Page 3 - COPR-Feb2018

System Performance Report

EXECUTIVE SUMMARY

STRATEGIC INITIATIVE SPOTLIGHT: Reducing Epic (CarePATH) Documentation Time for
Reducing Avoidable Readmissions providers and nurses is an exciting new KPI. Due to
regulatory and other pressures, providers and nurses
We are committed to reducing avoidable readmissions for frequently spend excessive time documenting in the
two reasons: it is emblematic of amazing patient care and it electronic medical record. This can negatively impact care
reduces the financial penalties we must pay when we delivery, increase healthcare costs, reduce patient
exceed the benchmark. While Reducing Avoidable satisfaction and frustrate providers and nurses. The goal for
Readmissions was unfavorable to target in January, a this KPI is to achieve a 5 percent reduction in time spent in
number of initiatives are in process so we can achieve the CarePATH per patient, with emphasis on providers
target across the ministry. Each month, system and regional spending greater than 20 minutes per patient. Strategies to
strategic initiative dyad leaders and dedicated analysts reduce documentation time vary and include targeted
meet to measure progress and share best practices. We are interventions. Data sets under review include Epic’s
also using big data and technology to help leaders track Provider Profile and Nursing Efficiency Assessment Tool.
individual physician and grouped risk-adjusted results.
Importantly, the responsibility of reducing avoidable Creating the future
readmissions falls not only on physicians, but on the entire Mercy Health’s RN Voluntary Turnover rate increased in
care team. Education is being conducted this week at the 2017 and was at 13.6% by year’s end. In January we saw a
System ED Collaborative on readmission goals for 2018, slight improvement, ending the month at 12.5% percent. We
along with specific ED strategies to decrease readmissions. anticipate attrition will likely continue due to competition
At the collaborative, nationally recognized expert Dr. Eric and the number of nurses reaching retirement age. To
Coleman is also presenting strategies to decrease combat rising turnover, Mercy Health is committed to
readmissions. A regional pilot is being planned that will increasing new-graduate hiring, maintaining competitive
allow direct scheduling of follow-up visits, new PCP visits, compensation and providing the best nursing culture
and specialist visits from the ED.
possible. Our provider workforce, specifically primary care
providers, as well as new patient visits are pivotal to our
Amazing patient care future. Both these measures are behind target for the
month of January and will receive much attention as the
Inpatient (IP) and ED Patient Experience is behind target.
Due to a routine lag time of approximately six weeks to year progresses.
accommodate survey completions and for tabulation to be Fostering healthy communities
reported by Press Ganey, year-end 2017 data was received
mid-February. Standardized reports will be created to Reducing Opioid Dependency has been a priority for our
highlight areas that will drive the most improvement by unit ministry for several years. In 2018, we are adding depth and
or domain, such as communication with nursing. We breadth to our efforts to combat the opioid epidemic. All
continue to focus on a culture of accountability: we all own regions will be activating Screening Brief Intervention and
patient experience. The strategic initiatives of Patient Referral to Treatment (SBIRT) protocols in their EDs, with a
Safety, Primary Care Access, and Disease Prevention (PC6) goal of screening 62,000 people this year. As of January 31,
are also falling short on targets, but system and regional all regions have begun screening protocols, and 7,645
leaders are working hard to develop the roadmap to beat screenings (12% of target) were conducted. We are also
these ambitious targets in 2018. aiming for a 10% reduction in the overall Mercy Health
opioid prescription burden, as well as the percent of
Operational excellence Morphine Equivalent Doses greater than 30 being
prescribed. We are tracking to our targets on both of these
Consolidated operating income for the month was $15.0M,
favorable to the budget by $9M. The operating margin for metrics. All regions will be developing youth education and
January was 3.7%, favorable to the budgeted monthly prevention partnerships with junior high and high schools,
margin of 1.5%. However, regional operating income was with two such partnerships activated in January.
$13.6M, unfavorable to budget by $3.4M with favorable
results to budget in Toledo ($1.2M favorable), Cincinnati
($1.2M favorable) and Lima ($624k favorable).
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