South Carolina Hospital AssociationOctober 4, 2012

Data is not the answer: it Data is not the answer: it just points you in a just points you in a direction… direction…

DATA = Information + Experience =Knowledge … Wisdom….

GOOD DECISION MAKINGGOOD DECISION MAKING

Build your Community Health Plan

Implement your Community Health Plan

Measure the impact of your Community Health Plan

It all begins with …

Asking lots of questions,

Asking the right questions,

and

Knowing when to stop and when NOT to stop….

10%: No Teeth

8%: No prenatal care

17.2% live in poverty

25% Smoke

African Americans: Death from

heart disease 2X greater; Diabetes,

3X greater

49% ER visits – non-emergent

65% overweight or obese

Highest teen pregnancy rate in SC

High infant mortality rate

15% readmissions

BUT…

Data can be your best ally

or your worst enemyworst enemy

Example

Spartanburg Regional: 15% Readmission Rate

Solutions:

Internal Hospital Focus: Better manage the patient

while in the hospital Improve Discharge

Planning efforts Send the patient home

with medications

OR…..OR…..

Identify global solutions:External focus!

Upstate Care Transitions Coalition 4 Hospitals 3 Counties 20 Community Partners

Example:

49% ER visits: Non-emergent CareER at capacity

Solutions:

Discourage non-emergent use: Copays Discourage ER for follow-up

visit Require payment up front

Expand the ER

OR…..OR…..

Before finding solutions….

Determine the Cause Capacity Issues (Safety Net

providers full) Lack of primary care and

specialty care

Address the Causes Develop solutions to expand

capacity outside the ER

A shocking statistic A shocking statistic can motivate a community can motivate a community to changeto change

It all begins with awareness.

Awareness leads to emotion/anger/frustration/disgrace, etc…

Emotion leads to commitment.

Commitment leads to CHANGE.

10 % citizens have no teeth

Highest teen pregnancy rate in the state

Children in communities that have a Smokefree Ordinance are 44% less likely to ever start smoking

Improving OutcomesReducing Costs

Birth Matters

AccessHealth Spartanburg

Welvista

BirthMatters Participants and Outcomes

Spartanburg County BirthMatters

(mothers age 20 and under)

Racial/Ethnic Composition

85% African American, 8% Caucasian, 7% Latino

Low Birth Weight Births

2% (compared to 10.1% in Spartanburg County)

Mothers Breastfeeding at Birth

93% (compared to 61.2% in Spartanburg County)

Over 2000 clients enrolled750 Cases closed175 graduates

48% reduction IP admissions57% reduction IP charges32% reduction ER visits35% reduction ER charges

13 to 1 return on investment!!13 to 1 return on investment!!

Hospital Investment: $185,000

Return: $5.7 million free meds 50.6% reduction in ER charges 25.3% reduction ER visits 63.6% reduction IP charges 45% reduction IP admissions

$1.7 million savings/year$1.7 million savings/year!!!!

HospitalFinanceQuality Information Services

CommunityDHEC Local universitiesCouncil of GovernmentsCounty government

StateDHECORSState universities

Renee Romberger, FACHEVP, Community Health Policy & StrategySpartanburg Regional Healthcare System864-560-6407 rromberger@srhs.com