From the Medical Staff Directors: Focus on Value, Not Volume
Value-Based Purchasing. If you have not heard this term yet, you will likely become familiar with it soon as it begins to affect the way we are all reimbursed for the work we do.
What is Value-Based Purchasing?
Value Based Purchasing comes out of the push by employers to contain health care expenses and use their market power to promote quality and value of health care services. It is a concept where buyers hold providers accountable for both cost and quality of care. It focuses on reducing inappropriate care and identifying and rewarding the best-performing providers.
Information on cost and quality is gathered and analyzed on competing providers and health plans. The purchasers then contract selectively with plans or providers based on demonstrated performance. Plans receive a score that reflects a combination of quality and cost indicators. The best-performing plans and providers are rewarded with greater volume of enrollees.
In January, Medicare began tying almost $1 billion in payments to the quality of care with bonuses and penalties to nearly 3,000 hospitals. The payment change was created by the federal health law and is known as the Hospital Value-Based Purchasing Program. It is part of the government’s effort to shift away from paying hospitals and doctors based on the quantity of care they provide with no regard for how good a job they did.
For example, Medicare is reducing payments to all hospitals by 1 percent. It then calculates a score on how much money each hospital deserved to get back based on the quality of its care. While every hospital is getting something back, almost half aren't recouping the 1 percent they forfeited and thus are net losers. Over the next four years, the program will expand to encompass 2 percent of all Medicare payments. At St. Mary's, we are actively working to ensure that we are in the group with the best performance.
St. Mary’s Hospital Medical Staff Directors
Kay Barrett, Lee Carter, Timothy Crummy, James Goodsett, Anne-Marie Lozeau, Kyle Martin, Jeff Welch
New Leaders on Board
Dr. Greg Burnett begins March 11 as St. Mary’s new vice president for medical affairs and chief medical officer. He will be joined by four other vice presidents (one of them interim and one with regional strategic responsibilities) who will be helping to lead St. Mary’s Hospital to the next tier of excellence.
VP/MEDICAL AFFAIRS: Dr. Greg Burnett most recently was an OB/GYN physician and division medical director with Marshfield Clinic. Prior to that, he was president and vice president of medical staff at Sacred Heart Hospital in Eau Claire, and had served 12 years in the U.S. Air Force.
His health care experience includes physician recruitment, credentialing, major construction projects, hospital relationship management and direction of medical and surgical specialties. While with Marshfield Clinic, he played a crucial role in expanding primary care and urgent care access to four new clinics and implemented a customer excellence program. He also implemented multiple new service lines in Eau Claire, including cardiovascular surgery, bariatric surgery and a hospitalist program.
Dr. Burnett received his undergraduate degree from the University of Colorado in Boulder. He holds a doctor of medicine degree from the Medical College of Wisconsin and has his master’s in health care management from the Harvard School of Public Health.
VP/CARDIAC SERVICES & OPERATIONS: Also joining St. Mary’s March 11 is Craig Sommers as vice president overseeing cardiac services and operations. Most recently he was executive director of the Genesis Heart Institute and cardiac service line for the Genesis Health System in Davenport, Iowa. His experience there covers two campuses and includes interventional areas, diagnostic, programs, research, surgery, inpatient care, outpatient and clinic practices.
Among his accomplishments are creating operating efficiencies using LEAN tools, reducing heart failure readmissions and leading the team to achievement of Thomson Reuters Top 50 Heart Hospital designation in 2011. Prior to joining Genesis, Craig was the Administrative Director at Mitchell Hospital part of the University of Chicago Hospitals system. There he oversaw cardiology, general medicine, oncology and surgery. Craig earned his B.S. from Clemson University in Clemson, South Carolina, and his M.H.A. from Trinity University in San Antonio, Texas.
VP/OPERATIONS: Jonathan Lewis, who is currently vice president of Ambulatory Surgery Centers for St. Mary’s Dean Ventures, will start March 25 as our new VP of Operations. At SMDV, Jon oversees three free-standing ambulatory surgery centers owned jointly by SSM Health Care of Wisconsin and Dean Health System. His areas of responsibility include regulatory compliance, risk management, budgeting and finance, quality improvement, project management, infection control, building services, emergency preparedness and information technology. A registered nurse who holds a master’s in business administration from Edgewood College, he has served as a critical care nurse, transplant coordinator for UW Hospital, project manager for the implementation of an electronic medical record and clinical manager.
INTERIM VP/PATIENT CARE SERVICES: While a national search for a permanent VP is under way, nationally known nurse leader Barb Campfield joined St. Mary’s in January to fill the role performed by Joan Beglinger for 22 years. Barb is president and principal for Partners for Clinical Success, a national consulting firm specializing in leadership, quality and safety improvements, education and peer review, and program development for acute care organizations. Among the many hospitals throughout the country where she has provided interim chief nurse executive services is our SSM St. Mary’s Health Center in Jefferson City, Missouri.
