carroll county memorial hospital mindie stovall lpn, cphq director of quality and clinic nurse staff
TRANSCRIPT
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Carroll County Memorial Hospital
Mindie Stovall LPN, CPHQ
Director of Quality and Clinic Nurse Staff
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About Myself…• Graduated from Saline County Career Center with my LPN
in 2007• Began Working for CCMH in July 2007• I worked on the Medical Surgical Unit for 5 years• April of 2012 I took the position as Quality Coordinator• In May 2014 I accepted the position of Clinic Nurse Director• In November of 2014 I took my CPHQ Exam…and PASSED!!
The Journey Continues….
My personal life consist of 2 daughters that are my life and a wonderful husband who completes us!
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Carroll County Memorial Hospital
• We currently have 3 physicians and 4 mid-level providers• We are a 25 bed facility• We have an Outpatient Clinic that currently treats patients
in the following specialties:• Cardiology• Podiatry• Pulmonology• Urology• Orthopedic• Surgery• GI• Wound Clinic• OBGYN• Oncology
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• Currently expanding our facility with a 43,000 square foot, 3 story addition for Outpatient Clinic, Same Day Surgery, and Physician Office Space
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• 19,989 Outpatient Visits • 235 Inpatients• 3,353 ER Visits• 3,350 Home Health Visits• 28,881 Rehab Therapy Visits
A Glance at Our Services for FY 2013-2014
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Core Measure Reporting
I personally have been reporting Core Measures since I became Quality Coordinator in 2012.
CCMH has been submitting Inpatient Core Measure data since approximately 2004.
In 2010 Outpatient Measures were added for submission.
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Benefits of MBQIP
• Improve best practice• Improve outcomes • Decrease cost• Assist in making sure that the
patient gets the right care every time
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Engagement… Where to
Start• CEO • Providers- (Relate to $$)• Nursing Staff• Ancillary Departments
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• Daily Interdisciplinary Team Meetings followed by rounding to patient rooms
• Implementation of Bedside Reporting • Education to all providers in Medical Staff
and notes above computers• Mandatory training for all nurses on Core
Measures• Cerner Core Measure Order Sets• Daily check-off sheets for all inpatients• Monitoring with re-education as needed• Monthly staff meetings
Some of Our Secrets to Success
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Best Practices
• 100% CEO support!!!• Interdisciplinary Team Meeting every morning for
discussion of patient needs, plan of care, and Core Measure indicators
• Education to all providers, including nurses, regarding Core Measure importance and what it means for CCMH
• Charting/QM orders in the EHR to assist with indicators
• Core Measure Checklist placed outside patient rooms • Discharge Planner/Case Management discharges all
patients to assure that discharge instructions are clear and accurate according to patient diagnosis
• Small laminated cards/notes placed at provider workstations for easy access to Core Measure indicators
• Medical Staff monthly meeting. Review and present Core Measure results and give updates as needed.
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Core Measure Checklist
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EHR Assistance
Cerner Order Screen- Placing the QM order in Cerner reassures that all indicators are clearly stated for providers to view
Quality Measure Indicators for Nurses and providers- This screen is viewable on the patient summaries tab. Providers can order from this screen and nurses can document from this screen to meet all Core Measure indicators
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