Purdue Healthcare Advisors Overview Brochure

Transforming healthcare through innovative solutions.TM

IMPROVE QUALITYMAXIMIZE PERFORMANCE

TRANSFORM HEALTHCARE

Purdue Healthcare Advisors1

PURDUE HEALTHCARE ADVISORS (PHA) specializes in affordable assistance for organizations that share our passion for healthcare transformation. We bring the latest strategies and competencies to improve care, manage margins, and facilitate compliance. Our clients include health systems, provider practices, public health agencies, and architectural firms.

PHA was founded in 2005 as a not-for-profit initiative by the Purdue University Technical Assistance Program, the Regenstrief Center for Healthcare Engineering, and the Indiana Hospital Association. Since then, we have served hundreds of hospitals, trained thousands of healthcare and public health workers, partnered with nearly 100 health departments, and provided EHR assistance to thousands of physicians.

YOUR NOT-FOR-PROFIT PARTNER FOR INNOVATIVE HEALTHCARE SOLUTIONSAffordable assistance to improve healthcare quality, safety, and efficiency.

Transforming healthcare through innovative solutions.TM 2

TABLE OF CONTENTS

3 TRANSFORMATIONAL SERVICES

5 LEAN SIX SIGMA FOR HEALTHCARE

7 HEALTH IT

9 SECURITY AND PRIVACY

11 PREDICTIVE MODELING AND COMPUTER SIMULATION

12 PUBLIC AND POPULATION HEALTH

13 PHA ACADEMY

PHA STRATEGIES AND COMPETENCIES:

� Solution-driven innovators

� Clinical, operational, and technical expertise

� Deep security/privacy knowledge

� Industry trendsetter

� Multidisciplinary team


OUR FOCUS AREAS

THE HIGH-PERFORMING PRACTICE Practices can leverage people, processes, and technology to provide meaningful patient outcomes. Our Lean Healthcare expertise and in-depth knowledge of healthcare informatics provides an innovative approach to facilitate sustainable transformation.

HIGH-CONSEQUENCE CARE SOLUTIONS Healthcare is an industry where failures or errors can be catastrophic. We assist organizations in applying Lean Six Sigma to make America’s healthcare industry the world’s safest and most reliable.

TRANSFORMATIONAL SERVICES

LEAN QUALITY TRANSFORMATION By adopting the Lean management approach, the overall patient care system becomes more reliable, produces high-quality patient clinical outcomes, and brings improved operational/financial outcomes.

PHA pairs onsite consultation/analysis with facilitation, coaching, and/or training to ensure your organization achieves strategic congruence and realizes sustainable improvements.

PHA partners with you to develop your Quality Transformation Plan by assessing your current environment and recommending action plans to best suit your needs.

PURDUE HEALTHCARE ADVISORSEXPERT ADVICE & GUIDANCE

Purdue Healthcare Advisors strives to assist healthcare organizations to create a quality-driven culture of continuous improvement.


PHA OFFERS: � Onsite Consultation

� Facilitation and Coaching

� Education and Certification

� Key Value-Stream Analysis

� Strategic Alignment

TRANSFORMATIONAL SERVICES

SIGN OF THE TIMESSigns went up all over Chicago area-based Franciscan St. James Health reading, “Does this add value for our patients?”

The signs were posted following a PHA executive training program in Lean methodologies. What did (or did not) add value became part of the conversation at executive and leadership meetings.

Meanwhile, Lean teams began such projects as reducing physician scheduling protocols, central-line infections, and inpatient readmissions, receiving patients upon inpatient admission, and decreasing RAC audit losses.

By focusing on value to the patient, Franciscan St. James Health is expected to save $2.5 million.

PATIENT-CENTERED MEDICAL HOME

Achieving Patient-Centered Medical Home (PCMH) recognition through the National Committee for Quality Assurance (NCQA) requires certain essential factors that embody the spirit of the medical home concept.

Our Factor Path™ tool, coupling Lean principles with NCQA PCMH factors, helps you pioneer truly patient-centered medicine.

PHA enhances your patients’ experience and your practice’s operations by leveraging existing strengths, reconfiguring processes, resolving concerns, and creating more cohesive care.


THE LEAN DIFFERENCE

CONSULTING AND COACHING

PHA works with senior leadership to assess the organizational environment, identifying and analyzing key value streams aligned with your strategic goals.

TRAINING AND FACILITATING

PHA’s services enable a core group to participate in Lean improvement initiatives as engaged and informed team members, facilitators, and project leads. We offer introductory sessions, certification courses, and workshops specifically tailored to physicians/clinical staff, management/leadership, and others (see page 13).

CERTIFICATION PROGRAMS

PHA offers both public and private Lean Healthcare and/or Lean Six Sigma for Healthcare Certification Programs. We will take participants through the Yellow, Green, and Black Belt courses using hypothetical clinical/administrative scenarios or improvement initiatives identified by your organization.

