TriHealth Outreach Ministries: Bridging Cultures, Improving Outcomes

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TriHealth Outreach Ministries serves the community by providing services to identify and assist people in overcoming life barriers in Greater Cincinnati. It has offices strategically located throughout the city, in areas where residents are more likely to have a disadvantage in accessing care, affording care, preventing and managing disease, obtaining an early diagnosis, having access to health information, and understanding medication and doctors’ instructions. The selection of these areas has been determined through the Community Health Needs Assessment, performed through The Health Collaborative.

As a finalist for the 2017 Gen-H Award, TriHealth Outreach Ministries is being recognized by The Health Collaborative as part of the Inspire | Healthcare dinner and awards celebration planned for November 1. Gen-H, or “The Health Generation,” is all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky. The Gen-H Award recognizes an individual, team, or organization that has demonstrated progress on the Gen-H goals of making the healthy choice the easy choice where we live, work, learn, or play.

Bridging the cultural divide
TriHealth Outreach Ministries staff help bridge the enormous cultural divide for the client receiving services and the practitioner providing the care. A trusted team member accompanies clients on their appointments to aid in their understanding of, and compliance with, healthcare plans. The department also has an independent social worker who helps community members navigate government agencies, assisting with applications and advocating on their behalf as needed. The team is represented at numerous health events throughout the city each year to provide information about services and health education in English and Spanish.

Health as a value we share
Gen-H is all about improving health and well-being for ALL in our region, and TriHealth Outreach Ministries is working to ensure that their clients have the best chance for both. The team is on a mission to address a wide variety of needs and challenges. Their work to reduce equity gaps in health and healthcare services, for example, for community residents and refugees alike, is well-aligned with Gen-H values. Their team includes two bilingual team members dedicated to Burundi refugees, and two more specifically supporting the Hispanic & Latino population. One team member provides her services in Over-The-Rhine to the formerly incarcerated who have recently re-entered the community.

A broad spectrum of services
Supplementing TriHealth Outreach Ministries’ healthcare-related services is an array of supportive programs not traditionally associated with the doctor’s office. From collaborating with St. Francis Seraph Ministries in order to address food insecurity with Cooking for the Family classes; to conducting Spiritual Assessments and Healing Touch stress reduction therapy; to convening a walking group every Saturday morning in Burnet Woods; the department is using every tool available to help its clients live their healthiest lives.

Meet the team

  • Joanne Barnette BSN, RN-BC, Faith Community Nurse
  • Mary Beth Basch BSN, RN-BC, Faith Community Nurse
  • Jennifer Brodbeck BSN, RN-BC, Manager
  • Lynn Burkhardt RN, Faith Community Nurse
  • Terri Dell BSN, RN-BC, Faith Community Nurse
  • Mary Ann Escudero BSN, RN, Faith Community Nurse
  • Yolanda Gordon MSW LISW-S
  • Mary Kappesser BSN, RN-BC, Faith Community Nurse
  • Anna Nwaobasi BSN, RN-BC, Faith Community Nurse
  • Obed Nkuriragenda Outreach Ministries CHW
  • Araceli Ortiz, Outreach Ministries CHW
  • Mary Peeno RN, Faith Community Nurse
  • Luz Ruvalcaba Alvarez, Outreach Ministries CHW
  • Shirley Smith BSN, RN, Faith Community Nurse

Congratulations to 2017 Gen-H Award Finalists, the TriHealth Outreach Ministries team, for its service of bringing high-quality healthcare access to ALL in the Greater Cincinnati community.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Mercy Health Leverages New Data Technology to Drive Improvements in ACO

[vc_row][vc_column][vc_column_text]The art of managing patients in an Accountable Care Organization (ACO), Managed Shared Savings Program (MSSP) involves the ability to intervene as quickly as possible to offer the right care at the right time in the right setting. The key, and the challenge, is getting information about a patient’s needs in time to make a difference. With so many ways for a patient to access care and with some of them outside an ACO system, care providers often don’t find out until long after the fact that a patient received care elsewhere.

The Health Collaborative is pleased to recognize Mercy Health’s Care Management Team as a finalist for the 2017 Informatics Solutions Award, for its work to improve patient care through the use of its hb/suite line of technology products and services. The award will be given as part of the Inspire | Healthcare dinner and awards celebration, planned for November 1 at the Renaissance hotel in downtown Cincinnati. The Informatics Solutions Award recognizes an individual, team, or organization that has applied products from the HealthBridge technology suite – either data services, notification products, or business intelligence – to create an innovative solution to an ongoing challenge.

Leveraging data to inform care management
Mercy Health physicians treat more than 115,000 patients as members of a Mercy Health “at-risk” MSSP ACO. Mercy Health is accountable for both cost and utilization for these patients. There is a care management team in place to ensure these patients are monitored for hospital admissions. Previously, when any of these patients arrived at a Mercy Health system hospital, an alert was generated and sent to the care management team, creating an opportunity for the care team to get involved and manage the prescribed follow-up and prevention. The system broke down when patients arrived at other health systems’ hospitals within the region. When that happened, there was no way for the care management team to know what kind of follow-up or prevention would be needed because they didn’t even know an episode has occurred.

hb/notify to the rescue
Mercy Health’s team members realized they could do a better job supporting patients, as well as managing cost and utilization, if they could get timely information about these patients presenting at other hospitals. That’s where hb/notify, a service within The Health Collaborative’s hb/suite of data and informatics tools, came in. Mercy Health employed hb/notify to generate notifications when patients from the Mercy Health “at risk” cohort presented for care at other health systems.

Amy Frankowski

Dr. Amy Frankowski

Integration into workflow
Mercy implemented an innovative workflow to integrate hb/notify with their internal notifications to provide care managers with what they needed: a single patient worklist regardless of where the patient was admitted. This focus on automating the collection of this hard-to-capture information and integrating it into the workflow allowed the care management team to focus their efforts on the needs of the patients, with the goal of improving on all three aspects of the triple aim: healthier people, better care, and lower cost.

Amy Frankowski, MD, FACP, System Medical Director Health Strategies of Mercy Health, will represent the Care Management Team as it is recognized at the Inspire | Healthcare event on Nov. 1.

Please join The Health Collaborative in congratulating Informatics award finalist Mercy Health and its Care Management Team, for using tools to reach outside its own data system to gather the information essential to helping patients receive the care they need, when and where they need it.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Recognizing the 2017 Hoxworth Blood Drive Winners

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Winners of the 2017 Hoxworth Blood Drive Awards have been announced!

Hoxworth Blood Center, University of Cincinnati, is literally the life-blood of the Greater Cincinnati community, collecting more than 80,000 units of blood annually from local donors to help save the lives of patients in area hospitals. Founded in 1938, it serves 31 hospitals in 18 counties in Southwestern Ohio, Northern Kentucky and Southeastern Indiana. Every day, 300 blood donors and 40 platelet donors are needed to help save lives in our local community.

Hoxworth partners with The Health Collaborative each year to present the Annual Blood Drive Awards. All hospitals participating in the blood drive program are eligible to win, and most – but not all – elect to participate. The awards will be presented at the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1.

“The partnership Hoxworth enjoys with The Health Collaborative and our area hospitals is particularly meaningful because they know firsthand the necessity of a readily available blood supply,” said Chris Nare, Hoxworth’s Associate Director and Chief Operating Officer.

Michael Schwebler and Tom Fuller congratulate Jill on her special recognition.

There are three award categories:

  • Award of Distinction: Each year, hospitals are assigned goals of blood units to collect. The Award of Distinction is given to the hospital that exceeded its individual goal by the highest margin across the community. The Award of Distinction this year goes to TriHealth Bethesda North Hospital as they collected 293 individual blood units, far surpassing their goal of 180 units.
  • Most Improved Award: The Most Improved Award is a simple comparison of which hospital improved most over its previous year’s blood collection effort. This year’s Most Improved Award will be presented to Summit Behavioral Healthcare, which collected 42 blood units in 2017 vs. only 15 blood units in 2016.
  • Blood Drive Coordinator of the Year Award: The Blood Drive Coordinator of the Year highlights the person (or team) that went above and beyond to help with their individual hospital’s blood drive campaign, demonstrating outstanding leadership in blood drive coordination. The 2017 Blood Drive Coordinator of the Year is Jill Waters, Laboratory Manager at Dearborn County Hospital. Jill was selected due to her incredible energy, enthusiasm, and support of the Hoxworth Blood Drive program.

