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

2. 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

3. 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

4. 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

5. 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

6. 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

7. Thank you!