MedGroup NewsSummer 2016

Message from The President

“Coming together is a beginning. Keeping together is progress. Working together is success.” - Henry Ford

In February, more than 120 CHI Greater Texas Physician Network physicians, advanced practice clinicians, and support staff met for the first time at The Woodlands Resort and Conference Center to learn about one another and set a course for the future.

Our challenge is not inconsequential. In a matter of months, we formed a regional network ofphysicians that spans a geographic area larger than many states. We represent many specialties andpractice models, while bringing our own practice history and culture. However, I think most in attendancewould agree: our diversity is a strength to be celebrated, not a weakness to overcome.

Conference participants engaged in a small group activity to identify strategic advantages of our growing physician enterprise. Two major themes emerged:

There is no perfect means of communication—newsletter, website, email blast, snail mail. One physician’s useful and timely nugget of information is another physician’s spam.

Furthermore, it cannot be a unidirectional solution. Communication is not about leadership pushing information out tophysicians. It must be bi-directional. Perhaps engagement is a more accurate term. Our colleagues must be informed about practice issues, and have their opinions heard and actively considered.

We need to keep patients within our practice family, whenever possible, and when in the interest of our patients. Network integrity has direct economic benefit to our practices. More significantly, developing a more contained practice ecologypositions us to manage the triple aim—better quality, lower cost, and enhanced patient experience—more effectively.We need to do a better job learning about our strengths and resources across the network.

To these items, I would add a third theme—development of trusting relationships. In the coming months, you will see new faces, new physician leadership positions, new means of electronic engagement, and new mechanisms to facilitate referrals and communicate results of those referrals.

Your leadership team will continue to build a modern practice infrastructure. However, we must build familiarity andrelationships with each other. Working together is success, and we will succeed.

James McDeavitt, MDChief Clinical Integration OfficerCHI St. Luke’s Health

Dr. McDeavitt

Physician Committee

QIPP Committee Update

Update

Herman Grewal, MD, Family Medicine, St. Luke’s Medical Group The Vintage and chair of the Quality Improvement, PatientSafety, and Population Health (QIPP) Committee, recently presented the following updates:

• The Patient Outreach Protocol Training was conducted from March 28-April 1. Additional training and implementation is in process.

• The St. Luke’s Medical Group Controlled Substance Therapy Agreement is currently in development, with adult and pediatric versions.

• The American Academy of Pediatrics “Refusal to Vaccinate” form is currently under review for implementation in all clinic offices, along with providing updated Vaccine Information Statements (VIS) for patient/parent education.

For questions or suggestions regarding QIPP, please contact Rachel Ruiz, Clinical Education Coordinator,at rruiz1@stlukeshealth.org.

COATS Monthly Update

• ACO Registry and documentation updates are live in EPIC for all SLMG primary care physicians.

• Physicians can access InBasket Medication Refill messages through the EPIC Haiku Mobile Application.

• SLMG Physicians can expect an EPIC Optimization Bundle update via email each month. These optimizations are available in production the second Tuesday of the month.

Formed in 2015, the Charting Optimization and Training Subcommittee (COATS) is sponsored and led by physicians to helpprovide focused attention and prioritization to our national EPIC team on system optimizations.

For additional information regarding the COATS committee or if you have suggestions for priority optimizationsto the EPIC platform, please contact Lisa Wall, RN (Clinical Informaticist) at lwall@stlukeshealth.org.

Reflection: All the Way

Success requires that you go the distance. Results depend not only on what you start to do, but on what you complete. Accomplishment depends not on what you intend to do, but on what you actually get done.

Wishing, hoping, planning, and trying will not get you there by themselves. Your persistence, your commitment, your actions are what will bring the success you seek.

The world is full of those with great ideas and big plans. Unfortunately, too many of those ideas are never fully explored. Too many of those plans are nevercompletely implemented.

Dream big dreams. Make big plans. And then take the actions to make those dreams a reality. Give real time and effort to your best intentions and you’lltransform them into accomplishment.

Living Our Mission

Congratulations to the Team Members of the Month for February and March!

