Page 19 - COPR-Feb2018

Lima Performance Report

EXECUTIVE SUMMARY

Amazing patient care Creating the future

A recent experience in respiratory therapy exemplified The Lima Region launched Intensive Cardiac Rehab in
how amazing patient care extends beyond the hospital June 2017, offering comprehensive education about
walls. A patient did not have a Home Health referral, so the critical lifestyle changes and exercise to improve patients’
respiratory therapist completed a home visit with this health. Now, eight months later, the program has achieved
patient. The therapist identified several concerns including greater patient adherence and engagement to the
that the patient was not utilizing home oxygen and was prescribed course of cardiac care. ICR programs are
short of breath. Additionally, the patient did not required to meet specific efficacy standards and must
understand the purpose of prescribed medications and so demonstrate through peer-reviewed published research
took several days before picking up important medicine. that they have a positive impact on cardiac outcomes.
Lastly, the patient decided to stop taking another Positive results include decreasing the need for bypass
medication without conferring with a doctor because of surgery or stenting and reducing significant risk factors
what the patient described as “awful” side effects. After for cardiovascular disease. The St. Rita’s Intensive Cardiac
being made aware of all of these issues, the therapist took Rehab program includes monitored exercise, proper
the time to address these concerns, including contacting nutrition using a dietician and cooking chef, along with
the patient’s physician office, which led to appropriate healthy mindset workshops, risk factor education
changes. This is a true example of how the best way to and yoga.
care for our patients includes helping them at home.
Fostering healthy communities
Operational excellence
Mercy Health — St. Rita’s Medical Center recently hosted
The Lima Region experienced overall favorable volumes at a regional meeting regarding an innovative partnership to
the start of 2018, which led to a strong month financially address opioid addiction. Known as the Opioid
but a challenging month for patient flow. Net Operating Withdrawal and Linkage Program, the program is a
Revenue for January was $1.3 million favorable to budget, partnership between St. Rita’s, Coleman Professional
and $5.3 million favorable to prior year, while operating Services and the Mental Health Board of a seven-county
income was favorable to budget by $.6 million, and by area. The team addressed the process of providing
$3.2 million to prior year. Overall volumes were better than patient-centered care and aligning priorities.
budget with inpatient admissions favorable by 3.9% and
physician visits ahead by 12%, while surgeries were slightly With a focus of working with our schools to increase a
favorable. Both ED and Inpatient length of stay proved culture of wellness, St. Rita’s held a banquet in January for
challenging in January, with the lack of available beds and the six schools who participated in the Activated School
delayed discharges to skilled nursing facilities being Challenge. St. Rita’s awarded each of the schools $2,000
primary drivers. to help fund a new initiative to increase wellness at their
school. All of the awarded recipients will bring sustainable
projects, tools and resources to the schools to increase
their ability to promote healthy foods and physical activity.

19