Transcript bh
Luis Velasco (CIO)- [email protected] Jania Arnoldi (CFO) – [email protected] Emily Jeffery (HIS Manager) [email protected] Visualutions 2015 User Group Conference “Move Fast, Break Things…” “You will miss 100% of the shots you never take.” Execution is Strategy Whoever tries the most stuff WINS. No Matter. Try Again. Fail Again. Fail Better. Welcome To The MHC Healthcare Family Who is MHC ? A Federally Qualified Health Center established in 1957 THE OLDEST FQHC IN AZ We provide excellent Integrative services at our network of 14 clinics located throughout the Tucson region We have approximately 40 Medical Providers 20 Licensed BH Practitioners and we serve over 42,000 Patients in Southern, AZ Experienced GIGANTIC Growth in the last 10 years. ( 4,427 -- > 42,000 Patients) with 160,000 visits / year Welcome To The MHC Healthcare Family MHC Healthcare (MHC) is the O L D E S T community health center in Arizona incorporated in 1957. NEW MHC Healthcare Family MHC INTEGRATED SERVICES Medical Internal Medicine Family Practice Pediatrics Quick Care Obstetrics & Gynecology Pharmacy Laboratory Radiology C.T. Scan – Mammography – Ultrasound, Dexa Scan MHC Counseling and Wellness Center Crisis Services, Therapy, Alternative Medicine Massage, Energy Therapy, Acupuncture Work Adjustment Program Integrated Behavioral Health Other Services WIC DENTAL Medical Specialists Cardiology Nephrology Ophthalmology Oncology Gastroenterology Orthopedics Physical Therapy Mental illness population increased health risks: 3.1% 15% 1.7% 1.3% 7% 5.1% INTEGRATION is EMBEDED into MHC Mission MHC Healthcare is dedicated to providing excellence in integrated health services to the communities we serve. Dental BH Medical “Integrative medicine is clearly becoming mainstream. And one day we can drop the word integrative and it will just become medicine.” Andrew Weil University of Arizona Center for Integrative Medicine Existing Situation Existing Situation - Disconnected GAPS in CARE: BH System Medical EMR Dental System • Multiple Repositories of Patient Information • Multiple Scheduling Systems • Multiple Clinical records • Meds, Allergies • Scanned Documents/Faxes • Hospital Discharges • Clinical Info • Scattered Referrals / reports • Cumbersome Coordination of Care • Problematic use of Guidelines • In Summary, POOR Patient Support New “Truly Integrated” Environment New “Integrated” Environment Behavioral Health Registration in Steroids New Demographics process Data Extraction Management for State Compliance CareTrax/Service Plan & Clinical Content Group Manager Intake Workflow Process Front Desk Reception Intake Specialist Process Client Consent Forms Receive: Information Packet • Start Demographic Process Core Assessment Crisis Plan Service Plan Intake Specialist Schedule • Applicable Consent Forms signed by Client • • • • Part A: PMH / SH / RF Part B: Safety/ Behaviors / SI Part C: Violence Part D: Developmental • • • • Schedule Client with Appropriate Personnel Completed by Intake Specialist Signed by Client Completed by Intake Specialist Referral to Licensed Provider Client receives verification of appointment Registration on Steroids Demographic Initial Assessment / Recurring Updates Service Plan Via CareTrax - Integrated Workflow Care Plan- Signatures Caretrax - Dashboards Group Management Clinical Content Integration With CPS IMPLEMENTATION TIMELINE Sevilla#1 Implementation Time: Go Live 10/1/2015 Financial Implementation: Operational Implementation: Facilities Providers Insurances Financial Classes Fees / Codes / Fee Schedules Allocation Sets Encounter types Document types Custom Orders Custom Problems Custom Medications Custom Flowsheet Scheduling Templates Schedule Training: More than 150 Users Training Back Office Training Front Office Definingnew Workflow Caretrax Setup Group management Setup Timing- of events Coordination ex: Schedules and facilities creation No Demographics system Clinical Content Development Hired a dedicated developer to Obstacles: develop necessary clinical content She has developed over 50 forms in VFE Some Technological issues No patient signatures available in the Centricity chart No BH Experience No Collaboration from the BH Operation No VFE Experience Project Management Project Manager Assign by “GIC” –Guy in Charge POSITIVE ATTITUDE ++ Project Manager 1.- Understands and sees the end goal - Previous implementation experience proffered 2.- Accountability – Holding Staff accountable including myself Operations needs Clinical needs 3.- Positive attitude From the top down 4.- Visibility of the project manager DC vs Marvel Bad Good Staff Walking out Improved Processes/workflows Clients/Patients walking out Staff retention Turnaround spikes New Job titles and duties New Job titles and duties Staff bonding – we got through this we can get through anything Increased appointment times Quality patient care Increased documentation Practitioner frustration Reporting Provider eficciency Financial Implications: Diversity of Payment Models: There is a continuum of models, ranging from activity based reimbursement to full risk-sharing What Is Next Redefining PCMH Patient Centered Approach to Health Effective Case Management Effective Calculation of Health Risk Health Conditions Preventive Care Compliance Social Factors Ex: Depression, Bipolar, Anxiety, Incarcerations, Substance Abuse Economic Factors – Employment, Insurance, Family size etc. Luis Velasco (CIO)- [email protected] Jania Arnoldi (CFO) – [email protected] Emily Jeffery (HIS Manager) [email protected]