Please join The Health Collaborative Executive Team and staff in congratulating all 2017 Hoxworth Blood Drive Award Winners! Their commitment to saving lives through the collection of blood & blood components, and other blood services, makes a difference by enhancing the health and well-being of patients in our community.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Cincinnati Children’s Applies hb/suite Technology to Innovate Neonatology Workflow

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CCHMC Newborn Hospital team

CCHMC Newborn Hospital team

During a high-risk birth, the presence of a neonatologist provides the time critical, specialized care needed to minimize complications or even save a life. Cincinnati Children’s Hospital Medical Center (CCHMC) serves as a resource to assure neonatologists are available to assist at these births at many different labor and delivery hospitals throughout the region,

Lost in the shuffle
Keeping track of these deliveries involved a flow of paperwork between the physician or provider, the hospital, and CCHMC. Not surprisingly, it became common for some (or all) of the paperwork to become delayed, misplaced, or to contain incomplete information. This often made billing and patient follow-up difficult at best.

A vision for better workflow
Having the vision to look for a technology solution, CCHMC discussed the problem with The Health Collaborative and found a fit with its hb/exchange service, utilizing its master patient index (MPI). The  Health Collaborative’s MPI utilizes complex algorithms to properly identify both patients and providers, and is the foundation of this solution. The Health Collaborative has the capacity to locate episodes of care provided by the CCHMC neonatologists – no matter where the care has occurred – across the region. This allows CCHMC to gather the data necessary to ensure an efficient workflow of communication to the patient. The reliable capture of data has greatly improved accuracy and made a positive impact to the bottom line of CHHMC.

Meet the CCHMC team

  • Tricia Duty, Application Coordinator II, Information Services
  • Wayne Geers, Lead Software Developer, Information Services
  • Robert Huddle, Business Manager, Perinatal Institute Administration
  • Steve Metz, Lead Software Developer, Information Services
  • Matthew Powell, EMR Analyst, Information Services
  • Mike Saxion, Sr Director, Information Services
  • Karen Sparling, Assistant Vice President, Perinatal Institute Administration
  • Nicole Slonaker, Senior Quality Analyst

Please join The Health Collaborative in congratulating Informatics award finalist Cincinnati Children’s Hospital Medical Center for its innovative use of data tools to capture revenue and patient information that could otherwise be lost in the paperwork.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

TriHealth Activates hb/notify to Ensure Continuity of Care for At-Risk Patients

[vc_row][vc_column][vc_column_text]TriHealth-Informatics finalists

The Health Collaborative is pleased to recognize TriHealth’s Ambulatory Care Coordination team as a finalist for the 2017 Informatics Solutions Award. The award will be given as part of the Inspire | Healthcare dinner and awards celebration, planned for November 1 at the Renaissance hotel in downtown Cincinnati. The Informatics Solutions Award recognizes an individual, team, or organization that has applied products from the HealthBridge technology suite – either data services, notification products, or business intelligence – to create an innovative solution to an ongoing challenge.

Inpatient care, out-of-network information
TriHealth’s Ambulatory Care Coordination team was nominated for the award for integrating care management notifications directly into their clinical workflows utilizing Epic electronic health record system software, as well as into their data warehouse for analysis purposes. These notifications happen even when a TriHealth patient arrives at a non-TriHealth hospital. What does this mean, exactly? This service allows TriHealth to stay within the Epic environment for management of these patients, regardless of whether that is real-time action or data analysis efforts. In other words, this gives healthcare professionals peace of mind by granting them access to the medical history of each and every patient, even from out-of-network sources.

Support means success
The Ambulatory Care Coordination department supports TriHealth primary care physician practices. At TriHealth an Emergency Department (ED)/Inpatient (IP) discharge report is run daily for the supported practices. This report contains discharge information from an inpatient, observation, or emergency department visit for the practice panel and provider’s attributed patients. The Health Collaborative’s hb/notify alerts provide visibility for patients who have received care outside of TriHealth facilities, which is invaluable in the management of care for the at-risk population.

Healthcare that genuinely cares
A notification from The Health Collaborative alerts a patient’s Care Coordinator that the patient has had a recent ED/IP admission. These notifications are essential to the TriHealth RN Care Coordinator during their outreach with the appropriate patient or patients. The RN Care Coordinator provides a follow-up call to the inpatient discharges within two business days, and the high-risk emergency discharges within seven days.

Ensuring follow-ups keeps readmissions down
As the RN Care Coordinator completes tasks associated with the admission alerts, they are able to create an encounter within Epic to request the records through Care Everywhere, ensuring timely follow up with patients, and addressing any discharge-related barriers or gaps in care with the patient. In addition, the alert and associated tasks allow the TriHealth Care Team the opportunity to schedule a follow-up appointment with their provider within 14 days. Providing and scheduling a timely office visit after an initial hospitalization decreases an individual’s risk of readmission.

Without the alerts from The Health Collaborative regarding the discharges from outlying facilities, TriHealth Care Coordinators would be unable to ensure a smooth transition from one care setting to the next for the associated patients. TriHealth’s goal is to provide care across the continuum, and with these notifications, TriHealth can provide timely follow up and decrease the likelihood of an adverse outcome.

More about the Informatics Solutions Award
Informatics Solutions Award finalists have been chosen by tech-knowledgeable members of The Health Collaborative’s Informatics team. Nominees must have demonstrated measurable improvements through use of one of The Health Collaborative’s hb/suite of technologies to address patient outcomes, cost savings, and/or work flow efficiency. The award also seeks to recognize the most compelling new ideas for using technology to deliver on the Triple Aim of healthier people, better care, and lower costs. The innovation must measurably improve significant business and/or clinical processes that positively impact health and/or patient care.

Meet the team

  • Beth Berter, Executive Director of Ambulatory Medical Management
  • Mufaddal Frosh, Manager Data Warehouse
  • Tom Hammergren, System Executive Analytics
  • Holli Klepak, Solution Leader Data Warehouse
  • Donna Peters, Director Application Solution Center

The Health Collaborative’s Executive Team, Informatics experts, and staff hope the community will join them in congratulating the TriHealth Ambulatory Care Coordination team for their innovative approach to excellence in care.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Dr. Robert Collins Honored for Years of Service in Greater Cincinnati

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Robert Collins MD, FACS

Robert Collins MD, FACS

Dr. Robert Collins has dedicated his life to improving the care and treatment of patients at Greater Cincinnati’s TriHealth hospital system. By all accounts, his innovative approach and commitment to excellence have extended far beyond compassionate patient care, shaping and guiding the teams and systems operations that fell under his leadership.

Dr. Collins, who last month retired from his post as Senior Vice President of Quality and Chief Medical Officer at TriHealth, is winding up his tenure with panache after being named as a finalist for the 2017 Richard M. Smith MD Leadership in Quality Improvement Award. Dr. Collins oversaw Clinical Quality at Bethesda North Hospital, Good Samaritan Hospital, Hospice of Cincinnati, TriHealth Evendale Hospital, and Bethesda Butler Hospital, in addition to two freestanding TriHealth emergency rooms. His retirement follows 34 exemplary years as both a clinician and outstanding medical administrator.

“Bob Collins demonstrated the perfect blend of passion, compassion, and effectiveness over his entire career,” says colleague Craig Eisentrout MD. “He has been a friend and a mentor to me for the entire time I have known him. He taught me more about leadership than any other physician I have known.”

About the award
First presented in 2003 in memory of Dr. Richard Smith, a tireless leader and proponent of the safety of all patients, the Richard M. Smith MD Leadership in Quality Improvement Award recognizes an individual or team who exemplifies commitment to quality improvement, makes it an organizational priority, and serves as a role model for those working to enhance the quality of care within their organization and throughout the community. The award is presented by The Health Collaborative, a Cincinnati healthcare improvement nonprofit, at its annual dinner and awards ceremony known as Inspire Healthcare – set this year for November 1 at the downtown Renaissance Hotel.

A legacy of improvement and leadership
Since joining the medical staff of Bethesda Hospitals and Good Samaritan Hospital in 1983, Dr. Collins has served as both Chairman, Department of Surgery; and Chairman, Division of Vascular Surgery at Bethesda North Hospital. Beginning in 2005 he served as Executive Medical Director, and transitioned in 2008 to Vice President of Medical Affairs at Bethesda North Hospital. In 2012, he took on system-wide responsibilities as the Vice President of Medical Affairs for the TriHealth Hospitals until his selection as Senior Vice President of Quality and Chief Medical Officer in 2015.

Dr. Collins has been at the forefront of developing and implementing major initiatives that have helped transform how medicine is practiced at TriHealth – and how leadership decisions are made. The effects of this work have benefitted literally hundreds of thousands of patients and thousands of TriHealth associates.

Among these initiatives is a significant new Clinical Quality and Patient Safety Strategic Plan now being implemented at TriHealth. The plan is essential toward delivering TriHealth’s strategic goal of seamlessly integrating care and “to be where people want to work, where physicians want to practice, and most importantly, where the community wants to go when they need the best quality, service, safety, and value in healthcare.”

The plan develops a full partnership between physicians and administrative/operational leaders, and shares responsibility for decision-making, execution of system strategy, and quality initiatives fundamental to delivering high quartile patient outcomes.