From left: Neena Patel, Director of Operations; Matt Wright, VP SLMG; Marie (DeDe) Sanchez; James Anton, MD, SLMG; Cesar Castillo, MD, SLMG; Evan Roller, MD, SLMG, Nadia Ali, Practice Manager

February: Tina Muro, Medical Assistant, St. Luke’s Medical Group (SLMG) Texas Medical Center,Internal Medicine Clinic

From left: Dedra Turner, Office Assistant; RebeccaVillanueva-Office Assistant; Katelyn Cady, CMA. Matt Wright, VP; Angelica (Norma) Hernandez, CMA, Tina Muro, CMA; Marilyn Boss-Practice Manager; Joel Kneitz, MD, SLMG; Neena Patel, Director of Operations; Mona Clover, Office Assistant; Jasmine Grindle, Office Assistant

March: Marie (DeDe) Sanchez, ClinicalAdministrative Secretary, SLMG CV Anesthesiology

• Service Beyond Job and Organization• Customer Service• Quality

• Team Work• Stewardship• Leadership and Mentoring

St. Luke’s Medical Group recently announced an awards program to recognize medical group staff members whobest exemplify our core values:

Feeding Houston FamiliesThe St. Luke’s Medical Group management team recently volunteered at the Houston Food Bank, where they prepared 3,219 meals for Houston area families in need. In support of increasing community engagement, St. Luke’s Medical Group plans to provide more service opportunities for physicians, staff, and their families throughout the year. Partnering with ourcommunity will empower us to make a difference. More service opportunities to come.

The Catholic Health Initiatives Physician Services (CHIPS) delivers key business functions and physician managementservices in revenue cycle, patient and referral scheduling, patient outreach, and practice reporting and analytics.

CHIPS Corner

Time of Service Collections: It’s a Win-WinOver the past few months, we have been re-educated on

benefits verification and the effect on time of service collections.

Insurance verification, along with the pre-registration process, is

the beginning of the revenue cycle process.

When insurance is verified in advance, we can better

identify the patient’s financial responsibility, whether through

copay, deductible, or co-insurance. It’s important for patients

to receive information about their financial responsibility prior

to their visits, which keeps them informed and improves our

ability to collect the patient portion. By strengthening our time

of service collection skills, we can help patients understand their

health plan, collect the accurate amount due at the time of

service, and improve the patient experience regarding the

billing process.

A method for tracking time of service collections is through

the OTC Collections per Clinical Event metric in our monthly

reporting, which consists of all patient payments made at the

time of the clinical event, including copays, deductibles,

coinsurance, and payments on previous balances. In January

and February, we saw an increase in collections per clinical

event. Having a better understanding of the patient’s

financial responsibility and a strong process for collecting at

time of service will be a win-win for both the patient and

the clinic. Keep up the great work!

Keys Customer Service Success

• Set expectations• Be positive• Be empathetic• Be knowledgeable• Keep promises• Smile

Feb-16

Feb-15

Mar-1

5Apr-1

5

$25.00

$20.00

$15.00

$10.00

$5.00

$0.00

May-1

5Ju

ne-15

July

-15

Aug-15

Sep-15

Oct-1

5Nov-1

5Dec-1

5 Ja

n-16

OTC Collections Per Clinical Event

$15.24$15.84 $14.55 $15.74

$16.52

$16.70$18.35

$16.93

$14.48

$20.16

$18.12$16.85

$17.44

PhysicianSpotlight

Pediatric Bridge Clinic

For families without an establishedprimary care physician, with a newborn…

there’s hope.

The Pediatric Bridge Clinic, led by Morganne Mathew, MD, partners with Texas Children’s Pediatrics Group toprovide care for newborns who don’t have a pediatrician and were recently discharged from the hospital.

Located adjacent to CHI St. Luke’s Health–The Woodlands Hospital, the clinic specializes in taking care ofnewborns with health concerns, such as jaundice, breastfeeding, weight, formula choices, and parent education. After the newborn’s concerns are addressed and insurance is established, the clinic transitions the newborn to a primary care physician, usually between one to six months of life.

