Lee Health Coconut Point Board of Directors Update November 17, - PDF document

Lee Health Coconut Point Board of Directors Update November 17, 2016 #3400.159 Rev. 10/16

Guiding Principles Create an Exceptional Guest/Patient Experience • Coordinate multiple disciplines and modalities in a one ‐ stop experience for patients • Provide amenities and services that promote health, wellness and healing in a tranquil environment • Design processes and flows that pull care to the patient whenever possible • Design processes and flows to support minimal to no waiting times Employees are engaged and behaviors will help create an exceptional experience • • Enhance the employee and provider work experience through design and process flow Quality • E nsure coordination and smooth transitions of care • Provide state of the art care that meets or exceeds quality benchmarks • Provide prompt results (24 hours or less) 2

Guiding Principles Environmentally responsible, patient centered physical spaces • Welcoming, easy to navigate facility designed around customer/patient needs • Staff input to minimize wasteful staff movement and facilitate efficient workflows • Flexible design to allow multi ‐ purpose use of spaces and growth • Interiors that promote a healing environment for patients Exteriors that are walkable and transit friendly • • Energy efficient design that is respectful of the environment 3

Guiding Principles Use technology to improve quality, care navigation and convenience  One patient, one record utilizing EPIC as the foundation  Incorporate telemedicine into the care delivery system  Single registration process for all services  Use technology to enhance patient and family engagement, communications, and to streamline interactions ‐ before, during and after the visit Financial Health  Planning and construction on time and within budget  Meet or exceed 5 year financial projections 4

Freestanding Emergency Department Care Continuum (Observation) Unit Emergency Management Services (EMS) Surgical Services Lisa M. Sgarlata, DNP, FACHE 6

Freestanding Emergency Department: Focusing on the needs of the Community • Serving the community 24/7 – 365 days a year • Consistent with Lee Health mission and the legal requirements governing Freestanding Emergency Departments • Treating emergent medical conditions 24/7 – 365 days a year 7

Freestanding Emergency Department of the Future • Virtual care: • Telemedicine • Patient Education • Patient Experience • Scope of Services: • Stroke • Lacerations/Sutures • Chest Pain • Head Injuries • Orthopedic Injuries • Abdominal pain • Sports Injuries • Dehydration • Respiratory Illnesses 8

Care Continuum Unit • Co-location with Emergency Department and Surgical Services • Shared utilization with the surgery center for Orthopedic Patients • Model of care • Average length of stay ranges from 10 ‐ 14 hrs. • Improve clinical outcomes • Improve patient satisfaction • Avoid unnecessary admissions • Support Continuum of Care 9

Care Continuum Unit: Diagnosis Based • Chest Pain Center • Stroke Ready • Dedicated Care management • Home Care Program • Transition Care RN • Infusion and Interim Care Center • Virtual Observation 10

Partnership with EMS • Lee County EMS will be located onsite 24/7 • Air transport accessibility • Paramedicine Community Care 11

Surgery Center • Approximately 25,000 square feet • 4 operating rooms with plans which include future expansion • 2 procedure rooms • 25 patient bays which support preoperative and postoperative care • Shared waiting room space • Shared care continuum beds with the Emergency Department • All aspects of patient, family, staff, surgeon flow considered within the surgery center as well as supporting departments; Breast Center, Radiology, Lab, Care Continuum Unit 12

Surgery Center • Create an exceptional patient experience • Expand on the successes of the current surgery center • Patient and family flow • Location and building access • Staff satisfaction and efficiency • Location of supplies/equipment • Surgeon satisfaction • Implementation of latest technology • 23 hour stay which allows for more complicated procedures • Joint replacement • Hysterectomy 13

Surgery Center • Create an integrated operating room setting which is technologically advanced to support the latest procedures performed in an outpatient setting • How? • Use of current and future operating room technology through comparison of products • Take advantage of integration in the operating room • What? • Bringing control to the operative field, to the circulating nurse’s workstation, between operating rooms, to the charge desk and to an outside source ‐ conference room 14