� Yellow Belt - Tools to support improvement initiatives and assist in understanding Lean Healthcare.

� Green Belt - Advanced tools, project management, facilitating change, and conflict management.

� Black Belt - Strategic planning to achieve systemic congruence.

LEAN SIX SIGMA FOR HEALTHCARE

LEAN FACILITY DESIGNAN ARCHITECTURAL ADVANTAGE

PHA is convinced of the value inherent in educating/training the professionals who design and build the spaces in which healthcare services are provided.

Our Lean Six Sigma for Healthcare Certification courses can be tailored to the professional development goals of architects and designers.

Providing firms with a Lean foundation equips them with the knowledge they need to confidently influence client design decisions for optimal patient care.


SITUATION Scott Memorial Hospital wanted to reduce transition-of-care time from its emergency department to its Med Surg nursing unit.

SOLUTION While earning Lean certifications through PHA, team participants within the Critical Access Hospital committed to methodologies that put the patient first. They found that reducing the anxiety experienced by the patient while waiting to be moved from the ED to a regular room trumped reducing interruptions for nurses during shift changes. A team decision was made to remove the “no fly zone,” or the time between 6:15 and 7 o’clock in the morning and evening during during which no patients could be transported to another unit.

IMPACT With PHA guidance, the improvement initiatives reduced ED to Med Surg transition time at Scott Memorial by two-thirds.

OUR LEAN TRAINING REVEALED THAT FLOW RESTRICTIONS LIKE THE ‘NO FLY ZONE’ ONLY SERVED

TO EXTEND PATIENT TIME ON THE ER STRETCHER.”

DAWN MAYS VICE PRESIDENT OF NURSING SCOTT MEMORIAL HOSPITAL

PHA.PURDUE.EDU/LEAN-HEALTHCARE

CASE STUDY


ELECTRONIC HEALTH RECORDS Meaningful Use (MU) of electronic health records is composed of dynamic stages that will continue to evolve and challenge groups to move outside their comfort zones.

As a Regional Extension Center, PHA provides support to physician practices and hospitals to ensure both timely receipt of incentive dollars and efficient compliance with the HITECH law.

PHA specialists have a deep MU knowledge base, coupled with connections to federal-level resources.

MEANINGFUL USE � Guidance on Incentives Eligibility

� Guidance to Understand MU Objectives

� Readiness Assessments

� Attestation Assistance

� MU-Compliant Security Risk Assessment (see page 9)

� Guidance and/or Review of Documentation Retention

PATIENT ENGAGEMENTHealthcare reform laws encourage patients to “engage” with their healthcare provider to manage health and wellness needs. PHA guides clients through myriad electronic, patient-engagement support tools to best meet these new patient expectations.

HEALTH IT

QUICK FACTPHA CLIENTS CAN EXPECT TO RECEIVE MORE THAN

$94M IN COMBINED INCENTIVE PAYMENTS OVER THE LIFE OF THE MEANINGFUL USE PROGRAM.

I ADVISE OTHER PHYSICIANS TO GRAB SOMEONE’S HAND

— LIKE PURDUE — AND LET THEM GUIDE YOU THROUGH THE EHR MEANINGFUL USE PROCESS.”

MICHELLE HAENDIGES, M.D. PHYSICIAN AND OWNER HAENDIGES & ASSOCIATES, PCKOKOMO, IND.


SITUATION Columbus Regional Hospital needed to get more than 35 providers to Stage 1 Meaningful Use in 2012 using two disparate Electronic Health Records systems. While the hospital had a lot of expertise in one of the EHR products, it had limited experience with the other.

SOLUTION The hospital partnered with PHA to assist its staff as they learned a new EHR system and applied the federal Meaningful Use objectives to their everyday workflows. PHA provided a HIPAA Security Risk Assessment, a Readiness Assessment, and Attestation Support and Guidance.

IMPACT PHA worked with ONC to determine the true intent of the law and how the data needed to be captured to be compliant with MU. PHA was then able to facilitate conversations between the client and its vendors to ensure the changes were made allowing for timely Meaningful Use attestation.

PHA HELPED US SORT OUT VENDORS’ HESITATION TOWARD CHANGE AND ISSUES WHEN REPORTS DIDN’T

MEET THE LAW’S INTENT. THEIR KNOWLEDGE OF OUR TWO SYSTEMS WAS QUITE VALUABLE.”

CINDY WILLIAMS DIRECTOR, PRACTICE OPERATIONSCOLUMBUS REGIONAL HEALTH SYSTEM SERVICES

PHA.PURDUE.EDU/LEVERAGING-EHR

CASE STUDY


Security breaches can leave providers and practice administrators personally liable, facing monetary fines and jail time if they knowingly fail to protect the privacy of electronic patient health information.