At the clinical level, a companion initiative Dr. Collins led was the development and oversight of a major hospitalists program for both Bethesda North and Good Samaritan Hospital. This effort bridged the gap between patients’ primary physicians or specialists, and the hour-by-hour care delivered in a hospital setting.

Dr. Collins also implemented and oversaw a Leadership Development Program for TriHealth physicians. In coordination with his clinical leadership team, Dr. Collins has operationalized TriHealth clinical quality strategies at the department, service line, and unit level. He has helped establish policies, programs, and processes which ensure the consistent clinical practices and evaluation of patient and support services throughout the entire TriHealth system.

Dr. Collins attributes much of TriHealth’s widely-regarded, high-quality reputation to strong medical leadership teams. Many key physicians worked with Dr. Collins throughout his clinical and administrative tenure and he credits their commitment to excellence for TriHealth’s strong and stable growth as a preferred, often innovative, healthcare provider.

To do so, Dr. Collins formed the System Chief infrastructure – deploying new physician leaders, by specialty, with responsibility for their specialty across all practice sites and hospitals. This structure unifies clinical leadership across TriHealth and standardizes system-wide clinical best practices to improve care, improve health and create greater value for patients – essential for addressing new population health management realities.

Respected, trusted, and recognized
“Bob always was and remains a true gentleman,” said David Kirkpatrick MD. “All of Bob’s patients and the team members in the operating room, the nursing staffs, all still speak fondly of him ten years after he performed his last surgery. I have never encountered another individual who is so universally respected for his integrity.”

In addition to his 2017 Richard M. Smith MD Leadership in Quality Improvement Award finalist status, later in November Dr. Collins will be recognized as one of the 2017 Men of Honor, a Salute to African American Men. Now in its eighth year, Men of Honor provides an opportunity for the Cincinnati community to celebrate the accomplishments of extraordinary African American men in Greater Cincinnati who have achieved greatness.

Jill Miller, President of Bethesda Inc., isn’t surprised to see Dr. Collins receiving such accolades. “Dr. Collins is a dear colleague, advisor, and friend, and one of the wisest, most caring, and humble physicians I have ever met. He is an irreplaceable physician and leader who will be missed by our community and throughout TriHealth. He is passionate about his community and about health equity, which is demonstrated by his generous volunteer service to programs like Health Care Access Now.”

Dr. Collins is a graduate of the University of Cincinnati, College of Medicine. He completed his General Surgery Residency, Fellowship in Vascular Surgery and Renal Transplantation at Columbia-Presbyterian Medical Center, New York, NY. He practiced General and Vascular Surgery from 1983-2006 with Queen City General and Vascular Surgeons Group in Cincinnati.

Please join The Health Collaborative Executive Team and staff in congratulating Dr. Robert Collins, 2017 Richard M. Smith MD Leadership in Quality Improvement Award Finalist.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Bethesda Team Closes Gap on Addicts' Time-to-Treatment

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The Health Collaborative is pleased to recognize TriHealth’s Bethesda Alcohol & Drug Treatment team as a finalist for the Richard M. Smith MD Leadership in Quality Improvement Award, for its project titled “Achieving the 3-Day Target for Scheduling Alcohol and Drug Assessments.” The award will be presented as part of the 2017 Inspire | Healthcare dinner and awards celebration, planned for November 1 at the Renaissance Hotel in downtown Cincinnati.
An assessment of success
For those battling addiction to alcohol or drugs, the power of the addiction combined with inefficiencies in the system means that treatment isn’t always easy to pursue. Multiple barriers can come into play that may hinder or even prevent success. Studies have shown the likelihood of substance abusers entering treatment is often less than 50%, in part relating to a limited tolerance for treatment wait time. This combined with high rates of drug use in Ohio warranted a deeper dive to investigate ways to close the gaps.
The Bethesda Alcohol & Drug Treatment team conducted a comprehensive assessment and action planning project, with a goal to substantially improve compliance results with key performance indicators. Compliance rates and facility/staff capacity were reviewed.
After analyzing its findings, the team implemented processes that have shown significant improvements to adherence with the three-day target. Initial appointments are now scheduled within three working days from the intake call 90% of the time. They had been significantly below the target for the fiscal years of 2013-2014 and 2014-2015, with an average of 54-61% and a range of 29-79%. In the 11 months following implementation of the countermeasures, the results improved from an average of 54-61% to an average of 83%, with a new target of 85%.
A healthy bottom line
Bethesda Alcohol & Drug Treatment researchers
This project has demonstrated a 60% improvement in the capacity for assessment appointments. Added clinical value was achieved by removing barriers for treatment entry. This project is a textbook example of LEAN techniques related to efficient outcomes. It differs from others in that reallocation of time and streamlined processes created impressive gains in a relatively short period of time. At the end of the day, these process improvements resulted in more people receiving the time-sensitive treatment they need, with greater efficiency and enhanced productivity experienced by both the patient and the treatment professionals.
About the award
The Richard M. Smith MD Leadership in Quality Improvement Award is given to the individual or team that has identified an opportunity to improve patient care and safety, and applied the Plan-Do-Study-Act (PDSA) principles of quality improvement to develop a successful intervention. The award also seeks to recognize the most compelling new ideas to deliver better health, improve care, and/or lower costs, with innovations that measurably improve significant business and/or clinical processes to positively impact patient care.
First presented in 2003 in memory of Dr. Richard Smith, a tireless leader and proponent of the safety of all patients, this award recognizes an individual or team who exemplifies commitment to quality improvement, makes it an organizational priority, and serves as a role model for those working to enhance the quality of care within their organization and throughout the Greater Cincinnati and Northern Kentucky communities.
Meet the team

  • Mark Davis, Manager, Alcohol/Drug Treatment, Project Lead
  • Liz Harris, Primary Counselor and Team Leader
  • Lisa Humphrey, Senior Performance Improvement Consultant
  • Lisa Jones, Intake Services Specialist
  • Theresa Thomas, Intake Services Specialist
  • Bryan Smith, Assessor and Continuing Care Coordinator
  • Missy Wullenweber, Alcohol and Drug Nurse Clinician

The Health Collaborative’s Executive Team and Quality Improvement staff hope you’ll join them in congratulating the Bethesda Alcohol & Drug Treatment team for its success in “Achieving the 3-Day Target for Scheduling Alcohol and Drug Assessments.” A better experience of care for the patient and the care provider, and more efficient and timely treatment, means healthier people and a more productive community for all.
About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.
About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Bethesda Team Closes Gap on Addicts’ Time-to-Treatment

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The Health Collaborative is pleased to recognize TriHealth’s Bethesda Alcohol & Drug Treatment team as a finalist for the Richard M. Smith MD Leadership in Quality Improvement Award, for its project titled “Achieving the 3-Day Target for Scheduling Alcohol and Drug Assessments.” The award will be presented as part of the 2017 Inspire | Healthcare dinner and awards celebration, planned for November 1 at the Renaissance Hotel in downtown Cincinnati.

An assessment of success

For those battling addiction to alcohol or drugs, the power of the addiction combined with inefficiencies in the system means that treatment isn’t always easy to pursue. Multiple barriers can come into play that may hinder or even prevent success. Studies have shown the likelihood of substance abusers entering treatment is often less than 50%, in part relating to a limited tolerance for treatment wait time. This combined with high rates of drug use in Ohio warranted a deeper dive to investigate ways to close the gaps.

The Bethesda Alcohol & Drug Treatment team conducted a comprehensive assessment and action planning project, with a goal to substantially improve compliance results with key performance indicators. Compliance rates and facility/staff capacity were reviewed.

After analyzing its findings, the team implemented processes that have shown significant improvements to adherence with the three-day target. Initial appointments are now scheduled within three working days from the intake call 90% of the time. They had been significantly below the target for the fiscal years of 2013-2014 and 2014-2015, with an average of 54-61% and a range of 29-79%. In the 11 months following implementation of the countermeasures, the results improved from an average of 54-61% to an average of 83%, with a new target of 85%.

A healthy bottom line

Bethesda Alcohol & Drug Treatment researchers

This project has demonstrated a 60% improvement in the capacity for assessment appointments. Added clinical value was achieved by removing barriers for treatment entry. This project is a textbook example of LEAN techniques related to efficient outcomes. It differs from others in that reallocation of time and streamlined processes created impressive gains in a relatively short period of time. At the end of the day, these process improvements resulted in more people receiving the time-sensitive treatment they need, with greater efficiency and enhanced productivity experienced by both the patient and the treatment professionals.

About the award
The Richard M. Smith MD Leadership in Quality Improvement Award is given to the individual or team that has identified an opportunity to improve patient care and safety, and applied the Plan-Do-Study-Act (PDSA) principles of quality improvement to develop a successful intervention. The award also seeks to recognize the most compelling new ideas to deliver better health, improve care, and/or lower costs, with innovations that measurably improve significant business and/or clinical processes to positively impact patient care.

