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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
Service Area
Projected Growth
185,650
187,033
188,425
189,828
191,242
192,666
194,101
195,546
197,002
198,469
186,764
189,775
192,793
195,387
197,366
198,643
199,728
200,829
201,946
203,079
184,278
184,278
180,000
190,000
200,000
210,000
2009 2011 2013 2015 2017 2019
Claritas
Kia Projections
Ten-year projected impact of the KIA plant on the
WGH service area is expected to increase population
by 20K People
ServiceAreaPopulation
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)
“Creating A Culture”
IT Image Improvement
• Retooling Staff
• Training, and Retraining, and Training
• Education on “the business”
• Talent Selection (Rigorous)
• Evaluation (Rigorous)
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
Retooling…..
• Not just IT…
– Finance
– Billing and collections
– Everywhere??????
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
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
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
Patient Safety - Collaborative
Approach
• Daily Safety
Huddles
• Grand Rounds in
ICU
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
• AIDET
• Daily Staff Huddles
• Monthly Rounding
• Discharge Phone Calls
Hardwiring Excellence

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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
  • 3. Projected Growth 185,650 187,033 188,425 189,828 191,242 192,666 194,101 195,546 197,002 198,469 186,764 189,775 192,793 195,387 197,366 198,643 199,728 200,829 201,946 203,079 184,278 184,278 180,000 190,000 200,000 210,000 2009 2011 2013 2015 2017 2019 Claritas Kia Projections Ten-year projected impact of the KIA plant on the WGH service area is expected to increase population by 20K People ServiceAreaPopulation
  • 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
  • 7. Retooling….. • Not just IT… – Finance – Billing and collections – Everywhere??????
  • 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
  • 13. • AIDET • Daily Staff Huddles • Monthly Rounding • Discharge Phone Calls Hardwiring Excellence