South Carolina Hospital Association October 4, 2012.
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Transcript of South Carolina Hospital Association October 4, 2012.
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South Carolina Hospital AssociationOctober 4, 2012
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Data is not the answer: it Data is not the answer: it just points you in a just points you in a direction… direction…
DATA = Information + Experience =Knowledge … Wisdom….
GOOD DECISION MAKINGGOOD DECISION MAKING
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Build your Community Health Plan
Implement your Community Health Plan
Measure the impact of your Community Health Plan
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It all begins with …
Asking lots of questions,
Asking the right questions,
and
Knowing when to stop and when NOT to stop….
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10%: No Teeth
8%: No prenatal care
17.2% live in poverty
25% Smoke
African Americans: Death from
heart disease 2X greater; Diabetes,
3X greater
49% ER visits – non-emergent
65% overweight or obese
Highest teen pregnancy rate in SC
High infant mortality rate
15% readmissions
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BUT…
Data can be your best ally
or your worst enemyworst enemy
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Example
Spartanburg Regional: 15% Readmission Rate
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Solutions:
Internal Hospital Focus: Better manage the patient
while in the hospital Improve Discharge
Planning efforts Send the patient home
with medications
OR…..OR…..
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Identify global solutions:External focus!
Upstate Care Transitions Coalition 4 Hospitals 3 Counties 20 Community Partners
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Example:
49% ER visits: Non-emergent CareER at capacity
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Solutions:
Discourage non-emergent use: Copays Discourage ER for follow-up
visit Require payment up front
Expand the ER
OR…..OR…..
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Before finding solutions….
Determine the Cause Capacity Issues (Safety Net
providers full) Lack of primary care and
specialty care
Address the Causes Develop solutions to expand
capacity outside the ER
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A shocking statistic A shocking statistic can motivate a community can motivate a community to changeto change
It all begins with awareness.
Awareness leads to emotion/anger/frustration/disgrace, etc…
Emotion leads to commitment.
Commitment leads to CHANGE.
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10 % citizens have no teeth
Highest teen pregnancy rate in the state
Children in communities that have a Smokefree Ordinance are 44% less likely to ever start smoking
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Improving OutcomesReducing Costs
Birth Matters
AccessHealth Spartanburg
Welvista
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BirthMatters Participants and Outcomes
Spartanburg County BirthMatters
(mothers age 20 and under)
Racial/Ethnic Composition
85% African American, 8% Caucasian, 7% Latino
Low Birth Weight Births
2% (compared to 10.1% in Spartanburg County)
Mothers Breastfeeding at Birth
93% (compared to 61.2% in Spartanburg County)
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Over 2000 clients enrolled750 Cases closed175 graduates
48% reduction IP admissions57% reduction IP charges32% reduction ER visits35% reduction ER charges
13 to 1 return on investment!!13 to 1 return on investment!!
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Hospital Investment: $185,000
Return: $5.7 million free meds 50.6% reduction in ER charges 25.3% reduction ER visits 63.6% reduction IP charges 45% reduction IP admissions
$1.7 million savings/year$1.7 million savings/year!!!!
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HospitalFinanceQuality Information Services
CommunityDHEC Local universitiesCouncil of GovernmentsCounty government
StateDHECORSState universities
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Renee Romberger, FACHEVP, Community Health Policy & StrategySpartanburg Regional Healthcare System864-560-6407 [email protected]