Transcript Collaborative Work of Central Ohio Hospitals

HFMA Central Ohio Chapter
July 19, 2012
COHC Mission
The Central Ohio Hospital Council serves as the
forum for community hospitals to come together
to address issues that impact the delivery of
health care to central Ohioans. Through the
COHC, member hospitals collaborate with each
other and with other community stakeholders to
improve the quality, value and accessibility of
health care in the central Ohio region.
COHC Board of Directors
Dave Blom,
OhioHealth
Steve Allen,
Nationwide Children’s
Claus Von Zychlin,
Mount Carmel
Steve Gabbe,
Wexner Medical Center
Collaborative Initiatives
 Community Health Needs Assessment
 Mental Health
 Progesterone Project
 Others:
 Vendor Interactions
 Central Ohio Health Information Exchange
 Breastfeeding
 Quality Collaborative
Community Health Needs Assessment
 New Mandate from ACA; Under IRS Section
 501C3 hospitals must conduct a community health needs
assessment and implement a strategic plan, based on
assessment, every 3 years;
 Must partner with Public Health and a university, where
available;
 $50,000 penalty for those not in compliance.
A Community Collaborative
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Mount Carmel Health System
Nationwide Children’s Hospital
Ohio State University Wexner Medical Center
OhioHealth
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Central Ohio Trauma System
Columbus Public Health
Columbus Neighborhood Health Centers
Franklin County Public Health
Heart of Ohio Family Health Centers
Lower Lights Christian Health Center
Ohio State University College of Public Health
United Way of Central Ohio
Planning Retreat Outcomes
Steering Committee identified 140 indicators under 12
categories to be included in report:
 Demographic data
 Oral Health
 Health Resource Availability  Mental and Social Health
 Behavioral Risk Factors
 Death, Illness and Injury
Measures
 Communicable Diseases
 Environmental Health
 Maternal and Child Health  Youth Issues
 Health Perceptions
 Wellness care
CHNA Cont’
Eight Health Needs Identified:
 Access to Care
 Chronic Disease
 Infectious Disease
 Behavioral Health
 High Incidence of Cancer
 Interpersonal Violence
 High-Risk Pregnancy
 Unintentional Injuries
CHNA: Next Steps
 Hospitals identifying strategic plans that
need identified health needs
 Public release of report in Fall 2012
Mental Health Collaborative
 Background: High volumes of -- and long wait times
for patients waiting in hospital emergency
departments for an available psychiatric bed.
Local solution
 Goal: Place the right patient in the right bed at the
right time.
 Patients waiting the longest are placed in next available
bed – regardless of where they are or who has the open
bed.
 Daily conference calls held (weekends and holidays
included) to place patients into available psych beds.
 Communication takes place throughout the day when a
new bed becomes open.
The bedboard
Send Facility
Recv System
Patient Name
Patient Sex
Pmt Source
Department
dte Entered
Refusals
Exchange MCE
None
Patient #1
F
Self Pay
Med/Surg
7/8/2012 9:07
0
Exchange CISE
OSU
Patient #2
M
Insured - Medicaid
ED/PES
7/9/2012 3:16
0
Exchange CISW
None
Patient #3
M
Self Pay
ED/PES
7/9/2012 3:19
0
Exchange CISW
None
Patient #4
F
Insured - Medicare
ED/PES
7/9/2012 7:58
0
Exchange OSU
Discharge
Patient #5
M
Insured - Private/Other
Med/Surg
7/9/2012 9:25
0
Exchange Dublin
None
Patient #6
F
Self Pay
ED/PES
7/9/2012 9:30
0
Exchange OSU East
None
Patient #7
M
Self Pay
ED/PES
7/9/2012 10:57
0
Exchange CISW
None
Patient #8
F
Self Pay
ED/PES
7/9/2012 14:12
0
Exchange OSU
None
Patient #9
M
Self Pay
ED/PES
7/9/2012 18:32
0
Exchange Riverside
OHP
Patient #10
F
Insured - Medicare
ED/PES
7/10/2012 7:58
0
Jun-12
Apr-12
Feb-12
Dec-11
Oct-11
Aug-11
Jun-11
Apr-11
Feb-11
Dec-10
Oct-10
Aug-10
May-10
Mar-10
Jan-10
Nov-09
Sep-09
Jul-09
May-09
Emergency Department, Med/Surg Volume
1000
900
800
700
600
500
400
ED/PES Volume
Med/Surg Volume
300
200
100
0
Jun-12
May-12
Apr-12
Mar-12
Feb-12
Jan-12
Dec-11
Nov-11
Oct-11
Sep-11
Aug-11
Jul-11
Jun-11
May-11
Apr-11
Mar-11
Feb-11
Jan-11
Dec-10
Nov-10
Oct-10
Sep-10
Aug-10
Jul-10
Emergency Department/PES,
Med/Surg Length of Stay
70
60
50
40
30
ED/PES LOS
Med/Surg LOS
20
10
0
Progesterone Promotion
 The issue: Infant mortality and preterm birth
Preterm Birth Strategies
 Establish a community “17‐P” collaborative and generate
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support among local pregnancy clinics
Identify pregnant women with previous preterm birth(s)
and enroll them in 17‐P Project
17‐P Project: Provide women with weekly prenatal therapy
injections of 17 Alpha Hydroxyprogesterone Caproate (17P)
Therapy is supported by at least six trials, which have
shown to reduce risk of recurrent preterm birth by
approximately 35%
Construct Web‐based reporting system for
community‐wide quality improvement purposes
Community Forum: Meet every six weeks to monitor
results and share best practices
Progesterone Project Results
40
35
30
25
20
Gestational Age @ Delivery
Gestational Age @ Earliest PTB
15
10
5
May-12
Apr-12
Mar-12
Feb-12
Jan-12
Dec-11
Nov-11
Oct-11
Sep-11
Aug-11
Jul-11
Jun-11
May-11
Apr-11
Mar-11
Feb-11
Jan-11
0
Overall Improvement (Jan. 1 2011 – May. 2012)
36w 1d
28w 6d
7w 2d
Community Vendor Interaction
Standards
 Joint effort to promote appropriate practices;
 Establishes common standards for patient and staff
safety;
 Reinforces importance of privacy laws;
 Promotes ethical hospital/vendor relationships,
protects all parties from perception of improper
relations, and allows for fair access.
Vendor Standards
Sections on:
 Vendor Access to the Facility, Patient Areas
 Credentialing of Vendors, Vendor Representatives
 Gifts
 On-going Community Review of Vendor Infractions
Public Release in late summer
Central Ohio Health Information Exchange
 Goal: Assist 1,367 primary care providers in a 14 county
central Ohio region implement an EHR at “meaningful
use” standards
Central Ohio Health Information
Exchange
 Goal: Identify a health information exchange that all
central Ohio providers can participate in
Breastfeeding
 Goal: Improve breastfeeding-at-discharge rates for all
Franklin County hospitals with maternity units
 Strategies:
 Survey women on perceived barriers to breastfeeding
 Develop community-wide standards around hospital
practices that encourage breastfeeding
 Implement policies that encourage hospital employees
to breastfeed
Hospital Quality Collaborative
 Run by OHA; Supported by COHC
 Initiatives:
 Hand hygiene compliance
 Healthcare associated infection reductions (MRSA,
CLABSI)
 Process of care measures
Questions/Comments
Jeff Klingler
358-2710
[email protected]