Greatest_Hits_Book_2019

Best Quality continued

• Initiated successful integration of Quality & Patient Safety leadership, best practices and standards to advance safe patient care and performance excellence across all Geisinger platforms (e.g. Geisinger added “Safety” as a core value). • Demonstrated cost avoidance of $2,775,000 through implementation of treatment protocols for Procalcitonin and Antibiotic Stewardship Program. • Collaborated with Health Engagement to further reduce Emergency Department Utilization with targeted “Right Care, Right Time” future model messaging to NJ Horizon Health members by redirecting these members to Urgent Care Centers or Federally Qualified Health Centers (FQHC) in their own neighborhood. • Completed Anesthesia Pyxis expansion to improve drug storage, security and accessibility to include endoscopy, interventional radiology and cardiac catheterization lab. • Increased Thrombectomy volume by 113% to treat emergency stroke patients with large vessel occlusion through Rapid Processing of Perfusion and Diffusion (RAPID) software implementation and optimization of stroke triage algorithms. • Yielded a steady decrease in revisits from Medicaid patients through City Campus Licensed Clinical Social Worker (LCSW) pilot to help patients navigate the health care system. • Observed 20% of Clinical Effectiveness Diagnosis Related Groups (DRG) teams (17 total) performing under target for variable cost reduction and/or length of stay versus national top performing peers. Highlights include: – Cardiac Surgery Valve Team – Three-day length of stay reduction and $48,000 savings; – Cardiac Procedure Percutaneous Coronary Intervention (PCI) Team – One day length of stay reduction and $170,000 savings; – General Surgery Team – Reduced length of stay by 1.6 days; – Mom & Baby Team – Reduced 0.6 length of stay days and $337,000 compared to baseline. Healing Atlantic County • Expanded addiction services by enhancing Medication-Assisted Treatment (MAT) and open access while positively impacting the clinical service gap. • Trained over 260 clinicians and providers on addictions through three conferences held in FY 2019. • The Opioid Overdose Recovery Program (“OORP”) staff was recognized for their best practices in high engagement of those outreached into treatment and the highest number of follow-up phone contacts by the NJ Department of Health (“DOH”). • Launched NarxCare, which automatically queries the Prescription Drug Monitoring Program (PDMP) and offers prescribers a list of prior controlled prescriptions as well as an abuse risk score. • Expanded recovery support services beyond the Emergency Department, reaching 800 individuals through recovery specialists and an additional 250 through community recovery events in the community. • Developed and implemented a non-opiate Pain Management option, Nitrous Oxide Protocol, for laboring obstetrics patients. • Decreased use of opioids by 14% across seven indications for Emergency Department patients through the use of evidence- based orders as alternatives to opioids. • Implemented six new protocols related to opioid use in the hospital, including medication assisted treatment and inpatient pain protocols. • Implemented three Drug Enforcement Administration (DEA)-registered medication take-back boxes to help remove unused and unwanted narcotics and other medications from the streets of Atlantic and Ocean counties.

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