In this issue:

• What is Population Health Management?
• KentuckyOne Establishes Corporate Responsibility Department
• Watch for Common Thread this Spring
• Milestone Reached with McKesson Go-Live Date
• Hundreds Attend Baby Fair at Flaget Memorial Hospital
• Meet KentuckyOne Health: Jewish Hospital Medical Center Southwest

What is Population Health Management?

Some new terms are cropping up in conversations across KentuckyOne as we prepare for new methods and models of health care delivery. Issue 8 of Integration Update for Employees discussed the meaning of “accountable care organization.” In this issue, we look at another new term: population health management.

In general, population health management refers to health services and programs that serve a defined population or group of individuals. A population can consist of people who live in a certain geographic area; people who are enrolled in a specific benefit plan; or patients who participate in programs for the care and treatment of certain diagnoses or conditions.

“Population health management is really what KentuckyOne Health is all about,” said Matt Gibson, interim chief strategy and business development officer.  “It’s one of the major reasons that KentuckyOne was established. We want to do more for Kentuckians than treat them when they are sick: we want to prevent illness and promote wellness. We can use our entire continuum of care – physician clinics, ambulatory and outpatient care facilities, hospitals and home health services – to help entire populations better manage their health.”

An important part of population health management will be developing relationships with other health care providers across Kentucky. “We are the largest health system in the Commonwealth, but we can’t practice population health management alone,” said Gibson. “We’ll need to pool our capabilities with those of other providers to deliver the very best care.

“The great thing is that this focus on population health management is simply the right thing to do,” Gibson continued. “Working cooperatively with other providers to help people manage their health, maximize their well-being and minimize the time they need to spend in the hospital – that’s something people can embrace.”

KentuckyOne Establishes Corporate Responsibility Department

As a result of the formation of KentuckyOne Health, the legacy Jewish Hospital & St. Mary’s HealthCare (JHSMH) Compliance Office and the legacy Saint Joseph Health System (SJHS) Corporate Responsibility Office have been combined and renamed as KentuckyOne Corporate Responsibility. The department’s leaders are:

Betsy Hall, division corporate responsibility officer (CRO) for KentuckyOne Health and legacy JHSMH entities. She will be based at the corporate office and is responsible for general compliance for KentuckyOne, oversight of physician enterprise and research compliance at KentuckyOne, and general compliance for legacy JHSMH.

Carla Walter, assistant division CRO and division privacy officer for KentuckyOne Health, and CRO for legacy SJHS entities. She is based in the Lexington office and is responsible for oversight of privacy and contracting for KentuckyOne, as well as general compliance for legacy SJHS.

Additional staff members and their titles, listed by corporate responsibility function, include:

Physician Enterprise
Kim Johnson, physician enterprise CRO
Susan Stine, physician enterprise compliance specialist

Contract Compliance
Christy Mattingly, contract administrator
Stacey Moore, contract coordinator

Lindsay Nunnelley and Ricardo Ocampo will join KentuckyOne as contract coordinators later this month.

Research Compliance
Katy Wane, research CRO

General Compliance
Cameron Franklin, associate CRO for legacy JHSMH entities
Carolyn Prater, associate CRO for legacy SJHS entities

HIPAA/Privacy Compliance
Bev Norton, privacy coordinator for legacy JHSMH entities
Aggie Henderson, privacy coordinator for legacy SJHS entities

Staff Support
Karen Hatfield, senior administrative assistant
Michele Schlake, administrative assistant

Watch for Common Thread This Spring

The first edition of Common Thread to be published by KentuckyOne Health will be introduced in early June. This quarterly magazine will feature inspiring outreach and mission stories about KentuckyOne employees and their extraordinary work to provide the best care possible to our patients and communities. Common Thread will help connect the new KentuckyOne family as the publication travels across Kentucky and southern Indiana to more than 13,600 employees.

There is a common thread that unites us all – our passion for health care, for people and communities, for a healthier tomorrow and an unsurpassed quality of care. Through this magazine, we will share stories of hope, encouragement and transformation.

In addition to being mailed to employee homes for entire families to enjoy, the publication will be mailed to community members and affiliates in KentuckyOne’s markets. Copies also will be made available in patient waiting areas throughout KentuckyOne hospitals and facilities.

The magazine will be archived online at KentuckyOneEmployees.org, where employees can also submit story suggestions and comments.

