Hospital Report Card – Strategic Planning

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BMH Community Report: Strategic Planning, Decision-making and Identification of Health Care Needs.

FY 2014 STRATEGIC INITIATIVES

Organization Initiatives

  • Collaboration with Grace Cottage
  • Collaboration with DH-K and DH-L
  • Hospital based physician services agreements
    • Radiology
    • Pathology
    • Anesthesia
  • Vermont Yankee closure and impact on BMH
  • NEAH-Lab project
  • Green Mountain Care Board and Legislative Delegation
  • Psych/SA services and Brattleboro Retreat
  • Population Health
    • CHT/Blueprint for Health
    • Chronic Disease Management
      • HF
      • Diabetes
      • Psych/SA
    • Post-Acute Care
    • Case Management/Discharge Planning
    • OneCare ACO

Patient Care Services Initiatives

  • Surgical Services
    • Consulting engagement
    • Leadership evaluation
    • ACU standards of practice
  • Emergency Department
    • Implement process flow changes
    • Medical leadership development
    • Implement electronic T system for MD and nurse documentation
    • Align CMC and BMH practice protocols and performance standards
    • Complete phase II construction
  • Special Care Unit
    • Develop operational strategy for leadership and optimum utilization
  • Task Forces
    • Lateral violence/bullying
    • HCAHPS

Quality & Patient Safety Initiatives

  • Create a new program improvement plan for BMH
    • Acute psychiatric needs
    • Board quality and patient safety committee
    • Institute a nationally recognized surgical quality program
    • Create service line teams for quality and safety
    • Create dashboards for quality and safety for service areas of the hospital and outpatient areas
  • Value based purchasing scores and reimbursement
  • Reorganize the Quality Department
    • Recruit a manager of Quality Improvement
    • Recruit a Data Analyst
  • Develop a program for physician leadership skills

BMH Physician Services Initiatives

  • Pediatrics
    • A sustainable, high quality pediatric service (Just So/Cornerstone and Brattleboro Primary Care pediatrics)
    • Relocate Just So Pediatrics
  • Maplewood Family Practice
    • Employ Dr. Tony Blofson and Dr. Denise Paasche along with Maplewood office staff, start date 11/1/2013
    • Implement practice management system (11/1/13) and EMR system (January 2014)
  • Physician Leadership
    • New Medical Director BMH Physician Group, Dr. Tony Blofson
    • Restructure & transition new membership BMH Physician Group Advisory Committee
    • Continue to identify BMH Physician Group initiatives
      • High quality healthcare delivery
      • Improved access
      • Improved patient satisfaction
      • Develop standardization and optimal benchmarks
      • Improved efficiencies and alignment as a multi-specialty group practice.
  • Recruitment
    • Family Medicine physician for BFM
    • Internal Medicine physician for BIM
    • CNM for Brattleboro OB/GYN
    • Pediatrician
  • NCQA
    • Cornerstone Pediatrics 12/1/2013
    • Brattleboro Family Medicine 12/1/2013
    • Brattleboro Internal Medicine 5/1/2014
    • Windham Family Practice 5/1/2014
    • Maplewood Family Practice 9/1/2014
  • Post Acute Care
    • Recruit additional provider (s)
    • Streamline & evaluate responsibilities & improve efficiencies (utilizing Greenway)
    • Participate in Post Acute Care initiatives
  • Patient Surveys
    • Research options to implement patient surveys for the BMH Physician Group practices

Information Systems Initiatives

  • Physician Office EMR
    • Continue to next stage of Meaningful Use for each practice
    • Expand and evolve online ordering between physician offices, VITL & the hospital
    • Develop Imaging interface
  • Hospital EMR
    • Achieve Phase 2 Year 1 Meaningful Use in FY2014
    • Implement Patient Portal
    • Implement Document Imaging System
  • Develop and Enhance Clinical Applications
    • Implement T-Sheets EHR application for ED by March, 2014
    • Develop a strategic plan for Information Systems

Finance Incentives

  • Healthcare Reform – OneCare ACO
    • Evaluate participation in Commercial and Medicaid contracts
    • Improve existing Population health management capabilities
  • ICD10 Preparation
    • Ensure software applications are capable of supporting ICD10
    • Provide education and support for training of providers
  • Reorganize Finance Division
    • Utilize NEAH (Roland Lamy) resources to negotiate Managed Care contracts
    • Move more responsibility to Director of Finance
    • Streamline month end closing process
    • Implement Insights for department financial reporting

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Initiatives BMH is undertaking to meet hospital service area needs include:

  • Physician recruiting
  • Expanding/Improving Emergency Services
  • BMH is continuing to work to improve access to mammography screening. According to the Health Status of Vermonters, 2008, breast cancer screening of women 40+ years (mammogram in the last 2 years) is statistically worse in Windham County than Vermont (68% vs. 77%).
  • BMH is actively engaged in the Blue Print for Health Patient Centered Medical Home program.

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 Other Opportunities for public participation with BMH include:

  • Serving as Corporators –150 community members who comprise the Corporators are invited to the annual meeting of BMH and our parent corporation. Corporators also serve on various Hospital committees including the Planning Committee which oversees the creation and implementation of the strategic plan.
  • Board membership and Board responsibility to represent community interests in decision making. The BMH Board is comprised of 11 voting members, 9 of whom are community residents with no other affiliation to the Hospital.
  • Active involvement of 135 volunteers who assist with many aspects of hospital work and who provide ongoing feedback to hospital managers.
  • BMH actively relies on patient satisfaction surveys which gather extensive feedback on hospital services from inpatients, Emergency Department patients, Rehabilitation Services patients and all other hospital outpatients (radiology, laboratory, oncology, cardio respiratory etc.). We use the scores and patient comments to improve our services.

For more information about public participation events, you may contact Ellen Smith, Executive Director of Development & Community Relations at 802- 257-8485 or esmith@bmhvt.org; BMH Director of Community Education Wendy Cornwell at 802-257-8325 or wcornwell@bmhvt.org; or you may access our main hospital website at www.bmhvt.org and click on Events Calendar.