Hospital Medicine Performance

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Hospital Medicine Performance
YOUR ORGANIZATIONS EMBLEM HERE

• Presentation to YOUR LEADERSHIP

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Performance in Four Dimensions

• People
• Health
• Experience
• Stewardship

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People
Our Goal Our Result
Recruit and retain high quality providers 35 providers as of 11/2012 30 MDs 5 APPs Expect 3 MD hires and 1 APP hire to get to sustainable staffing level for 2013
AMGA Physician Satisfaction Improve very satisfied ranking 10 point decrease from 2011 Sustainability as driver All Employee Survey results as marker for improvement
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AMGA Survey Results
FILL IN YOUR INTERPRETATION HERE
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All Employee Survey Results
Question Hospital Medicine Medical Group Norm
I feel informed about where my company is going 81 65 n/a
I am involved in making changes that improve care, service and efficiency 70 61 n/a
Overall I am satisfied with my company as an employer 88 71 70
Engagement Index 82 76 74
FILL IN YOUR INTERPRETATION HERE
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Health
Our Goal Our Result
Top performance on key quality measures Core Measures HealthGrades Collaboration with other hospitalist groups to align goals See following slides
Reduce re-admissions All cause readmission rate Heart Failure See following slides
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Core Measures
COMPARE HOSPITALS HERE
FILL IN YOUR INTERPRETATION HERE
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All Cause Readmissions

• Hospitalist collaboration to reduce readmission
  rates
• LIST YOUR STRATEGIES
• High risk patient identification
• Care plan development
• Medication reconciliation
• Scheduled clinic follow-up
• Speaking to patients and families using
  understandable terms
• Teach back

YOUR HOSPITAL DATA HERE
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Heart Failure Readmissions
COMPARE DATA FROM LOCAL HOSPITALS HERE
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Health
Our Goal Our Result
Improve access to end-of-life care Increased use of Palliative Care Consult volumes Further measures under development
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Palliative Care Consults
YOUR HOSPITAL DATA HERE
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Health
Our Goal Our Result
Improved transitions of care Enterprise work on hand-offs Discharge summary on the date of discharge Regular performance feedback YTD 92 Working with other sites for measurement status
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Experience
Our Goal Our Result
Top decile performance on key HCAHPS questions Timely discharge order entry and improved discharge by noon See next slides
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Physician Communication
COMPARE HOSPITAL DATA HERE
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Would You Recommend?
COMPARE HOSPITAL DATA HERE
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Discharge Orders and Time
YOUR HOSPITAL DATA HERE
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Stewardship
Our Goal Our Result
Provide the most affordable care to our patients by Executing our quality and experience plans Delivery of evidence based medicine through use of order sets Prevention of unnecessary admission and prevention of readmission Managing our costs and remaining competitive in our compensation package Fair, market based funding from our hospital partners See next slides
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Service Changes

• New Collaboration with Childrens Hospital
• Contract signed October 1, 2012
• Start collaborative services January 1, 2013
• Program support provided with PFP
• Elimination of one service at Hospital X
• Drivers of reduced volumes include work on low
  risk chest pain and observation unit

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Volume and FTE trends
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Stewardship

• Newer measures of stewardship should be included
  here
• Cost of care, utilization markers
• Medicare (RAC) denials and Readmissions Penalties
• You may insert your hospitals latest performance
  compared to market.
• Aggregate health and experience measures that
  relate to stewardship
• Hospital Value Based Purchasing

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Finances by Site (YEAR)

• INSERT YOUR BALANCE SHEET HERE

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Historical Financial Performance (in 000s)

• INSERT COMPARATIVE BALANCE SHEET HERE

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Questions and Feedback