Connect the Dots EastMiddle TN

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Connect the DotsEast/Middle TN

• Jerry Burgess, President and CEO
• HealthCare 21 Business Coalition

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HealthCare 21 Business Coalition

• Founded in 1997 by ten Knoxville employers
• 501 (c) 3 Tax-Exempt Non Profit
• Chattanooga, Cleveland, Knoxville, Nashville
• Multi-stakeholder Membership Group
• 90 Plus Corporate Members
• 200,000 Covered Lives
• Member of the National Business Coalition on
  Health

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Connect to Mission

• HealthCare 21 Business Coalition is a
  non-profit, member driven organization committed
  to improving the quality and cost of healthcare.
  HealthCare 21 believes only cooperative
  relationships between employers, health plans,
  hospitals and providers can produce positive and
  progressive changes in healthcare. Our mission is
  implemented through the following strategies

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HC21 Strategies

• Improve the purchasing process (employers and
  employees)
• Improve the health system (health plans,
  hospitals, providers)
• Improve the health of the community (employees,
  consumers, public)

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Future Health Care Market
Price (per unit, of units) Quality
Healthy, Smart Shopper
Information V Q P
Provider Behavior
Consumer Behavior
Employer / Purchaser (Facilitator)
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How HC21 Collaborates

• Leapfrog Rollout Leader
• Lily pad meetings
• Consumer Guide on Hospital Care
• Community Health Improvement Projects

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Hospital Reaction

• Face it Its a love-hate relationship!
• Response varies by market
• Input and cooperativeness have improved over time
• Appreciate HC21s commitment to follow national
  agenda
• Acknowledgment that public reporting has caused
  more focus on improving quality

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• Knoxville Area Hospital
• Community Project

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ZAP VAP
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Results
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The 100,000 Lives Campaign Rapid Response Teams

• Institute for Healthcare
• Improvement

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2005 Project

• Rapid response teams (RRT) prevent deaths in
  patients who are progressively failing clinically
  outside the ICU by implementing rapid response
  teams
• RRT is called any time by anyone in the hospital
  to assist in the care of a patient who appears
  acutely ill, before the patient has a cardiac
  arrest or other adverse event
• Sites that have implemented RRTs have reported a
  reduction in cardiac arrests and deaths as well
  as a reduction in ICU and hospital bed days among
  survivors of cardiac arrest

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Keys to Success

• Stay focused on the goal improve patient safety
• Start early with communications
• Find cheerleaders and worker bees
• Listen and be open to make changes
• Black eye for nonparticipants
• Keep out of the media
• Check data two or three hundred times
• Acknowledge limitations
• Create long term vision

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Summary

• PROS
• Pressured hospitals
• Gives helpful information to consumers
• Hospitals making positive changes

• CONS
• Pressured hospitals
• Not user friendly enough
• Measurements are limited

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Strategy Execution

• In 1998 we knew the direction but not the
  tactics of how to get there.so we stayed focused
  on the dot.
• 2 key elements
• Strategy brain power and vision
• Execution sweat and endurance