Internship Summer 2015

2. Mission, Vision, Values of GHS
 Mission statement:
 Heal compassionately, teach innovatively and improve
constantly.
 Vision:
 Transform health care for the benefit of the people and
communities we serve.
 Values:
 Together we serve with integrity, respect, trust and openness

3. Greenville Health System
 My internship was in the Clinical
Integration Department with the
Director of Accountable
Communities. The main project I
worked on was the Healthy
Outcomes Plan.
 Greenville Health System
(GHS) has 8 medical locations.
Of these locations, I primarily
worked at Greenville Memorial
Hospital (GMH) in the
Emergency Department.
 GMH is a regional referral
center for the diagnosis and
treatment for many health
issues, as well as a general
inpatient/outpatient services for
the community.

4. About GMH
 Is a regional referral center for the diagnosis and
treatment for many health issues, as well as a general
inpatient/outpatient services for the community.
 Greenville Memorial Hospital has 820 beds and 6 floors
 Is a teaching hospital
 Is accredited by the Commission on Accreditation of
Rehabilitation Facilities (CARF)

5. Healthy Outcomes Plan
 The Healthy Outcomes Plan is a state program provided by
GHS and safety-net partners to assist with ensuring
participants receive the correct care in the correct place.
 The HOP was enacted when South Carolina chose not to
expand Medicaid, leaving a wider margin of people who do not
qualify for Medicaid, but still cannot afford to have medical
care. This results in patients not receiving continual,
preventative care and over and unnecessary use of the
Emergency Department.
 The goal of this program is to be a bridge for patients to find a
medical home, therefore increasing their amount of
preventative care and reducing their overuse of the
Emergency Department. Both cut costs and save money in the

6. HOP Enrollment Benefits:
 Affordable, quality healthcare
 Assignment to a medical home-complete, routine healthcare
 Access to specialty care when needed
 Establishing a health management plan specific to each
patient’s goals and needs
 Prescription assistance programs

7. HOP Enrollment Qualifications
 One can enroll if:
 No health insurance
 Income is below the 200% federal poverty level
 Must have one or more chronic conditions
 One of the following applies:
 Readmission to hospital within one month of coming home
 Two or more hospital admissions in the past year
 Two or more emergency room visits in the past year
 A chronic disease plus one or more hospitalizations in the previous
year
 Three or more chronic conditions
 Currently taking seven or more medications
 Another project was Access Health, which is a program patients can
enroll in if they meet these qualifications, except they do not have to
have a chronic disease to qualify.

8. Internship Mission
 The mission of this internship was to serve as an
operations intern supporting the Director of the
Clinical Integration Department. This department is
based around supporting community-based health to
then enable population health management.
Exposure to organizational operations, decision-
making, and the opportunity to participate in projects
around Population Health Management and
Community-Based Health was the mission.

9. Duties
 Check patient
records to find
eligible patients
currently in the ER
in order to go talk to
them in their ER
rooms.

10. Floor Plan
I worked with patients in
Intermediate Care, Critical Care, and
the Emergency Department (starred
red).

11. Duties
 In the ER room, I would introduce the HOP,
confirm enrollment requirements are met,
perform 3 screenings, fill out a “Healthy
Check-ups” Medicaid application, and get
income and personal contact information- all
only if the patient expresses interest in
enrolling. Also, depending on different
patient’s geographical and financial
situations, I would assign a medical home to
the patient for them to call/walk in and make
an appointment to become established
there.
 Then, a project based on the information
gathered, I would create a Health Care Plan
to send to the patient’s assigned clinic to
help the patient initially articulate what they
need help with and help the clinic know how
to best help the patient in the beginning.

12. Duties
 Next, the patient had
to be enrolled into the
computer systems
and given a HOP
identification number.
The patient’s answers
to each screening,
health information,
and personal contact
info had to be
recorded into 6
different excel
documents.

13. Safety- Net Partners
 GHS has several safety-net partners, but due to location and population the
two that I referred patients to were Greenville Free Medical Clinic and New
Horizon.
 One project was to start tracking which patients are referred to what clinic
and then see how many of those actually follow through and establish
themselves.

14. Greenville Free Medical Clinic
 Free for patients.
 Offers primary care, acute dental services, restorative dental
services, dental hygiene, Ophthalmology (eye) Clinic, Mental
Health Counseling, and preventative gynecology care.
 To become established, patient must bring:
 Identification and Social Security Number
 Verification of current Greenville county residency
 Verification of all current income for everyone residing in the
home
 One project was making a flyer featuring pictures of all

15. New Horizon
 Based on a sliding-fee scale depending on income
 Provides medical and dental services as well an on-
site pharmacy.
 Provides health education and nutrition counseling,
chronic disease management, and behavioral health
services.

16. Sources
 http://www.greenvilleshrinershospital.org/2014/07/the-history-behind-the-greenville-
shriners-hospital/
 https://www.google.com/search?q=greenville+free+medical+clinic&es_sm=91&sour
ce=lnms&tbm=isch&sa=X&ved=0CAkQ_AUoA2oVChMIlOKZ1JzuxgIVS1Y-
Ch1yAAPu&biw=1230&bih=735#imgrc=kc2fg3PzW7onBM%3A
 http://www.greenvillemed.sc.edu/doc/GHS_Map2013.pdf
 http://hospitals.healthgrove.com/d/d/South-Carolina/Greenville
 http://purl.theinlinegroup.com/ghs/
 http://www.scphca.org/health-centers/find-a-health-center/new-horizon.aspx
 http://www.ghs.org/