The document summarizes the internship of a student working in the Clinical Integration Department at Greenville Health System. The intern's main project involved the Healthy Outcomes Plan (HOP), a state program that assists uninsured patients in accessing healthcare. The intern's duties for the HOP included identifying and enrolling eligible ER patients, creating healthcare plans, and referring patients to safety-net partners like Greenville Free Medical Clinic and New Horizon for ongoing care. The goal of these efforts was to establish medical homes for underserved individuals and reduce unnecessary emergency room use.

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.

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 bigger picture for both the providers and the
patients.

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 required
items for enrollment. This is to help the illiterate population.

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/