Heart City Staff Training March 8, 2016

1. Heart City Staff TrainingMarch 8, 2016 A commitment to Quality of Life and Quality Healthcare for All.

3. THE STATE OF OUR HEALTH CENTER • Interim CEO Updates • Meaningful Use Updates - Interim CEO • PCMH Highlights - Interim CEO • Clinical Quality Measures – Interim CEO • Patient Satisfaction Survey Results - Interim CEO • Human Resources/Marketing/Outreach Updates • Incident Reports/ Patient Complaints - Fundi • PolicyStat • Department Specific Training

5. MEANINGFUL USE UPDATE • Pay attention to the Quality Management tab. • Email Addresses very important to attest successfully • Promote Use of Patient Portal

7. PCMH UPDATE • Keeping Our Status • Care Coordination • Patient Education • Tracking Referrals • Care Team approach • Morning Huddles and Communication • Patient Engagement • Self Management Goals • Barriers to attaining goals • Engagement tools • How can you make HCHC a PCMH for our patients?

9. Self-Management Goals • Diabetic Patients ( Not Controlled) • High Blood Pressure (Not Controlled) • Asthmatic ( Not Controlled) • Weight Management ( BMI greater than 25) • High ER/Hospital Utilization

11. 2016 UDS Information

13. Process Improvement Teams • Result of the Learning Collaborative Initiative • Aim is to improve process and outcomes ( Efficiency and effectiveness) • Need a provider Champion • Interdisciplinary team • Uses PDSA Cycle • Spread successful PDCSA Cycles to the rest of the clinic • Focus of the Month ( One CQM Per Month)

14. Behavioral Health Referral Resources

16. Department Specific Training • Staff disperse to training bases

17. PolicyStat • New policy management system • Helps us to: • Keep our policies and procedures current • Make policies readily accessible to staff members • Track policy and procedure version • Have acknowledgement of Receipt

18. Accessing PolicyStat • Two links available • Read Only link • Read & Acknowledge Receipt • https://heartcityhealth.policystat.com/ • Both links are available the Intranet

19. Patient Complaints • Patient Complaints are handled by the Quality Department • Corporate Compliance Officer • Quality Officer • Quality Improvement Coordinator • New Patient Feedback Form • Gives us more information • Has “Official Use Only” • Throw away all old forms • Available on the Intranet

20. Incident Reports • Report incident immediately to your supervisor • If not sure , document and report • Document FACTS ONLY not personal opinions • Critical not to defile facts with won onions • Take photos where necessary to attach to incident report • All incidents should be reported and documented within 24 hours of happening or being known • Preserve the privacy of the incident and those involved

21. Incident Report • Incident Report should be sent to the Quality Depart for review and trend analysis • New Incident Form available on the Intranet • Replaces • Medication Error Incident Report • Non-Employee Incident Report Form • The Incident Report

23. THE END • QUESTIONS