1 / 9

Success Stories on Sharing: Clinical Applications Hemodialysis & Neurosurgery David Grant USAF Medical Center (DGMC

2009 VA/DoD Sharing Conference . Success Stories on Sharing: Clinical Applications Hemodialysis & Neurosurgery David Grant USAF Medical Center (DGMC) VA Northern California Health Care System (VANCHCS). Peter Mosher John Majerle Laura Kelly DGMC VANCHCS VISN 21 . Outline.

byron
Télécharger la présentation

Success Stories on Sharing: Clinical Applications Hemodialysis & Neurosurgery David Grant USAF Medical Center (DGMC

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 2009 VA/DoD Sharing Conference Success Stories on Sharing: Clinical Applications Hemodialysis & Neurosurgery David Grant USAF Medical Center (DGMC) VA Northern California Health Care System (VANCHCS) Peter Mosher John Majerle Laura Kelly DGMC VANCHCS VISN 21

  2. Outline • A Short History • Writing PDs and Recruiting Staff • Integrating Operations • Sourcing and Procuring Equipment • Reimbursement / Workload • Establishing Performance Monitors • Advancing the Model

  3. Short History of Joint Venture • Origin: 1993 closure of Martinez VAMC • VA operated Med/Surg unit at DGMC • Jointly staffed Inpt Psych unit at DGMC, no 5150 • ‘88 & ‘95 BRAC – Mather AFB & McClellan AFB • VA opens Sacramento (Mather) VAMC & McClellan OPC • DGMC opens satellite clinic within VA McClellan • New Reimbursement Methodology • Reciprocal rates: fair and equitable • Win-win spirit and open negotiation • Joint Incentive Fund (JIF) Opportunities

  4. Writing PDs and Recruiting Staff • Start Early! • Get help! You don’t have to be the SME • Hemodialysis • USAF: M-W-F; VA: T-Th-Sa • Integration occurred after two years of operation • Staff and patients fully integrated • Neurosurgery • VA staff integrated in ICU, Surgical Unit and OR • Air Force and VA staff operate NS Clinic in VA facility

  5. Integrating Operations • The Joint Commission • And who’s the host? • Existing versus new programs • Credentialing • Tasking complicated by staffing integration • Keep it patient centered

  6. Sourcing and Procuring Equipment • Joint Dialysis Unit • Relocated to old CCU; expanded to 10 chairs • Acid Loop System –improved employee safety • Neurosurgery • Brain Lab: JIF funded equipment advanced the complexity of Neurosurgical work at DGMC • Safe Patient Handling—multiple funding options

  7. Reimbursement/Workload • Hemodialysis • Supplies (significant expense) • Neurosurgery • Lease rate on shared space (75% BOMA) • Focus: bartering staff for surgical procedures • Business Planning • VA patients captured • Meets DoD business plan goals • Plan on creative workarounds!

  8. Establishing Performance Monitors • Establish accurate and comparable community costs • Projected Caseload • Quality/Patient Satisfaction • Monitor staff turnover and backfills • Reduction in wait time for VA consults, surgical procedures and second opinions • Enhance medical readiness capability of DoD surgeons, nursing staff, anesthesia staff and medical technicians

  9. Advancing The Model • Hemodialysis provided: • Access: significant increased services available to Veterans and DoD Beneficiaries alike • Top notch Quality of Care; beyond that available in the community • Patient satisfaction is unsurpassed • New state of the art system opening Dec 2009 • Neurosurgery provided: • Truest success realized in staff/patient integration • Creative reimbursement methodology to capture workload; low impact on business ops • Access: Significant reduction in wait times for VA and minimized impact of deployments on DoD

More Related