Avera eCARE
Transcription
Avera eCARE
Mission Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian Values. History Avera’s roots stretch back to the frontier medicine of the Benedictine and Presentations Sisters, who began providing health care in Dakota Territory in 1897. 32 Hospitals 21 Nursing Homes 2.7 M Outpatient & Clinic Visits 110,000 Home Health Visits 1,000,000 People Covered $3.3 Billion in Revenue Purpose Better Access to Care Better Care & Better Outcomes Lower Costs Rural Workforce Sustainability Telehealth Network Virtual Hospital Avera eCARE eConsult Avera eICU CARE ePharmacy eEmergency eAccess / Long Term Care eAccess / Correctional Facilities 133 Sites 29 Sites 62 Sites 97 Sites 30 Sites 4 Sites Jan 2012 Apr 2012 Nov 1993 Aug 2004 Nov 2008 Oct 2009 Purpose Better Rural Workforce Access to Care Support Better Care & Better Outcomes Lower Costs Rural BetterWorkforce Access to Sustainability Care Rural Physician 2015 Job Description • 13,000 Diagnoses • 6,000 Medications • 4,000 Procedures • On Call: 25% – 50% of the time Know it all, No Mistakes Gawande, A. (2011). Cowboys and Pitcrews. Harvard Medical School Commencement Address. May 26,2011. Rural Workforce Challenges • • • • National Primary Care Workforce Shortages Difficulties recruiting Many burnout factors Greater reliance on Advanced Practice Providers • Lower case volumes = less confidence Real Time Support eCARE was designed to provide 24/7, realtime access to: • A ready network of peers – We had an adverse outcome here … It was just nice for our provider to get the phone call from the [hub] folks, the docs and the nurses who said ‘you know, you guys did everything possible that you could do’. (Hospital CEO) • Specialty consults – ‘I’m not a cardiologist, I’m not a neurologist, I’m not a trauma surgeon…in a small town you are asked to be all of those things and more…It’s nice to have that backup of people who are used to dealing with those things on a daily basis.’ (Hospital Physician) • Nursing Support – ‘This gives us that little extra time to be a nurse, and that’s why we are all here’ (Hospital Nurse) Emergency Physicians Emergency Nurses Intensivists Critical Care Nurses Pharmacists Geriatricians Advanced Practice Providers Long Term Care Nurses Education • Interactive Video Education – 200 nurses a month – 40 providers a month – CME and CNE • Very popular • Most attended sessions – Pediatric topics, trauma, low-volume cases, sepsis, stroke, Ebola, emergency airway management Becoming Part of the Team • Daily video contacts • “We’re here for whatever, whenever” • Ongoing mentoring and support: – Policy sharing – Quality projects – Disaster drills – Onsite skills labs Results: Recruitment & Retention Conclusion: Results indicate that, all other factors being equal, tele-emergency increases the likelihood of physicians entering and remaining in rural practice. The availability of tele-emergency helps with recruitment and retention of healthcare professionals in my hospital 285 Respondents 150 100 50 0 104 47 33 66 12 14 9 Hospital CEO: I've got to admit, the two docs I've got on right now, […] both have made the statement to me directly that if it wasn't for [tele-emergency], they would not have come out here because they were not comfortable with it. We Make a Difference 240,000+ patients touched 224 hospitals and clinics served 2,200 providers impacted 545,000 square miles covered 8 States $157M in health care costs saved Virtual Hospital Partners Collaboration Technology Efficiency Innovation Proven, Predictable, and Sustainable Results Questions? Mandy Bell, MHA Avera eCARE eQuality & Innovation Officer, [email protected]