{"id":10165,"date":"2018-12-19T19:10:40","date_gmt":"2018-12-19T19:10:40","guid":{"rendered":"https:\/\/woodriverweekly.com\/?p=10165"},"modified":"2018-12-19T19:10:40","modified_gmt":"2018-12-19T19:10:40","slug":"st-lukes-promotes-strategy-2020","status":"publish","type":"post","link":"https:\/\/woodriverweekly.com\/index.php\/2018\/12\/19\/st-lukes-promotes-strategy-2020\/","title":{"rendered":"St. Luke\u2019s Promotes Strategy 2020"},"content":{"rendered":"

By Hayden Seder<\/span><\/em><\/p>\n

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Carmen Jacobsen, chief operating officer\/chief nursing officer, St. Luke\u2019s. Photo courtesy of St. Luke\u2019s<\/figcaption><\/figure>\n

S<\/span>t. Luke\u2019s hospital network began a journey three years ago to change the way it handles patient care. The problems of unaffordable healthcare, lack of communication between healthcare providers and access to good healthcare, resulted in St. Luke\u2019s long-term plan. Strategy 2020 was created to lower the cost of care while simultaneously improving the quality.<\/span><\/p>\n

The new plan, expected to be implemented by 2020, will be completely patient-centered, whether in hospitals and clinics or at home, and will increase communication with the patient as well as among all of an individual\u2019s healthcare providers. It is designed to ensure that a patient\u2019s care team stays connected and up-to-date on that patient\u2019s care. <\/span><\/p>\n

\u201cOur strategy is rooted in recognizing that the cost of healthcare and the rate it\u2019s rising is unsustainable,\u201d said Mike Fenello, previously the site administrator of St. Luke\u2019s Magic Valley but now the vice president of population health under the new Strategy 2020.<\/span><\/p>\n

\u201cWe feel like the government is not going to be able to solve that problem,\u201d Fenello said. \u201cThe strategy has been to transform our business model so that it enables the transformation of our clinical model.\u201d<\/span><\/p>\n

One of the ways the business model will change with Strategy 2020 is the payment mechanism; once a pay-for-service structure, St. Luke\u2019s will switch to a pay-for-value system where St. Luke\u2019s receives a lump sum (through insurance providers or Medicare) and then is accountable for the quality of care for that individual as well as the total cost of care. <\/span><\/p>\n

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Mike Fenello, vice president of population health, St. Luke\u2019s. Photo courtesy of St. Luke\u2019s<\/figcaption><\/figure>\n

To better understand, Fenello provided an example of a patient described to him by a colleague at another health system. <\/span><\/p>\n

A woman came in and was hospitalized and diagnosed with diabetes. For the next year, this woman ended up coming back to the hospital about twice a week. After a year, the hospital staff finally figured out that when she was sent home the first time, she got the insulin, but it said on the box to keep refrigerated. She didn\u2019t have a refrigerator so she never bothered to get the medication again. <\/span><\/p>\n

Strategy 2020 hopes to ensure that there is enough communication with the patient and the potential for home visits and care that this kind of example never happens again. <\/span><\/p>\n

\u201cWe want to stay connected with patients in a way that we would know she didn\u2019t have a fridge,\u201d said Fenello. \u201cIf we got the lump sum, we can choose what to do with that money and if that means diverting money to keep that patient healthy at home and buying her a fridge, that\u2019s what we\u2019ll do.\u201d <\/span><\/p>\n

More important than using that lump sum to, as in this instance, buy someone a refrigerator, is the ability to stay connected to a patient daily. <\/span><\/p>\n

In the last few years, since the start of Strategy 2020, several pilot programs were tested, including a remote patient monitoring system where caretakers can help patients stay home while regulating and managing their complex medical problems. <\/span><\/p>\n

Patients instead are armed at home with a kit, including an iPad, a scale, blood pressure cuff, and other tools that allow for monitoring blood sugar and heart rate. The information is conveyed back to a group of nurses whose job it is to stay connected with their patients in their home setting. <\/span><\/p>\n

If something like a high blood pressure reading goes off, the nurses will detect that and connect with the patient and, if need be, go to that patient\u2019s home. <\/span><\/p>\n

By identifying problems before they get out of hand, this type of program can lower costs for patients who would usually end up in the emergency department or getting hospitalized, the highest-cost entry points into the healthcare system.<\/span><\/p>\n

Another part of Strategy 2020 is putting behavioral health team members in St. Luke\u2019s physician clinics. <\/span><\/p>\n

\u201cBehavioral health problems are one of the most challenging issues to solve but also an underlying issue that drives up the cost of healthcare,\u201d said Fenello.<\/span><\/p>\n

St. Luke\u2019s has reorganized internally as part of Strategy 2020, particularly at the site level. <\/span><\/p>\n

Across the eight hospitals in the St. Luke\u2019s system, the role of site administrator was eradicated and replaced by a combined chief operating officer\/chief nursing officer. Former chief nursing officer Carmen Jacobsen has taken on that role at St. Luke\u2019s Wood River.<\/span><\/p>\n

\u201cWe felt it was important to have a site leader who lives locally, is connected locally, can focus on the deployment of what we\u2019ve learned and want implemented while also having a clinical background and being an executive leader with an operational background,\u201d said Fenello.<\/span><\/p>\n

Fenello also had a change in role, going from site administrator of St. Luke\u2019s Magic Valley to sharing the title of vice president of population health with two other people within the St. Luke\u2019s system. <\/span><\/p>\n

With most of the pilot program work already done, the St. Luke\u2019s system is now working to bring the new programs and methods to scale in an effective way that can be broadly deployed in each of the St. Luke\u2019s communities. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

By Hayden Seder St. Luke\u2019s hospital network began a journey three years ago to change the way it handles patient care. The problems of unaffordable healthcare, lack of communication between healthcare providers and access to good healthcare, resulted in St. Luke\u2019s long-term plan. Strategy 2020 was created to lower the cost of care while simultaneously […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","_pvb_checkbox_block_on_post":false,"footnotes":""},"categories":[79,18],"tags":[],"class_list":{"0":"post-10165","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-health-news","7":"category-news"},"_links":{"self":[{"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/posts\/10165","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/comments?post=10165"}],"version-history":[{"count":0,"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/posts\/10165\/revisions"}],"wp:attachment":[{"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/media?parent=10165"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/categories?post=10165"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/woodriverweekly.com\/index.php\/wp-json\/wp\/v2\/tags?post=10165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}