First presented in 2003 in memory of Dr. Richard Smith, a tireless leader and proponent of the safety of all patients, this award recognizes an individual or team who exemplifies commitment to quality improvement, makes it an organizational priority, and serves as a role model for those working to enhance the quality of care within their organization and throughout the Greater Cincinnati and Northern Kentucky communities.

Meet the team

  • Mark Davis, Manager, Alcohol/Drug Treatment, Project Lead
  • Liz Harris, Primary Counselor and Team Leader
  • Lisa Humphrey, Senior Performance Improvement Consultant
  • Lisa Jones, Intake Services Specialist
  • Theresa Thomas, Intake Services Specialist
  • Bryan Smith, Assessor and Continuing Care Coordinator
  • Missy Wullenweber, Alcohol and Drug Nurse Clinician

The Health Collaborative’s Executive Team and Quality Improvement staff hope you’ll join them in congratulating the Bethesda Alcohol & Drug Treatment team for its success in “Achieving the 3-Day Target for Scheduling Alcohol and Drug Assessments.” A better experience of care for the patient and the care provider, and more efficient and timely treatment, means healthier people and a more productive community for all.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Council on Aging of Southwest Ohio Ensures Patients Have “Fast Track Home”

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“Fast Track Home fills a big gap in transitional care – one that is not filled by Medicare or traditional insurance plans.” – Forrest Pettit, Manager, Transitional Care Programs

[/mk_blockquote][vc_column_text]No one wants to stay in the hospital but coming home has its own challenges, particularly for the elderly. While the focus is supposed to be on recovery, the burden of making meals and managing necessary household tasks, along with getting to therapy and follow up appointments can be overwhelming. For those who cannot manage, the result is usually a stay at a skilled nursing facility. For those who try and fail, it could mean they’re back in the hospital with complications.

“For someone who has been in the hospital, getting back home quickly is very important,” said Forrest Pettit, manager of Council on Aging of Southwestern Ohio’s (COA) Transitional Care programs. “But going straight home from the hospital is a real challenge for someone who needs help with everyday things like cooking, personal care and transportation to follow up appointments. Fast Track Home fills a big gap in transitional care – one that is not filled by Medicare or traditional insurance plans.”

Change where it’s needed most
The traditional Elderly Services Programs (ESP) employed by COA provide meals, housekeeping, personal care, transportation, and more to eligible seniors on an ongoing basis. Enrollment rules require the senior be living in their home, or a caregiver’s home, at the time of the eligibility assessment. That makes the program a poor fit for seniors who normally manage these tasks independently, but need temporary help in-place in order to be discharged home after a hospital stay. That’s where “Fast Track Home” comes in.

The Fast Track Home initiative brings the assessment to the hospital bedside. This proactive approach uses trained COA coaches who are credentialed at participating hospitals to identify and reach out to patients who may benefit from the program. In some cases, this bedside intervention can be the difference between a stop at a skilled nursing facility or a smooth transition from hospital to home.

COA-Fast-Track-Home

The Health Collaborative is pleased to select the Fast Track Home project as a finalist for 2017 Richard M. Smith MD Leadership in Quality Improvement Award. The award is presented by The Health Collaborative, a Cincinnati healthcare improvement nonprofit, at its annual dinner and awards ceremony known as Inspire Healthcare – set this year for November 1 at the downtown Renaissance Hotel.

Results matter
Fast Track Home began as a pilot project at Clinton Memorial Hospital in June 2016. In May 2017, the program expanded to three additional hospitals in Hamilton County. In the program’s first full year (June 1, 2016 – July 1, 2017), 126 older adults enrolled. The current national average for hospital readmission is 17.5%. For Fast Track Home patients, the average was closer to 11%. Of those enrolled, 47 percent transitioned to ongoing ESP after the temporary service period ended. Of those who transitioned to independence, the average length of stay on the program was 39 days, enough benefit to ease their recovery and help prevent a return trip to the hospital or nursing home admission.

Supporting aging in place
Via Fast Track Home, elderly patients are connected to an ESP care manager who monitors their care and makes arrangements for services that will support the patient in their recovery at home. All services are provided free of charge for up to 60 days. The care manager continually monitors the patient’s care and adjusts services as needed. Near the end of the 60-day enrollment period, the care manager conducts a full eligibility assessment to determine if the senior would qualify for ongoing support.

“Bridgette [COA Coach] was a tremendous help in easing my 84-year-old mother’s transition back to her home following a mild stroke. She knew what resources were available and how to access them,” said Valerie Wren, whose mother enrolled in Fast Track Home. “Bridgette relieved so much of the stress and anxiety caused by not knowing how to cope with new limitations. Thanks to Bridgette, my mom had the resources she needed to regain strength and independence, and be able to stay in her own home.”

Fast Track Home improves the patient’s care experience while helping to reduce hospital readmission rates and prevent unnecessary stays in skilled care facilities. Fast Track Home is an innovative, cost-effective approach to providing care when and where it is needed most – to hospitalized older adults, intent on returning home but in need of extra support to make a safe, smooth transition. No comparable program exists in our region – or the country.

About the award
First presented in 2003 in memory of Dr. Richard Smith, a tireless leader and proponent of the safety of all patients, the Richard M. Smith MD Leadership in Quality Improvement Award recognizes an individual or team who exemplifies commitment to quality improvement, makes it an organizational priority, and serves as a role model for those working to enhance the quality of care within their organization and throughout the community.

Meet the team

  • Nakiya Averhart, Fast Track Home Hospital Coach
  • Nicole Baker, Business Intelligence Analyst
  • Bridgette Davis, Fast Track Home Hospital Coach
  • Jenny Gibson, Fast Track Home Hospital Coach
  • Sam Lapiana, Care Transitions Field Coach
  • Forrest Pettit, Elderly Services Program Manager
  • Lisa Prewitt, Fast Track Home Hospital Coach
  • Stephanie Seyfried, Manager of ADRC and Assessment
  • Ken Wilson, Vice President, Program Operations

Please join The Health Collaborative in congratulating Quality Improvement Finalist Fast Track Home, for helping patients recover safely at home, where they are most comfortable and where they most want to be.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Good Samaritan Free Health Center: Holistic Approach to Patient Care

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TriHealth’s Good Samaritan Free Health Center is being recognized by The Health Collaborative as a finalist for the Gen-H Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1 at the downtown Renaissance Hotel. The Gen-H Award recognizes an individual, team, or organization that has demonstrated progress on the Gen-H goals of making the healthy choice the easy choice where we live, work, learn, or play. Gen-H, or “The Health Generation,” is all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky.

 

Caring for the uninsured

More than half of all adults in the United States has one or more chronic health conditions, and one in four has two or more (source). Managing chronic illness can be difficult even with insurance, but without it, the risks and costs involved are much greater. TriHealth’s Good Samaritan Free Health Center (“FHC”) offers services to patients who live in Hamilton County, have no insurance, are over 18 and not pregnant. It provides primary care, dental care, gastroenterological care, gynecological care, mammograms, physical therapy, rheumatology services, sick visits and chronic disease care, and much more. The FHC operates as a private office, by appointment only. Hours are Monday-Saturday.

Striving for holistic ways to improve the health of all its patients, the FHC has developed partnerships to help address language barriers and offer prescription drug access & education, as well as to provide eye exams, gynecological services, mental health services, and healthy food options to its patients. In FY17, 11,349 appointments were made with a 10.6% no show rate. The previous fiscal year there were 8,923 appointments made with the same no show percentage.

Addressing language barriers
Understanding the medical advice given by providers is crucial for patients to optimize their health outcomes. The FHC focuses on improving communications with its culturally diverse patients, recognizing that approximately half of those who come to the FHC speak another language. There are currently 57 countries represented in the patient population. Five iPads with interpretation services software were purchased through a grant from the SC Ministry Foundation and have increased the FHC’s ability to treat the patient. In addition to these invaluable tools, Affordable Language Services interpreters assist providers in communicating with the patients when needed, and there are three full-time Spanish speaking staff members serving the largest group of non-English-speaking patients.

Resources for access and education
Knowing that prescription drugs are often prohibitive for many patients, the FHC works closely with Saint Vincent de Paul Charitable pharmacy so patients can get the medications they need. Pharmacists from Saint Vincent de Paul, Kroger, and UC Pharmacy School also volunteer to educate patients on the medications they are taking. In July of this year, a student began working at the FHC four days a week, performing medication reconciliation reports for patients and acting as an additional resource for patient prescription education.

Empowering patients to better manage chronic disease
Patients with Type 2 diabetes, specifically those with A1Cs (blood sugar levels) greater than 7, are scheduled appointments (30 minutes each with a nutritionist, social worker, and a pharmacist) for individual education specific to that patient’s issues.

