Panel "Anatomy of a Health System- West Georgia Health"
This unique discussion series explores behind-the-scenes looks at the most progressive and high performing health systems in the country. Panelists will discuss critical areas such as inter-departmental relationships, IT as a critical aspect of strategy and more. Attendees will walk away with a better understanding of how departments can effectively work together, tangible strategies for delivering high quality care while maintaining an efficient and secure health information system.
Moderator: Mark Hagland, Editor-in-Chief, Healthcare Informatics
Sonya Christian, MBA, CHCIO, CPHIMS, Chief Information Officer, West Georgia Health
Paul Perrotti, CPA, SVP, Chief Financial Officer, West Georgia Health
Tracy Gynther, Director of Nursing, West Georgia Health
iHT² Health IT Summit Atlanta - Panel "Anatomy of a Health System- West Georgia Health"
1. About West Georgia Health
• Licenses 276 Beds, 250 Nursing Home
Beds, Heart Clinic, Cancer Center,
Hospice, Home Care, Dialysis……
• Approx 500M in Gross Revenue
• Community Based, 65 miles south of
Atlanta
4. Preparing For Growth
• Since 2004…..Educating C-Suite
– Understanding IT, and IT Structure
– Application Ownership
• Best Practices
– Change Control
– Standards
– Application Support
– Business Process (Lean, Six Sigma)
5. “Creating A Culture”
IT Image Improvement
• Retooling Staff
• Training, and Retraining, and Training
• Education on “the business”
• Talent Selection (Rigorous)
• Evaluation (Rigorous)
6. Retooling
• Set the tone, “First thing First” Rudolph
Giuliani
• “No one, no matter how gifted, can
perform without careful preparation,
thoughtful experiment, and determined
follow-through.” Rudolph Giuliani
• Fanatic Discipline – Jim Collins
8. Electronic Medical Record
• Demographics
• Scanned Documents
• Medical History
• Allergies
• Transcribed Reports
• Laboratory Results
• Diagnostic Images
• Orders
• L&D/Fetal Monitoring
• Surgery
• Nursing Documentation
• Emergency Visits
• Medication Reconciliation
• Medication Admin Record
(MAR)
• Physician Orders
• Physician Documentation
• Vital Signs
• Patient Monitoring
• Physician Office Visits
• Other Medical Records
HIMSS Stage 2
• Demographics
• Scanned Documents
• Medical History
• Allergies
• Transcribed Reports
• Laboratory Results
• Diagnostic Images
• Orders
• L&D/Fetal Monitoring
• Surgery
• Nursing Documentation
• Emergency Dept
• Medication Reconciliation
• MAR
• Physician Orders
• Physician Documentation
• Physician Office Visits
• Vital Signs
• Medication Barcoding for
Patient Safety
• Patient Monitoring
• Other Medical Records
• Patient Portal
• Regional HIE
HIMSS Stage 7
(1.9% of
Hospitals)
HIMSS Stage 4
(14% of
Hospitals)
• Demographics
• Scanned Documents
• Medical History
• Allergies
• Transcribed Reports
• Laboratory Results
• Diagnostic Images
• Orders
• L&D/Fetal Monitoring
• Surgery
• Nursing Documentation
• Emergency Visits
• Medication Reconciliation
• MAR
• Physician Orders
• Physician Documentation
• Vital Signs
• Patient Monitoring
• Physician Office Visits
• Other Medical Records
MEDITECH
• Patient Monitoring
• Other Medical Records
• Demographics
• Scanned Documents
• Medical History
• Allergies
• Transcribed Reports
• Laboratory Results
• Diagnostic Images
• Orders
• L&D/Fetal Monitoring
• Surgery
• Nursing Documentation
• Emergency Dept
• Medication Reconciliation
• MAR
• Physician Orders
• Physician Documentation
• Physician Office Visits
• Vital Signs
• Medication Barcoding for
Patient Safety (2012) ***
HIMSS Stage 6 ***
(8.2% of
Hospitals)
HITECH Incentives $3M+
8
Before 2008
2008-2010
2011-2012
2013-2014
9. West Georgia Health Information
Network
Pilot Area: Troup County
Planned Service
Area/Location: Troup,
Heard, Harris Meriwether
Counties
Architecture Type:
Hybrid Model
Service Base: Community
Established in: 2010
10. GaHIN Qualified Entity
• WGH received capacity building grant
for GaHIN – 10/2013
• Became qualified entity for GaHIN –
2/2014
• 3rd
healthcare entity slotted for addition
to GaHIN – late 2014
11. Patient Safety - Collaborative
Approach
• Daily Safety
Huddles
• Grand Rounds in
ICU
12. Use of Lean Principles to Deliver
Quality Health Care
• Pick Boards – Employee Engagement
• Visual Boards – Performance Metrics
• Utilization of Technology – Capture it
Once –– Triggers, Alerts, Real Time
• Hourly Rounding