Milestone Reached with McKesson Go-Live Date

An important CHI milestone has been reached with the decision that four facilities that currently use McKesson’s revenue cycle applications – Saint Joseph Hospital, Saint Joseph East, Saint Joseph Jessamine and the Continuing Care Hospital – will go live with an enterprise version this August.

Employees at these facilities will be fully trained on new features during the coming months. Details on the timing of other facility rollouts will be communicated as they are confirmed.

McKesson STAR is an IT platform that will standardize reporting, measurement and communication throughout the KentuckyOne Health revenue cycle. KentuckyOne is helping to model and lead the way on McKesson platforms and applications across CHI. The end result will be a consistent suite of revenue cycle applications.

Hundreds Attend Baby Fair at Flaget Memorial Hospital

The 10th Annual Flaget Baby Fair held April 28 attracted more than 450 people to the Flaget Memorial Hospital campus in Bardstown. The largest baby fair ever held by the hospital was attended by expectant parents and new parents, plus their family members and friends.

The attendees toured the OB department, browsed vendor booths and hospital displays, watched demonstrations and gathered giveaways, gift cards and educational materials. A 30-minute class on Healthy Babies drew 18 expectant mothers. Nearly 50 prizes were given away to pleased families. One expectant mom was happy to be the grand prize winner of a $500 Chamber of Commerce gift card.

Meet KentuckyOne Health: Jewish Hospital Medical Center Southwest

Jewish Hospital Medical Center Southwest opened in August 2007 as the third outpatient/ambulatory care center in the legacy Jewish Hospital & St. Mary’s HealthCare system. The facility is located in the medically underserved area of Southwest Jefferson County.

Medical Center Southwest provides patients with 24/7 emergency care services; medical imaging and diagnostic services, including MRI, CT, digital mammography, ultrasound, digital X-ray and bone densitometry; outpatient cardiac services; infusion therapy; and laboratory services. Frazier Rehab services are provided at an outpatient clinic at the facility. 

The digital mammography services offered at Medical Center Southwest were the first to be offered to patients in that geographic area of Metro Louisville. Previously, patients had to travel to Eastern Jefferson County for digital mammography examinations. As a community service, Medical Center Southwest provides free meeting room space to community groups and neighborhood organizations in its Community Room, which features full audio/visual capabilities.

In this issue:

• New Central Utility Plant Powers Sts. Mary & Elizabeth Hospital
• Revenue Cycle Team Welcomes New Leaders
• Community Benefit: Charity Care, Outreach Services and More
• Answers to the Questions You’ve Been Asking
• Meet KentuckyOne Health: Continuing Care Hospital

New Central Utility Plant Powers Sts. Mary & Elizabeth Hospital

On the morning of August 4, 2009, torrential rains dropped nearly six inches of water on parts of Louisville in just an hour. Sts. Mary & Elizabeth Hospital stood in the path of one of largest flash floods to ever hit the region. The hospital’s basement – where electrical and mechanical systems were housed – quickly filled with 16 feet of flood water. For the first time the hospital, which served the Louisville community continuously for135 years, had to close temporarily.

On April 11, 2012, the hospital held a dedication and blessing ceremony to celebrate the completion of a new, $16 million Central Utility Plant equipped with state-of-the-art, energy-efficient equipment. The new facility replaced boilers, chillers and air handling units that were estimated to have been in place as long as 53 years.

Two stories high and built above the floodplain, the Central Utility Plant provides flood protection for the hospital’s mechanical systems. Located in the back of the main hospital, the plant provides steam, chilled and hot water and back-up power. In addition, an enclosed mechanical yard outside the new plant houses generators, a fuel storage tank, gas meters and cooling towers. A floodwall guards the south side of the plant.

The Central Utility Plant was partially funded through federal and state disaster recovery dollars. “The governor and I are thrilled that Sts. Mary & Elizabeth Hospital has upgraded its campus with the latest energy-efficient equipment that will serve it and its patients for years to come,” said Lt. Governor Jerry Abramson. “I remember the flooding of 2009 and the damage it did to the city and this hospital. It’s a testament to local, state and federal leaders that we could join together and make this announcement today regarding the future of this remarkable hospital and outstanding community partner.”

The hospital will save approximately $300,000 a year in energy costs as a result of the project.

