Ensuring Access to Care in Vulnerable Communities May 31, 2018 - PowerPoint PPT Presentation

Ensuring Access to Care in Vulnerable Communities May 31, 2018

Bryan Slaba President and CEO Wagner Community Memorial Hospital – Avera Wagner, South Dakota

Wagner, SD 2015

Demographics

Community Health Needs Assessments 2013 Priority Needs 1. Accessibility and affordability of health care services 2. Healthy lifestyle choices and health promotions activities 3. Drug and alcohol abuse prevention 2016 Priority Needs 1. Mental Health Services 2. Diabetic Education 3. Dialysis 4. Teen Pregnancy Prevention 5. Exercise

Ensuring Access to Care Access and Affordability Avera eCARE Emergency, Hospitalist and Specialty Consultation among others Healthy Lifestyles New Hope Dialysis Center and Diabetic Education Mental Health and SUD: “Grow Your Own,” Primary Care Clinicians and Mental Health Specialists Social Determinants: Housing and Economic Development

Access and Affordability e -Care

Population Health & Healthy Lifestyles

Access to Care: Grow Your Own

Social Determinants of Health

The Mission and Vision of Wagner Community Memorial Hospital Avera It is the objective and purpose of Wagner Community Memorial Hospital Avera to provide care and treatment of the sick, to provide care and support of the aged, disabled and indigent and to provide for those in need of hospitalization. The vision of Wagner Community Memorial Hospital Avera is to be the provider of choice in the area; to be financially stable and strong; have a solid physician base and physical plant; and to have good relations with other community healthcare providers.

Erik Thorsen President and CEO Columbia Memorial Hospital Astoria, Oregon

American Hospital Association Section for Small or Rural Hospitals

Astoria, OR

• Increase HCAHPS Scores & Seek Planetree Improve Quality & Designation Customer Service •Improve CMH’s Image & Reputation in the Community CMH Strategic Plan • Improve Access to Care & Expand Services Growth (local care is better care) Launched Improve • YE 2009 Operating Margin = 2.78% Organizational 2010 • Need strong financial performance to fund Financial growth initiatives Performance Caregiver • Happy Caregivers = Happy Patients Engagement

Person Centered Care Planetree Designation • Planetree Designation achieved in 2012 • Patient Family Advisory Council • Caregiver Council • Community Arts Program • More info: www.planetree.org

• Concept initiated by CMH Physical Therapy Department • CMH provides Certified Athletic Trainers to local school districts • Grant funding to start concussion (ImPact) testing and protocols for all student athletes. • CMH receives direct referrals back into the system • Over 850 baseline Community Partnerships assessments Sports Medicine Outreach

• Astoria School District owned property adjacent to CMH for High School Football program • City of Astoria owned and needed to cap a defunct city landfill • CMH needed additional land to bring a new Cancer Center to community • The groups worked together to create a new Sports Complex on old landfill site – CMH provided majority of the funding. Baseball, Football, Soccer, and other community activities now available on artificial turfed Community Collaboration complex. • CMH obtained 7.5 acres of CMH Field adjacent property for expansion

Reduce Unnecessary ER Visits and Improve access to Primary Care • CMH opened a new combination Urgent Care and Primary Care facility in an off-campus location in 2013. • Added 5 net new primary care providers. • Utilized the Rural Health Clinic model. • CMH is opening a duplicate clinic in Astoria in Fall of 2018

CMH/OHSU COLLABORATION

• 2011 - Partnership created • Medical Oncology Clinic started part-time 2 days per week • 2012 – Increased to full-time and moved into 5,000 Sq Ft Clinic and Infusion Center • $300K Urban Renewal grant from City of Astoria • 2013 – Increased to 2 full-time Medical Oncologists • 2017 – Opened $16 mil dedicated Cancer Center including Radiation Therapy • CMH-OHSU Knight Cancer 2 full-time Medical Oncologist & 1 Full-Time Radiation Oncologist. Collaborative

Other CMH/OHSU Programs • Cardiology Program - 2011 • Emergency Department Physicians - 2015 • OHSU Rural Rotation for Emergency Medicine Residents - 2016 • General Surgery Collaboration - 2016

Organizational Results

CMH – Total Operating Revenue Trend

All Oregon Rural Hospitals Net Revenue Growth 2009-2016

CMH – Operating Margin Trend

Employee Count Trend

HCAHPS Overall Rating 9 or 10 Likelihood to Recommend 80% 80% 75% 73% 71% 70% 69% 70% 70% 61% 60% 60% 50% 50% 40% 40% 30% 30% 20% 20% 10% 10% 0% 0% Jun-12 Dec-16 Apr-18 Jun-12 Dec-16 Apr-18

NON – HCAHPS CLINICS

• Be willing to break old paradigms and take calculated risks • Collaborate – Take the lead • Engage your community partners • Engage your patients and caregivers

Discussion Questions and Comments

Contact Information John Supplitt Senior Director AHA Constituency Sections 312-422-3306 jsupplitt@aha.org