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1.5 Increasing Access to Surgical Services
Region 15 RHP Meeting El Paso First Healthplan, 1145 Westmoreland Drive Rene Vallejo September 30, 2015 2:00pm
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Description of the Project
This project will increase the number of surgical providers serving the region. Surgery will expand the number of sites at which the performing provider offers outpatient general surgery clinic services and implement an electronic referral system.
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Benefits to the Community
Add new surgical provider, each will provide services to a minimum of 250 unique patients each year. Benefit to Medicaid / Indigent Patients: Given that 60% of our enterprise ambulatory encounters are to patients with Medicaid or no insurance, this project will be a direct benefit to that population List some of the benefits to the El Paso Community
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I-23.1 Encounters I-23.2 Patients
1.9.2 Improve Access to Specialty Care 1 I-22.1 Increase the number of specialist providers for the high impact/most impacted medical specialties. 20% increase the number of surgeons over DY2 baseline = 5 DY4 2 P-9.1 Implement Referral Technology and processes that enable improved and more streamlined provider communications. Implement e-Referral Technology between Family Medicine/ Internal Medicine and General Surgery programs. 3 I-23.1 Encounters I-23.2 Patients Increase Specialty Care Clinic Volume of visits and evidence of improved access for patients seeking services. Metric 1: provide surgery services to 500 unique patients in DY4. Metric 2: 750 specialty care encounters in DY4 4 P-11.1 Launch/ expand a specialty care clinic. Establish/ expand general surgery clinic. Additional outpatient surgical clinic outside the Alberta Clinic. CAT3-7 IT 6.2b VSQ-9 Patient Satisfaction Increase VSQ-9 Patient Satisfaction Scores in Surgery Clinic 5% over DY3 Baseline CAT3-201 IT 1.1 Time to 3rd Available Apointment Reduce time to evaluation by 5% from DY3 baseline Milestone Progress:
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DY Goal 2,900 Project 1.5 – General Surgery Unique Patients
Reporting Period: DY 2- October 2012 to September 2013 (Pre-DSRIP) Department General Surgery DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total E/DAVIS MR,BRIAN R E/DELMAS MD,EMILY R UNINSURED 120 70 57 75 71 79 45 72 54 69 858 E/DOUGHERTY MD,STEVE MEDICAID 35 9 21 13 16 14 15 12 10 184 E/MCLEAN MD,SUSAN ALL OTHERS 205 123 87 82 127 98 103 58 101 40 92 1198 E/OLIVAS MD,VICTOR E/TYROCH MD,ALAN H Total Patients 360 202 165 170 219 185 196 172 115 182 104 2240 E/MILAN, STACEY % Uninsured 33% 35% 44% 32% 38% 40% 39% 52% 41% % Medicaid 10% 4% 13% 8% 9% 7% 5% Reporting Period: DY 3- October 2013 to September 2014 Department General Surgery DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total E/DAVIS MR,BRIAN R E/DELMAS MD,EMILY R UNINSURED 184 105 76 75 108 92 63 88 96 83 73 1118 E/DOUGHERTY MD,STEVE MEDICAID 23 14 17 16 18 15 11 13 187 E/MCLEAN MD,SUSAN ALL OTHERS 147 107 68 74 106 126 80 86 90 1147 E/OLIVAS MD,VICTOR E/TYROCH MD,ALAN H Total Patients 354 226 161 165 231 215 204 178 190 176 2452 E/MILAN, STACEY % Uninsured 52% 46% 47% 45% 43% 31% 49% 51% 41% % Medicaid 6% 11% 10% 7% 8% Reporting Period: DY 4- October 2014 to September 2015 Department General Surgery DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total E/DAVIS MR,BRIAN R E/DELMAS MD,EMILY R UNINSURED 179 116 76 77 90 73 72 92 93 81 1039 E/DOUGHERTY MD,STEVE MEDICAID 34 25 19 18 15 24 21 22 10 225 E/MCLEAN MD,SUSAN ALL OTHERS 193 109 113 112 100 101 106 107 88 1235 E/OLIVAS MD,VICTOR E/TYROCH MD,ALAN H Total Patients 406 250 208 207 205 192 199 221 200 204 2499 E/MILAN, STACEY % Uninsured 44% 46% 37% 43% 38% 36% 42% 47% 40% % Medicaid 8% 10% 9% 7% 12% 11% 5% DY Goal 2,900
