new faculty orientation new faculty orientation peter zwerner md facc
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New faculty Orientation New New faculty Orientation New faculty Orientationfaculty Orientation
Peter Zwerner MD FACCPeter Zwerner MD FACC
Ambulatory Care Overview
o Ambulatory Structure
o PATH
o Ambulatory Policies
o EPIC
o Quality Metrics
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4
Primary Care
Carolina Family Care
University Internal Medicine
Family Practice
Affiliations and Outreach
Primary Care
Affiliations and Outreach
Primary Care
West Ashley East CooperEast Cooper
Internal MedicineInternal Medicine
Park West Allergy & Park West Allergy & ImmunologyImmunology
West AshleyWest AshleyInternal MedicineInternal Medicine
MUSC Health MUSC Health East CooperEast Cooper
Sewee FamilySewee FamilyFamily MedicineFamily Medicine
East CooperEast CooperFamily MedicineFamily Medicine
Family Family MedicineMedicine
James IslandJames Island
Internal MedicineInternal MedicineRutledge AvenueRutledge Avenue
30 Bee 30 Bee Internal MedicineInternal Medicine
MUSC Health MUSC Health North CharlestonNorth Charleston
North Charleston
* 16 Locations
DorchesterDorchesterInternal MedicineInternal Medicine
FlowertownFlowertownFamily MedicineFamily Medicine
James IslandJames IslandInternal MedicineInternal Medicine
Kiawah IslandKiawah IslandFamily Family
MedicineMedicine
Park West Park West Internal MedicineInternal Medicine
Family Family MedicineMedicine
Calhoun StreetCalhoun Street
PATH (Patient Access To healthcare)
Clinical Call Triage J.
Martines BSN, RN
Clinical Call Triage
J. Eisnerman, BSN,RN
MUSC Health Director
Enterprise Access
Matthew Long
Patient Access
OperationsAdam Bacik
Call Center
Operation
6 Call Center Patient Access
Supervisors
64 Call Center Patient Access
Agents
3.5 Master Schedulers
2 Business Analyst
MUSCP COO J. D’Agostino
MUSCP CMOP. Zwerner,
MD
Sr. Manager of Quality
Andrea Swartz
PATH ORGANIZATIONAL CHART
Central 70%Non Central 30%
Children’s ServicesInternal MedicineMedicine Sub-SpecialtiesDermatology (Adult & Ped)ENT (Adult & Ped)Urology (Adult & Ped)Family Medicine (Adult & Ped)Storm Eye Institute (Adult & Ped)Women’s ServicesOrthopedics (Adult & Ped)Pain ManagementTransplantHollings Cancer CenterSurgery
- Located at Cannon Park Place
CENTRAL SPACECENTRAL
MANAGEMENT
NeurosciencesPsychiatry
DECENTRALIZED SPACECENTRAL MANAGEMENT
Carolina Family CareDigestive Diseases CenterPhysical /Occupational TherapySpeech PathologyEast Cooper OB/GYNTransplantSleep Lab/EEG Lab/EMG Lab *Radiology*Radiation Oncology*Dentistry
DECENTRALIZED SPACEDECENTRAL MANAGEMENT
*Different System
Patient Access Center
PATH PROGRESS
Performance Standards Operating Agreements Signed agreements between the Department and the Patient Access Center to hold each other mutually accountable; (46 of 48 currently completed)
Patient CommunicationCurrently researching new appointment reminder vendors for a more
comprehensive reminder strategy to decrease no-shows Changing new patient packets to more effectively communicate with our patients
Practice Management Oversight CouncilsPhysician led, multi-disciplinary teams with decision rights to quickly
identify and eliminate barriers to the clinical enterprise across all locations
New MetricsNew PATH Vital Signs are currently being validated Full implementation will be completed by the end of Q2 FY15Call Center vital signs have been established and score cards will roll
out Q3 FY15Focus on Service Level (80% of calls answered in 30 seconds or less)
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PATH PROGRESS
Policies and Procedures
Bump Policy –Drafted and ready for approval
No Show Policy –Drafted and ready for approval.
