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All Hands Meeting

All Hands Meeting. September 22, 2011. Agenda. State of the Division Employee Satisfaction Retinal Camera update Flu Vaccine update E-mails. Update: State of the Division 2011. Michael Pignone, MD, MPH Professor of Medicine Chief, UNC Division of General Internal Medicine.

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All Hands Meeting

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  1. All Hands Meeting September 22, 2011

  2. Agenda • State of the Division • Employee Satisfaction • Retinal Camera update • Flu Vaccine update • E-mails

  3. Update: State of the Division2011 Michael Pignone, MD, MPH Professor of Medicine Chief, UNC Division of General Internal Medicine

  4. UNC Internal Medicine: the future of health care, today

  5. Overview • Clinical • Quality improvement • Educational • Research • Goals and Priorities

  6. Key practice features • Academic mission • Broad patient population • Excellent personnel • Focus on continuous improvement • Innovations in care organization / delivery • Multi-disciplinary team structure • Use of best evidence • Continuity • Patient- centeredness

  7. Outpatient Visits 2007-11

  8. Internal Medicine Clinics2007-11 Gross Charges and Net Receipts Comparison

  9. Actual Balance Better than Budget

  10. Quality improvement • Practice-wide focus on improving quality and patient-centeredness • Continued local and national recognition • Growing program for depression treatment • Robust patient decision support initiative • Recruitment for new QI coordinator

  11. Carolina Advanced Health • Joint project between UNC and NC BCBS • 5000 patients • Located at the Quadrangle (I-40 and 54) • Will open in December • Multi-disciplinary, team-based care • Moving away from fee for service model • Catalyst for many care system and infrastructure improvements • Sarah Smithson and Meg Rutledge will be on staff

  12. Education • Division members hold key positions: • CristinColford: ICM • Christopher Klipstein: 3rd year clerkship • Cristin and Amy Shaheen: ambulatory clerkship • Paul Chelminski: Associate Residency Director • Kristen Amman: Ambulatory Chief Resident • Growth of ambulatory residency training

  13. Research • Strong and growing research portfolio • Lenoir County (Keyserling, DeWalt) • CHD prevention (Keyserling, Sheridan) • PROMIS II (DeWalt) • Decision support for prostate cancer (Lewis) • Multiple EPC projects (Jonas) • New Prevention Research Center (Harris, Lewis, Sheridan) • New Diabetes Translational Research Center (Pignone) • Growing number of mid-career researchers • Key areas: health services research, communication, decision making, literacy, prevention, adherence, implementation

  14. Research training • Career development award holders • Crystal Cene – new NHLBI K award • Dan Reuland –ACS career award • Fellows (NRSA: Carmen Lewis, Co-Dir.): • Arlene Chung • Adebowale Odulana

  15. Goals for 2010-11 • Build success in organized depression care • Develop readmission prevention program • Connect UNC with state and national QI • Develop organized recruitment for primary care careers (student and resident level) • Plan for possible 2nd intern continuity month • Develop long-term ambulatory care strategy • Improve teaching evaluation process

  16. Additional Goals for 2011-12 • Complete Meaningful Use Implementation • Incorporate patient portal • Expand depression program

  17. Questions? Comments?

  18. Employee Satisfaction Steve Desper

  19. Question: I am involved in decisions that affect my work • A committee of administrative staff to discuss implementing new tasks and reviewing currently operational tasks • We will begin each Thursday morning admin staff meeting with an open discussion of current work flow ideas for improvement, and any concerns or questions • Clinic management will be more proactive in discussing possible new projects or work flow alterations as early in the process as is possible to solicit input and suggestions

  20. Question: UNC Healthcare supports me in balancing my work life and personal life • Most felt like UNC Healthcare was generally considerate in this regard, however, some staff feel guilty for taking time off due to the work it leaves for others. Our cross-training program is designed to help with this problem. • Staff also mentioned the difficulties caused by remote parking if they need to respond quickly to family needs. Park and Ride Emergency Ride Back – This service is only available to members of the Commuter Alternative Program (CAP) who have parked their vehicle at a park and ride lot with transit provided by Chapel Hill Transit or requiring a ride to a location within the Chapel Hill/Carrboro city limits, to have access to his/her car/residence in order to respond to a critical situation which is sudden, unexpected, unscheduled, or unanticipated.  962-7867. 

  21. Question: My work unit works well together. • Some groups thought this is a positive feature of our clinic, and most all suggested the expanding the cross-training program would help build team unity and appreciation for what our colleagues do.

  22. Question: I am satisfied with the recognition I receive for doing a good job. • Again, some groups thought this a positive feature of our clinic citing our Thursday staff meeting recognitions, “Pickle” award, Division picnic, and staff breakfasts. Suggested opportunities for improvement include having the physicians, management and supervisors more in touch and in tune with the good things staff do in their jobs on a daily basis and offering recognition.

  23. Question: Senior Management is visible at UNC Healthcare. • This question received a low rating both in our clinic and throughout UNC Healthcare. We appreciate Dr. Pignone’s rapid response to this by presenting a “State of the Division” this morning. All of our leadership will strive to improve our visibility in all areas of the clinic.

  24. Question: I would recommend UNC Healthcare as a good place to work. • All responses positive

  25. Question: I would like to be working at UNC Healthcare three years from now. • All responses positive

  26. Question: My job makes good use of my skills and abilities. • All responses suggested staff have more skills and abilities than are currently used. • Suggestions are to provide more opportunities for staff to contribute through cross • Training and additional opportunities to work on special projects. HEARD LOUD AND CLEAR. MANY THANKS.

  27. Question: Different work units work well together at UNC Healthcare. • One group agreed with this statement. • Other responses sought improvement in the referral/ancillary scheduling process. • A QI team has been assembled to improve this process.

  28. Question: Overall I am a satisfied employee. • All responses positive

  29. Retinal Camera update Steve Desper

  30. Flu Vaccine update Jasmine Levy

  31. Flu Vaccine Update • Between 30 August and 19 September we have given approximately 688 Flu Shots! • Continue to give shots prior to MD/ patient encounter • Flu Clinic Templates Thursday (a.m.) and Friday (p.m.) • Flu Vaccine Visit

  32. E-mails Malinda Williams

  33. RecognitionVictoria Hawk ~ 5 Years Malinda Williams

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