integration Project (CO MDI) Allison Cusick, MPA, CHES National Oral Health Conference April 2016 Colorado Medical-Dental Integration CO MDI Five-Year Initiative Launched in 2014
More informationUNIVERSITY OF DAYTON DAYTON OH ACADEMIC CALENDAR FALL Incoming First Year students move into UD Housing
UNIVERSITY OF DAYTON DAYTON OH 2018-2019 ACADEMIC CALENDAR FALL 2018 Mon. Aug 6 TBD Thu, Aug 16 Fri, Aug 17 Sat, Aug 18-21 Sun, Aug 19 Tue, Aug 21 Tue, Aug 21 Wed, Aug 22 Tue, Aug 28 Mon, Sep 3 Fri, Sep
More informationHealth Care Systems - A National Perspective Erica Preston-Roedder, MSPH PhD
Health Care Systems - A National Perspective Erica Preston-Roedder, MSPH PhD Outline Quality Overview Overview and discussion of CMS programs Increasing transparency Move from P4R to P4P Expanding beyond
More informationCAMDEN CLARK MEDICAL CENTER:
INSIGHT DRIVEN HEALTH CAMDEN CLARK MEDICAL CENTER: CARE MANAGEMENT TRANSFORMATION GENERATES SAVINGS AND ENHANCES CARE OVERVIEW Accenture helped Camden Clark Medical Center, (CCMC), a West Virginia-based
More informationARRA New Opportunities for Community Mental Health
ARRA New Opportunities for Community Mental Health Presented to: The Indiana Council of Community Behavioral Health Kevin Scalia Executive Vice-President, Corporate Development February 11, 2010 Overview
More informationPBSI-EHR Off the Charts Meaningful Use in 2016 The Patient Engagement Stage
PBSI-EHR Off the Charts Meaningful Use in 2016 The Patient Engagement Stage Please note that this document is intended to supplement the information available on the CMS website for Meaningful Use for
More informationFinding Progress on Timely Access Issues
Finding Progress on Timely Access Issues Bill Barcellona SVP for Government Affairs, CAPG L. Gordon Moore, MD Senior Medical Director, 3M Health Data Science Group Dan Southard Deputy Director, Office
More information3/14/2016. About Seattle Children s. The national send-outs problem
Effective change management: hard decisions and re-organization in a laboratory send-out department Jane Dickerson, PhD, DABCC, Director Chemistry and Reference Lab Services Monica Wellner, Manager Specialty
More informationWebinar Control Panel
Clear Communications Through Dashboard Reports 1 2012 Community Action Program Legal Services, Inc. Webinar Control Panel Raise your hand to ask a question Only enabled if you have entered your Audio Pin!
More information