Physician Referral Policy – Eliminate medical record review prior
to placement on a provider’s schedule, giving priority to internal
referrals. Drafted and ready for approval.
Outpatient Records must be completed, signed, dated and timed
as soon as possible after the service takes place but in no case
more than 14 days after the date of service.
Epic Personalization Topics Do you use SmartPhrases to template common documentation? If you use NoteWriter, do you have macros for your ROS
and Physical Exam documentation?
Do you use filters in Chart Review to find information more quickly?
Do you have a personal preference list for your common orders?
Do you have personalized follow-up buttons to indicate follow-up more quickly?
Do you use QuickActions to more efficiently handle In Basket – Results messages?
Do you have a list of your common recipients to send In Basket messages more quickly?
Do you have default letter templates to communicate with referring providers more efficiently?
Do you have the Epic app called Haiku for your iPhone/Android or the Epic app called Canto for your iPad?
Do you know the Epic SuperUser for your specialty?
If you’ve answered No to most of these questions, you would benefit from
Epic Personalization
You can reach the Training Team by contacting Laura Camacho, PhD, at [email protected].
Remember, if you need immediate Epic assistance at any time, you should call
the Help Desk at 792-9700.
Epic Personalization Topics Do you use SmartPhrases to template common documentation? If you use NoteWriter, do you have macros for your ROS and Physical Exam
documentation?
Do you use filters in Chart Review to find information more quickly?
Do you have a personal preference list for your common orders?
Do you have personalized follow-up buttons to indicate follow-up more quickly?
Do you use QuickActions to more efficiently handle In Basket – Results messages?
Do you have a list of your common recipients to send In Basket messages more quickly?
Do you have default letter templates to communicate with referring providers more efficiently?
Do you have the Epic app called Haiku for your iPhone/Android or the Epic app called Canto for your iPad?
Do you know the Epic SuperUser for your specialty?
If you’ve answered No to most of these questions, you would benefit from
Epic Personalization
You can reach the Training Team by contacting Laura Camacho, PhD, at [email protected].
Remember, if you need immediate Epic assistance at any time, you should call
the Help Desk at 792-9700.
Ambulatory Quality PerformanceCG-CAHPS: (Clinician & Group Consumer Assessment of Healthcare Providers and Systems.) survey to measure patient perceptions of care delivered by a provider
AVATAR: measures a patient’s expectations, satisfaction and experience
Meaningful Use: Medical record maximization
The Physician Quality Reporting System (PQRS) incentive payments will begin 2015, to encourage eligible health care professionals (EPs) to report on specific quality measures.
VBPM: reports about the quality and costs of care that provided to fee-for-service Medicare patients
Individual Provider Group performance PCP based
2016 -2% -2% (+/-) 2% -6%
2017 -3% -2% (+/-) 2% -7%
2018 -4% -2% (+/-) 2% -8%
2019 -5% -2% (+/-) 2% -9%
MU PQRS VBPMPayment at Risk
FY' 15 CG CAHPS by Item FYTD 11/30/14Report Run Date - 12.10.14 Target RT Clinics (HBC) Family Medicine Storm Eye Clinics East Cooper North Charleston West Ashley
N - surveys 883 71 210 1077 554 230Access to Care 66.72 62.80 46.01 65.80 62.11 66.09 62.78Provider Communication 92.47 92.43 90.97 90.09 90.52 91.66 89.24Offi ce Staff 93.54 93.27 88.10 91.46 92.09 96.71 92.33Follow Up on Test Results 92.71 76.23 81.08 93.02 85.85 82.04 77.27Overall Provider Rating 83.90 86.19 80.95 85.64 84.96 84.78 83.57Willingness to Recommend 91.72 92.92 86.89 90.43 90.55 91.60 90.23Composites meeting goal - at or above 75%tile 3 2 0 2 1 2 0
MU
SC Health
East Cooper