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Travel Connections Performance Improvement Leadership Development Program

Travel Connections Performance Improvement Leadership Development Program

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Travel Connections Performance Improvement Leadership Development Program

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  1. Travel Connections Performance ImprovementLeadership Development Program Lynn E. Keplinger, MD, FACP Deborah Kaplan, RN Keith Hampton, MSN, APRN, ACNS-BC February 19, 2010

  2. Sponsor Les Hall, MD - Chief Medical Officer

  3. Advisors Robert Lancey, MD Anne Fitzsimmons, MD

  4. Mascot

  5. Aim Statement One year after transferring Travel Connections to Fairview clinic we will have: • Developed at least a budget neutral business within General Internal Medicine • Increased MU pharmacy usage rate for Travel prescriptions from 12% to 50% • Increased 0% MU identified patients to 5% MU identified while gaining 25% of the patient base into General Internal Medicine

  6. What is Travel Connections? • A full service approach to the international traveler providing education, vaccines, prescriptions and individualized attention to particular health needs.

  7. Why Move Travel Connections? • Timing was right • Academic involvement • Research potential • New product line for General Internal Medicine • Resident and fellow opportunities in both Infectious Diseases and Internal Medicine

  8. SERVICE COMMUNITY

  9. INFLUENCING FACTORS…

  10. Budget Neutral Business • Fixed costs • Salaries • Taxation • Variable sources • Visits • Immunizations (no revenue sharing) • Prescriptions • Downstream referrals

  11. Increased Pharmacy Usage • Establish relationships • Memorandum of understanding drawing on Shoreland protocols • Print prescriptions to Fairview pharmacy without signature • Adequate medication supplies • Codes developed for Fairview prescription tracking • Develop reporting capability for tracking • Vaccine pricing for competition

  12. Documentation • Move from handwritten notes to electronic record • Create PowerNote • Encounter form creation • Secondary provider noted • Validate vaccinations in EMR • Travel history form placed on website • Receipt book

  13. Travel Connections Patient Encounter Form

  14. Travel Clinic PowerNote

  15. Facility • Renovation at Fairview • Transfer vaccine refrigerator • Transfer Travel Connections telephone number to Fairview • Purchase a safe • Set up computers to allow prescription printing • Signage

  16. Stephens College Patient Flow

  17. Travel Clinic Patient Flow

  18. Road Blocks • Negotiate with Dean of School of Health Professions regarding timing of position transfer to General Internal Medicine • Construction in Fairview clinic • Nurse position posting issues • Obtain and purchase protocols • Pharmacy printer functional • Completed PowerNote

  19. And then the Bomb….

  20. A New Stakeholder Emerges… Matt Levsen, Associate Chief Financial Officer

  21. Vaccine Costs/Charges

  22. Initial Projections

  23. Next Steps • Monthly Monitoring • Marketing • Patient Recruitment into GIM • Evaluate Patient Acquisition into MUHC • Community Activities

  24. Patient Tracking • Increased 0% MU identified patients to 5% MU identified while gaining 25% of the patient base into General Internal Medicine • Medical Home development • NCQA Guidelines for Physician Recognition Programs • 9 standards • 7th standard – referral tracking

  25. More Collaborators! David Fleming Nancy Forrest Kim Grissum Paula Heaviland Robert Hodge Tammy Kemp Matt Levson Liz Lukehart • Scott Barger • Debi Bell • Diane Bernard • Beth Bernt • Joe Cameron • Gordon Christensen • Janet Collins • Adam Cullina • Kevin Dellsperger

  26. Even More Collaborators! Don Scharlott Neil Schmidt John Schoemehl Mari Beth Schultz William Sparks Herb Stanley William Steinmann Abby Tuttle Tim Waller Amy Watring • Stephanie Lumley-Hemme • Bill Martin • Del McMillan • David Mountjoy • Richard Oliver • Penny Paisley • David Parker • Sharon Rafferty • Dick Schaefer

  27. Special thanks to Stephanie Lumley-Hemme