WAHU Quality Presentation 4/6/2017 Francie Ekengren, MD Chief - - PowerPoint PPT Presentation

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WAHU Quality Presentation

4/6/2017 Francie Ekengren, MD Chief Medical Officer, Wesley Healthcare Lindy Garvin, MPA, CPHRM Division VP, Quality Improvement and Patient Safety

Current Growth Initiatives Future Growth Initiatives

► Onboard newly recruited physicians starting in 2017 (pediatric pulmonology, plastics, hospitalist, intensivist, and geneticist). ► Continued recruitment around target specialists (pediatric urology, emergency medicine, ENT, ortho, and surgery) as well as Via Christi intensivist. ► Website content overhaul paired with Children’s Hospital marketing phase II. ► Phase II of Children’s Hospital: obtain approval for peds ED, sedation, infusion, and overflow beds. ► Continued promotion of only level II trauma pediatric facility in the state of Kansas. 2016 year over year trauma growth 9%. ► Pediatric subspecialty outreach clinic and dedicated pediatric transport service. ► Drive volume through new programs (pediatric concussion clinic and Pectus program). ► Develop Children's Hospital specific volume drivers (spina bifida, obesity, cystic fibrosis, and cleft pallet). ► Submit COG application for pediatric oncology in July.

Market Pediatric ED Visits Pediatric Trauma Volume

Opportunities for Growth: Pediatric Service Line

27,783 29,684 35,452 36,158 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 2013 2014 2015 2016 353 375 412 448 50 100 150 200 250 300 350 400 450 500 2013 2014 2015 2016

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Leapfrog Survey

Both Wichita Hospitals scored an A in the last 4 cycles of Leapfrog Safety Scores

The Hospital Safety Score includes 30 measures, all currently in use by national measurement and reporting programs including:

• Leapfrog Hospital Survey,
• Agency for Healthcare Research and Quality (AHRQ),
• Centers for Disease Control and Prevention (CDC),
• Centers for Medicare & Medicaid Services (CMS), and
• American Hospital Association’s Annual Survey and Health Information Technology Supplement.

Taken together, those performance measures produce a single score representing a hospital’s overall performance in keeping patients safe from preventable harm and medical errors. Hospital Safety Scores are assigned to more than 2,500 hospitals across the nation twice annually. Hospital

04/29/2014 10/30/2014 04/30/2015 10/28/2015 04/25/2016 10/31/2016

Wesley Medical Center

B B A A A A

Wesley Woodlawn Hospital and ER

Included in WMC Included in WMC Included in WMC

A A A

Leapfrog-- Competitors

Hospital 04/29/2014 10/30/2014 04/30/2015 10/28/2015 04/25/2016 10/31/2016

Via Christi Hospitals-- Wichita St Francis

C B B C C C

Evidence-based Care--Sepsis

2016 Key Results Over 2015

• $4.2 M Savings through July annualized to $7.2 M
• 11.5 ROI on Sepsis Coordinators
• Additional Lives saved: 57 YTD July annualized to 98

22% 21% 21% 21% 17% 18% 18% 17% 14% 17% 13% 15% 8% 17% 31% 35% 39% 45% 50% 55% 57% 57% 55% 57% 0% 10% 20% 30% 40% 50% 60% 0% 5% 10% 15% 20% 25% 1Q14 2Q14 3Q14 4Q14 1Q15 2Q15 3Q15 4Q15 1Q16 2Q16 3Q16 4Q16 Mortality Overall Bundle Compliance Linear (Mortality)

Sepsis Coordinators Sepsis Champions

2017 Priorities

• Mortality
• Complications
• Sepsis Measures
• Hospital Acquired Infections
• Ventilator Utilization

Why Does Quality Matter?

Wesley Quality Metrics

Wesley Quality Metrics

Wesley Quality Metrics

Wesley Quality Metrics

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1 in Every 25 People Gets a Hospital Acquired Infection You

HAIs Cost Everyone

• Increased Medical Costs

– Physician management – Increased Length of Stay – Increased supply/medication costs

• Increased Personal Costs

– Time away from Work – Time away from Family

According to the Society for Actuaries (using 2010 Data) how much increased medical cost is associated with a Central Line Associated Bloodstream Infection (CLABSI)?

q a. $5,756 q b. $22,514 q c. $164,874 q d. $83,365

Cost Quiz—How Much?

According to the Society for Actuaries (using 2010 Data) how much increased medical cost is associated with a Catheter Associated Urinary Tract Infection (CAUTI)?

q a. $24,901 q b. $850 q c. $164,874 q d. $62,951

Cost Quiz—How Much?

Core Measures

These quality measures show how often or how quickly hospitals give recommended treatments known to get the best results for people with certain common conditions.

• Heart attack care
• Emergency department care
• Stroke care
• Blood clot prevention & treatment
• Pregnancy & delivery care

The Value Equation:

“Good quality is good business.”