Post on 10-Jan-2016
description
Erickson Communities
• Developer of large scale retirement communities– 1500 independent apartments– Service rich environment
• Home care (nursing and rehab)• Outpatient rehab
– Extended care• Skilled inpatient nursing and rehab• Long term care• Assisted Living
– Physician Practice on site (one doctor/400 residents)– Sublease to Specialists
– Only CCRC with its own Medicare Advantage Plan
2
Strategy
Optimize the Resident Provider Encounter
Interdisciplinary Care Delivery Model
Automating the Clinical Model
• Erickson committed to automating all clinical transactions in 2003.– Strong interdisciplinary team due to clinical model– Emphasis on customer service due to “Erickson
Living”• Excellence in Geriatrics is defined by whole
person care on their terms– Less testing, less medications, lower
hospitalization rates– More use of rehabilitative and restorative services
Erickson Health IT
Home Health
Renaissance Gardens
Hospital
Care CoordinationOut Patient Rehab
Retail Pharmacy
Medical Center
FunctionalHealth Record
Labs
SpecialistsResident Portal
InstitutionalPharmacy
Solutions
• Ambulatory Practice EMR (GE Centricity)– Custom content for all types of service and levels
of care– Compliance support
• E and M• Risk Adjustment
– Workflow tools• Meds to be avoided in elderly, meds contributing to
falls• Advance Care • PQRI Preventive Measures
Ambulatory EMR
– Reporting• Quarterly provider dashboard on Quality• Registry to CMS for PQRI
• Resident Portal (launched 2005)• Integrations with Care MEDX (The Erickson
Functional Health Record)• Health Risk Assessments
ER Chart Summary
Ambulatory EMR
– Reporting• Quarterly provider dashboard on Quality• Registry to CMS for PQRI
• ER Chart Summary (2004)• Resident Portal (launched 2005)• Integrations with Care MEDX (The Erickson
Functional Health Record)• Health Information Exchange with hub
Hospital (with Health Unity) 2007
Care MEDX “Vision”
• Long Term Care• Assisted Living• Inpatient and Outpatient Rehab• Home Health (to be completed with
occasionally connected solution)
Intel Health Guide
• Resident apartment • High risk patient in skilled care• Complex patients in Erickson Advantage
• 30 devices, Peripherals, Care Management • Very high compliance with care plans• Improved review of critical issues
– Weight gain– Blood Pressure – Medication Compliance
• High patient and care manager satisfaction• Improved patient knowledge of disease
The Functional Health Record
• Integrations across all clinical platforms• Lab Corp electronic order entry• Electronic Prescribing (2009)• Document imaging• Point of care reporting
– Physicians use physicians system at all levels of care– Nursing and Allied health use their systems
» View reporting allows chart review, data mining and decision support
– Advance Directive Project– Interdisciplinary Workflow Alignment Application
Quality Measures
Q1 Medical Group National Benchmark
Pneumococcal Vaccine 95% 62%
Flu Vaccine 90% 67%
Hospital Admission / 1000 Members 272 364
Hospital Readmission Rates within 30 days 8.6% 19.6%
Meds to be Avoided Among Seniors 0.6% 3.0%
Osteoporosis and Vitamin D level 98%
Advance Directives on File
ADVANCDIRECT AMBDNR0
5000
10000
15000
20000
25000
Patients With ObservationPatients Without Observation
National Average < 10%
Long Term Plan
• Close gap on Medication Reconciliation– Single Source for all aspects of medication use,
administration and compliance• Transitions of Care
– Improve patient involvement in HRA– Planned transitions
• Better integration with Specialists through HIE
– Unplanned Transitions• Reduce admission rate from Ere
– Reduce transition rate
Beyond the Gates
• How can community health systems achieve care alignment and quality – Incentives– HIT adoption and Functionality– Patient Expectations– Training