Transcript Let Data Drive your Community Health Plan

South Carolina Hospital Association
October 4, 2012
Data is not the answer: it
just points you in a
direction…
DATA = Information + Experience =
Knowledge … Wisdom….
GOOD DECISION MAKING
Build your Community
Health Plan
Implement your
Community Health
Plan
Measure the impact of
your Community
Health Plan
It all begins with …
Asking lots of questions,
Asking the right
questions,
and
Knowing when to stop
and when NOT to stop….
 10%: No Teeth
 8%: No prenatal care
 17.2% live in poverty
 25% Smoke
 African Americans: Death from
heart disease 2X greater; Diabetes,
3X greater
 49% ER visits – non-emergent
 65% overweight or obese
 Highest teen pregnancy rate in SC
 High infant mortality rate
 15% readmissions
BUT…
Data can be your best ally
or your worst enemy
Example
 Spartanburg Regional:
15% Readmission Rate
Solutions:
 Internal Hospital Focus:
 Better manage the patient
while in the hospital
 Improve Discharge Planning
efforts
 Send the patient home
with medications
OR…..
Identify global solutions:
 External focus!
Upstate Care Transitions Coalition
4 Hospitals 3 Counties
20 Community Partners
Example:
 49% ER visits:
Non-emergent Care
 ER at capacity
Solutions:
 Discourage non-emergent
use:
 Copays
 Discourage ER for follow-up
visit
 Require payment up front
 Expand the ER
OR…..
Before finding solutions….
 Determine the Cause
 Capacity Issues (Safety Net
providers full)
 Lack of primary care and
specialty care
 Address the Causes
 Develop solutions to expand
capacity outside the ER
A shocking statistic
can motivate a community
to change
 It all begins with awareness.
 Awareness leads to
emotion/anger/frustration/disgr
ace, etc…
 Emotion leads to commitment.
 Commitment leads to CHANGE.
 10 % citizens have no teeth
 Highest teen pregnancy rate in
the state
 Children in communities that
have a Smokefree Ordinance
are 44% less likely to ever start
smoking
Improving Outcomes
Reducing Costs
 Birth Matters
 AccessHealth
Spartanburg
 Welvista
BirthMatters
Participants
and Outcomes
Spartanburg County
BirthMatters
(mothers age 20 and under)
Racial/Ethnic
Composition
85% African American, 8%
Caucasian, 7% Latino
Low Birth
Weight Births
2% (compared to 10.1% in
Spartanburg County)
Mothers
Breastfeeding
at Birth
93% (compared to 61.2% in
Spartanburg County)
 Over 2000 clients enrolled
 750 Cases closed
 175 graduates
 48% reduction IP admissions
 57% reduction IP charges
 32% reduction ER visits
 35% reduction ER charges
13 to 1 return on investment!!
Hospital Investment:
 $185,000
Return:
 $5.7 million free meds
 50.6% reduction in ER charges
 25.3% reduction ER visits
 63.6% reduction IP charges
 45% reduction IP admissions
$1.7 million savings/year!!
Hospital
 Finance
 Quality
 Information Services
Community
 DHEC
 Local universities
 Council of Governments
 County government
State
 DHEC
 ORS
 State universities
Renee Romberger, FACHE
VP, Community Health Policy & Strategy
Spartanburg Regional Healthcare System
864-560-6407 [email protected]