Page 33 - COPR-Oct 2017

Creating The Future Scorecard Springfield Performance Report

Lorain - October 2017
EXECUTIVE SUMMARY

Net Patient Revenue per wRVU Population Health Patients Domestic Admissions
Dollars, higher is better % of MSSP admissions, higher is better
Dr. Christopher Haas Mark Rau Dr. Bradley Barker Jennifer Bocci
$90 Actual 100% MTD
Budget Amazing patient care Patient story
80%
$80
Springfield Weight Management opened two years ago A patient came to our Mercy McAuley skilled inpatient
60% and is delivering healthy lifestyle options in our rehab, bruised and battered following a head injury from a
$70 communities. Clark County ranks 73rd out of 88 counties motorcycle accident. The patient experienced a loss of
40% on overall health measures with >30% obesity rates cognitive ability and required intensive therapy to regain
$60 playing a large part of this statistic. Thus far, 128 motor, speech and perception skills. Upon arrival, the
20% individuals have had weight loss surgery, losing over patient was on a liquid diet, barely able to string two
6,200+ lbs. Of those, 20% no longer require blood words together, and couldn’t bathe or dress himself.
$50 0% pressure medication, 50% are off all insulin, 46% are off all The patient made slow progress at first and struggled
Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 oral hypoglycemic medication, and 7% no longer need emotionally to face the challenges of recovery. Before
the accident, he enjoyed telling jokes and making others
their CPAP. By participating in a diet and lifestyle change
program, our non-surgical patients have lost over 965 lbs. laugh. His speech therapist capitalized on that interest and
Primary Care Provider Recruitment RN Voluntary Turnover Rate Our clinic continues to grow and is seeking accreditation incorporated joke telling into his therapy plan for
as a center of excellence to better serve and improve the vocalization and vocabulary building. That was the turning
Net new providers, higher is better Annualized rate, lower is better health of this community. point in his recovery and helped him overcome the
Dr. Sam El-Dalati Mark Rau Cheryl Rieves Kathy Dolbin emotional barriers that frustrated his progress. As a
Operational excellence testament to just how far he had progressed, the patient
5 5 18.0% MTD
YTD Our region realized an operating loss of $963K, delivered a speech after having completed his therapy
4 4 16.0% 2017 Target in a benefit that was attended by many of his friends and
Above Target unfavorable to budget by $1.6M. Lower than anticipated family and held at the McAuley Center. In a heart-warming
3 3 14.0% volumes and a significant deterioration in both inpatient
Below Target and outpatient rates drove the sub-par run-rated tribute to the speech therapist who began his
2 2 12.0% operating performance. The unfavorable volume variance rehabilitation by encouraging him to put just two

1 1 10.0% can be attributed in part to the shortfall in physician words together, he sang her a birthday song.
recruitment. Critical shortages of labor, especially in
8.0%
0 0 critical care areas, have required the continued use of
6.0% premium labor to meet patient needs. Hospitalist staffing Clinician story
-1 -1
has increased their coverage close to 80% to
-2 -2 Oct16 Nov16 Dec16 Jan17 Feb17 Mar17 Apr17 May17 Jun17 Jul17 Aug17 Sep17 accommodate patients of several independent physicians Pamela S. Bucklew-Wilder, MD, has
been practicing in our community
-3 -3 who have turned over their patients to our hospitalists. for more than 25 years.
APP Physician
Creating the future Experienced in general/
Providers with Ambulatory Encounters Left Open > 7 Days Springfield Sports Medicine & Rehabilitation recently laparoscopic surgery, she has a
special interest in breast and
# of providers with > 30 encounters open > 7 days, lower is better adopted the Graston Technique, an innovative, instrument- abdominal procedures. Dr.
Dr. Rick White Mark Rau assisted soft tissue mobilization that enables therapists to Bucklew-Wilder graduated from
detect and effectively break down scar tissue and fascial Wright State University, then
20 MTD
restrictions while maintaining optimal range of motion. completed surgical internship and
Target This non-invasive procedure achieves faster and better residency at Alleghany General
15 outcomes for acute and chronic conditions such as Hospital. While attending the University of New Mexico
tendonitis, carpal tunnel, fibromyalgia, ‘tennis elbow’, School of Medicine, she obtained her fellowship in burn
10 and other complaints related to pain management. This and trauma surgery. Dr. Bucklew-Wilder joined us in 2012
innovative therapy is achieving nationwide success for and sees patients in her Springfield and Urbana offices.
5 use by all patient types, from elite athletes to the elderly. She is a fellow of the American College of Surgeons and a
It is considered one of the most effective treatments member of the American Society of Breast Surgeons.
0 for rehabilitation and range of motion maintenance,
especially when combined with other treatment
modalities, such as exercise.
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