Page 15 - COPR-Oct 2017
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Kentucky Performance Report




        EXECUTIVE SUMMARY









        Amazing patient care                                     Patient story

        As part of the initiative to lower admissions per 1,000 for   Lois is very diligent about keeping up with her
        our Mercy Health Select populations, a CHF-Solution      mammograms. She has fibrocystic breasts which is
        Implementation Team (CHF-SIT) was formed in              tissue that feels lumpy in texture. “Because of my
        September in order to create and implement a process to   condition, a second mammogram was very normal for me,
        help patients with CHF to receive the right care in the right   so I wasn’t worried when doctors ordered one, along with
        place at the right time. CHF patients are high-risk for   an ultrasound and a biopsy,” she said. She couldn’t have
        potentially avoidable hospital admissions. Our goal is to   been more surprised when Dr. Daniel Howard told her the
        provide a standardized process for both outpatient and   news. “He said, ‘you have cancer, but it’s not going to kill
        inpatient CHF needs. The CHF-SIT is currently focused on   you’,” added Lois. “That was all I needed to hear. I didn’t
        identifying the CHF patient in the inpatient setting so that   hear anything else after that. I knew I could beat this.”
        the right team and protocols will be put into place even if   Lois had surgery, completed 17 radiation treatments and is
        the primary reason for admission is not CHF.             doing great. Nurse Navigator, Courtney Leneave, helped
                                                                 navigate Lois through her breast cancer journey through
        Operational excellence                                   a free program called Beads of Courage. “This is where we
                                                                 meet and build a necklace of handmade beads that
        Mercy Health Physicians-KY partnered with the Mercy
        Coding Department and Dr. Jeffery Schneider (Mercy       represents her breast cancer journey,” said Courtney.
        Health’s Medical Director of Physician Revenue Cycle) to   “Beads of Courage has allowed us as Navigators to
        provide coding education sessions for all employed       develop a much deeper relationship with our patients.”
        providers. Dr. Schneider and team provided primary care   Lois shared her sentiments. “Courtney made me feel
        and specialty sessions, with additional break-out sessions   so loved and I love my beads. When people come to visit,
        for specialty-specific questions.  Over 100 providers and   I explain to them what each bead means. It’s a
        staff attended the five sessions hosted at Lourdes and   beautiful story.”
        Marcum and Wallace. Provider feedback was positive, as
        they found the sessions extremely informative.
                                                                 Clinician story
        Creating the future
                                                                                                  Mercy General
        Lourdes is seeing a 5% increase in hospital admissions and                                Surgery’s Daniel
        advanced imaging visits are exceeding budget by 13%.                                      Howard, MD,
        Our team has developed a service line-centric strategic                                   recently returned
        planning process that allows operators to highlight three                                 from Dallas, Texas
        to five operating metrics that align with key revenue                                     where he served as
        drivers. The process, referred to as SKIPE (situation, key                                part of the
        driver, intervention, progress, and evaluation), pushes our                               distinguished
        highest priority metrics into a comprehensive dashboard                                   Faculty of the
        that serves as the foundation of our weekly Creating the                                  School of
        Future Council (CFC) meetings. The one-hour meeting is   Oncoplastic Surgery (SOS). The program is recognized as
        fast paced and focuses on execution of revenue initiatives.   one of the first and most comprehensive surgical courses
        Outside of the weekly CFC meetings, each operator        teaching advanced techniques in breast cancer surgery
        reports to the executive team directly in a two-hour     known as oncoplastic surgery. The school brings together
        quarterly strategic planning and operations review.      experts from around the world and across the nation to
                                                                 learn the various aspects of oncoplastic surgery. This year,
                                                                 Dr. Howard was invited to teach the course after having
                                                                 attended the course previously and receiving his
                                                                 educational certification.




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