Clinically Integrated Network News
Table of Contents
Call to Action
Q2 Call to Action Results
Recap: Call to Action either:
- Address Health Maintenance (DM-Statin Therapy), or
- Order a statin for patients with diabetes 40 years of age or older
Results: The results have been fairly neutral. Overall, Statin Use in Persons with Diabetes (SUPD) usage rates remained essentially the same. We saw an increase of 6% in the two months.
Q3 Call to Action — Use of “Super BPA”
Utilize the new "Super BPA" to address patients’ care gaps all in one place. Diagnoses are linked to orders for increased efficiency. Reconcile the patient’s chart before using the "Super BPA" to avoid duplication of services. Not all care gaps that are listed have to be addressed once the "Super BPA" is opened; time allowing, you may pick and choose which to address.
We will report results next quarter.
Success Story
“Super BPA”
The main purpose of a BPA is to be a “one-stop shop” for placing orders, linking orders with visit diagnoses and printing vaccine information statements (VIS); leading to greater efficiency for end users. The new ‘Super BPA’ went live July 10, which is inclusive of diabetes measures, various preventive screenings and multiple immunizations.
A few highlights of the "Super BPA" include:
- Built in rules within the "Super BPA", which looks at a patient’s insurance to determine if they can receive their vaccines in office or if they must receive them at the pharmacy.
- The VIS are also linked to each vaccine to save time.
- Topics will not fire in the "Super BPA" if previously ordered to avoid duplication.
Helpful links within the "Super BPA" include:
- Submit feedback - used to send any issue to Epic Operations.
- Health Maintenance activity - jumps to Health Maintenance within patient’s chart.
If there are any questions regarding the "Super BPA", please contact PPGEpicOperations@parkview.com.
Provider Relations Highlight
Eric Reichenbach, MD, Parkview Physicians Group (PPG) – Family Medicine, has been a valuable asset and support to the clinically integrated network (CIN) team. His “you can do it” attitude has helped his colleagues in the transformation of new office workflows to help meet clinical integration goals.
Thank you, Dr. Reichenbach!
Joe Pressler, COO, Professional Emergency Physicians, Inc. (PEP), has been an essential team member in connecting the CIN and providers to an opportunity within utilization measures in the ED. Per Joe, “If we meet 98% compliance in sepsis screening, we estimate we can save 42 lives per year, reduce hospital length of stay by four days and save $1.2 million of spend.” These are motivating statistics and helpful in reaching the objective of a CIN to demonstrate value in healthcare.
We appreciate your collaborative approach with the CIN, Joe and PEP!
Quality
PROJECT: Reducing Potentially Avoidable ED Visits
The value driven CIN of Parkview Care Partners sought out an opportunity to reduce potentially avoidable ED utilization for two specific diagnoses—urinary tract infections (UTI) and headaches. The target was patients who were seen within one of our walk-in clinics (WIC) and then seen in the ED within 24 hours, excluding any patients who were admitted.
The data reflected a total of 81 patients in 12 months from one WIC location. The average ED cost per person amounts to $4,650.95, totaling $376,726.95 of potentially avoidable costs generated from evaluating one WIC.
The project included identifying ways to improve communication and education with the patient, reviewing the intervention provided to patients, and hypothesizing root causes. The pilot is still in progress but we are encouraged by the engagement and results thus far. Furthermore, projects such as this one exude the goal of a CIN – to create value in healthcare. This project has many potential benefits, including:
- Improved access: If we can reduce the number of potentially avoidable UTI and headache ED visits, then the ED will be able to care for others who present with higher acuity illnesses.
- Improve patient satisfaction: Patients come to healthcare providers seeking relief and help. If after a visit they don’t receive the relief that they sought, and within the timeframe they were expecting, then they seek care and relief elsewhere; ultimately leaving them unsatisfied with the original outcome. By improving our communication and education, while appropriately addressing the realistic timeline for relief, we can positively impact the patient experience.
- Appropriately reducing cost: Generally speaking, patients who have a UTI or headache can appropriately seek relief and care from their primary care provider or WIC, which is a lower cost option compared to the ED.
Healthcare professionals diligently work toward achieving the right care, at the right time and in the right place for patients. It’s what is best for patients and we are proud to share that we are continuously working toward it!
