Coordination of Care and the Patient’s Journey Improving Community Health Care Systems Matt Will,...

Coordination of Care and the Patient’s Journey

Improving Community Health Care Systems

Matt Will, BA, NREMT-P

Regional CoachMayo Medical Transport

Minnesota Rural Health ConferenceJuly 18, 2006

Objectives• Components of Mayo Medical Transport

(MMT)• Identify role of emergency medical services

(EMS) in the continuum of care• MMT approach to information technology• MMT applications of information technology• Discuss what actions can be taken in your

area

Mayo Medical Transport

• Non-profit organization

• Part of the Mayo Foundation for Medical Education and Research

• Front-line Team Member Driven

• Standardized business practices to ensure an efficient and cost effective organization

Mission Statement

"To provide Superior Patient Care, at a Reasonable Cost in a way that Engages the Whole Team, Working Together in

Clinical Practice, Education and Research."

Measures of Success• Provide Professional

Health Care Service • Provide Real Value to

the Patient • Have Credibility Within

the Mayo Health System • Have Effective, Efficient

Methodologies• Be Innovative • Exercise Fiscal

Responsibility

• Have An Effective and Efficient Physical Infrastructure

• Provide Personal Satisfaction for Our Team Members

• Provide Real Value to Our Partners

• Be Integrated Well With in the Mayo System

• Produce Usable Research


• Mayo Clinic Preferred Response

• Emergency Communications Center

• Mayo MedAir

• Mayo One

• Gold Cross

Mayo Clinic Preferred Response

• Mayo Clinic Executive Travel Response

• Access to medical resources of Mayo

• 24 hours a day from anywhere in the world

Emergency Communications Center

• Centralized dispatch services

• Located on Mayo Campus

• 35 Team Members• Handle 200 requests

per day

Mayo One• Operates from bases

in Rochester, Eau Claire, and Mankato

• Accredited • Recognized as

leader in the industry

Mayo MedAir

• Based in Rochester• Provides all levels of

care• Worldwide service

24 hours per day• 50 Mayo One and

Mayo MedAir Team Members

Gold Cross

• 325 Team Members

• Respond to more than 50,000 calls per year

Role of EMS

• 911 system

• Interfacility transportation

• Community outreach

• Planning activities

• Legislative initiatives

Patient Comes First Scorecard

Purpose Statement

To develop and deploy an automated system that defines, tracks and displays the performance measures of systems

within MMT which demonstrates that the patient comes first.

Financial

Education

Patient Care

HumanResources

Fleet

Multiple Databases that

function independently

Multiple Databases that

function independently

Data Structure


• Mayo Foundation contract with Business Objects for software

• Contract changed the way MMT approached project that was in development for a year

• Multiple initiatives going on at Mayo

• All based on Business Intelligence (BI)

What is Business Intelligence?

• The term Business Intelligence represents the tools and systems that play a key role in the strategic planning process of the organization

• These systems allow a company to gather, store, access and analyze corporate data to aid in decision-making

Why Business Intelligence?

• MMT collects a large amount of data

• To keep track of that information, a wide range of software programs are used

• Using multiple software programs makes it difficult to retrieve information in a timely manner and to perform analysis of the data

• Makes it easier to share information

Financial

Education

Patient Care

HumanResources

Fleet

Data Structure

Time is spent calculating the measurement or creating the

report

Time is spent calculating the measurement or creating the

report

New Environment

Financial EducationPatientCare

HumanResources

Fleet


HumanResources

Fleet

Data Warehouse

New Environment

Business IntelligenceReports - Measurements



HumanResources

Fleet

Data Warehouse

New Environment




HumanResources

Fleet

Data Warehouse

Power User Casual User Viewer

New Environment


• Data typically displayed in the form of a scorecard

• Includes multiple data elements

• Indicates performance at all levels

• Clearly establishes standards


• Measurements and reports can be customized

• Automatic notification occurs

• Ability to drill down into detail

• Scorecards customized for type of user

• Intranet based request tool part of process

Focus

• Measuring and reporting in all aspects of the organization to impact change– Financial– Clinical – Operations

• Shared access

• Streamlined processes

Cost per Mile Traveled12 Month Rolling Average

0.0000.1000.2000.3000.4000.5000.6000.7000.8000.9001.000

Jan-04 Apr-04 Jul-04 Oct-04 Jan-05 Apr-05 Jul-05 Oct-05 Jan-06

Co

st

pe

r M

ile

Tra

ve

led

Total Cost per Mile Cost per Mile without Fuel

Critical Failure Value12 Month Rolling Average

0.0

1.0

2.0

3.0

4.0

1999 2000 2001 2002 2003 2004 2005Per

100

K M

iles

Tra

vele

d

12 Month Average Target

What can you do?

• Keep the lines of communication open

• Determine current status of the provider

• Identify needs

• Identify opportunities to share resources

• Support efforts

Questions?

Matt Will

Regional Coach


[email protected]

Coordination of Care and the Patient’s Journey Improving Community Health Care Systems Matt Will,...

Documents

Transcript of Coordination of Care and the Patient’s Journey Improving Community Health Care Systems Matt Will,...