Page 33 - 10640MHSBRO COPR Report November 2017_Neat

Springfield Performance Report

EXECUTIVE SUMMARY

Amazing patient care appropriate. Utilizing the clinical skills of these nurses,
customized coordination and communication plans will be
The Society of Thoracic Surgeons (STS) once again conferred developed with the patients and their families to capitalize on
the highest rating of “3 stars” to Springfield Regional Medical the opportunity for interventional care. Success metrics will be
Center’s Coronary Artery Bypass Surgery Program, a related to care gap and preventative health measures,
recognition awarded to less than 15% of cardiac surgery avoidable readmissions, ED visits and inpatient visits by
programs in the US. Numerous quality parameters indicated population percentage, and quality outcomes.
that SRMC outscored its competition in areas such as valve
replacements and complex procedures. Notable Patient story
achievements included blood transfusion rates and ventilator
use 66% better than average, operating time nearly an hour You only have seconds to make a difference in whether you
shorter, and zero mortalities during the reporting period for can save somebody in dire health distress. Case in point, a
coronary artery bypasses. Further, the overall complication man presented to the ER at Springfield Regional Medical
rate is nearly a third as compared to others within the STS Center barely breathing, pale complexion and BP in the 40s.
database. Given that the number one health problem The ER physician triaged the patient and promptly diagnosed
causing death and disability in Clark and Champaign counties a ruptured aneurysm of the abdominal aorta with the
is heart disease, continued excellence in cardiac care reflects assistance of our latest technology, a bedside ultrasound.
a strong long-term commitment from the medical staff at Rapid resuscitation was completed quickly and a balloon was
SRMC and a positive prognosis for the patients we serve. promptly inserted in the aorta above the rupture to prevent
further blood loss. The aneurysm was blocked from inside with
Operational excellence a stent deployed from below the level of the kidney in arteries
going to the legs. Following successful intervention, this
In October, CMHP realized operating income of $270K, patient avoided a terminal outcome and went home walking
unfavorable to budget by $1.06M. Operating results reflected and eating normally in just a few days. Thanks to medical
a net $103K of positive one-time items. Adjusted for the expertise, modern technology and rapid teamwork working
one-time items would have resulted in a run rate operating toward the Mercy Health Mission, the patient is back with his
margin of $167K for the month and a positive margin of family to enjoy the holidays.
$1.4M for the year. Lower than anticipated volumes and
continued deterioration in outpatient rates drove the sub-par Clinician story
run-rated operating performance. The unfavorable volume
variance can be attributed in part to the shortfall in physician Team work in modern healthcare
recruitment and the absence of a surgical spine program is complex. When it is done best,
that was planned to start in October. Hospitalist staffing has patient care is centered inside an
increased coverage close to 80% to accommodate patients interdisciplinary team that delivers the
of several independent physicians who have turned over their best care in the best setting. Patients in
patients to our hospitalists. the Springfield region with Critical Limb
Ischemia also benefit from this care
Creating the future model. The Limb Salvage team led by
physician champion, Sayed Rizvi, MD, is
The newly-developed Care Navigation Model is designed to reducing the length of stay and
prevent health complications and re-hospitalizations of improving the prognosis for patients facing loss of limb.
chronically ill hospital patients by providing them with Patients are now receiving imaging, intervention and surgical
comprehensive discharge planning and home follow-up. procedures within 24 hours of diagnosis. For this team, time is
Coordinated by a Care Navigation Nurse (CNN) trained in tissue. On behalf of Mercy Health, we are reducing the overall
chronic conditions, our focus includes prevention efforts cost of healthcare while simultaneously improving the
related to AMI, CABG, COPD, CHF, pneumonia, and stroke. outcomes for patients in our communities. Dr. Rizvi is Board
Upon admission, patients will benefit from a comprehensive Certified in Internal Medicine and Cardiovascular Disease.
health status assessment, an individualized plan of care He completed his Internal Medicine residency at Rochester
consistent with evidence-based guidelines, and daily visits. General Hospital followed by Fellowship studies at Albany
Following discharge, the CNN will continue to follow the Medical Center and Borgess Medical Center where he
patient for 30 days, working closely with the ambulatory added Cardiovascular Disease and Interventional
care coordinators, home care, rehab, and nursing facilities as
Cardiology specializations.
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