Monday, April 25, 2011

Electronic Health Records

Thanks to the leadership of our Chief Information Officer and Vice President of IT, Shafiq Rab, his staff and our partnership with EPIC, we have forever transformed the way we practice medicine and care for our patients at Orange Regional. We experienced one of the best conversions in the nation, going from a paper record to an electronic record for each patient virtually overnight. Additionally, we have already achieved over 90% Computerized Physician Order Entry (CPOE). This is a remarkable accomplishment that improves the accuracy of orders for patients and minimizes delays in care and treatment.

The EPIC system redefines how physicians practice medicine and also provides direct access to best practice methods. It provides us the ability to maintain a single, complete and current patient medical record, thereby enhancing patient safety and accuracy of medical history, outcomes and continuity of care. Patient information is derived off of a single database for inpatient care, ambulatory care and care provided in the private offices of our physicians who choose to participate, allowing clinicians to capture clinical data instantly and more efficiently. Further, the system helps to ensure compliance with organizational best practices at every point in the care process.

Having a state-of-the-art electronic health record system is new and exciting. However, the real benefit is our ability to enhance patient safety, improve patient outcomes, consistently utilize best practices and increase communication of patient information to all necessary clinicians. As we learn to optimize the system in the future, we will have the capability to tap into advanced research using the clinical information now readily available to us.

Many of our employees and physicians have embraced our new technology by contributing to the developments of our EHR functionalities, becoming super users, developing training programs or being on stand-by for support. No matter what your role, together we have taken a huge leap forward. I sincerely appreciate your hard work and dedication.

Thank you for doing your part to make the EPIC “go live” a great success! We will continue to rely on your participation. It is well-known that successful implementations depend on employee engagement. Please stay calm and be patient. I believe we are all eager to benefit from a system that will improve our workflow, increase efficiency and allow us to enhance the quality of care we deliver to our patients.

Wednesday, February 16, 2011

The Greater Hudson Valley Health System

Orange Regional Medical Center and Catskill Regional Medical Center are members of the Greater Hudson Valley Health System (GHVHS). This year, we are integrating the corporate departments into the GHVHS structure including Finance, Human Resources, Quality, Planning and Marketing, IT, Legal, Corporate Compliance and Real Estate and Audit. The purpose of combining the corporate departments is to save money on overhead expenses and standardize work at both organizations. We continue to work closer and more efficiently as one system. This is good for both organizations; strengthening each hospital individually.

Implementation and training for the successful launch of the EPIC Electronic Health Record System is in full swing as we prepare to “go live” in late March. The training program is going very well and I’m very impressed by the enthusiasm of our nurses and physicians. A special thank you to the IT and education staff for their dedication and hard work.

There are many benefits to the EPIC system. One huge improvement will be in the ordering of medications. With physicians ordering prescriptions directly to the pharmacy, hours of time will be saved and the opportunity for errors greatly reduced. This is a key benefit of the EPIC system and will improve the timeliness and safety of medications delivered to our patients.

An extraordinary focus of ours in 2011 will be delivering the new hospital on time and within budget. We’ll continue to monitor costs, keep a close eye on the construction schedule and execute move plans to coincide with a seamless transition for our patients. I recently met with Fred Kummer, President and CEO of HBE, our design-build firm. Coincidentally, Fred was born at Horton Hospital and will celebrate his 82nd birthday on April 23, 2011: the same day we are scheduled to complete construction. Having noted a very special connection to this project, Fred has assured us that it will be completed on his birthday, as scheduled.

There is a tremendous amount of enthusiasm and energy surrounding our progress and what needs to be accomplished this year. Still, favorable patient experiences must remain at the forefront of providing quality healthcare. Starting in January, Lou Heimbach, Chairman of the Board, and I have been making patient rounds. We have interviewed patients at both the Horton and Arden Hill Campuses and have received very favorable feedback from patients and family members. Thank you for all you do in taking great care of our patients every single day.

Wednesday, January 19, 2011

Happy New Year

This will be a monumental year for our organization. We will make historic transformations in the way we deliver healthcare by implementing our Electronic Health Record (EHR) system and consolidating the Arden Hill and Horton Campuses into our new state-of-the-art facility. We are also expected to provide excellent care to every patient, every day. All of the steps we take to accomplish these goals will require patience, flexibility and a great deal of energy.

Training for EHR is well underway with approximately 600 scheduled sessions for the nurses, physicians and employees required to use the system. This extraordinary training effort is key to the success of one’s ability to effectively use the system to deliver patient care; we cannot just “go through the motions”. When our EHR system goes live in March, the paper chart will disappear and will be replaced with the electronic patient chart. You will need to implement what you have learned. There will be a significant support system in place, comprised of EHR experts, to assist throughout this transition.

Construction of the new hospital continues on budget and on schedule with completion expected in late April. Soon after, equipment and furniture will be delivered and installed, numerous inspections will be conducted by various State and local agencies, an intense cleaning effort will be conducted and all staff will be oriented. Our expectation is to be completely moved into our new hospital campus by late August with all patients, from the Arden Hill and Horton Campuses, transferred in one day.

In the meantime, we need to remain focused on patient satisfaction and achieving successful patient outcomes. As we have witnessed with our outstanding Joint Commission survey last month, we can achieve any goal, when we stay focused and work as a team. Additionally, patient rounding is an extremely effective way to increase patient satisfaction. Therefore, Chairman of the Board Lou Heimbach and I are making patient rounds twice per month. While we will be visiting with our patients, we also look forward to seeing you in our travels.

I am very proud of our accomplishments to date. This year will mark a milestone for us as professionals and as an organization. It will also be a new a new era for our patients and an opportunity for us to raise the bar for healthcare in the entire region. Exciting and challenging days lie ahead. Please do your best every day and stay focused. Together, as a team, we can achieve success.

