ECMC Storm Chasers

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ECMC Storm Chasers Keeping an Eye on Your Good
Health
Cathy Harshbarger, BSN, RN Lynette Dick, MBA, RD,
LD
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ECMCs Adopted Models

• Improving Disease Management Across the
  Continuum of Care
• Focus on Removing Care Silos between Inpatient,
  Outpatient and Rural Health Clinic through
  adoption of the Chronic Care Model
• The Improvement Process is Managed through our
  Diabetes Council and 12 Improvement Teams
  utilizing project management and PDSA cycles

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Organizational Impact

• Initially, the council and teams were a bit
  overwhelmed at first with the broad scope of the
  project
• Momentum had built with each success
• Increased number of patients receiving planned
  visits (medical plan, case mgmt, support,
  education, early intervention)
• Communication of success across teams is
  essential to maintaining momentum
• Its not about perfection its about progress

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Business Case

• Meet Storm-Chaser SuperDAVE Keeping an eye on
  your Good Health
• Branding gives a product identity

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SuperDAVE

• Icon for Chronic Disease Management
• Market Tool
• Schools to promote preventions and healthy
  lifestyle
• Supermarket to flag healthful food and beverage
  items
• Restaurants to flag healthy choices

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Business Case

• Established Diabetes Sets Implementing
  Quarterly Planned Visits for diabetic patients.
• Only 20 of identified diabetic patients had
  appointments 1-4 times per year
• Rural Health Clinic diabetic visits averaged 9.5
  per month
• We identified 500 diabetic patients in our
  population
• Our Target is 167 diabetic patients visits per
  month

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Business Case

• Reimbursement per visit is 80
• Diabetes patient revenue
• 9.5 visits x 80 760 per month
• Target of 167 patient visits/month 167 x 80
  13,360
• Increase in monthly revenue 12,600
• Current performance level is 23 visits/month
• 23 visits x 80 1840
• Increase in monthly revenue 1,080

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Future Plans

• Continue Marketing/Branding SuperDAVE in the
  community
• Improve the Delivery Design in order to
  accommodate an additional 144 diabetic patient
  visits/month
• Enhance Self-Management Support Services as part
  of the patients planned visits

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Advice

• Just get started
• Success builds momentum
• Make the business case