Summer 2015 Internship

Greenville Memorial Hospital

Mission, Vision, Values of GHS

Mission statement: Heal compassionately, teach innovatively and

improve constantly.

Vision: Transform health care for the benefit of the people

and communities we serve.

Values: Together we serve with integrity, respect, trust and

openness

Greenville Health System

My internship was in the Clinical Integration Department with the Director of Accountable Communities. The main project I worked on was the Healthy Outcomes Plan.

Greenville Health System (GHS) has 8 medical locations. Of these locations, I primarily worked at Greenville Memorial Hospital (GMH) in the Emergency Department.

GMH is a regional referral center for the diagnosis and treatment for many health issues, as well as a general inpatient/outpatient services for the community.

About GMH

Is a regional referral center for the diagnosis and treatment for many health issues, as well as a general inpatient/outpatient services for the community.

Greenville Memorial Hospital has 820 beds and 6 floors

Is a teaching hospital

Is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)

Healthy Outcomes Plan

The Healthy Outcomes Plan is a state program provided by GHS and safety-net partners to assist with ensuring participants receive the correct care in the correct place.

The HOP was enacted when South Carolina chose not to expand Medicaid, leaving a wider margin of people who do not qualify for Medicaid, but still cannot afford to have medical care. This results in patients not receiving continual, preventative care and over and unnecessary use of the Emergency Department.

The goal of this program is to be a bridge for patients to find a medical home, therefore increasing their amount of preventative care and reducing their overuse of the Emergency Department. Both cut costs and save money in the bigger picture for both the providers and the patients.

HOP Enrollment Benefits:

Affordable, quality healthcare

Assignment to a medical home-complete, routine healthcare

Access to specialty care when needed

Establishing a health management plan specific to each patient’s goals and needs

Prescription assistance programs

HOP Enrollment Qualifications

One can enroll if: No health insurance Income is below the 200% federal poverty level Must have one or more chronic conditions One of the following applies:

Readmission to hospital within one month of coming home Two or more hospital admissions in the past year Two or more emergency room visits in the past year A chronic disease plus one or more hospitalizations in the previous

year Three or more chronic conditions Currently taking seven or more medications

Another project was Access Health, which is a program patients can enroll in if they meet these qualifications, except they do not have to have a chronic disease to qualify.

Internship Mission

The mission of this internship was to serve as an operations intern supporting the Director of the Clinical Integration Department. This department is based around supporting community-based health to then enable population health management. Exposure to organizational operations, decision-making, and the opportunity to participate in projects around Population Health Management and Community-Based Health was the mission.

Duties

Check patient records to find eligible patients currently in the ER in order to go talk to them in their ER rooms.

Floor Plan

I worked with patients in Intermediate Care, Critical Care, and the Emergency Department (starred red).

Duties

In the ER room, I would introduce the HOP, confirm enrollment requirements are met, perform 3 screenings, fill out a “Healthy Check-ups” Medicaid application, and get income and personal contact information- all only if the patient expresses interest in enrolling. Also, depending on different patient’s geographical and financial situations, I would assign a medical home to the patient for them to call/walk in and make an appointment to become established there.

Then, a project based on the information gathered, I would create a Health Care Plan to send to the patient’s assigned clinic to help the patient initially articulate what they need help with and help the clinic

know how to best help the patient in the beginning.

Duties

Next, the patient had to be enrolled into the computer systems and given a HOP identification number. The patient’s answers to each screening, health information, and personal contact info had to be recorded into 6 different excel

documents.

Safety- Net Partners

GHS has several safety-net partners, but due to location and population the two that I referred patients to were Greenville Free Medical Clinic and New Horizon.

One project was to start tracking which patients are referred to what clinic and then see how many of those actually follow through and establish themselves.

Greenville Free Medical Clinic

Free for patients.

Offers primary care, acute dental services, restorative dental services, dental hygiene, Ophthalmology (eye) Clinic, Mental Health Counseling, and preventative gynecology care.

To become established, patient must bring: Identification and Social Security Number Verification of current Greenville county residency Verification of all current income for everyone residing in

the home

One project was making a flyer featuring pictures of all required items for enrollment. This is to help the illiterate population.

New Horizon

Based on a sliding-fee scale depending on income

Provides medical and dental services as well an on-site pharmacy.

Provides health education and nutrition counseling, chronic disease management, and behavioral health services.

Sources

http://www.greenvilleshrinershospital.org/2014/07/the-history-behind-the-greenville-shriners-hospital/

https://www.google.com/search?q=greenville+free+medical+clinic&es_sm=91&source=lnms&tbm=isch&sa=X&ved=0CAkQ_AUoA2oVChMIlOKZ1JzuxgIVS1Y-Ch1yAAPu&biw=1230&bih=735#imgrc=kc2fg3PzW7onBM%3A

http://www.greenvillemed.sc.edu/doc/GHS_Map2013.pdf

http://hospitals.healthgrove.com/d/d/South-Carolina/Greenville

http://purl.theinlinegroup.com/ghs/

http://www.scphca.org/health-centers/find-a-health-center/new-horizon.aspx

http://www.ghs.org/