The goal of this program is to partner with patients in order to empower them with their health outcome. The program began in the summer and the results are measured by the difference between the A1C and vitals taken at the first and third visits. The FHC will also track nutrition literacy and social barriers, with a research study to begin in January 2018. According to industry research, for every percentage drop of A1C levels, there is an annual healthcare savings of $8,000 per patient.

Addressing mental health for holistic wellness
For more than a year, a full-time, licensed social worker now provides and coordinates mental health services for patients of the FHC. Patients are either identified by provider referrals or through self-identifying wellness surveys done in the waiting room daily. Over the course of the first year, there have been over 1200 appointments for a variety of mental health stressors, and after three counseling sessions each, 94% of these patients reported having an improved outlook. This is recorded through the Flourishing Scale, a survey measuring patient self-perception.

Healthy foods at the point of care
Every Tuesday, La Soupe delivers donations of homemade frozen soups to the FHC, while each Wednesday during the growing season, EarthConnection provides donations of fresh vegetables (850 pounds just in this past year) from their garden. These donations are placed in the patient waiting room along with recipes. Patients are encouraged to take food home so they have healthy options available through the week.

Good Samaritan Free Health Center team

Meet the team

  • Joe Burger
  • Susie Fredrick
  • Anne Geiler
  • Sandy Gleeson
  • Barb Hagedorn
  • Anne Klapheke
  • Kyla Maddox
  • Blanca Moreno
  • Cathy Rafales
  • Linda Smith-Berry

The FHC is the only free health center in Hamilton County, the largest urban free center in Ohio and recently was awarded a AAA rating for Quality by the Ohio Association of Free Clinics.

Congratulations to the Good Samaritan Free Health Center team on its outstanding work toward achieving the Gen-H Triple Aim of healthier people, better care, and lower costs through a wide variety of services and innovative approaches.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

 About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Benefits Team Makes Employee Health & Wellness a 5/3 Better

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Gen-H celebrates making healthy choices where we live, work and play, but when many of us spend more than 40 hours a week in an office or on the job, factors such as time, distance, cost, convenience, and transportation can make it difficult to get serious about health. Not true at Fifth Third Bank.
The Health Collaborative is recognizing the Fifth Third Bank Benefits Team as a finalist for the Gen-H Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1 at downtown Cincinnati’s Renaissance Hotel. The purpose of the Gen-H Award is to recognize an individual, team, or organization that has demonstrated progress on the Gen-H goal of making the healthier choice also being the easy choice, when it comes to deciding on where to live, work, learn, or play. Gen-H, or “The Health Generation,” means all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky.
Culture of health
Fifth Third Bank is committed to encouraging a culture of health for its 18,500 employees. It starts peer to peer. There are over 300 trained wellness champions across the company encouraging others to meet their own health goals through leadership, enthusiasm and camaraderie. Walking meetings are encouraged, treadmill desks and other active workspace trends are making their way into company locations. The Bank also offers discounted gym memberships. To make preventive care easier, the Bank holds flu shot clinics, on-site biometric screenings, skin checks, mobile mammography and blood drives at the larger locations.
Step it up and eat right
One popular way for employees to get involved is by stepping up during periodic step challenges. These fun competitions get employees moving and support the community. From the past two challenges, Fifth Third employees recorded more than 948 million steps and in exchange, the company donated more than $170,000 to Stand Up To Cancer.
After encouraging employees to work up an appetite, it only makes sense to follow up with a healthy plate. Fifth Third locations with on-site cafeterias offer a variety of healthy menu options, as well as vending machines that highlight healthier choices. And “Attention Wal-Mart Shoppers,” employees enjoy 5 percent to 50 percent instant savings on healthier food items purchased at Wal-Mart. For those looking for a structured weight loss program, The Bank offers a discount rate for Weight Watchers.
Incentives and benefits
Naturally, a financial institution knows incentives that impact a person’s wallet attract a certain attention. Fifth Third employees can earn up to $1,800 in Wellness Rewards. Points are earned for participation in a wide variety of wellness activities, preventive medical exams, and educational offerings.
Having health benefits is important, but so is knowing how to use them. For those enrolled in the company medical plan, a cost and quality tool called Castlight helps employees make good choices about their care and “Alex” powered by JellyVision provides an engaging and interactive way for employees to understand their benefit. Employees have come a long way in understanding the types of plans available with over 60 percent of those enrolled now selecting consumer-driven plans.
Since total wellness includes reducing stress, other classes and benefits expand the definition of health. A financial wellness program helps employees with one of the biggest stressors, money, and an innovative maternity concierge program with four-weeks-paid parental leave helps with that other stressor, children.
Meet the Fifth Third Bank Employee Benefits team

  • Maureen Balent, Director
  • Joy Byrwa, Manager
  • Amy Donovan, Senior Benefits Analyst
  • Kristin Kalan, Senior Benefits Analyst

Please join The Health Collaborative in congratulating Gen-H award finalists, the Fifth Third Bank Benefits team, for its comprehensive approach to employee wellness and support of the “Triple Aim” of healthier people, better care, and lower costs.
About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.
About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Benefits Team Makes Employee Health & Wellness a 5/3 Better

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Gen-H celebrates making healthy choices where we live, work and play, but when many of us spend more than 40 hours a week in an office or on the job, factors such as time, distance, cost, convenience, and transportation can make it difficult to get serious about health. Not true at Fifth Third Bank.

The Health Collaborative is recognizing the Fifth Third Bank Benefits Team as a finalist for the Gen-H Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1 at downtown Cincinnati’s Renaissance Hotel. The purpose of the Gen-H Award is to recognize an individual, team, or organization that has demonstrated progress on the Gen-H goal of making the healthier choice also being the easy choice, when it comes to deciding on where to live, work, learn, or play. Gen-H, or “The Health Generation,” means all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky.

Culture of health
Fifth Third Bank is committed to encouraging a culture of health for its 18,500 employees. It starts peer to peer. There are over 300 trained wellness champions across the company encouraging others to meet their own health goals through leadership, enthusiasm and camaraderie. Walking meetings are encouraged, treadmill desks and other active workspace trends are making their way into company locations. The Bank also offers discounted gym memberships. To make preventive care easier, the Bank holds flu shot clinics, on-site biometric screenings, skin checks, mobile mammography and blood drives at the larger locations.

Step it up and eat right
One popular way for employees to get involved is by stepping up during periodic step challenges. These fun competitions get employees moving and support the community. From the past two challenges, Fifth Third employees recorded more than 948 million steps and in exchange, the company donated more than $170,000 to Stand Up To Cancer.

After encouraging employees to work up an appetite, it only makes sense to follow up with a healthy plate. Fifth Third locations with on-site cafeterias offer a variety of healthy menu options, as well as vending machines that highlight healthier choices. And “Attention Wal-Mart Shoppers,” employees enjoy 5 percent to 50 percent instant savings on healthier food items purchased at Wal-Mart. For those looking for a structured weight loss program, The Bank offers a discount rate for Weight Watchers.

Incentives and benefits
Naturally, a financial institution knows incentives that impact a person’s wallet attract a certain attention. Fifth Third employees can earn up to $1,800 in Wellness Rewards. Points are earned for participation in a wide variety of wellness activities, preventive medical exams, and educational offerings.

Having health benefits is important, but so is knowing how to use them. For those enrolled in the company medical plan, a cost and quality tool called Castlight helps employees make good choices about their care and “Alex” powered by JellyVision provides an engaging and interactive way for employees to understand their benefit. Employees have come a long way in understanding the types of plans available with over 60 percent of those enrolled now selecting consumer-driven plans.

Since total wellness includes reducing stress, other classes and benefits expand the definition of health. A financial wellness program helps employees with one of the biggest stressors, money, and an innovative maternity concierge program with four-weeks-paid parental leave helps with that other stressor, children.

Meet the Fifth Third Bank Employee Benefits team

  • Maureen Balent, Director
  • Joy Byrwa, Manager
  • Amy Donovan, Senior Benefits Analyst
  • Kristin Kalan, Senior Benefits Analyst

Please join The Health Collaborative in congratulating Gen-H award finalists, the Fifth Third Bank Benefits team, for its comprehensive approach to employee wellness and support of the “Triple Aim” of healthier people, better care, and lower costs.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

VITAS Healthcare: Bringing End of Life Conversations to the Big Screen

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“It was a powerful way to connect…and allowed us to talk about a clinical issue in a spiritual and community context.” – Kate Haralson, Manager, Clinical Quality Improvement at The Health Collaborative

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End-of-life planning can be among the most difficult – and the most important – conversations one can have. Whether faced with immediate concerns or thinking proactively, it’s important for the terminally ill to communicate their wishes with relatives, loved ones, and friends. To that end, VITAS Healthcare has created “Hospice Can Help,” a program dedicated to facilitating end-of-life decision-making and ensuring those decisions are honored. VITAS provides hospice and palliative care services throughout the United States to ensure the comfort and dignity of its patients who are critically ill or nearing the end of their lives.

