WAHU Quality Presentation 4/6/2017 Francie Ekengren, MD Chief Medical Officer, Wesley Healthcare Lindy Garvin, MPA, CPHRM Division VP, Quality Improvement and Patient Safety 1
Opportunities for Growth: Pediatric Service Line Market Pediatric ED Visits Pediatric Trauma Volume 40,000 35,000 30,000 25,000 20,000 27,783 29,684 35,452 36,158 500 450 400 350 300 250 353 375 412 448 15,000 200 10,000 5,000 150 100 50 0 2013 2014 2015 2016 0 2013 2014 2015 2016 Current Growth Initiatives Onboard newly recruited physicians starting in 2017 (pediatric pulmonology, plastics, hospitalist, intensivist, and geneticist). Website content overhaul paired with Children s Hospital marketing phase II. Continued promotion of only level II trauma pediatric facility in the state of Kansas. 2016 year over year trauma growth 9%. Drive volume through new programs (pediatric concussion clinic and Pectus program). Future Growth Initiatives Continued recruitment around target specialists (pediatric urology, emergency medicine, ENT, ortho, and surgery) as well as Via Christi intensivist. Phase II of Children s Hospital: obtain approval for peds ED, sedation, infusion, and overflow beds. Pediatric subspecialty outreach clinic and dedicated pediatric transport service. Develop Children's Hospital specific volume drivers (spina bifida, obesity, cystic fibrosis, and cleft pallet). Submit COG application for pediatric oncology in July. 2
Leapfrog Survey Hospital 04/29/2014 10/30/2014 04/30/2015 10/28/2015 04/25/2016 10/31/2016 Wesley Medical Center Wesley Woodlawn Hospital and ER B B A A A A Included in Included in WMC WMC A A A Included in WMC Both Wichita Hospitals scored an A in the last 4 cycles of Leapfrog Safety Scores The Hospital Safety Score includes 30 measures, all currently in use by national measurement and reporting programs including: Leapfrog Hospital Survey, Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Centers for Medicare & Medicaid Services (CMS), and American Hospital Association s Annual Survey and Health Information Technology Supplement. Taken together, those performance measures produce a single score representing a hospital s overall performance in keeping patients safe from preventable harm and medical errors. Hospital Safety Scores are assigned to more than 2,500 hospitals across the nation twice annually.
Leapfrog-- Competitors Hospital 04/29/2014 10/30/2014 04/30/2015 10/28/2015 04/25/2016 10/31/2016 Via Christi Hospitals-- Wichita St Francis C B B C C C
Evidence-based Care--Sepsis 25% 20% 15% 22% 21% 21% 21% 31% Sepsis Coordinators 35% 17% 39% Sepsis Champions 18% 45% 18% 50% 17% 55% 14% 57% 57% 17% 13% 55% 15% 57% 60% 50% 40% 30% 10% 20% 17% 5% 8% 10% 0% 1Q14 2Q14 3Q14 4Q14 1Q15 2Q15 3Q15 4Q15 1Q16 2Q16 3Q16 4Q16 Mortality Overall Bundle Compliance Linear (Mortality) 2016 Key Results Over 2015 $4.2 M Savings through July annualized to $7.2 M 11.5 ROI on Sepsis Coordinators Additional Lives saved: 57 YTD July annualized to 98 0%
2017 Priorities Mortality Complications Sepsis Measures Hospital Acquired Infections Ventilator Utilization
Why Does Quality Matter?
Wesley Quality Metrics
Wesley Quality Metrics
Wesley Quality Metrics
Wesley Quality Metrics
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1 in Every 25 People Gets a Hospital Acquired Infection You
HAIs Cost Everyone Increased Medical Costs Physician management Increased Length of Stay Increased supply/medication costs Increased Personal Costs Time away from Work Time away from Family
Cost Quiz How Much? According to the Society for Actuaries (using 2010 Data) how much increased medical cost is associated with a Central Line Associated Bloodstream Infection (CLABSI)? q a. $5,756 q b. $22,514 q c. $164,874 q d. $83,365
Cost Quiz How Much? According to the Society for Actuaries (using 2010 Data) how much increased medical cost is associated with a Catheter Associated Urinary Tract Infection (CAUTI)? q a. $24,901 q b. $850 q c. $164,874 q d. $62,951
Core Measures These quality measures show how often or how quickly hospitals give recommended treatments known to get the best results for people with certain common conditions. Heart attack care Emergency department care Stroke care Blood clot prevention & treatment Pregnancy & delivery care
The Value Equation: Good quality is good business.