iHT² Health IT Summit Atlanta - Panel "Anatomy of a Health System- West Georgia Health"
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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
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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
Transcript of iHT² Health IT Summit Atlanta - Panel "Anatomy of a Health System- West Georgia Health"
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
Service Area
Projected Growth
185,650187,033
188,425189,828
191,242192,666
194,101195,546
197,002
198,469
186,764
189,775
192,793
195,387
197,366198,643
199,728200,829
201,946203,079
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
Ser
vice
Are
a P
opul
atio
n
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)
“Creating A Culture”IT Image Improvement
• Retooling Staff
• Training, and Retraining, and Training
• Education on “the business”
• Talent Selection (Rigorous)
• Evaluation (Rigorous)
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
Retooling…..
• Not just IT…– Finance– Billing and collections– Everywhere??????
Electronic Medical Record
• Demographics• Scanned Documents• Medical History• Allergies• Transcribed Reports• Laboratory Results• Diagnostic Images• Orders• L&D/Fetal Monitoring• Surgery
PaperChart
• 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
PaperChart
• Physician Orders• Physician Documentation• Vital Signs• Patient Monitoring• Physician Office Visits• Other Medical Records
MEDITECH
PaperChart
• 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+
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Before 20082008-2010
2011-20122013-2014
West Georgia Health Information Network
Pilot Area: Troup County
Planned Service Area/Location: Troup, Heard, Harris Meriwether Counties
Architecture Type:
Hybrid Model
Service Base: CommunityEstablished in: 2010
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
Patient Safety - Collaborative Approach
• Daily Safety Huddles
• Grand Rounds in ICU
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
• AIDET
• Daily Staff Huddles
• Monthly Rounding
• Discharge Phone Calls
Hardwiring Excellence