The VITAS “Hospice Can Help” program is being recognized by The Health Collaborative as a finalist for the 2017 Gen-H Award, for its screenings of the documentary film Being Mortal. As part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1, the Gen-H Award recognizes an individual, team, or organization that has demonstrated progress on the Gen-H goals of making the healthy choice the easy choice where we live, work, learn, or play. Gen-H, or “The Health Generation,” is all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky.

Patient-centered decision-making
For over 30 years, VITAS has advocated for the rights and wishes of terminally ill patients and their families. It upholds the belief that patients should be apprised of their clinical prognosis and be involved in the decision-making process surrounding their end-of-life care. Its Greater Cincinnati offices serve patients and their families in Butler, Warren, Clinton, Hamilton, Clermont, Brown, Adams, and Highland counties, bringing hospice care into private homes, skilled nursing facilities, and long-term care communities. In addition to expert clinical care, VITAS offers holistic approaches to end-of-life care including pet visits and music, art, and massage therapies.

As VITAS has continually adapted to the ever-changing world of healthcare, it has stayed mindful of its commitment to meeting the changing needs of those with a life-limiting illness and their families, and to increasing the numbers of people whose wishes are documented and known to loved ones. According to industry research, while 90% of people know they should discuss their end-of-life care preferences with loved ones and medical professionals, only about 30% actually do. In 2017, VITAS Healthcare changed how it begins hospice conversations by broadening its “Hospice Can Help” initiative to include screenings of Being Mortal to community and healthcare partners.

Realizing the impact of hospice care
Being Mortal from PBS’ FRONTLINE follows renowned New Yorker writer and Boston surgeon Atul Gawande as he explores the relationships doctors have with patients who are nearing the end of life. Using real-world examples and personal stories, the film demonstrates the positive impact hospice can have on improving the quality of time a patient can spend with caregivers, family, and friends.

The power of hospice care is felt not only by the patient, but by caregivers, healthcare providers, hospital staff, nursing home facilities, religious institutions, and members & supporters within the patient’s community. More times than not, a patient will see an improvement in their condition upon receiving care from their hospice team. Family members experience reduced stress, improved quality time with their loved one, and better overall health due to the additional layer of support provided by hospice. Hospitals & health systems find that their critical-care patients receiving 24/7 hospice support are less likely to be readmitted to the hospital. Nursing homes find solace and savings in additional support from hospice for the unique needs of the terminally ill. The community surrounding and supporting a patient takes heart knowing that appropriate care is being provided to one of its own.

Being Mortal has been presented to over 20 audiences, with VITAS staff leading each group through conversations around the importance of hospice in the lives of a multidisciplinary group of religious leaders, healthcare providers, and community members. The positive impact of VITAS Healthcare and its many programs & initiatives is realized every day when a patient is able to spend quality time with loved ones, without the total weight of their care resting on their shoulders.

A powerful way to connect
“I attended a VITAS screening of Being Mortal, and was just thankful for a forum where we could openly discuss end-of-life planning and experiences,” says Kate Haralson, Manager of Clinical Quality Improvement at The Health Collaborative. “We discussed disparities in access to end-of-life resources, and the audience members were candid about their own experiences. It was a powerful way to connect with other stakeholders and allowed us to talk about a clinical issue in a spiritual and community context.”

Meet the team

  • Amanda Curtis RN, CHPN, Patient Care Administrator
  • Susan Davis DO, Medical Director
  • Daniel Lubrecht, General Manager
  • Meridith Southard, Director of Market Development

The Health Collaborative and its Gen-H staff hope the community will join us in congratulating 2017 Gen-H Award Finalists VITAS Healthcare and its “Hospice Can Help” team, for their screenings of the documentary film Being Mortal. Providing decision-making tools around end-of-life decisions to patients, families, caregivers, and communities creates stronger partnerships and enhances the capacity in our region to meet the healthcare needs of every person.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

D4P: Community Collaboration for Diabetes Prevention

“I joined the program because my cousin was in it, but then I made new friends. I call other people in the class, and we meet up to go walking and check-in with each other. Now I call everyone in the class my cousin!” – D4P participant Gwendolyn Maderis

It’s an uncomfortable fact that social determinants surrounding race, ethnicity, and income can often have an impact on health outcomes. That’s why Health Care Access Now (HCAN) and the YMCA of Greater Cincinnati teamed up to offer type 2 pre-diabetes prevention (D4P) to low-income and minority patients. The program leverages the number one predictor of wellness success, social engagement, to empower patients to hold diabetes at bay.

D4P

The Health Collaborative is recognizing the D4P program as a finalist for the Gen-H Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1 at downtown Cincinnati’s Renaissance Hotel. The purpose of the Gen-H Award is to recognize an individual, team, or organization that has demonstrated progress on the Gen-H goal of making the healthier choice also being the easy choice, when it comes to deciding on where to live, work, learn, or play. Gen-H, or “The Health Generation,” means all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky.

 

Cousins and friends
When 62-year-old Gwendolyn Maderis was diagnosed by her doctor as pre-diabetic, she didn’t even know that was a possibility. Her doctor explained she was at high risk for developing full diabetes; however, patients who manage their weight with diet and exercise are often able to avoid this chronic health threat. Gwendolyn was happy to know this was something she could control, but she wasn’t sure what to do.

Not long after her appointment, a community health worker from HCAN came to her door with information about a program at the YMCA just for people with pre-diabetes. With funding from the Ohio Commission on Minority Health, cost would not be a problem. In a happy coincidence, Gwendolyn’s cousin was also signed up for the same program and the two women would be able to attend the same session.

Gwen was surprised by how much she enjoyed coming to the sessions and sharing with the group about how her week had gone, even if the week had been challenging. She was surprised to see her weight drop and found herself changing her eating habits. Gwen’s favorite part of the program was the relationships she had built. “I joined the program because my cousin was in it, but then I made new friends. I call other people in the class, and we meet up to go walking and check-in with each other. Now I call everyone in the class my cousin!”

Evidence-based approach
The YMCA’s program is an evidence-based community health course designed for adults at risk for developing type-two diabetes. Participants meet in small groups facilitated by trained Lifestyle Coaches in 25 on- hour sessions, delivered over the course of 12 months. Peer-reviewed scientific research shows that lifestyle intervention programs like the YMCA’s Diabetes Prevention Program can reduce the number of new cases of type 2 diabetes by 58% and by 71% in people over 60. Participants are also give access to YMCA branches through a complimentary six-month membership to support and encourage physical activity. Goals of the program include 5% weight loss and increased physical activity (150 minutes/week).

Results matter
Results for 2016 clients show that more than half (58%) have lost weight in the program, and after nine months, more than eight in ten (86%) reported 90 minutes or more of physical activity each week. On the clinical side, clients enrolled for more than three months showed a consistent decrease in A1c (blood sugar) levels.

This strong and powerful partnership between two organizations, working in coordination with the health care system to engage patients in lifestyle interventions has the power to improve health, lower healthcare costs and advance health equity.

Meet the Team
Health Care Access Now: Judith Warren, CEO
YMCA of Greater Cincinnati: Kathy Lehr, Chief Marketing Officer

Please join The Health Collaborative and its Gen-H staff in congratulating Gen-H award finalist, the D4P program by HCAN and the YMCA, for advancing health equity and creating strong links between clinical care and community resources.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

TriHealth’s HOPE for Chemically Dependent Expectant Mothers

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“Because of HOPE, I am getting to experience the greatest joy in life, being a mother to my precious baby girls.” – HOPE Patient

[/mk_blockquote][vc_column_text]The opioid crisis has highlighted a critical need across our region for support and resources for those affected, and the need is particularly urgent for addicted expectant mothers. Through its Helping Opiate-addicted Pregnant Women Evolve (HOPE) program, TriHealth provides safe and non-judgmental care to chemically dependent women throughout Greater Cincinnati.

The HOPE program is being recognized by The Health Collaborative as a finalist for the Gen-H Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1. The Gen-H Award recognizes an individual, team, or organization that has demonstrated progress on the Gen-H goals of making the healthy choice the easy choice where we live, work, learn, or play. Gen-H, or “The Health Generation,” is all of us working together to make health and healthcare a value we share in Greater Cincinnati and Northern Kentucky.

HOPE Program Team

Patient Advocacy
The HOPE program aligns with many of the Gen-H Triple Aim goals around healthier people, better care, and lower costs. During the course of a patient’s pregnancy, the HOPE team advocates for the expectant mother while modeling the way to build relationships with other health services. Patients are continuously encouraged to advocate for themselves, in order to obtain the needed services which will help them achieve a healthy pregnancy outcome.

“I honestly don’t know where I would be without the HOPE Program,” one recent patient remarked in a follow-up visit. “It has changed my life in such a great way! Because of you, I am getting to experience the greatest joy in life, being a mother to my precious baby girls. Every time I look at them it is a reminder of how truly blessed I am to have gotten the opportunity to “start fresh” and be able to care and provide for them. Thank you again for being my life saver!”

