iHT² Health IT Summit Atlanta - Panel "Anatomy of a Health System- West Georgia Health"
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Panel "Anatomy of a Health System- West Georgia Health" This unique discussion series explores behind-the-scenes looks at the most progressive and high performing health systems in the country. Panelists will discuss critical areas such as inter-departmental relationships, IT as a critical aspect of strategy and more. Attendees will walk away with a better understanding of how departments can effectively work together, tangible strategies for delivering high quality care while maintaining an efficient and secure health information system. Moderator: Mark Hagland, Editor-in-Chief, Healthcare Informatics Sonya Christian, MBA, CHCIO, CPHIMS, Chief Information Officer, West Georgia Health Paul Perrotti, CPA, SVP, Chief Financial Officer, West Georgia Health Tracy Gynther, Director of Nursing, West Georgia Health
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iHT² Health IT Summit Atlanta - Panel "Anatomy of a Health System- West Georgia Health"
- 1. About West Georgia Health • Licenses 276 Beds, 250 Nursing Home Beds, Heart Clinic, Cancer Center, Hospice, Home Care, Dialysis…… • Approx 500M in Gross Revenue • Community Based, 65 miles south of Atlanta
- 2. Service Area
- 3. Projected Growth 185,650 187,033 188,425 189,828 191,242 192,666 194,101 195,546 197,002 198,469 186,764 189,775 192,793 195,387 197,366 198,643 199,728 200,829 201,946 203,079 184,278 184,278 180,000 190,000 200,000 210,000 2009 2011 2013 2015 2017 2019 Claritas Kia Projections Ten-year projected impact of the KIA plant on the WGH service area is expected to increase population by 20K People ServiceAreaPopulation
- 4. Preparing For Growth • Since 2004…..Educating C-Suite – Understanding IT, and IT Structure – Application Ownership • Best Practices – Change Control – Standards – Application Support – Business Process (Lean, Six Sigma)
- 5. “Creating A Culture” IT Image Improvement • Retooling Staff • Training, and Retraining, and Training • Education on “the business” • Talent Selection (Rigorous) • Evaluation (Rigorous)
- 6. Retooling • Set the tone, “First thing First” Rudolph Giuliani • “No one, no matter how gifted, can perform without careful preparation, thoughtful experiment, and determined follow-through.” Rudolph Giuliani • Fanatic Discipline – Jim Collins
- 7. Retooling….. • Not just IT… – Finance – Billing and collections – Everywhere??????
- 8. Electronic Medical Record • Demographics • Scanned Documents • Medical History • Allergies • Transcribed Reports • Laboratory Results • Diagnostic Images • Orders • L&D/Fetal Monitoring • Surgery • Nursing Documentation • Emergency Visits • Medication Reconciliation • Medication Admin Record (MAR) • Physician Orders • Physician Documentation • Vital Signs • Patient Monitoring • Physician Office Visits • Other Medical Records HIMSS Stage 2 • Demographics • Scanned Documents • Medical History • Allergies • Transcribed Reports • Laboratory Results • Diagnostic Images • Orders • L&D/Fetal Monitoring • Surgery • Nursing Documentation • Emergency Dept • Medication Reconciliation • MAR • Physician Orders • Physician Documentation • Physician Office Visits • Vital Signs • Medication Barcoding for Patient Safety • Patient Monitoring • Other Medical Records • Patient Portal • Regional HIE HIMSS Stage 7 (1.9% of Hospitals) HIMSS Stage 4 (14% of Hospitals) • Demographics • Scanned Documents • Medical History • Allergies • Transcribed Reports • Laboratory Results • Diagnostic Images • Orders • L&D/Fetal Monitoring • Surgery • Nursing Documentation • Emergency Visits • Medication Reconciliation • MAR • Physician Orders • Physician Documentation • Vital Signs • Patient Monitoring • Physician Office Visits • Other Medical Records MEDITECH • Patient Monitoring • Other Medical Records • Demographics • Scanned Documents • Medical History • Allergies • Transcribed Reports • Laboratory Results • Diagnostic Images • Orders • L&D/Fetal Monitoring • Surgery • Nursing Documentation • Emergency Dept • Medication Reconciliation • MAR • Physician Orders • Physician Documentation • Physician Office Visits • Vital Signs • Medication Barcoding for Patient Safety (2012) *** HIMSS Stage 6 *** (8.2% of Hospitals) HITECH Incentives $3M+ 8 Before 2008 2008-2010 2011-2012 2013-2014
- 9. West Georgia Health Information Network Pilot Area: Troup County Planned Service Area/Location: Troup, Heard, Harris Meriwether Counties Architecture Type: Hybrid Model Service Base: Community Established in: 2010
- 10. GaHIN Qualified Entity • WGH received capacity building grant for GaHIN – 10/2013 • Became qualified entity for GaHIN – 2/2014 • 3rd healthcare entity slotted for addition to GaHIN – late 2014
- 11. Patient Safety - Collaborative Approach • Daily Safety Huddles • Grand Rounds in ICU
- 12. Use of Lean Principles to Deliver Quality Health Care • Pick Boards – Employee Engagement • Visual Boards – Performance Metrics • Utilization of Technology – Capture it Once –– Triggers, Alerts, Real Time • Hourly Rounding
- 13. • AIDET • Daily Staff Huddles • Monthly Rounding • Discharge Phone Calls Hardwiring Excellence