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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
Congestive Heart Failure – Now and the Future
Family Practice News, Dec 2007
CHF Current Process
HospitalsHome Health
Clinics
CHF Patients
CHF Future Process
North Mississippi Medical Clinics, Inc
HospitalsHome Health
CHF Patients
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
Teach Back
CHF Instruction Sheet
Discharge Summary
Personalized Instructions
Updated Medication List
Contact numbers
NMMCI Quality - CHF
NMMCI - CHF
# in Registry = 2264
Project Critical SuccessFactors
Leadership Support
Interdisciplinary Approach
“Every Patient/Every Time”
Challenges Thus Far
Patient Engagement
CHF Instruction Sheet
Provider Discharge Summary
Operational Excellence
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
Thank You
Practice Change Fellows Seekers Pod
Mentors Dr. Ali Ahmed Dr. Richard Allman Dr. Richard Sims Dr. David Roberts