“Being able to implement such a large energy-efficient, dollar-saving and contained project is a win-win for Sts. Mary & Elizabeth Hospital and the community it serves,” said Louisville Mayor Greg Fischer. “This hospital will be able to withstand natural disasters and continue operations, which is the real bottom line for a full-service hospital facility.”

Revenue Cycle Team Welcomes New Leaders

A recent realignment in the revenue cycle leadership structure will enhance communication and collaboration among KentuckyOne Health facilities and help prepare for major technology initiatives on the horizon, including implementation of McKesson, an IT platform that will standardize revenue cycle functions across KentuckyOne, and Cerner, the platform for the scheduling system and electronic health record to be used in all KentuckyOne acute-care settings beginning in 2013.

The revenue cycle team’s primary responsibilities include patient access (scheduling, registration, insurance verification and financial counseling), health information management (HIM), charge description master, revenue integrity and patient financial services. Three of the new revenue cycle leaders report to Dorothy Zimmerman, regional director of revenue cycle, and two report to Ronnie Simpson, regional director of health information management/charge description master.

Debby Cornett accepted the position of regional director, central scheduling and patient access. Most recently, she was system director of HIM, transcription, scheduling, financial counseling, financial clearance and patient access for Jewish Hospital & St. Mary’s HealthCare. She is a graduate of Eastern Kentucky University and a Registered Health Information Administrator.

Christina DeYoung was named director of the Revenue Realization Center – Lexington campus. For the past seven years, she served as a manager in the Saint Joseph Health system Revenue Realization Center. She is a graduate of Transylvania University and has a master’s of science degree from Eastern Kentucky University.

Kim Sargent accepted the position of regional director, health information management. Currently the McKesson HIM design lead for KentuckyOne, Kim managed health information and privacy for Saint Joseph London and Saint Joseph Berea since 2006. She is a Registered Health Information Administrator and is certified in Health Care Privacy and Security.

Lynn Leavitt was named regional director, charge description master. With more than 30 years of experience with Saint Joseph Health System, Lynn was instrumental in the initial implementation of McKesson in Lexington and is currently the McKesson CDM design lead. She also served as manager of the Revenue Integrity Team.

A director for the Revenue Realization Center – Louisville will be named soon.

“Each leader brings a patient-centered focus on the future and proven success in leading teams to achieve their goals,” said Simpson. “We’re looking forward to working together.”

Community Benefit: Charity Care, Outreach Services and More

KentuckyOne continues the cherished tradition of its predecessor organizations of providing care to those who need it without regard to their ability to pay. And, while charity care is an important safety net for communities, it is only a portion of the community benefit delivered by KentuckyOne.

In nonprofit health care organizations like KentuckyOne, “community benefit” has a specific meaning. Community benefit is programs and services that are designed to improve health in communities and increase access to health care. Community benefit is integral to nonprofit health care organizations and is the basis for their tax-exempt status.

“It’s our tradition and obligation to build healthy communities, and that’s the heart of community benefit,” said Alice Bridges, corporate director of major gifts and mission integration for the former Jewish Hospital & St. Mary’s HealthCare.

Not everything that a KentuckyOne hospital does in its community can be counted as community benefit. In general, programs and services that can be counted as community benefit need must either improve access to health care services, enhance the health of the community, or advance medical or health care knowledge, or they must reduce the burden on the government or other community organizations to meet health needs. Examples of programs and services that are counted as community benefit include free or discounted health screenings, smoking cessation programs, support for health research and development, and even donations of supplies or in-kind services to individuals and nonprofit organizations.

“Community benefit recognizes that not everyone who needs care can or will go to a doctor’s office or hospital, so we and our collaborative partners need to go out into the community to meet their needs,” said Neva Francis, director of community outreach, marketing and public relations for Saint Joseph Martin, who coordinates community benefit for the Saint Joseph and Flaget facilities of KentuckyOne. “It also recognizes that overall health is more than physical health – that we need to address other factors that contribute to a healthy community.”

The Patient Protection and Affordable Care Act of 2010 requires that all U.S. hospitals conduct assessments of community health needs, something that KentuckyOne hospitals have been doing for many years. Now, however, the assessments will become more collaborative, as hospitals work more closely with local health departments and other health providers – even direct competitors – to identify priority needs in the community.

