15
Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc.

Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Embed Size (px)

Citation preview

Page 1: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Improving the Care of Patients with CHF in a Rural Area

Lee Greer, MD

Geriatric Medicine

North Mississippi Medical Clinics, Inc.

Page 2: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

North Mississippi Health Services 3rd largest Rural Healthcare System in the US Service Area- 22 counties, 600,000 patients 6 Community Hospitals 33 Clinic System Home Health Agency

Page 3: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Congestive Heart Failure – Now and the Future

Family Practice News, Dec 2007

Page 4: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

CHF Current Process

HospitalsHome Health

Clinics

CHF Patients

Page 5: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

CHF Future Process

North Mississippi Medical Clinics, Inc

HospitalsHome Health

CHF Patients

Page 6: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

C HF P atients

Dec reas ed E R Vis its

S moking C es s ation

Dec reas ed Hos pitalization

Improved P res c ribing

Ac e/B -bloc ker

Improved B lood

P res s ure C ontrol

The Plan

Page 7: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Teach Back

Page 8: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

CHF Instruction Sheet

Page 9: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Discharge Summary

Personalized Instructions

Updated Medication List

Contact numbers

Page 10: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

NMMCI Quality - CHF

Page 11: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

NMMCI - CHF

# in Registry = 2264

Page 12: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Project Critical SuccessFactors

Leadership Support

Interdisciplinary Approach

“Every Patient/Every Time”

Page 13: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Challenges Thus Far

Patient Engagement

CHF Instruction Sheet

Provider Discharge Summary

Operational Excellence

Page 14: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Financial Projections

Year 1 Year 2 Year 3 Year 4 Year 5

Revenue 37,583.88 42953.00 45100.65 47355.68 49723.47

Expenses 52,900.00 53958.00 55037.16 56137.90 57260.66

Cost Savings

121596.80 121596.80 121596.80 121596.80 121596.80

Total Benefit

$106280.68 $110591.80 $111660.29 $112814.58 $114059.81

NPV = $419,784.92

Page 15: Improving the Care of Patients with CHF in a Rural Area Lee Greer, MD Geriatric Medicine North Mississippi Medical Clinics, Inc

Thank You

Practice Change Fellows Seekers Pod

Mentors Dr. Ali Ahmed Dr. Richard Allman Dr. Richard Sims Dr. David Roberts