Building Synergy Among National Health System Initiatives and a - - PowerPoint PPT Presentation

Louis Stokes Cleveland VA Medical Center

Building Synergy Among National Health System Initiatives and a Regional Health Improvement Collaborative: A Case Study of the Cleveland Veterans Affairs Medical Center

Brook Watts, MD, MS Chief Quality Officer Louis Stokes Cleveland VA Medical Center and Associate Professor Case Western Reserve School of Medicine

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Louis Stokes Cleveland VA Medical Center

Area of Service

A Cleveland VA Medical Center or Outpatient Clinic is located within 30 minutes or 30 miles

• f every Veteran in

Northeast Ohio.

Louis Stokes Cleveland VA Medical Center

Facility Statistics

FY14 FY15 Number of Unique Veterans Served 110,134 112,000 Number of Unique Women Veterans Served 5,772 5,857 Number of Appointments 1,898,942 1,965,061 Number of Employees 4,666 4,766

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Louis Stokes Cleveland VA Medical Center

The Cleveland Story

• VA clinical outcomes are generally benchmarked extensively –

but internally. Long term VA priority.

• Why eye exams for diabetic patients?

– Number one cause of preventable blindness in Americans – 25% of Veterans receiving VA care have diabetes (compared to 8% of the general US population)

• Age of population
• 70% of Veterans receiving VA care are overweight/obese

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Louis Stokes Cleveland VA Medical Center

The Cleveland Story

12/13/2016

Louis Stokes Cleveland VA Medical Center

The Cleveland Story

• Louis Stokes Cleveland VA Medical Center is the first to be included

in a Regional Heath Collaborative

• Initially just the main campus primary care clinic, receiving Gold

Stars each year

• This year all community outpatient clinic outcomes for inclusion in

reporting

• All 14 Northeast Ohio VA Healthcare System primary care clinics

received a Gold Star

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Louis Stokes Cleveland VA Medical Center

How?

• “We’ve been working on this for years.”
• Automatic electronic reminders in the health record

– Reinforced with patients by staff at check-in

• Use of teleretinal imagers

– 30% (8,022) patients screened in this way

• Co-location of optometry staff

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Louis Stokes Cleveland VA Medical Center

• Emphasis on health promotion and disease prevention – “closed

healthcare system”

• Key Focus areas for primary care:
• High blood pressure, tobacco and alcohol use, diet and

nutrition, fitness and physical activity

• Mental Health

Approach to Care

Louis Stokes Cleveland VA Medical Center

Approach to Care

• VA’s electronic health record - oldie but goodie
• Benchmarking techniques, e.g. the “Primary Care Olympics”,

encourage transparency

• Full implementation of the Patient-centered Medical Home

Model, with support from pharmacy and social work

• Telehealth

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Louis Stokes Cleveland VA Medical Center

Approach to Care

• Connected Health
• Clinical Video Telehealth
• Home Telehealth
• Tele-mental Health
• Mobile Health
• My HealtheVet
• Secure Messaging
• SCAN-ECHO
• Mobile Apps
• VA Point of Service Kiosks

Louis Stokes Cleveland VA Medical Center

Approach to Care

• Leadership
• Consistent facility and clinical leadership
• Culture
• Commitment to transparency
• Commitment to innovation
• Commitment to steal (and share) new ideas shamelessly
• Benefits of external benchmarking to clinical staff

Louis Stokes Cleveland VA Medical Center

Gold Star Staff

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Louis Stokes Cleveland VA Medical Center

Thank You to our COMMUNITY!