new faculty orientation new faculty orientation peter zwerner md facc

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New faculty Orientation New New faculty Orientation New faculty Orientation faculty Orientation Peter Zwerner MD FACC Peter Zwerner MD FACC

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Page 3: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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Page 4: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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Page 6: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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

Page 9: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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%

Page 10: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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

Page 11: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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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Page 12: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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.

Page 13: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

Matt Long

[email protected]

843-876-2547

Cell 614-330-5794

Page 14: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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. 

 

Page 15: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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. 

 

Page 16: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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

Page 17: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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

Page 18: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

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

Page 19: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC

MU

SC Health

East Cooper

Page 20: New faculty Orientation New faculty Orientation Peter Zwerner MD FACC