1. Primary Care Expansion Enhance Urgent Medical Advice
DSRIP in Action
Primary Care Expansion
Enhance Urgent Medical Advice

2. Agenda 10:00 am – 10:15 am: Welcome and Introduction
10:15 am – 11:00 am: Project Highlights
Primary Care Expansion
Enhance Urgent Medical Advice
11:00 am – 11:30 am: Forum Discussion
11:30 am – 12:00 pm: Tour of Facility
12:00 pm – 1:00 pm: Networking Lunch

3. Primary Care Expansion - Overview
Identified the need for expanded primary care services
Goals of Program
Increase access to healthcare in the primary care setting
Decrease the utilization of the Emergency Department (ED) for non-urgent care
Provide our patients with the right care in the right setting while controlling costs
Shared vision
Increase access to health care in the primary care setting for our county residents and decrease the utilization of the Emergency Department (ED) for non-urgent care. (Category 3 – IT-9.10a ED Throughput Measure Bundle)

4. Project Overview Metrics
Expand our primary care clinic by 8 exam rooms (from 12 exam rooms to 20 exam rooms)
Expand our primary care clinic hours by 9 hours per week (from 40 hours per week to 49 hours per week)
Expand our primary care clinic staff by hiring 1 additional mid-level provider
Increase primary care clinic volume of visits
Develop a tracking system for measuring time to next available offered appointment
Patient satisfaction scores (Press Ganey)

5. Construction Begins!
January 16, 2015

6. Expanded Clinic
Our new clinic opened October 19, 2016.

9. Challenges Educating the community on what is an appropriate ED visit
Increasing clinic encounters to meet reporting goals
Consistency with implementation of new policy and procedure

10. Successes
Expanded TRHC by 8 exam rooms (from 12 exam rooms to 20 exam rooms)
Expanded TRHC hours by 9 hours per week (from 40 hours per week to 49 hours per week)
Expanded TRHC staff by hiring 1 additional mid-level provider initially. In September 2016, added an additional full-time MD. (from 5 to 7 providers)
Patient Satisfaction scores increased in September 2016 to 90.4%, which was approximately a 3% increase from March 2015.

11. Implementing a Medical Advice Line - Overview
Goals of Program
Provide a FREE 24/7 Medical Advice Line
Contract with TeamHealth
Decrease the utilization of the Emergency Department (ED) for non-urgent care
Provide our patients with the right care in the right setting while controlling costs
Shared vision
Increase access to health care in the primary care setting for our county residents and decrease the utilization of the Emergency Department (ED) for non-urgent care. (Category 3 – IT-9.10a ED Throughput Measure Bundle)

12. Project Overview Metrics Submission of complete protocols
Inform and educate patients on the medical advice line
Utilization of medial advice line
Newsletter Distribution

14. Challenges Educating the community on what is an appropriate ED visit
Increasing medical advice line calls to meet reporting goals
Consistency with implementation of new policy and procedure

15. Successes Engaging the community
Increasing medical advice line calls to meet reporting goals

16. Category 3 – IT-9.10a ED Throughput Measure Bundle
Metrics
Median Time from ED Arrival to ED Departure for Discharged ED Patients
Median time from admit decision time to time of departure from the ED for ED patients admitted to inpatient status
Median time from ED arrival to time of departure from the emergency room for patients admitted to the facility from the ED
Shared vision
Increase access to health care in the primary care setting for our county residents and decrease the utilization of the Emergency Department (ED) for non-urgent care. (Category 3 – IT-9.10a ED Throughput Measure Bundle)

18. Summary
Summarize key successes/challenges
Reiterate key goals
Thanks