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The GI Lab at Denver Health. Brian Listy, RN – GI Lab Manager Diogo Barbosa – GI Lab Care Navigator. Denver Health…. A comprehensive, integrated health system providing level one care for all, regardless of ability to pay
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The GI LabatDenver Health Brian Listy, RN – GI Lab Manager Diogo Barbosa – GI Lab Care Navigator
Denver Health… • A comprehensive, integrated health system providing level one care for all, regardless of ability to pay • Twenty-five percent of all Denver residents receive their health care at Denver Health • Provide access to the highest quality health care, whether for prevention, or acute and chronic diseases, regardless of ability to pay
The GI Lab at Denver Health… • Direct Access endoscopy: colonoscopy, flexible sigmoidoscopy and EGD • Our dedicated team of Doctors and Nurses provides expert, patient centered care • ~3000 colonoscopies annually (5,000 total procedures) • In-house, patient centered scheduling • Increasing capacity for new patients
Key Changes in the GI Lab… 2016 • Epic implementation • Internalized scheduling • Stable capacity (avg. ~108 appts./week) • Small increase in volume • Increased navigation volume
Key Changes in the GI Lab… 2017 • Scheduling fully functional • Patient centered, creative scheduling • New hours of operation • Aggressive volume growth plan (+7.5% YTD over 2016) • Aggressive capacity expansion (+11% YTD over 2016) • External referral focused
Navigation in the GI Lab… • DH and CCSP have partnered for more than 10 years • CCSP grant funded patient navigation started 2014 • Denver Health’s CCSP funded Patient Navigator has navigated over 1,250 patients to date • Average of 450 GI patients navigated per year • 2016 was a BIG year! 700+ patients navigated
Navigation in the GI Lab… • Navigation continuity (10 patients diagnosed with CRC) • It’s all about Patient relationships • Clinical relationships are crucial too (MD, RN, navigators, etc.) • Navigating YOUR patient to and through Denver Health
Capacity in the GI Lab… • Capacity increase due to scheduling changes and procedural efficiency gains • Aligned MD and RN schedules with patient schedule • Greatest capacity gained from 4th procedure room • Average 119 appointments/week (+11%) • Planned additional 2-4 appointment slots per week
External referrals to the GI Lab… • YES! The GI Lab does accept external referrals • Colonoscopy, EGD, flex sig, ERCP, EUS • Medicare, Medicaid, commercial, uninsured* • Timely follow-up communication • Detailed report with HD images given to patient at DC • Detailed report with HD images faxed or emailed to provider • Scheduling • In-house, responsive, flexible, creative and patient centered • How do you refer to the GI Lab at DH? *Must be a resident of the City and County of Denver and meet financial criteria
Accessing services in the GI Lab… REQUEST FOR ELECTIVE DIRECT ACCESS FLEXIBLE SIGMOIDOSCOPY, COLONOSCOPY, OR UPPER GI ENDOSCOPY Link: Direct Access Referral Form
GI Lab Contacts and Connections… GI Lab Key Contacts GI Lab Scheduling 303.602.1926 Joel Levine, MD Chief Gastroenterologist joel.levine@dhha.org 303.602.5018 Diogo Barbosa Care Navigator diogo.barbosa@dhha.org 303.602.6814 Brian Listy, RN Manager brian.listy@dhha.org 303.602.1980 Visit Digestive and Liver Health For more information
Denver Health Contacts and Connections… Other Denver Health Contacts • Website: DenverHealth.org • Main Hospital: 303.602.4000 • Enrollment Office: 303.602.2310 • Enrollment Van: 303.912.0263 • Community Cancer Resource Center 303.602.6809 For your convenience, Denver Health accepts a variety of insurance plans including: Medicaid, Medicare and many more
Thank you! Questions?