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DY Goal 4,900 Project 1.5 – General Surgery Patient Encounters
Reporting Period: DY 2- October 2012 to September 2013 (Pre-DSRIP) Department General Surgery DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total E/DAVIS MR,BRIAN R E/DELMAS MD,EMILY R UNINSURED 143 135 122 134 162 161 181 179 164 155 1780 E/DOUGHERTY MD,STEVE MEDICAID 43 16 30 28 37 32 25 22 19 344 E/MCLEAN MD,SUSAN ALL OTHERS 234 180 184 244 221 213 170 124 183 115 185 2233 E/OLIVAS MD,VICTOR E/TYROCH MD,ALAN H Total Encounters 420 331 332 346 443 414 431 379 271 369 262 359 4357 E/MILAN, STACEY % Uninsured 34% 41% 37% 39% 42% 47% 45% 44% 43% % Medicaid 10% 5% 9% 8% 6% Reporting Period: DY 3- October 2013 to September 2014 Department General Surgery DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total E/DAVIS MR,BRIAN R E/DELMAS MD,EMILY R UNINSURED 220 211 181 169 229 64 217 197 174 167 2251 E/DOUGHERTY MD,STEVE MEDICAID 24 23 32 37 30 28 25 29 33 341 E/MCLEAN MD,SUSAN ALL OTHERS 153 159 150 123 164 331 147 171 172 2092 E/OLIVAS MD,VICTOR . E/TYROCH MD,ALAN H Total Encounters 397 393 363 329 410 423 419 386 207 4684 E/MILAN, STACEY % Uninsured 55% 54% 50% 51% 15% 84% 46% 48% % Medicaid 6% 9% 11% 8% 7% 16% Reporting Period: DY 4- October 2014 to September 2015 Department General Surgery DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total E/DAVIS MR,BRIAN R E/DELMAS MD,EMILY R UNINSURED 197 199 181 190 202 225 172 182 219 229 220 2216 E/DOUGHERTY MD,STEVE MEDICAID 32 39 31 41 35 50 49 57 53 40 37 470 E/MCLEAN MD,SUSAN ALL OTHERS 227 196 211 231 232 213 233 240 178 2399 E/OLIVAS MD,VICTOR E/TYROCH MD,ALAN H Total Encounters 462 434 423 458 468 507 472 512 447 5085 E/MILAN, STACEY % Uninsured 43% 46% 41% 44% 40% 39% 51% 47% % Medicaid 8% 9% 7% 10% 11% 12% DY Goal 4,900
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Project 1.5 –Surgery Category 3 VSQ9 Patient Satisfaction Survey
DSRIP Project IT-6.2b: Visit Specific Satisfaction Instrument (VSQ 9) Surgery Category 3.7 Reporting Period: 10/01/2014 to 08 /30/2015 Identifiers: All Patient Visits in the Surgery Clinic VSQ9 Scores Normalized on Scale No Blank Responses Allowed Survey Platform-IPad English or Spanish Provided Milestone Data Number of Surveys Sum Of All Scores Percent DY 3 Totals 3784 303584 80 DY 4 Totals 4395 350222 79.69 Goal
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27.68 23.26 DY Goal 23.75 16.70
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Innovation Mid Level Providers RMS- Texas Tech External Referrals
Upgraded system External Referrals
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Continuous Quality Improvements
RMS Version 2.0 and 3.0 Mid Level clinic with faculty Resident & Med Student flow Collaboration with UMC funding of patients for surgery Give me 5 (VSQ-9) Building bridges with external practices
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