Page 27 - COPR-Oct 2017

Creating The Future Scorecard Lorain Performance Report

Lima - October 2017
EXECUTIVE SUMMARY

Net Patient Revenue per wRVU Population Health Patients Domestic Admissions
Dollars, higher is better % of MSSP admissions, higher is better
Tim Rieger Andrea Condon Ronda Lehman Dr. Ed Tremoulis

$90 Actual 100% MTD
Budget Amazing patient care Patient story
80%
$80
In 2017, Mercy Health — Lorain has reduced its Medicare A patient of Mercy Health — Amherst Family Medicine
60% Shared Savings Plan admissions per 1,000 by over 15% recently shared a personal experience they had with
$70 from nearly 310 to 260. Tactics that have helped the Jennifer Calabrese, MD, and her office. The patient has
40% reduction include case reviews of all admissions/ been going to Dr. Calabrese for over 15 years and noted
$60 readmissions of population health patients (PHP) with that over the last three years, the care in the office has
20% ambulatory care coordinators (ACC), ensuring appropriate been “truly exceptional.” The patient stated, “I would just
follow-up appointments for PHP patients at non-Mercy like to commend the medical and office staff. I’ve seen
$50 0% hospitals, implementation of new process for automatic Dr. Calabrese for over 15 years and the staff in the last
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 referral of all PHP COPD and CHF patients with admission three years has been truly exceptional: courteous,
or ED visit to ACC for follow-up and review of all ED visits
welcoming, friendly. I also love the diversity of the staff.
with a phone call to either schedule a follow-up Really a wonderful team.” Mercy Health — Lorain is truly
Primary Care Provider Recruitment RN Voluntary Turnover Rate appointment with a provider or to educate patients on grateful for the amazing care provided by Dr. Calabrese
availability of Ready Care Clinics. and staff in living out our Mission on a daily basis.
Net new providers, higher is better Annualized rate, lower is better
Dr. Kevin Casey Dr. Mark Mueller Jodi Pahl Will Cason Operational excellence
6 6 16.0% MTD Lorain has focused on reducing agency usage. The acute Clinician story
YTD monthly average expense in Q1 was $93,800; Q2 was Mary Esho, MD, an internal medicine
5 5 Above Target 14.0% 2017 Target $33,900 and Q3 was $7,200. Reducing the RN turnover physician, has joined the Mercy
to 12.8% and improving the RN vacancy rate to 4.7% has
Below Target 12.0% reduced the need for use of agency in the nursing areas. Health Physicians’ team and has
4 4 begun to see patients in the Mercy
Agency staffing is still used in emergency situations, but
10.0% all agency requests are reviewed and require approval by Health — Elyria Primary Care office.
3 3 Lorain’s Chief Nursing Executive. This additional scrutiny The Elyria site is one of the busiest in
8.0% the Lorain Region and the primary
has driven the reduction in expense. In addition,
2 2 care physicians at that office manage
6.0% decreasing the usage of agency ensures patient safety
and maintains the culture of providing a great patient the most lives in the region. Dr. Esho
1 1 experience. will help with capacity at that office
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 and ensure patients can get timely
0 0 Creating the future appointments. Dr. Esho received her medical degree from
APP Physician the College of Medicine of the University of Lagos, Nigeria,
Lorain is dedicating resources to strengthen its foothold and recently completed her internal medicine residency at
Providers with Ambulatory Encounters Left Open > 7 Days in the southern portion of Lorain County. After using St. Vincent Charity Medical Center. She also has a Master’s

# of providers with > 30 encounters open > 7 days, lower is better DHG Consulting to confirm its initial findings, we have Degree in Public Health from the University of Akron and
Dr. Kevin Casey Dr. Matt Owens developed a strategy for the southern portion of the is a member of the American College of Physicians. Please
county to help regain lost volume, including a new join us in welcoming Dr. Esho.
15 MTD ambulatory building in Wellington set to open in 2018, new
Target providers recruited to southern Lorain County, along with
a recently opened walk-in clinic in Oberlin to address less
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acute after-hour care and plans to replace the outdated
MOB on the Mercy Allen campus.
5 To supplement the strategy in southern Lorain County,
we are also looking at a strategy toward the west of
Lorain County. Initial data analysis has begun to identify
0
potential strengths Mercy could build upon and gaps in
services that Mercy Health — Lorain could work with other
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 regions to fill.

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