“The increased collaboration will be helpful, because the growing number of people with no insurance coverage is making the need for uncompensated care too great for any provider to meet alone,” said Bridges. “We all have limited resources, and we have to be strategic about identifying and meeting the greatest needs for community benefit.”

“Our approach to community benefit has always been and will continue to be collaborative, because that helps all of us avoid duplication of services,” agreed Francis. “We need to pool our resources and we need to listen to the community in order to deliver what the community really needs – not necessarily what we think they need.”

Answers to the Questions You’ve Been Asking

Do you have a question for Integration Update?
Submit your question here.

Q. Who are the people in the KentuckyOne ads?
A. Our current ad campaign features your KentuckyOne Health colleagues. This is Jon Stempa, RN, of the Saint Joseph Hospital cardiac catheterization lab. We’ll identify others in future issues.

Meet KentuckyOne Health:
Continuing Care Hospital

Lexington’s Continuing Care Hospital is a 45-bed, long-term acute-care hospital. Thirty beds are located within Saint Joseph East and 15 beds are located within Saint Joseph Hospital. Licensed as a general acute-care hospital, The Continuing Care Hospital addresses the unique and complicated physical, emotional, spiritual, nursing and rehabilitation needs of the long-term acute-care patient. The hospital has a separate and independent governing board and its own medical directors.

Continuing Care Hospital serves patients who have:

• Complex medical conditions
• Respiratory infections and disorders
• Ventilator dependence
• Long-term IV antibiotic therapy
• Cardiac conditions
• Wound care needs
• Complex post-surgical conditions
• General debilitation
• Rehabilitation capability with complicated needs
• Length of stay exceeding 25 days

There is no limitation regarding the diagnosis type, patient age, length of stay, or scope of services that the hospital can provide.

In this issue:

• Order Set Review and Discussion Process Improved with Updates to CHIOneCare.net
• Registered Users on CHIOneCare.net Nearly Double in Kentucky
• Meaningful Use Training Offers Hospitals and Providers Additional Support
• The Latest from the Clinical Advisory Group
• Orion Health Chosen as CHI’s Health Information Exchange and Clinical Portal Vendor
• Continuing Education Credits for OneCare Training
• Blended Learning Approach for OneCare Training
• Cerner Design Work for KentuckyOne Health in Progress
• Dragon Software Approved for Cerner Implementations
• Want to Know More About AEHR? Check Out These Valuable Resources
• Frequently Asked Questions about the Ambulatory Electronic Health Record
• Visit CHIOneCare.net to access OneCare tools and resources for KentuckyOne Health.

OneCare for KentuckyOne Health

Order Set Review and Discussion Process Improved with Updates to CHIOneCare.net

Computerized Provider Order Entry (CPOE) order sets on CHIOneCare.net are now easier to access, review and discuss. Order sets remain viewable with one click and can now be accessed by medical specialty. In addition, order sets can now be viewed on a tablet device, such as the iPad. Updated functionality also includes the ability to print order sets using Internet Explorer. Comments and discussion will still occur within the interactive environment accessed on CHIOneCare.net.

Monday, May 14, is the deadline for comments and discussion to be included in versions of the order sets that will be deployed in 2013. KentuckyOne Health clinicians are encouraged to revisit order sets they have commented on to see additional commenting and discussion as order sets are updated and re-posted. Several anesthesia order sets were recently reposted to the website.

For additional information, refer to the CPOE FAQ now available on the CPOE page of CHIOneCare.net in the CPOE Materials for Physicians and Providers box.

Registered Users on CHIOneCare.net Nearly Double in Kentucky

During the month of March, CHIOneCare.net received a total of 2,611 visitors who viewed the site more than 3,900 times. KentuckyOne Health physicians, clinicians and support staff visited the site 421 times, comprising almost 11 percent of the total traffic to the site last month. This made Kentucky the state with the second-highest number of visits to CHIOneCare.net.

Top-viewing cities in Kentucky were Louisville (272 visits), Russell Springs (73 visits) and Lexington (50 visits). Kentucky’s March engagement with the order set reviewing process shows that 74 comments were made on 13 CPOE specialty order sets by 52 individuals (including 28 registered physicians). There was also significant growth in the number of registered users overall. At the end of March, Kentucky had 184 registered users (up from 100 in February). This increase in registered users represents 84 percent growth over February numbers, indicating rising interest and participation.