Thank you to the WIC team Rebecca Case, MD, PPG - FirstCare Walk-In Clinic; Devon Hutson, director, PPG Practices; DeWayne Richardson, manager, PPG - FirstCare Walk-In Clinic; Melia Long, RN, supervisor, PPG - FirstCare Walk-In Clinic; Whitney Miller, RN, PPG - FirstCare Walk-In Clinic; Cheryl Jones, Elaina Goins, manager, PPG - FirstCare Walk-In Clinic; and many more for your participation, engagement and continued efforts on this project!
Great job to Olivia Oberlin, provider relations specialist/project lead, Clinical Integration, for facilitating!
Education
Upcoming Collaborative Learning Sessions (CLS):
|
Date |
Topic(s) |
|
Sept. 24 at 7:30 a.m., noon and 4 p.m. |
• Statin use project and progress • Breast cancer screening “unmet” report |
Skype meeting (contact parkviewcarepartners@parkview.com if you are currently not receiving outlook invites for this meeting)
Suggested Attendees:
- Clinic managers
- Directors
- Quality leads
- Clinical staff who support providers in the CIN
- Physicians (depending on the topic)
In the Know
APP New Hire Orientation – CIN Inclusion and the “Why” Behind It
As 2019 continues to be a year of growth and change for Parkview Care Partners, we wanted to highlight a new area of education of the CIN. Starting in September 2019, the CIN department will be teaming up with Shaun Hart, NP, and the PPG Education Team to provide CIN education in a recently developed New Hire Orientation exclusive to new advanced practice providers (APP) within PPG. This opportunity will allow our group to provide background as to what a CIN is, review our quality measures and share the role that APPs play as it relates to the CIN.
Did you know that currently there are 371 APPs employed within PPG? For the sake of discussion, let’s assume that each APP will see about 15 patients per day. That comes out to 5,565 patients who will have access to PPG each day and 2,031,225 each year. Those 2 million patients include patients with diabetes who are struggling to control their A1c and patients who are hypertensive and are aiming to lower their blood pressure. As part of the role APPs play on the care team, we are able to minimize the number of patients who are uncontrolled and require an ED visit.
Parkview Health aims to lead the market in the transformation to value, with value defined as quality, safety, experience and access, all while appropriately reducing cost. APPs within PPG will help in expanding access to patients and addressing care gaps, which helps create a healthier community. We would like to extend our thanks to Shaun Hart, NP, PPG - Cardiovascular Surgery, and the PPG Education Team for including the CIN department in this new education opportunity.
If you have an APP within your office who is new but has not received CIN education and would like to, please reach out to your provider relations specialist or email ParkviewCarePartners@parkview.com.
Clinically Integrated Network's Governance Structure
Board
Thomas Gutwein, MD - Sectretary
Jeffrey Brookes, MD
Thomas Curfman, MD
Raymond Dusman, MD
Michael Grabowski, MD
Alan McGee, MD
Berry Miller, MD
David Stein, MD
David Jeans
Ben Miles
Quality & Performance Improvement (QPIC)
Lemuel Barrido, MD
Fen-Lei Chang, MD
Harin Chhatiawala, MD
Paul Conarty, MD
James Ingram, MD
Greg Johnson, DO
Vijay Kamineni, MD
Joshua Kline, MD
Richard Nielsen, MD
Andrew O'Shaughnessy, MD
Jason Row, MD
Ronald Sarrazine, MD
David Stein, MD
Anusha Valluru, MD
Administrative Team
Vice President Enterprise Management - Joni Hissong
Director Clinically Integrated Network - Nicole Krouse
Supervisor Clinically Integrated Network - Katrina Koehler
Finance Committee
Raymond Dusman, MD
Scott Karr, MD
Jason Row, MD
Greg Johnson, DO
David Jeans
Contact Us
If you have questions or suggestions about measures, appeals, scorecards or other CIN topics, please contact your provider relations specialist. You may also contact Katrina Koehler, RN, CIN supervisor, at 260-266-6530 or Katrina.Koehler@parkview.com.
If you would like to join or have general questions about Parkview Care Partners, please contact Nicole Krouse, CIN director, at 260-266-3709 or Nicole.Krouse@parkview.com.