Successes & Challenges

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Presentation transcript:

Successes & Challenges Community Call #2 Successes & Challenges April 17, 2018

Agenda 12:00 pm Welcome Susan Rogers 12:05 pm Time Topic Presenter 12:00 pm Welcome Susan Rogers 12:05 pm Hospital Challenges & Opportunities Expected Outcome: Participants will discuss challenges hospital faced in starting the project and opportunity for improvement identified as a result of completing assessment Dr. Gluckman/ All 12:55 pm Wrap-up and Next Steps 1:00 pm Meeting Adjournment

Successes Diplomat Hospital Successes Scott & White – Temple Medical Center Mobile Integrated Health Patient Navigator: Focus MI Committee Olathe Medical Center Data dictionary created Active physician champion Tacoma General Hospital Dedicated AMI Nurse navigator for the program Physician champion identified Centra Lynchburg General Hospital Case management experience Physician buy-in California Pacific Medical Center Pharmacist engagement Involvement of home health and connections made with the hospice group

Successes Diplomat Hospital Successes UTSW Medical Center Transition nurse navigator in place Pharmacy resources meeting with patients Process in place for 72-hour, 30-day, & 90-day follow-up calls Advocate Sherman Hospital Risk for readmission assessed and utilization of patient data to improve care WakeMed Health & Hospitals Team engagement MI risk score for readmission Outpatient CV nurse navigators

Challenges Diplomat Hospital Challenges Scott & White Medical Center Currently EPIC does not generate reports for all-comer readmission rates, all-comer AMI mortality rates, and 90-day rates. Olathe Medical Center Effective data collection tool needed for follow-up surveys Absences of standardized definitions for metrics Tacoma General Hospital Automatic report for medication reconciliation data Identifying ACTION registry NSTEMI patients in time to collect 30-day post-discharge data Centra Lynchburg General Hospital Financial Resources California Pacific Medical Center Defining a system and resources for doing 30-day and 90-day follow-up on patients Standardization of cardiac rehab referral process

Challenges Diplomat Hospital Challenges UTSW Medical Center Capturing 90-day readmissions Converting ACC created tools/template into an acceptable EPIC format Ability to access system partner records to follow-up on patients outside the system ACTION registry population has many exclusions and reduces overall population further Advocate Sherman Hospital Med rec and discharge summary/transition of care summary available within 72 hours WakeMed Health & Hospitals Establishing data processes for additional data elements Data team concerns regarding amount of data requested for rapid turnaround

Thank you!