PHA’s IT specialists consult, educate/train, and guide IT departments with in-house projects and conduct in-depth assessments in preparation for both HIPAA and Meaningful Use audits. We work onsite, interviewing key staff, conducting physical walkthroughs of facilities, and performing the reviews, scans, and assessments necessary to create a realistic security and privacy remediation plan.

SECURITY AND PRIVACY

SECURITY CONSULTING/PROJECT MANAGEMENT PHA will advise your team and then equip them with the tools to facilitate in-house solutions.

� Secure Wireless Migration

� Disaster Recovery Planning

� Vulnerability Analysis

HIPAA SECURITY RULE COMPLIANCY ASSESSMENT(Option: Assessment to address EHR Meaningful Use compliancy only)

� Documentation Review

� Administrative Controls Review

� Network Architecture Review

� Vulnerability Analysis

� Physical Walkthrough

� Configuration Review

� Audit Testing

EXPERIENCED IT TEAMPHA’s core team of security professionals comes with a wide range of educational and technology backgrounds as well as industry certifications from (ISC)2, SANS Information Security & Research, and the Information Systems Audit and Control Association (ISACA).


PHA.PURDUE.EDU/SECURITY

SITUATION Rush Memorial Hospital officials wanted to ensure that Electronic Patient Health Information (ePHI), either at rest or in motion, was secure under the best practices possible.

SOLUTION With the latest assessment and validation tools, PHA supplemented Rush Memorial’s IT security/privacy measures through a Network Security/Risk Analysis that analyzed the data at rest and in transit, assessed both physical and virtual spaces, reviewed existing policies and procedures, sought vulnerabilities in system configurations and networks, conducted on-site interviews with select staff members, and presented a threat vulnerability assessment and mitigation plan.

IMPACT With a PHA review, Rush Memorial is well positioned to protect its ePHI as it meets the standards for privacy and security under Meaningful Use and HIPAA.

WORKING WITH PURDUE HEALTHCARE ADVISORS HELPED TO VALIDATE WHAT RUSH MEMORIAL HOSPITAL HAS DONE

FOR YEARS AS A LEADER IN RURAL HEALTHCARE INFORMATICS…MITIGATE NETWORK SECURITY RISK.”

JIM BOYER CHIEF INFORMATION OFFICER/ VP TECHNOLOGY RUSH MEMORIAL HOSPITAL

CASE STUDY


PREDICTIVE MODELING AND COMPUTER SIMULATION

ASSET ALLOCATION: RIGHT PLACE, RIGHT TIMEFrom small practices to large health systems, organizations face the constant challenge of managing operations. Utilizing data from your organization, PHA uses predictive modeling and computer simulation techniques to determine the true probabilistic nature of such scenarios as staffing, facility design, readmissions, and clinical conditions.

PREDICTIVE MODELING/COMPUTER SIMULATION CAN:

� Determine a space’s operational intent through pre-design and redesign phases to reduce walking time and distance for physicians and nurses

� Compute patient arrival patterns, patient health needs, and the department’s status and care pathways to provide adequate staffing models that meet operational, clinical, and financial objectives

� Determine what should be included in surgical preference cards in order to eliminate inventory waste

� Schedule timeslots based on patient types to provide better access to care

� Decrease readmissions

PREDICTIVE MODELING/COMPUTER SIMULATION INVOLVES:

� Process mapping/computational efforts

� Observational and historical data analysis

� Physician engagement

SOME OF THE PROJECT RESULTS HAVE ACTUALLY VALIDATED

CHANGES THAT WE HAD FELT WERE NEEDED, BUT LACKED THE ANALY TICAL DATA TO SUPPORT.”

ANN KEYES, R.N. DIRECTOR OF SURGICAL SERVICES IU HEALTH ARNETT HOSPITALS & PHYSICIANS LAFAYETTE, IND.

AMBULATORY SURGERY CENTER STAFFING

Collaborating with Purdue’s School of Biomedical Engineering, PHA applied predictive modeling/computer simulation to IU Health Arnett Hospital & Physicians’ ambulatory surgery center to understand how layout and staffing levels affect patient access and to determine proportions of staff and rooms to match patient-demand predictions. A high-fidelity simulation confirmed what leadership suspected was needed to increase patient access and decrease average length of stay: one additional anesthesiologist.


PUBLIC AND POPULATION HEALTH

PHA addresses critical Public and Population Health issues through performance- and quality-improvement initiatives.