Empowering better choices
Patients are also given the opportunity to participate in HOPE classes that will improve their parenting skills, prepare them for issues such as postpartum depression and neonatal abstinence syndrome, and help them make good nutrition choices. Breastfeeding classes are also offered in order to provide patients with the benefits of breastfeeding, and proper breastfeeding techniques. A community health worker provides one-on-one baby care instruction, as well as education on infant milestones and child safety.

The HOPE Program holds quarterly meetings with community partners at Good Samaritan Hospital, with over 30 providers discussing how to better coordinate services across organizations to better support pregnant women and their families in recovery.

“Tireless and selfless service”
One patient described her experience with the HOPE program in transformative terms: “I have completed the program twice (once for each child) and I am very grateful for the invaluable assistance this program has given me,” she said. ” The women who operate the program have been there for me, helping me with substance abuse treatment, mental health care, and primary care. This comprehensive support is a major reason I’ve maintained my sobriety. I also appreciate how the HOPE workers keep track of the children of the clients. It’s comforting to know that during this difficult journey, I have had others looking out for the welfare of those whom I hold dear. Overall, the HOPE program (and the workers who further its cause) should be recognized and praised for the tireless and selfless service they provide to women who have found themselves, in many cases, abandoned and alone. I will forever be grateful for the many times they’ve aided me and my family, and for the second chance at life they offered.”

Increasing capacity to meet the need
The TriHealth prenatal clinic has been restructured making it possible to have a midwife participate in the weekly prenatal clinic every Wednesday. During that time each week, the team is able to provide specialized prenatal care to more than 20 patients. Each patient has a case manager to ensure comprehensive care for a healthy pregnancy outcome. A community health worker has also been added to the HOPE team to follow up with patients for up to one year past delivery, including monthly in-home visits.

Meet the HOPE team (click any photo for slideshow)[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_gallery type=”image_grid” images=”35605,35606,35607,35608,35603,35604″][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]About Dr. Marcotte, HOPE Medical Director 

Dr. Michael Marcotte

Dr. Michael Marcotte,   HOPE Medical Director

Michael P. Marcotte is a maternal fetal medicine specialist at TriHealth, and is the medical director for HOPE at Good Samaritan Hospital, one of the largest tertiary maternity centers in Ohio. In addition, as the director of quality and safety for women’s services at TriHealth, he has had the opportunity to improve the childbirth experience for women. As a national speaker for the March of Dimes, he has worked with many hospitals throughout the United States to improve pregnancy outcomes. He is an obstetric content expert in the statewide Ohio Perinatal Quality Collaborative and a member of the Cradle Cincinnati Steering committee.

Please join The Health Collaborative in congratulating Dr. Marcotte and the HOPE team for their Gen-H award nomination. When opioid-addicted pregnant women and their babies have HOPE for a bright, healthy future, they are empowered and our community is stronger.

About Inspire | Healthcare: 
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About the Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

“When Every Minute Counts” in Stroke Care

[vc_row][vc_column][vc_column_text]TriHealth Stroke Care team

The Health Collaborative is pleased to recognize TriHealth’s “Improving Stroke Care in the ED: When Every Minute Counts!” team as a finalist for the Richard M. Smith MD Leadership in Quality Improvement Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1. First presented in 2003 in memory of Dr. Richard Smith, a tireless leader and proponent of the safety of all patients, this award recognizes an individual or team who exemplifies commitment to quality improvement, makes it an organizational priority, and serves as a role model for those working to enhance the quality of care within their organization and throughout the Greater Cincinnati and Northern Kentucky communities.

The Leadership in Quality Improvement Award is given to the individual or team that has identified an opportunity to improve patient care and safety, and applied the Plan-Do-Study-Act (PDSA) principles of quality improvement to develop a successful intervention. TriHealth has demonstrated measurable improvements in the Triple Aim areas of healthier people, better care, and lower costs. Their work focuses on a clinical or non-clinical project that impacts patient care and/or experience.

The award also seeks to recognize the most compelling new ideas to deliver better health, improve care, and/or lower costs in this award category. Their innovation measurably improves significant business and/or clinical processes that positively impact patient care.

Treatment in a matter of minutes
The focus of the “When Every Minute Counts!” project was to standardize and improve the stroke process in two Emergency Departments (EDs) using a multidisciplinary approach for early recognition and treatment of stroke. Prior to the initiative, both facilities were achieving door to needle times of around 76 minutes. Since the initiative, 63.6% of the door to needle times were less than 60 minutes. The best was 37 minutes.

Impacting healthcare and impressing healthcare professionals
The ability to provide high quality stroke care in a timely manner when every minute counts, makes this project worthy of recognition. It’s achieved high business and clinical value by aligning with TriHealth’s organizational goals and strategic plans to make TriHealth “the place people want to work, physicians want to practice, and what the community chooses for their healthcare needs.”

Education, recognition, action
This initiative has improved the care and the efficiency that all members of the healthcare team provide in stroke recognition. The stroke protocols upon arrival to the ED are instrumental to its success, whether patients walk in or are transported using community Emergency Medical Systems. The two EDs exceeded their goal by achieving less than 15 minutes from door to CT scan. This achievement surpasses The Joint Commission’s recommendations of 25 minutes.

Meet the Team

  • Kathryn Gleason, BSN, RN, CEN
  • Donna Gorman, BSH, RN, CEN
  • Kathy Lebowitz, MSN, RN, CEN, NEA-BC
  • Elizabeth Salyers, BSN, RN, CEN
  • Jonah Salyers, RN, CEN, TCRN, SCRN, EMT-B
  • Kim Schmeusser, MSN, RN, CEN, Project Lead
  • David Sens, RN, CEN

Please join The Health Collaborative and its Quality Improvement staff in congratulating the TriHealth ED team for its outstanding work in “Improving Stroke Care in the ED: When Every Minute Counts!” When precious minutes are saved, more stroke victims’ lives and health are preserved.

About Inspire | Healthcare:

Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About The Health Collaborative:

The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

TriHealth Team Prevents Diversion and Abuse of Controlled Substances

[vc_row][vc_column][vc_column_text]TriHealth-Controlled-Substance team

The Health Collaborative is pleased to recognize TriHealth’s “Meeting the Controlled Substance Requirements for Prescribing Benzodiazepines and Opioids” team as a finalist for the Richard M. Smith MD Leadership in Quality Improvement Award, as part of the 2017 Inspire | Healthcare dinner and awards celebration planned for November 1.

The goal of this project was to improve performance in the documentation of Ohio Automated Rx Reporting System (OARRS) reports and annual controlled substances agreements. In November of 2015, OARRS review and contracts demonstrated an approximately 40% and 50% compliance rate.

Exceeding expectations
The Ohio Board of Pharmacy requirement to review OARRS reports less than every 90 days for patients on long term opiates and benzodiazepines is a challenging goal to meet. Improving compliance with OARRS reports may help prevent diversion and abuse of controlled substances.

This project is worthy of recognition because it establishes protocols and processes to ensure safe prescribing of benzodiazepines and opioids. The team achieved high clinical value by reaching 100% compliance with OARRS requirements and their success has been sustained over time. It also demonstrates that care compliance with state reporting requirements can be achieved through standardized protocols and processes.

Impressive progress
Over 6 months, process changes were implemented that improved the Bethesda Family Practice (BFP) compliance rate with OARRS reporting from 40-50% in 2015 to 100% in 2017. In addition, compliance with completed annual controlled substance agreements increased to 90%. These reports and agreements are shown to help prevent diversion and abuse of controlled substances among patients on long term opiates and benzodiazepines.

Different strategy, better outcomes
This solution differs from others by the following protocol: BFP established a monthly Patient Registry, which displays (OARRS/contract) on the physician schedule, mandatory office visits are scheduled every three months, refill request protocol (smart phrase) specific for controlled substances is used (includes last office visit, future office visit, dates of last OARRS reviewed, and date last contract renewed) and finally a “60-90 day” report forwarded to the care team to schedule patients requiring a follow-up.

About the award
First presented in 2003 in memory of Dr. Richard Smith, a tireless leader and proponent of the safety of all patients, this award recognizes an individual or team who exemplifies commitment to quality improvement, makes it an organizational priority, and serves as a role model for those working to enhance the quality of care within their organization and throughout the Greater Cincinnati and Northern Kentucky communities.

The Leadership in Quality Improvement Award is given to the individual or team that has identified an opportunity to improve patient care and safety, and applied the Plan-Do-Study-Act (PDSA) principles of quality improvement to develop a successful intervention. TriHealth has demonstrated measurable improvements in the Triple Aim areas of healthier people, better care, and lower costs. Their work focuses on a clinical or non-clinical project that impacts patient care and/or experience.

