Ensuring Access to Care in Vulnerable Communities May 31, 2018 - - PowerPoint PPT Presentation

Ensuring Access to Care in Vulnerable Communities

May 31, 2018

Bryan Slaba

President and CEO Wagner Community Memorial Hospital – Avera Wagner, South Dakota

2015

Wagner, SD

Demographics

Community Health Needs Assessments

2013 Priority Needs

• 1. Accessibility and affordability of

health care services

• 2. Healthy lifestyle choices and health

promotions activities

• 3. Drug and alcohol abuse prevention

2016 Priority Needs

• 1. Mental Health Services
• 2. Diabetic Education
• 3. Dialysis
• 4. Teen Pregnancy Prevention
• 5. Exercise

Ensuring Access to Care

Access and Affordability

Avera eCARE Emergency, Hospitalist and Specialty Consultation among others

Healthy Lifestyles

New Hope Dialysis Center and Diabetic Education

Mental Health and SUD:

“Grow Your Own,” Primary Care Clinicians and Mental Health Specialists

Social Determinants: Housing and Economic Development

Access and Affordability e-Care

Population Health & Healthy Lifestyles

Access to Care: Grow Your Own

Social Determinants of Health

The Mission and Vision of Wagner Community Memorial Hospital Avera

It is the objective and purpose of Wagner Community Memorial Hospital Avera to provide care and treatment of the sick, to provide care and support

• f the aged, disabled and indigent and to provide for those in need of

hospitalization. The vision of Wagner Community Memorial Hospital Avera is to be the provider of choice in the area; to be financially stable and strong; have a solid physician base and physical plant; and to have good relations with

• ther community healthcare providers.

Erik Thorsen

President and CEO Columbia Memorial Hospital Astoria, Oregon

American Hospital Association

Section for Small or Rural Hospitals

Astoria, OR

CMH Strategic Plan Launched 2010

• Increase HCAHPS Scores & Seek Planetree

Designation

• Improve CMH’s Image & Reputation in the

Community

Improve Quality & Customer Service

• Improve Access to Care & Expand Services

(local care is better care)

Growth

• YE 2009 Operating Margin = 2.78%
• Need strong financial performance to fund

growth initiatives

Improve Organizational Financial Performance

• Happy Caregivers = Happy Patients

Caregiver Engagement

Person Centered Care Planetree Designation

• Planetree Designation achieved in 2012
• Patient Family Advisory Council
• Caregiver Council
• Community Arts Program
• More info: www.planetree.org

Community Partnerships Sports Medicine Outreach

• Concept initiated by CMH

Physical Therapy Department

• CMH provides Certified

Athletic Trainers to local school districts

• Grant funding to start

concussion (ImPact) testing and protocols for all student athletes.

• CMH receives direct referrals

back into the system

• Over 850 baseline

assessments

Community Collaboration CMH Field

• Astoria School District owned

property adjacent to CMH for High School Football program

• City of Astoria owned and needed

to cap a defunct city landfill

• CMH needed additional land to

bring a new Cancer Center to community

• The groups worked together to

create a new Sports Complex on

• ld landfill site – CMH provided

majority of the funding. Baseball, Football, Soccer, and other community activities now available on artificial turfed complex.

• CMH obtained 7.5 acres of

adjacent property for expansion

Reduce Unnecessary ER Visits and Improve access to Primary Care

• CMH opened a new

combination Urgent Care and Primary Care facility in an off-campus location in 2013.

• Added 5 net new primary

care providers.

• Utilized the Rural Health

Clinic model.

• CMH is opening a duplicate

clinic in Astoria in Fall of 2018

CMH/OHSU COLLABORATION

CMH-OHSU Knight Cancer Collaborative

• 2011 - Partnership created
• Medical Oncology Clinic started

part-time 2 days per week

• 2012 – Increased to full-time and

moved into 5,000 Sq Ft Clinic and Infusion Center

• $300K Urban Renewal grant from

City of Astoria

• 2013 – Increased to 2 full-time

Medical Oncologists

• 2017 – Opened $16 mil dedicated

Cancer Center including Radiation Therapy

• 2 full-time Medical Oncologist &

1 Full-Time Radiation Oncologist.

Other CMH/OHSU Programs

• Cardiology Program -

2011

• Emergency

Department Physicians

• 2015
• OHSU Rural Rotation

for Emergency Medicine Residents - 2016

• General Surgery

Collaboration - 2016

Organizational Results

CMH – Total Operating Revenue Trend

All Oregon Rural Hospitals Net Revenue Growth 2009-2016

CMH – Operating Margin Trend

Employee Count Trend

HCAHPS

Overall Rating 9 or 10 Likelihood to Recommend

61% 73% 70% 0% 10% 20% 30% 40% 50% 60% 70% 80% Jun-12 Dec-16 Apr-18 69% 75% 71% 0% 10% 20% 30% 40% 50% 60% 70% 80% Jun-12 Dec-16 Apr-18

NON – HCAHPS CLINICS

• Be willing to break old

paradigms and take calculated risks

• Collaborate – Take the lead
• Engage your community

partners

• Engage your patients and

caregivers

Discussion

Questions and Comments

Contact Information

John Supplitt

Senior Director AHA Constituency Sections 312-422-3306 jsupplitt@aha.org