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Travel Connections Performance Improvement Leadership Development Program

This comprehensive improvement plan outlines the strategic transition of Travel Connections to Fairview Clinic, aimed at developing a budget-neutral business within General Internal Medicine. Key objectives include increasing pharmacy usage for travel prescriptions and expanding the patient base by enhancing service delivery. The initiative also focuses on academic involvement, research potential, and improved patient tracking systems, thereby ensuring a full-service approach to international travelers through education, vaccines, and personalized healthcare.

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Travel Connections Performance Improvement Leadership Development Program

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  1. Travel Connections Performance ImprovementLeadership Development Program Lynn E. Keplinger, MD, FACP Deborah Kaplan, RN Keith Hampton, MSN, APRN, ACNS-BC February 19, 2010

  2. Sponsor Les Hall, MD - Chief Medical Officer

  3. Advisors Robert Lancey, MD Anne Fitzsimmons, MD

  4. Mascot

  5. Aim Statement One year after transferring Travel Connections to Fairview clinic we will have: • Developed at least a budget neutral business within General Internal Medicine • Increased MU pharmacy usage rate for Travel prescriptions from 12% to 50% • Increased 0% MU identified patients to 5% MU identified while gaining 25% of the patient base into General Internal Medicine

  6. What is Travel Connections? • A full service approach to the international traveler providing education, vaccines, prescriptions and individualized attention to particular health needs.

  7. Why Move Travel Connections? • Timing was right • Academic involvement • Research potential • New product line for General Internal Medicine • Resident and fellow opportunities in both Infectious Diseases and Internal Medicine

  8. SERVICE COMMUNITY

  9. INFLUENCING FACTORS…

  10. Budget Neutral Business • Fixed costs • Salaries • Taxation • Variable sources • Visits • Immunizations (no revenue sharing) • Prescriptions • Downstream referrals

  11. Increased Pharmacy Usage • Establish relationships • Memorandum of understanding drawing on Shoreland protocols • Print prescriptions to Fairview pharmacy without signature • Adequate medication supplies • Codes developed for Fairview prescription tracking • Develop reporting capability for tracking • Vaccine pricing for competition

  12. Documentation • Move from handwritten notes to electronic record • Create PowerNote • Encounter form creation • Secondary provider noted • Validate vaccinations in EMR • Travel history form placed on website • Receipt book

  13. Travel Connections Patient Encounter Form

  14. Travel Clinic PowerNote

  15. Facility • Renovation at Fairview • Transfer vaccine refrigerator • Transfer Travel Connections telephone number to Fairview • Purchase a safe • Set up computers to allow prescription printing • Signage

  16. Stephens College Patient Flow

  17. Travel Clinic Patient Flow

  18. Road Blocks • Negotiate with Dean of School of Health Professions regarding timing of position transfer to General Internal Medicine • Construction in Fairview clinic • Nurse position posting issues • Obtain and purchase protocols • Pharmacy printer functional • Completed PowerNote

  19. And then the Bomb….

  20. A New Stakeholder Emerges… Matt Levsen, Associate Chief Financial Officer

  21. Vaccine Costs/Charges

  22. Initial Projections

  23. Next Steps • Monthly Monitoring • Marketing • Patient Recruitment into GIM • Evaluate Patient Acquisition into MUHC • Community Activities

  24. Patient Tracking • Increased 0% MU identified patients to 5% MU identified while gaining 25% of the patient base into General Internal Medicine • Medical Home development • NCQA Guidelines for Physician Recognition Programs • 9 standards • 7th standard – referral tracking

  25. More Collaborators! David Fleming Nancy Forrest Kim Grissum Paula Heaviland Robert Hodge Tammy Kemp Matt Levson Liz Lukehart • Scott Barger • Debi Bell • Diane Bernard • Beth Bernt • Joe Cameron • Gordon Christensen • Janet Collins • Adam Cullina • Kevin Dellsperger

  26. Even More Collaborators! Don Scharlott Neil Schmidt John Schoemehl Mari Beth Schultz William Sparks Herb Stanley William Steinmann Abby Tuttle Tim Waller Amy Watring • Stephanie Lumley-Hemme • Bill Martin • Del McMillan • David Mountjoy • Richard Oliver • Penny Paisley • David Parker • Sharon Rafferty • Dick Schaefer

  27. Special thanks to Stephanie Lumley-Hemme

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