Medical Offices & Ancillary Services David Cato, Chief Administrative Officer Kristine Fay, Chief Administrative Officer 15

Medical Offices • Multi-specialty office to include: • Primary Care/Pediatrics/OB ‐ GYN • General & Vascular Surgery • Orthopedics • Cardiology/GI • Pulmonary/Endocrinology/Rheumatology • Opportunity for rotating specialists • Plan to be open 7 days per week to maximize access 16

Ancillary Services • Full Diagnostic Radiology Suite • Full Diagnostic Breast Health Center • Full Diagnostic Cardiovascular Suite • Laboratory • Outpatient Retail Pharmacy • Cardiac Rehabilitation • Outpatient Rehabilitation 17

How are we Enhancing Care Delivery? • Reinforces Destination Concept of “One Stop Shop” • Co-located all physicians in one practice setting; enhanced communication and collaboration • Partnership with medical offices and ancillary services for timely and convenient testing • Ease of Registration/Check In & Check Out • Designed with the future in mind • A Breath Of Fresh Air

Registration & Promenade

Rehabilitation Space – Therapy Garden

Healthy Life Center/Retail Kevin Newingham Chief Strategy Officer 21

Healthy Life Center • The Healthy Life Center will relocate from Coconut Point Mall to the Lee Health campus. The Healthy Life Center provides health guidance, services, and education to inspire healthier lifestyles. • Dedicated to maintaining and improving health. • Learn about Lee Health’s services and connect to community resources through daily health and wellness education. • Navigation to health services including scheduling assistance with Lee Physician Group or an outpatient service, such as rehabilitation and testing. Staffed by Personal Health Advocates, Health Service Coordinators, and • Schedulers. 22

Healthy Life Center Activities planned on a monthly basis New programming in the last 6 months: that include a variety of health and • Yoga offered weekly wellness lectures and activities: • Tai Chi series • Physician lectures • Disease state education • Essential oils classes • Chronic Disease Management classes • Guided meditation and mindfulness Health and wellness talks • • Established as a Co ‐ op Produce location • Walking Club • Healthy Book Club • Cooking demonstrations • Stress reduction classes • Preventative screenings 23

Healthy Life Center • Highly visible location • Lee Health Solutions on site • 2 holistic treatment rooms Expanded space for health and wellness programming • • Dedicated retail space • Demonstration and teaching kitchen • Outdoor exercise area • Healing garden • Enhanced AV capabilities, including video recording 24

Healthy Life Center Entrance

Retail Layout

Retail Products - Sample Offerings • Lotions and crèmes, organic soaps, essential oils • Yoga Mats / Rollers • Serola SI belts • Pedometer / Fitbit • Exercise balls • Bands, tubing, belts, pullets • Hand weights / kettle balls Electronics Demo Station (health • • Cooking videos / books apps, other) • Medicinal teas • Reflective gear • Music /noise blocking DVD’s • Fall prevention gear • Select clothing • Vitals Station (BP, Weight, BMI) – • Small kitchen equipment Telehealth and Lifeline Display • Healthy Snacks, Supplements, Vitamins • CPAP pillow 27

Technology Mike Smith, Chief Information Officer 28

State of the Art Technology - Electronic Health Record (EHR) – single LeeHealth Integrated Patient Record Medical Technology – On-site laboratory Diagnostic Imaging Technology – CT, MR Surgical Imaging Technology Cardiac Technology Telemedicine Virtual integration across LeeHealth Patient/Personal Health Record Mobile technology Clinical Record Interoperability with major organizations across the country 29

30 State of the Art Imaging Technology

31 Integrated Operating Room

Telemedicine Patient e-Visits 32 Specialist Coverage for ED and CCU

Technology for patient/family convenience Integrated Registration across Clinic, Physician Offices Patient Paging Patient Kiosks Mobile Device Registration MyChart Personal Health Record 33

Integrated Technology Throughout – Epic EHR, Voice, Imaging Building Surgery Center Services Clinics ‐ Ancillary Services Lobby ‐ Public Spaces Emergency Department

Through Technology Achieving Interconnectivity

36 Epic Clients – CareEverywhere