ASSESSMENT AND PLANNING SERVICESORGANIZATIONAL DEVELOPMENT

� Strategic planning

� Accreditation readiness services

� Assessments of organizational culture and public health system performance/workflow competency

COMMUNITY DEVELOPMENT

� Community health assessments/improvement planning

EMERGENCY PREPAREDNESS AND RESPONSE

� Hazard vulnerability assessments

� Healthcare service continuity planning

LEAN SIX SIGMA FOR PUBLIC HEALTH CERTIFICATIONPHA offers Lean Six Sigma for Public Health Certification courses that involve organization-specific improvement initiatives (see pages 5 and 13).

This training is able to:

� Reduce costs

� Streamline processes

� Improve service delivery

� Prepare for national accreditation

DURING THE ASSESSMENT, WE HAD THE OPPORTUNIT Y

TO SIT DOWN FOR LENGTHY DISCUSSIONS WITH 40 DIFFERENT AGENCIES, SOME OF WHICH WERE NOT AWARE THEY WERE PART OF THE PUBLIC HEALTH SYSTEM HERE.”

STATEWIDEQUALITY IMPROVEMENT Over five years, PHA worked with 71 Indiana counties to assess the CDC’s National Public Health Performance Standards within local systems. Collaborating with the Indiana State Department of Health, PHA measured performance of 10 essential public health services and, in nearly every county, found the area with most room for improvement was the partnerships among stakeholders.

DR. DEBORAH MCMAHAN, M.D. ALLEN COUNTY HEALTH COMMISSIONER FORT WAYNE, IND.


PHA ACADEMY

PHA provides educational opportunities with year-round courses and nationwide workshops. The following list is not inclusive of our complete training catalog.

CONTINUING EDUCATION/WORKSHOPSPHA Academy training seminars enable quick learning and application of emerging, relevant healthcare concepts. CEUs, CMEs, and Nursing Contact Hours are available for select programs.

HEALTHCARE QUALITY

� Lean Healthcare Basics Course � Executive Management Training and

Planning � Intro to Lean Healthcare for Executives � Lean Physician Training Series

� PCMH Workshop

HEALTH IT/SECURITY/EHR

� Security Awareness � Encryption Practices � Meaningful Use Workshops � Health IT Policies and Procedures � Health IT Disaster Recovery Planning

� Identity and Access Management

ONLINE COURSES

� Lean Healthcare Basics Course

� HIPAA Security Training

CERTIFICATION COURSESPHA Lean Six Sigma Certification Courses* are comprehensive and designed to enhance healthcare professionals’ abilities to provide robust, reliable care and treatment to each patient, every time. We offer Yellow, Green, and Black Belt courses.

PUBLIC TRAINING**

� Lean Healthcare Certification Courses

� Lean Six Sigma Certification Courses

TRAINING TAILORED TO ORGANIZATIONS

� Yellow Belt Certification for Executives

� Public Health Departments

� Hospital Systems and Organizations

� Critical Access Hospitals

� Healthcare Design (architects/designers)

*Many of our certification programs are accredited by the National Association for Healthcare Quality.

**Healthcare organizations/hospital systems hosting PHA public-offered certification workshops save their employees 15% on registration for hosted events.

CERTIFICATION FOR EXECUTIVES

Executive leaders explore their role in Lean Six Sigma healthcare over 32 hours of hypothetical-project training — using and applying problem-solving methodologies to be used by frontline teams to establish trust in the process.


SITUATION A highly analytical physician and hospital chief quality officer wanted to improve processes to develop a highly reliable organization. Dr. Theresa Herman wanted to gain exposure to additional tools and techniques to be a change agent for performance improvement.

SOLUTION She honed her leadership skills by earning a PHA Lean Healthcare Black Belt Certification, which taught her to lead by asking questions to get to the root cause of the issue as well as to facilitate the process, not dictate it.

IMPACT As a hospital CMO/CQO, she uses Lean concepts and methodologies daily, from data analysis and process mapping to supporting team members and leading them to grow. Increased collaborative skills have led to mutual respect amongst team members who know their views will be heard and considered, and who understand that the focus is improving the process for the good of the customer.

I FIND THAT I AM THE ‘VOICE OF REASON’ IN TIMES OF STRESS. I TEND TO WANT TO TAKE A STEP BACK TO

UNDERSTAND THE BIGGER PICTURE FIRST AND THEN BEGIN TO ANALYZE THE INDIVIDUAL PARTS.”

THERESA HERMAN, M.D. CHIEF QUALITY OFFICER DUPONT HOSPITAL

PHA.PURDUE.EDU/LEAN

CASE STUDY

Phone (765) 496-1911 | Fax (765) 496-6690 | Email [email protected] | www.pha.purdue.edu

Purdue University 1435 Win Hentschel Blvd., Suite 215

West Lafayette, IN 47906-4158

Date post:	17-Mar-2016
Category:	Documents
Upload:	jeanine-phipps
View:	217 times
Download:	1 times

Purdue Healthcare Advisors Overview Brochure

Documents