New faculty Orientation New faculty Orientation Peter Zwerner MD FACC Ambulatory Care Overview o Ambulatory Structure o PATH o Ambulatory Policies o EPIC o Quality Metrics.
Download ReportTranscript New faculty Orientation New faculty Orientation Peter Zwerner MD FACC Ambulatory Care Overview o Ambulatory Structure o PATH o Ambulatory Policies o EPIC o Quality Metrics.
New faculty Orientation New faculty Orientation Peter Zwerner MD FACC Ambulatory Care Overview o Ambulatory Structure o PATH o Ambulatory Policies o EPIC o Quality Metrics 3 4 Primary Care Carolina Family Care University Internal Medicine Family Practice Affiliations and Outreach Primary Care Flowertown Family Medicine MUSC Health North Charleston Dorchester Internal Medicine Sewee Family Family Medicine North Charleston Internal Medicine Rutledge Avenue West Ashley Internal Medicine East Cooper Family Medicine 30 Bee Internal Medicine Family Medicine Calhoun Street West Ashley Park West Allergy & Immunology MUSC Health East Cooper Park West Internal Medicine East Cooper Internal Medicine Family Medicine James Island James Island Internal Medicine Kiawah Island Family Medicine * 16 Locations Operational Structure PATH (Patient Access To healthcare) PATH ORGANIZATIONAL CHART MUSCP COO J. D’Agostino MUSCP CMO P. Zwerner, MD MUSC Health Director Enterprise Access Matthew Long Clinical Call Triage J. Martines BSN, RN Clinical Call Triage J. Eisnerman, BSN,RN Call Center Operation Patient Access Operations Adam Bacik 6 Call Center Patient Access Supervisors 3.5 Master Schedulers 64 Call Center Patient Access Agents 2 Business Analyst Non Central 30% Central 70% Sr. Manager of Quality Andrea Swartz Patient Access Center CENTRAL SPACE CENTRAL DECENTRALIZED SPACE CENTRAL MANAGEMENT MANAGEMENT Children’s Services Internal Medicine Medicine Sub-Specialties Dermatology (Adult & Ped) ENT (Adult & Ped) Urology (Adult & Ped) Family Medicine (Adult & Ped) Storm Eye Institute (Adult & Ped) Women’s Services Orthopedics (Adult & Ped) Pain Management Transplant Hollings Cancer Center Surgery - Located at Cannon Park Place Neurosciences Psychiatry DECENTRALIZED SPACE DECENTRAL MANAGEMENT Carolina Family Care Digestive Diseases Center Physical /Occupational Therapy Speech Pathology East Cooper OB/GYN Transplant Sleep Lab/EEG Lab/EMG Lab *Radiology *Radiation Oncology *Dentistry *Different System PATH PROGRESS Performance Standards Operating Agreements Signed agreements between the Department and the Patient Access Center to hold each other mutually accountable; (46 of 48 currently completed) Patient Communication Currently researching new appointment reminder vendors for a more comprehensive reminder strategy to decrease no-shows Changing new patient packets to more effectively communicate with our patients Practice Management Oversight Councils Physician led, multi-disciplinary teams with decision rights to quickly identify and eliminate barriers to the clinical enterprise across all locations New Metrics New PATH Vital Signs are currently being validated Full implementation will be completed by the end of Q2 FY15 Call Center vital signs have been established and score cards will roll out Q3 FY15 Focus on Service Level (80% of calls answered in 30 seconds or less) 11 PATH PROGRESS Policies and Procedures Bump Policy –Drafted and ready for approval No Show Policy –Drafted and ready for approval. Physician Referral Policy – Eliminate medical record review prior to placement on a provider’s schedule, giving priority to internal referrals. Drafted and ready for approval. Outpatient Records must be completed, signed, dated and timed as soon as possible after the service takes place but in no case more than 14 days after the date of service. Matt Long [email protected] 843-876-2547 Cell 614-330-5794 Epic Personalization Topics Do you use SmartPhrases to template common documentation? If you use NoteWriter, do you have macros for your ROS and Physical Exam documentation? Do you use filters in Chart Review to find information more quickly? Do you have a personal preference list for your common orders? Do you have personalized follow-up buttons to indicate follow-up more quickly? Do you use QuickActions to more efficiently handle In Basket – Results messages? Do you have a list of your common recipients to send In Basket messages more quickly? Do you have default letter templates to communicate with referring providers more efficiently? Do you have the Epic app called Haiku for your iPhone/Android or the Epic app called Canto for your iPad? Do you know the Epic SuperUser for your specialty? If you’ve answered No to most of these questions, you would benefit from Epic Personalization You can reach the Training Team by contacting Laura Camacho, PhD, at [email protected]. Remember, if you need immediate Epic assistance at any time, you should call the Help Desk at 792-9700. Epic Personalization Topics Do you use SmartPhrases to template common documentation? If you use NoteWriter, do you have macros for your ROS and Physical Exam documentation? Do you use filters in Chart Review to find information more quickly? Do you have a personal preference list for your common orders? Do you have personalized follow-up buttons to indicate follow-up more quickly? Do you use QuickActions to more efficiently handle In Basket – Results messages? Do you have a list of your common recipients to send In Basket messages more quickly? Do you have default letter templates to communicate with referring providers more efficiently? Do you have the Epic app called Haiku for your iPhone/Android or the Epic app called Canto for your iPad? Do you know the Epic SuperUser for your specialty? If you’ve answered No to most of these questions, you would benefit from Epic Personalization You can reach the Training Team by contacting Laura Camacho, PhD, at [email protected]. Remember, if you need immediate Epic assistance at any time, you should call Ambulatory Quality Performance CG-CAHPS: (Clinician & Group Consumer Assessment of Healthcare Providers and Systems.) survey to measure patient perceptions of care delivered by a provider AVATAR: measures a patient’s expectations, satisfaction and experience Meaningful Use: Medical record maximization The Physician Quality Reporting System (PQRS) incentive payments will begin 2015, to encourage eligible health care professionals (EPs) to report on specific quality measures. VBPM: reports about the quality and costs of care that provided to fee-for-service Medicare patients MU PQRS VBPM Payment Individual Provider Group performance PCP based at Risk 2016 -2% -2% (+/-) 2% -6% 2017 -3% -2% (+/-) 2% -7% 2018 -4% -2% (+/-) 2% -8% 2019 -5% -2% (+/-) 2% -9% FY' 15 CG CAHPS by Item FYTD 11/30/14 Report Run Date - 12.10.14 Target RT Clinics (HBC) Family Medicine Storm Eye Clinics East Cooper North Charleston West Ashley N - surveys Access to Care Provider Communication Office Staff Follow Up on Test Results Overall Provider Rating Willingness to Recommend Composites meeting goal - at or above 75%tile 66.72 92.47 93.54 92.71 83.90 91.72 3 883 62.80 92.43 93.27 76.23 86.19 92.92 2 71 46.01 90.97 88.10 81.08 80.95 86.89 0 210 65.80 90.09 91.46 93.02 85.64 90.43 2 1077 62.11 90.52 92.09 85.85 84.96 90.55 1 554 66.09 91.66 96.71 82.04 84.78 91.60 2 230 62.78 89.24 92.33 77.27 83.57 90.23 0 MUSC Health East Cooper