Improving the Care of Patients with CHF in a Rural Area

Lee Greer, MD

Geriatric Medicine

North Mississippi Medical Clinics, Inc.

North Mississippi Health Services 3rd largest Rural Healthcare System in the US Service Area- 22 counties, 600,000 patients 6 Community Hospitals 33 Clinic System Home Health Agency

Congestive Heart Failure – Now and the Future

Family Practice News, Dec 2007

CHF Current Process

HospitalsHome Health

Clinics

CHF Patients

CHF Future Process

North Mississippi Medical Clinics, Inc

HospitalsHome Health

CHF Patients

C HF P atients

Dec reas ed E R Vis its

S moking C es s ation

Dec reas ed Hos pitalization

Improved P res c ribing

Ac e/B -bloc ker

Improved B lood

P res s ure C ontrol

The Plan

Teach Back

CHF Instruction Sheet

Discharge Summary

Personalized Instructions

Updated Medication List

Contact numbers

NMMCI Quality - CHF

NMMCI - CHF

# in Registry = 2264

Project Critical SuccessFactors

Leadership Support

Interdisciplinary Approach

“Every Patient/Every Time”

Challenges Thus Far

Patient Engagement

CHF Instruction Sheet

Provider Discharge Summary

Operational Excellence

Financial Projections

Year 1 Year 2 Year 3 Year 4 Year 5

Revenue 37,583.88 42953.00 45100.65 47355.68 49723.47

Expenses 52,900.00 53958.00 55037.16 56137.90 57260.66

Cost Savings

121596.80 121596.80 121596.80 121596.80 121596.80

Total Benefit

$106280.68 $110591.80 $111660.29 $112814.58 $114059.81

NPV = $419,784.92

Thank You

Practice Change Fellows Seekers Pod

Mentors Dr. Ali Ahmed Dr. Richard Allman Dr. Richard Sims Dr. David Roberts