Order Set Blitz Encourages Continued Participation
Providers and clinicians in Kentucky are encouraged to participate in the important process of reviewing and commenting on order sets. Clinicians and other representatives have been specifically designated to answer questions about the order set process. Watch for posters with commenting deadline information throughout KentuckyOne Health facilities.

If you have not yet visited CHIOneCare.net, register now to review and comment on order sets. If you have already registered, you can support physician participation in Kentucky by encouraging colleagues to register and participate in order set reviews.

If you have questions or comments, contact Sam Brandt, MD, CHI chief medical informatics and telehealth officer, or Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer.

Access Issue Resolved at Jewish Hospital
Some clinicians and providers at Jewish Hospital reported they were unable to access CHIOneCare.net. This was an issue at JHSMH-legacy facility issue only and has been resolved. A software upgrade is underway to alleviate the issue. Computers at Jewish Hospital have been identified with cards and can be used to register and comment on order sets. If you have questions specific to this issue, contact Chip Gibson, IT project manager, Jewish Hospital and St. Mary’s Healthcare legacy facilities.  

Meaningful Use Training Offers Hospitals and Providers Additional Support

In a continuing effort to help eligible hospitals and providers demonstrate meaningful use, CHI has engaged Learning Effectiveness (LE) to implement Meaningful Use training for users and super users as part of OneCare project implementations. The learning activities will be based on the Meaningful Use readiness assessments and gap analyses conducted by Encore Health Resources for OneCare Ambulatory Care Initiative and Hospital Plus Initiative projects. Led by Senior Learning Consultant Jo Ann Curran, with approval from the OneCare Core Team, LE is collaborating with OneCare learning program leaders to define the scope of remediation activity, establish timelines, help implement recommendations and track progress. Learning programs will include course introductions and objectives that identify workflow-related tasks necessary to meet Meaningful Use measures.

For more information about the Meaningful Use project, contact Cheryl Canto, Meaningful Use program manager, at cherylcanto@catholichealth.net.  

The Latest from the Clinical Advisory Group

The OneCare Clinical Advisory Group (CAG) meeting on April 11 provided a forum for organizational leads to share an update on the Cerner design review that took place in Kansas City, Mo., in early April. Participants offered positive feedback regarding their integrated sessions and review.

In addition, CAG members also discussed the proposed Cerner system testing strategy. Key points covered regarding the testing process included:

• The purpose of testing is to ensure that everything designed in the past months is built appropriately and functioning properly.
• The project is in the planning phase; testing will continue to some degree throughout the remainder of the project. In August, the team will begin running the test script and move into integration testing in phases. Testing will continue as problems are identified. The proposed timeline for the first go-live is March 2013.
• Criteria for entering and exiting the testing phase are being determined and will be shared with the various governing bodies.
• The testing resources structure outlines expected resources to be allocated for testing. Testing leads and coordinators will manage test script developers on individuals design teams. Appropriate individuals for these roles will be identified over the next few weeks.

For more information, contact Brian Norris, RN, vice president and regional chief nursing informatics officer.  

Orion Health Chosen as CHI’s Health Information Exchange and Clinical Portal Vendor

Orion Health has been selected as CHI’s Health Information Exchange (HIE) and Clinical Portal vendor. Based on information gathered during a rigorous vendor selection process, the HIE project team and Steering Committee—with sign-off from the OneCare Core Team and Steering Committee—chose Orion Health as the vendor that will best meet CHI’s clinical and technical needs. In accordance with CHI’s OneCare guiding principle of using industry-leading electronic health record systems, Orion Health has demonstrated results over and again.

Iowa was chosen as the first site to launch CHI’s HIE and Clinical Portal, followed by Nebraska. At this time, the remaining implementation timeline is expected to follow the AEHR schedule, however details are still being finalized. The HIE Core Team will meet with Orion Health in April to discuss the exact project scope, timeline and milestones, as well as identify clinical decision points. Once details have been confirmed, more information about the KentuckyOne Health timeline for the HIE and Clinical Portal will be communicated.

CHI’s Health Information Exchange will allow for the reliable and secure electronic transfer of clinical information among hospitals, clinics, pharmacies and labs, as well as between CHI and community providers, state and national health information exchanges, third-party testing centers and various registries. The Clinical Portal works with the HIE to provide clinicians with real-time access to a single, comprehensive view of patients’ medical history, regardless of where they receive care, without having to manage multiple systems and passwords. These tools will help clinicians make the right medical decisions based on a holistic view of the patient.