REGIONAL VP/STRATEGIC DEVELOPMENT: A familiar face from Dean will join our regional Wisconsin team and be part of the SSM Health Care corporate strategic planning team. Todd Burchill, who served four years as Vice President for Strategic Planning and Business Development at Dean, will begin March 11. Most recently, he was Vice President of Business Development for the Advocate Medical Group in Chicago, where he worked on physician acquisitions and physician growth strategies for the Advocate hospitals. He also held positions in several Chicago strategy and financial firms as well as played roles at Rush-Presbyterian-St. Luke’s Medical Center in Chicago and Henry Ford Health System, Detroit. He holds a master’s degree in health systems management from Rush University and a bachelor’s degree in health policy and administration from Pennsylvania State University. Todd will be filling the role previously held by Marilyn Biros, who will be working with Todd until her retirement April 4.
Intra-Operative Anesthesia is Going Live in Epic
Anesthesia departments throughout all of the affiliated hospitals are in the process of adopting the Epic Anesthesia program, which captures and integrates all anesthesia activities into the Epic Record. What does this mean for you?
What is happening?
With the change, the anesthesia physicians and CRNAs will create their pre-operative evaluations, intraoperative records (graphic and notes) and post-operative notes using a new Epic tool. Their ordering process remains the same but begins within the new tools. While learning new workflows and ways to document is always a challenge, Epic will offer real-time access to patient care information and better patient monitoring and reporting capability. The Janesville hospital anesthesia providers went live successfully Jan. 22 and now use the Anesthesia module routinely in their operative anesthesia care.
What does this offer to Epic users?
Surgeons, their Advanced Practitioners and other providers on a patient’s team will not need to change their clinical or electronic health record activity. The Epic Anesthesia program will produce a new Anesthesia Record report available in Chart Review > Encounters listed as “Anesthesia Event.” It includes the Pre-Op evaluation, Intra-operative data (graphic, events list including anesthesia start and stop times, and medications) and the Post-Op note. All of the information captured during anesthesia will be available in this single report. After go-live, there will be no more scanning of separate paper anesthesia records. When is this happening? The operating rooms at St. Mary’s Hospital in Madison will go live Tuesday, March 12, 2013. The Surgery and Care Center in Madison will go live Tuesday, April 2, 2013.
– Dr. Jim Porter
Four Drugs OK’d for Use
Lexiscan, Omnicef, Toviaz and Relistor have been approved by the Pharmacy and Therapeutics Committee. Read the Pharmacy Newsletter.
Easy Access to Library Resources
St. Mary’s Medical Library offers easy ways to get the information you need – among them, a quick and easy search through online journals and the “Ask a Librarian” button on the Medical Connections and the Medical Library websites. Read more.
Lay It On the Line for Us – Take Our Survey!
2013 is St. Mary’s second year of participating in the Press Ganey Physician Partnership Survey, which focuses on satisfaction as well as engagement. The response rate for 2012 was 53%, and our goal for 2013 is 65%. Your ongoing input is essential as we work in partnership to create an environment where clinical excellence and your work satisfaction flourish. Any questions about the survey may be directed to Sara Sievers at 259-5380. If you received an invitation letter from Press Ganey, please complete the paper questionnaire or use the link provided to complete your survey online. The survey period ends March 27.
Know a Nurse Who Deserves a Scholarship?
Applications are due March 22 for the 2013 St. Mary’s Nursing Scholarships, and physicians can play a role by encouraging good candidates to apply ultimately advancing our health care workforce. To be eligible for the $1,000 to $5,000 grants, nurses must be enrolled in a BSN or MSN degree program, have earned at least half the required credits by May 31, work at least half time and have at least three years of work experience with St. Mary’s Hospital or Care Center. Applications are available in Human Resources, St. Mary’s Foundation or click here.
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Some Tips to Boost Patient Satisfaction
A recent survey by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) revealed this simple act as a way to boost patient satisfaction: Pull up a chair. When doctors sit down to talk with them eye to eye, patients report feeling more empathy, interest and concern from their providers.
Here are some tips to effectively meet the patient's needs:
- Fully enter the room and make eye contact with a patient when discussing treatment.
- Sit down whenever possible. Physicians who sit down during their visits are rated by patients as having spent more time than those who remain standing.
- Allow the patient to "tell their story" without interruption. The average amount of time that a physician allows a patient to speak before interrupting is approximately 20 seconds.
- Inquire, before departing, if there is anything else that the patient would like to address. Studies show patients save the most salient or troubling questions for the end of the encounter.
