2017 HIMSS DAVIES APPLICANT

Transcription

1 2017 HIMSS DAVIES APPLICANT

2 Introduction of NOMS Team Members

3 Melissa Thomas IT Project Director

4 Joshua Frederick, CPA, MT Chief Executive Officer

5 Jennifer Hohman, MD Executive Vice President, NOMS Healthcare

6 Rebecca Rohrbach, DNP Vice President of Population Health

7 Holly Tyson, RN Director of Care Management

8 Stephanie Huntington, LPN Clinical IT Analyst

9 NOMS Healthcare currently serves the upper portion of North Central Ohio.

10 Fun Facts About NOMS Healthcare The mission of NOMS Healthcare is to provide excellent, personalized, team-based care Northern Ohio Medical Specialists was formed with 32 Physicians NOMS physicians formed an information technology (IT) committee to explore conversion from paper charts to an electronic health record (EHR ) platform. Later that same year - NOMS newly formed IT department began implementing an EHR system wide NCQA Level 3 PCMH Recognition Chronic Care Management Team, NOMS 360, was instituted of 35 Advanced ACO s across the nation CPC+ designation Present 186 Providers and 646 Team Members

11 700 NOMS Team Members Total Team Members

12 NOMS Providers Total Providers

13 Case Study Improve Quality Scores

14 Improving Quality Scores

15 Local Challenge We found we needed to have the ability to effectively track our Quality Measure Data via Score Cards and Registries to improve on Quality Scores. In 2013, prior to our EHR upgrade we manually reported on eight Quality Measures. By the end of 2016, after the EHR upgrade, we effectively electronically reported on 23 Quality Measures.

16 Sample 2013 Score Card

17 Sample 2016 Score Card

18 Steps to Improved Quality Scores Interventions Design Implementation How HIT was utilized Value Derived

19 Interventions Upgraded our current EHR to a new EHR system Formed a Standardization Implementation Committee Created Standardized Templates Creation of Clinical Decision Support System (CDSS) Alerts Instituted Pre-Visit Planning utilizing our standardized templates and alerts to guide our staff Messenger Campaigns Flu/Pneumonia Vaccine Reminder, Medicare Wellness Kiosk Questionnaires created Medicare Wellness

20 November 2014 NOMS Healthcare upgraded their EHR system to eclinicalworks

21 August 2014 Standardization Implementation Committee (SIC) Formed Team of providers representing each specialty IT Team Administration Team

22 SIC Goal To standardize and create NOMS best practices across our entire organization. Created a template and report request form This allows for offices to submit their change requests or to request a new standardized template or report be created

23 Report Request Form

24 Template Request Form

25 Template Request Form

26 Template Request Form

27 Instituted Pre-Visit Planning Created templates Alerts Diagnosis Specific Alerts, Clinical Decision Support System (CDSS) Alerts

28 Medicare Wellness Template

29 Diagnosis Specific Alert

30 CDSS Alerts

31 Medicare Wellness Cervical Cancer Screening Colon Cancer Screening ecw Messenger Flu/Pneumonia Vaccination Well Child

32 Medicare Wellness Campaign Overview Remind Medicare patients of their annual Wellness Visits Benefits Increased Revenue Engage patients for improved wellness Details Trigger: Medicare patients for whom it has been over a year (reference Service Date on claim) since they have been billed a G0438 or G0439 Message Example Portal , Text notification, Voice notification

33

34 Kiosk Questionnaire - Medicare Wellness

35 Patient Care Quality Committee (PCQC) Established in 2013 to aid in practice transformation. Meets Weekly Create and disseminate quality score cards Establish thresholds for quality score cards Lead quality improvement projects utilizing the PDSA model Ensures best practices are communicated and deployed across the organization

36 PCQC Identified area in need of improvement *PCQC lead the initiative to increase quality scores for Diabetic Eye Exam. *PCQC approved the purchase of the Retina Vue to be used across the entire organization in Qtr *Was to increase our Diabetic Eye Exam quality metric score Qtr % Qtr %

37 Implementation SIC formed Standardized workflows created to enhance data extraction Standardized employee and provider EMR training specifications November 2014 eclinicalworks went live EHR KIOSK Messenger Campaigns

38 EMR Trainings EMR Training All new team members including physicians attend 1 ½ days of EMR training New Office Onboarding During the 1 st week of Go Live, offices are required to cut back patient volume to 50% During the second week of Go Live, offices if doing well may cut back patient volume to 25% During the third week if doing well may resume normal patient volume.

39 How HIT was Utilized Standardized Template Creation Created Reports and Registries Created Alerts ecw Provided Staff and Provider Training Developed Kiosk Questionnaires Built Standard workflows

40 Value Derived Improved Metrics Improved Outcomes

41 Sampling of our Improved Quality Scores

42 Utilization (per 1000 person years): Bacterial Pneumonia

43 2016 NOMS Healthcare Bacterial Pneumonia Hospital Rate % 6.46%