For additional information, contact Rebecca Madison, HIE program manager.

Continuing Education Credits for OneCare Training

CHI’s Learning Effectiveness (LE) team is working with a health care education accreditation firm to provide a national OneCare program solution regarding continuing education credits for physicians and nurses who participate in OneCare training. Resources and approach are being determined for each market. More information specific to KentuckyOne Health will be shared in the coming weeks.

For more information about continuing education credits for OneCare training, contact Greg Younger, senior learning consultant.

Blended Learning Approach for OneCare Training

This is the first in a series of articles about CHI’s “learning approach” for OneCare.

CHI has adopted a blended OneCare learning approach that combines web-based virtual simulators with classroom training, testing, reference materials and super user support. All employees who participate in OneCare training, including physicians, will utilize the blended curriculum.

According to Kevin Preston, director of Learning Effectiveness, the blended approach is efficient, effective and accommodates all learning styles. “We’re able to provide the right training to the right people at the right time,” Kevin said. “It’s beneficial to the learner, the market and the organization as a whole.”

Role-based simulators enable individuals to practice new OneCare system workflows at their own pace in a location convenient to them, which means fewer classroom facilities and instructors are required. The model also ensures the overall curriculum is as concise as possible so employees don’t have to spend unnecessary time in the classroom. In addition, simulators provide a consistent message via a proven learning technique.

The simulators and reference materials will also be used for refresher training and for training new employees.

For more information, contact Kevin Preston.  

Cerner News and Updates

Cerner Design Work for KentuckyOne Health in Progress

The KentuckyOne Health OneCare Cerner project team achieved an important milestone the first week of April. More than 70 clinical, operational and physician leaders conducted the design review at the Cerner Corporation headquarters in Kansas City, Mo.

Teams reviewed the cumulative design work completed over the last several months. The review was conducted to ensure KentuckyOne Health’s inpatient clinical system aligns with CHI standards, workflows and decisions. The team expects to conduct system validation the last week of June.  

Dragon Software Approved for Cerner Implementations

Dragon Medical, the leading voice-recognition software used by medical professionals, has been approved for and will be implemented as part of KentuckyOne Health’s Cerner project in fiscal year 2013. Dragon will not be the primary source of documentation, but will be used to augment standard templates and note forms already designed and available within the hospital-based electronic health record system. Hospitals will have bed-based licenses, so employed physicians, affiliated physicians and non-physician providers will be able to use Dragon from designated workstations and devices to add free text to electronic health record templates.

Members of the OneCare Core Team are beginning vendor contract negotiations with Nuance. After the contract is in place, they will work with markets to determine the timing and approach for Dragon implementation and incorporate it into local physician documentation and training plans. Details specific to KentuckyOne Health will be shared when available.

More information on Dragon can be found in the Dragon User Guide available on CHIOneCare.net.

AEHR News and Updates

Want to Know More About AEHR? Check Out These Valuable Resources

Would you like to know more about why and how KentuckyOne Health is implementing the Ambulatory Electronic Health Record (AEHR)? Do you wonder how the AEHR will affect your practice? Two valuable resources are now available on the About AEHR page of CHIOneCare.net to help answer your questions.

The AEHR Project Q&A offers information on:

• AEHR overall
• Connectivity and integration
• Costs and financial impact
• Clinic operations
• Using the AEHR
• AEHR design and standardization
• Devices and infrastructure
• Training and support
• Abstraction

The Clinical User FAQ focuses specifically on how AEHR implementation will affect clinic operations and covers such topics as changes to daily workflows, equipment options, training, go-live support and more.  

Frequently Asked Questions about the Ambulatory Electronic Health Record

Many people have questions about what the Ambulatory Electronic Health Record (AEHR) will mean for them, including:

How is an electronic health record important for my practice?

An electronic health record (EHR) makes it easier to provide care that is safe, results in the best possible outcomes and meets patient expectations. It allows us to integrate with other applications to better manage patient care across the full continuum of service, and track, report and benchmark outcome data. It also supports improved documentation for coding and reimbursement, and provides more timely access to patient information.