“The clinic is a fabulous success,” said Dr. Mathew. “Our patients are grateful for the high quality care we provide. Our incredible staff helps families find a physician in their area who can be a goodlong-term match for them.”

Since opening in 2014, the clinic has received more than 1,864 patient visits. Most patients are from the North Houston metro area, such as Spring, Magnolia, Conroe and The Woodlands, while others travel from Houston.

The clinic is partially funded by a grant by the state’s Delivery System Incentive Payment (DSRIP), a program that seeks to enhance access to cost-effective, quality health care to families served. Recently, the clinic wasrecognized for its success to the Texas Legislature.

“To be recognized as one of their most successful programs is very rewarding,” Dr. Mathew said. “We exemplify the goal of increasing access to primary care by keeping newborns healthy, and helping families to establish a long-term medical home.”

To refer families to the Pediatric Bridge Clinic, call 936.266.3400. Families are also welcome to schedule anappointment at the clinic prior to hospital discharge.

Services

• Immunizations

• Vaccines

• Newborn preventative care

• Transition of care coordination

AroundTown

Sugar Land Hospital’s First BabyCongratulations to Brooke Jemelka, MD, OB/GYN, St. Luke’sMedical Group Caritas Women’s Care in Sugar Land, who recently delivered the first baby at the Family Birthing Center at CHI St. Luke’s Health–Sugar Land Hospital. Angel Marie Morfin, daughter of Jorge and Maria Morfin, weighed 8 lbs. and measured 21 inches.

New Patient Check-in ProjectIn the WorksSt. Luke’s Medical Group Texas Medical Center is developing aproject to streamline new patient check-ins. The grouprecently implemented an “interact patient wait time process”and developed a team-based culture that supports teamworkthroughout the clinic.

Left to right: José, Angel Marie, and Maria Morfin; Dr. Brooke Jemelka, MD; Wes Garrison, VP, Patient Care Services, Sugar Land Hospital

Speaker Series: Dr. Nangrani FeaturedChaitali Nangrani, MD, Family and Functional Medicine, St. Luke’s Medical Group The Woodlands, presented at the 2016 Physician Speaker Series at CHI St. Luke’s Health–The Woodlands Hospital on “Fatigue in Women.” Dr. Nangrani specializes in preventative care, women’s health, functional medicine, and chronic diseasemanagement in adults and children.

Left to Right: Shannon Acreman, SLMG Practice Manager; Chaitali Nangrani, MD; Lila Fass, Physician Liaison.

Woodforest Community Health Fair St. Luke’s Medical Group provided stroke education and blood pressure screenings at the WoodforestCommunity Health Fair.

Physician Collegiality Award: Dr. Castillo Cesar Castillo, MD, was selected as the 2015 recipient of thePhysician Collegiality Award by the Staff Nurse Professional Practice Council at Baylor St. Luke’s Medical Center. The award recognizes the role of collegiality and collaboration in physician and nurse job satisfaction, as well as improved patient outcomes evident as a result of effective

Your Physician Enterprise Team Since January 2015, the CHI St. Luke’s Health Physician Enterprise team has increased physician growth of the St. Luke’s Medical Group by 30 percent. The team plays a fundamental role inrecruiting some of the area’s best physician practices to joinCHI St. Luke’s Health Texas Division, while also growing the IPAand CIN in the Houston market.

Left to Right: Amy Weaver, SLMG team; Sura Ayoub, MD, FamilyPractice; Shannon Acreman, Manager; Sara Gibson, OB/GYN

First Row: Jagi Chandnani, Sugar Land, Galleria, Interstate 10 corridor, Katy, PMC; Nick Racine,The Woodlands

Second Row: Janel Greig, TMC and Sugar Land; Stacey Wallace, System Director; Brenna Neves, The Vintage

Thanks for Reading Thank you for all you do, and for following MedGroup News. I encourage you tocontact me with any questions or stories you want to share.

Matt WrightVice President, St. Luke’s Medical Groupmwright@stlukeshealth.org832.355.8716