Wednesday, December 15, 2010

Seasons Greetings

As we prepare to close the year, I want to thank our hospital family for your contributions. Collectively, your efforts touched the lives of thousands of patients and their families throughout the year.

As I look ahead, we have a very exciting year on the horizon. I seek your continued support and participation in all initiatives at Orange Regional: improving patient satisfaction and employee engagement; becoming a LEAN hospital; going live with our EHR System; opening our new facility and continuing to sustain existing and develop new service lines. Improving the health of our community by providing exceptional care requires dedication and commitment from everyone.

Please enjoy this holiday season. I wish you a peaceful, happy and healthy New Year.

Friday, November 19, 2010

A Thanksgiving Message

As we enter the season of Thanksgiving, I would like to extend a heartfelt thank you to our hospital family for your contribution to improving healthcare in our region.

Collectively, our efforts have touched the lives of thousands of patients and their families who turn to Orange Regional Medical Center each year. I would encourage everyone to take a few moments to reflect on the areas in your life that require gratitude.

Organizationally, there is a great deal to be thankful for. Examples include, but are not limited to, the countless lives saved with services such as angioplasty, as we are on track to perform more than 2,000 catheterizations by the close of 2010. Our Core Measures data continues to improve which means we are delivering quality healthcare using proven therapies, developed by The Joint Commission, to treat our patients. Our patient satisfaction scores are increasing which is a reflection of the care we provide. We are on time and on budget with the construction of our new hospital. To date, Capital Campaign contributions total more than $20 million toward our $21 million goal. Due to our commitment to manage our organization responsibly, we are financially stable which allows us to provide new and enhanced services to our community.

The magnitude of what we do everyday demonstrates the significant role Orange Regional plays in our community. For this, our patients thank us. I, in turn, offer my sincere appreciation for your dedication and focus in working to meet and exceed our patients’ needs as we continue to work toward being the best regional hospital in New York State.

I wish you and your families a safe and healthy Thanksgiving holiday.

Thursday, October 21, 2010

Patient satisfaction improves

Congratulations are in order for the significant increase in our second quarter patient satisfaction scores! When we focus and work together as a team, our patients reap the benefits of a positive healthcare experience. Our second quarter results indicate that the inpatient and Emergency Department surveys have earned their highest scores to date. In addition, our combined outpatient scores show a positive and steady increase.

Hospitals across the nation are required to participate in patient satisfaction surveys offered by certified vendors. Our patient satisfaction results are gathered and reported by the National Research Corporation (NRC). NRC randomly selects patients to fill out a survey in an attempt to measure their satisfaction of the services received at our facility. Once all surveys are collected and the information is compiled, quarterly satisfaction results are tallied by the NRC, compared with national and regional scores and sent to Orange Regional. We then analyze the data and make adjustments where necessary while celebrating the successes where indicated. In addition, our satisfaction scores are submitted to the Centers for Medicare & Medicaid Services (CMS) and are publically available on the internet for patients to view and consider when making their healthcare choices.

Patient satisfaction surveys are designed to measure the “patient experience”. A positive experience influences how our patients rate their overall stay. Every interaction with a patient is important and is the responsibility of each and every employee, physician and volunteer. Remember, survey questions are not limited to clinical topics. They include questions that relate to kindness and compassion of the staff, demonstration of team work and camaraderie by all employees and whether the patient perceived staff members to hold each other accountable for delivering quality care.

Our priority at Orange Regional is excellence. By continuing to keep the patients’ comfort and favorable experiences forefront, as a team, we will continue to earn credibility and trust as a quality healthcare institution that people choose as their provider of choice.

Sunday, September 12, 2010

new hospital taking shape

Construction of your new hospital is rapidly taking shape. While it is still an active construction site, there are areas in and around the structure that are now well defined. We remain on schedule with an anticipated completion date of April 2011. Construction of the exterior is just about complete and, shortly, you will see the landscaping and exterior signage. The landscaping is set to include extensive plantings within the interior of the loop road around the perimeter of the hospital. An elaborate healing garden at the main entrance of the hospital will also appear soon. Exterior signage will include entrance signs, various signs for direction throughout the campus and signs attached to the building.

Inside, the mechanical, electrical and plumbing installations are 90 percent complete. The walls, flooring, ceiling and painting are 50 percent complete. Our $24 million medical equipment plan is in the final stages of implementation. GE was selected as the primary vendor for imaging and monitoring equipment. Smaller packages of medical equipment are also being finalized and over the next seven months, fixed medical equipment will be installed. Simultaneously, furnishings, fixtures and moveable equipment will be finalized.

Additionally, the information technology and telecommunications infrastructure is being installed to support the electronic health record, telemetry and other wireless applications. Our new facility will provide a state-of- the-art backbone for present and future technology requirements.

Helping to shape the extensive New York State Department of Health’s inspection process, our leadership team has recently developed an internal process and a Steering Committee to carry out the large number of tasks related to final approval. This requires the assistance of department managers. An organization chart of the Steering Committee has been provided to all managers along with a detailed explanation of the information required for your department.
Once construction is complete, it will take an additional 14 weeks for the new hospital to become patient ready. This 14 week transition period is mapped out in a move management plan that is being developed with the input of all departments. It is anticipated that the facility will be fully operational in late summer 2011.

Fundraising is a significant component in making our new hospital a reality. To date, we have nearly reached our goal of $21 million for the project. I greatly appreciate your contributions.
There is a tremendous amount of enthusiasm and positive energy surrounding this endeavor. Thank you for all you’ve done in helping our organization reach so many project milestones. I encourage your continued support and cooperation as we work toward the final phases of construction in the coming year.