Walking in Your Shoes: Gifts from St. Mary’s Foundation
Physician Spotlight: Dr. Lori Wendricks House
Dr. Lori Wendricks has an alter ego. Yes, in her professional life she employs her maiden name (Wendricks) but in her personal life she takes her husband’s last name (House). But it doesn’t end there. Just ask the 10,000 skiers at last month’s American Birkebeiner cross country ski event.
Thanks to her proven ability and passion for the 54-kilometer Birkebeiner Trail, Lori was selected to portray Queen Inga in the re-enactment of the 800-year-old legend that inspired the creation of “the Birkie.” As the queen, she was dressed in a 13th-century costume and donned wooden skis to lead 10,000 skiers from Hayward, Wisconsin, to Cable, Wisconsin. The event celebrates the historic rescue of Queen Inga’s son during the Norwegian Civil War in 1206. (For more details: http://www.birkie.com/page/show/463961-history) She is pictured with St. Mary’s Foundation Executive Director Sandy Lampman.
Nordic skiing is among her favorite pastimes when she’s not helping women with their health and the birthing process. Board-certified in gynecology and obstetrics/gynecology, she joined Dean Clinic in 2000. In addition to obstetrics, her medical interests include endometrial ablation, hysteroscopic surgery and pelvic floor reconstruction.
She received her bachelor’s and medical degrees from the University of Wisconsin-Madison and did her residency training in 2000 at Exempla Saint Joseph Hospital in Denver. She is a member of the American College of Obstetrics and Gynecology, Society of Laparoscopic Surgeons and the Wisconsin Medical Society.
St. Mary’s Foundation made distributions and commitments of $1,257,776 in 2012. Many of them directly affect your work on the medical staff. Recent purchases include Crit—lines • Vein Viewing Systems • Maestro 3000 Cardiac Ablation System • Vocera System • Cordless/Wireless Barcode Scanners • EEG—Monitor Nerve Integrity • Hearing Screener. Memorial Fund Honors Dr. Karl Rudat
The life and work of Dean physician Dr. Karl Rudat are celebrated through a new fund established by St. Mary’s Foundation. Gifts will support St. Mary’s Birth Suites, where Dr. Rudat delivered babies for 34 years before he passed away unexpectedly in 2011. To make an online gift, click here and be sure to designate “Other” and note that you wish to support the Dr. Rudat Fund.
New St. Mary’s Intranet to Launch in April
The one-stop shop for policies, procedures, clinical resources, St. Mary’s news and SSM system initiatives will get a new look and tighter organization in April. Look for improved functionality, navigation and search engine to help find the resources needed to work effectively and efficiently. In addition, the site promises job-specific links that will promote better information sharing and engagement among colleagues. Click the image on the right for a larger view at the new site.
In Memory: Don Logan
Dr. Donald C. Logan, retired Dean Clinic cardiologist, passed away in early in January 2013. He joined Dean in 1975 and was instrumental in developing what has evolved to be the Dean & St. Mary’s Cardiac Center. In 1995, he became the first medical director for St. Mary’s/Dean Ventures and then in 1998 became the first chief medical officer of Dean Clinic, serving in this role until he retired in September 2006. A memorial service will be held later this spring in Madison.
New Faces on the Medical Staff Click here.
Dr. Robert Gilbert and Dr. Mark Kaufman were honored with Lifetime Achievement Awards for their leadership and vision with Dean. During his career, Dr. Gilbert served as chair of the DHS Board of Directors, became Dean’s first Medical Informatics Director and was a pioneer and advocate for instituting the electronic health record. Dr. Kaufman, who will retire in June, played key roles at Dean Health Plan: a Medical Director and then Chief Medical Officer. He later served as DHS Board Chair, Interim CEO and Chief Medical Officer for Dean Clinic.
Honors and Recognitions
Congratulations are in order for institutional successes and for our colleagues who go above and beyond the duty of their day (or night) jobs.
Phyllis Fritsch, President and CEO of Upland Hills Health in Dodgeville, received a Lifetime Achievement Award from the Dodgeville Chamber of Commerce for her commitment to quality health care in rural areas from the early 1970s to present.
Sarah Coyne, an attorney for SSM Health Care of Wisconsin and partner with Quarles & Brady law firm, was recognized as a 2013 Leader in the Law by Wisconsin Law Journal.
Turville Bay MRI & Radiation Oncology Center, which is jointly owned by St. Mary’s and Meriter, broke ground on a new MRI clinic on Deming Way in Madison. This fourth location for these services will be operational by spring 2014.
Guardian Angels: Nine physicians have been honored as Guardian Angels during the second and third quarters of 2012 for their exceptional care. Patients and families have made a gift to St. Mary’s Foundation to honor the following physicians:
Dr. Edward Ahrens
Dr. Richard Lee Carter
Dr. Susan Davdison
(Maternal Fetal Medicine)
Dr. Michael Holt
Dr. John Phelan
Dr. Karl Szewcyk