The award also seeks to recognize the most compelling new ideas to deliver better health, improve care, and/or lower costs in this award category. Their innovation measurably improves significant business and/or clinical processes that positively impact patient care.

Meet the Team

  • Jonathan Sorscher, MD, Project Lead
  • Rita Kleinmann, Medical Assistant
  • Francisca Webster, Medical Assistant, Back Office Coordinator
  • Matthew McCreary, MD, Resident MD
  • Rob Oliver, D.O., Resident MD
  • Deanne Owens, Front Office Specialist
  • Constance Zimmer, Practice Manager
  • Angela Fellner, PhD, CCRP, Clinical Research Coordinator

Please join The Health Collaborative in congratulating the TriHealth team on its innovative process improvements to achieve the goal of “Meeting the Controlled Substance Requirements for Prescribing Benzodiazepines and Opioids.”

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About the Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, please visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Stephanie Meade: Mercy Health VP of Nursing Inspires Excellence, Innovation

[vc_row][vc_column][vc_column_text]Stephanie-Meade

Stephanie Meade, Vice President of Nursing at Mercy Health – West Hospital, has been chosen by The Health Collaborative as a finalist for the 2017 Richard M. Smith MD Leadership in Quality Improvement Award. Her leadership has been critical to the success of the Mercy health system’s relatively new West Hospital, providing both high clinical and high business value.

Meade, who will earn her doctorate in nursing practice at the end of the year, doesn’t keep best practices to herself. She supports her nurses who engage in research and presents nationally herself. She has succeeded in creating a culture of engagement among the nursing team, and, in turn, the nursing team’s emotional commitment to Mercy Health and its goals drives the strongest staff retention figures, and the highest patient satisfaction scores & patient safety scores, Mercy Health has ever experienced on the West Side.

About the Award
First presented in 2003 in memory of Dr. Richard Smith, a tireless leader and proponent of the safety of all patients, the award recognizes an individual or team who exemplifies commitment to quality improvement, makes it an organizational priority, and serves as a role model for those working to enhance the quality of care within their organization and throughout the community. The award is presented by The Health Collaborative, a Cincinnati healthcare improvement nonprofit, at its annual dinner and awards ceremony known as Inspire | Healthcare – set this year for November 1 at the downtown Renaissance Hotel.

Dr. Smith’s spirit of ongoing improvement is alive and well at Mercy’s West Hospital, due in part to Meade’s support of research and innovative thinking among her nursing staff. In addition to their charge of providing excellent patient care, Meade’s nurses have published and presented research on topics including best practices in emergency department for patient flow & satisfaction, and best practices in performing EKGs to increase nurse competency & decrease patient mortality. Meade herself has presented “How to Inspire Excellence when Reductions Force Redesign and Quality Prevails” for The American Organization of Nurse Executives.

As the newly hired Vice President of Nursing, Meade was responsible for opening a new hospital in 2013 that combined the staff and operations of Mercy Health – Mt. Airy and Western Hills Hospitals into West Hospital. West Hospital also added new team members to provide services, such as open heart surgery and labor and delivery not previously available on the West Side.

A natural leader
Meade’s supportive attitude and innovative, collaborative approach position her as a natural leader and a strong candidate for the Richard M. Smith MD Leadership in Quality Improvement Award. “Studies show that the more engaged nurses are, the higher the patient experience scores are and the better patient safety is in the organization,” says Marie Leist-Smith, Mercy Health Director of Nursing Practice and Research. “This is what’s happening at West Hospital. It all ties in together.”

Under Stephanie’s leadership, every nursing unit at West Hospital has outperformed the national average for engagement in relationship to nurse autonomy, leadership access, inter-professional relationships, teamwork & collaboration, and professional development.

Engaged nurses stay on the job, driving down labor costs. The hospital’s nurse vacancy rate is at an at all-time low of 3.4% and Stephanie decreased the turnover of new nursing graduates in first year of practice from 55% to 5%. At the same time, money spent with nurse staffing agencies to fill vacancies has lowered significantly, from $4.5 million to $2.5 million, saving West Hospital $2.1 million dollars in staffing costs.

Engaged nurses also deliver better care. Under Stephanie’s watch, patient falls decreased from 4 to 2.6 per 1000 patient days and hospital-acquired C. diff infections halved from 12 to six per 1000 patient days. in addition, patient experience scores have gone up each year since both hospitals merged and are all above the national average (2014 vs. 2016 total year scores vs. national average):

  • Overall patient satisfaction rating increased from 74.8 to 79.2, national average 70.8
  • The communication with nurses score increased from 79.9 to 81.9, national average 78.5
  • Patient leaving hospital with discharge instructions rose from 87.1 to 91.7, national average 86.6

“Stephanie is an outstanding leader who has demonstrated unwavering advocacy of patients and a commitment to supporting the employees of Mercy Health – West Hospital,” said Michael Kramer, Mercy Health West Market President and CEO. The Health Collaborative and its Quality Improvement staff invite the community to join them in congratulating Stephanie Meade for her exemplary dedication to advancing nursing care, and her award finalist status.

About Inspire | Healthcare:
Inspire | Healthcare is the Greater Cincinnati and Northern Kentucky region’s premier annual healthcare event and awards celebration. The awards seek to recognize innovations by individuals, teams, and/or organizations in the areas of informatics, quality improvement, and population health. Other awards given annually include the Inspire Champion Award and the Hoxworth Blood Drive Awards, with separate nomination and judging processes. For more information about Inspire | Healthcare, visit healthcollab.org/inspire.

About the Health Collaborative:
The Health Collaborative strives to lead data-driven improvement initiatives that result in healthier people, better care, and smarter spending. Based in Cincinnati, we work with those who provide care, pay for care, and receive care, to find mutual solutions to healthcare’s most challenging problems. For more information about The Health Collaborative, visit healthcollab.org.[/vc_column_text][/vc_column][/vc_row]

Life-saving blood donations? Cookies & snacks? Count us in!

[vc_row][vc_column][vc_single_image image=”35312″ img_size=”300×150″ alignment=”center” onclick=”custom_link” img_link_target=”_blank” link=”http://www.hoxworth.org/”][vc_column_text]Our friends at Hoxworth Blood Center stopped by to set up shop in our Learning Center on Friday for a building-wide blood drive (photo gallery below). THC staff and other folks from throughout the 615 Elsinore Place location spent time donating whole blood, plasma, and platelets. Kate Haralson, Manager, Clinical Quality Improvement at The Health Collaborative, played an instrumental role in organizing the blood drive and working with Hoxworth staff to ensure its success.

Elizabeth Davis, Manager, Mobile Recruitment, Donor Recruitment & Community Relations for Hoxworth Blood Center shared in a follow-up the next day, “We had a good day yesterday! 24 donors participated, and we were able to collect 23 units! That included a platelet/plasma product. Thank you so much for all your work to make the blood drive a success.”

“It gives me some perspective on how fortunate I am that I haven’t been in the position of relying on blood and platelet donations to survive or to live a quality life,” shared Kelly Aardema, Practice Facilitator Coach at The Health Collaborative. “My relative discomfort during the platelet donation process pales in comparison to what the recipient and his/her family is going through. Knowing that I’m giving back to my community and helping to save someone’s life makes it all worth it.”

Bob Coogan, The Health Collaborative’s Director of Grant Accounting, is also grateful for the opportunity to give back: “The Blood Drive provides a unique way of contributing toward THC’s mission of making ours a healthier community. I’m proud to be able to participate,” he said.

Every day, 300 blood donors and 40 platelet donors are needed to help save lives in our local community. For every unit of blood donated, up to three lives can be saved.

Way to go, blood donors – you are our life-saving Hoxworth Heroes! 

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Collab-O-Lab brings THC staff out into the community

[vc_row][vc_column][vc_column_text]Volunteers from The Health Collaborative staff participated in the first annual “Collab-O-Lab,” or day of community service, on October 6 in order to give back to the United Way partners that make a difference in our community every day. They spent the morning working at three sites:

  • The Giving Fields (FreeStore FoodBank partner): a farm in Melbourne, KY. Staff worked on weeding, harvesting, landscaping.
  • SideStreams Foundation/500 Gardens (partner of Lighthouse Youth Services): an urban gardening project in Madisonville, with raised-bed gardens located at & near at Lighthouse Community School.
  • Life Learning Center: a project in Covington, KY to thoroughly clean a room they plan to use as their food pantry, and prep it for painting. Staff also sorted & hung donated clothing.

After getting their hands dirty, Collab-O-Lab’ers gathered at the socially-conscious Wooden Cask Brewery in Newport, KY to raise a glass and learn about a volunteer opportunity with another United Way partner program: ProKids’ CASA.

View a video slideshow below of the day’s fun and community-driven  activities![/vc_column_text][vc_video link=”https://animoto.com/play/DybhsTwNsZbhv1xYZ1GBDw”][vc_empty_space height=”20px”][/vc_column][/vc_row]