The CHI Ambulatory Electronic Health Record will:

• Improve the safety and quality of our care for patients
• Enhance patients’ experiences
• Provide physicians, clinicians and staff with necessary tools and information
• Eliminate duplication and waste
• Better position us for the future

In addition, by achieving “meaningful use” of an EHR, we may be eligible for incentive payments and may avoid financial penalties under the American Recovery and Reinvestment Act of 2009 related to care of patients covered by Medicare.

In this issue:

• KentuckyOne Leadership Organized to Address Future of Health Care
• Rehabilitation Programs in the National Spotlight
• Answers to the Questions You’ve Been Asking
• Meet KentuckyOne Health: Jewish Hospital Medical Center South

KentuckyOne Leadership Organized to Address Future of Health Care

KentuckyOne President and CEO Ruth Brinkley recently announced a new organizational structure and named some key executives. KentuckyOne is now organized into divisions that will help the organization prepare for a future in which accessible, integrated care will become even more important.

“Regardless of how health care reform may alter the health care landscape, we must make significant changes in how we deliver health care in this country,” Brinkley said. “At KentuckyOne, we are in a wonderful position to embrace this change. In order to achieve our vision, we must re-think our organizational structure.”

The new divisions of KentuckyOne include:

KentuckyOne Hospitals/Acute-Care Services. Centralization of the inpatient business will ensure the same level of service and brand at all KentuckyOne hospitals. “Hospitals will always be a fundamental part of who we are and will continue to provide the safest, most effective and most efficient clinical care for our sickest patients,” said Brinkley.

Bev Weber, RN, Chief Operating Officer for KentuckyOne, will work closely with hospital Presidents and Administrators, and with leaders from KentuckyOne’s legacy systems, to ensure that high quality, efficient care is delivered at all acute-care facilities. Weber brings strong hospital and health care system operations experience to her new role. Previously she served as Managing Director of Hunter Partners in Florida, Chief Operating Officer of Saint Thomas Health Services in Tennessee and Senior Vice President of Operations at Vanguard Health Systems. Weber received her master’s degree in nursing at Saint Louis University.

KentuckyOne Clinical Enterprise. Dan Varga, MD, will serve as KentuckyOne Chief Physician Executive and lead the clinical enterprise across KentuckyOne’s entire continuum of care. Varga will also support and guide clinical leaders in the development of KentuckyOne’s clinical service lines through the new dyad leadership model, in which an administrative leader and a physician leader work together as one leadership unit. Varga will also be a resource and liaison for all KentuckyOne medical staff members.

Varga has served as Chief Medical Officer for a number of hospital systems during the past 11 years, most recently for the former Saint Joseph Health System. He is a graduate of the University of Kentucky and the University of Louisville School of Medicine. A board certified general internist, Varga was a founding member and Past President and Medical Director of Community Medical Associates, the largest primary care group in Louisville.

KentuckyOne Ambulatory/Wellness, Prevention and Continuum Services. This division will more closely coordinate care across multiple sites and care environments, and improve patient access to ambulatory care. “Future care delivery models require much more robust ambulatory access than exists in KentuckyOne today,” said Brinkley. “By realigning freestanding ambulatory and wellness so that they receive as much attention as acute-care services, we will focus more attention on this key asset.” Identification of a leader for this division is under way.

KentuckyOne Mission Integration. An executive leader is also being identified for this division, which will ensure that the organization’s identity permeates KentuckyOne’s culture, business processes and care delivery. “This critical leader will ensure that KentuckyOne’s rich, diverse heritage is maintained and developed in a way that helps us to best serve diverse communities across the Commonwealth,” said Brinkley.

KentuckyOne Strategy and Business Development. Matt Gibson, Interim Chief Strategy and Business Development Officer, will work closely with the clinical enterprise division to develop strategy and business development initiatives for KentuckyOne. Gibson was previously Assistant Administrator at Blair E. Batoon Hospital for Children at the University of Mississippi Medical Center and Chief Business Development Officer at University of Mississippi Health Care. Gibson has a master’s degree in health administration from the University of Alabama at Birmingham.

KentuckyOne Financial Services. Gary Ermers, formerly Chief Financial Officer of Saint Joseph Health System, is Interim Chief Financial Officer, responsible for financial services and financial stewardship initiatives. After working as a manager in health care consulting at Deloitte & Touche in Chicago and Chief Financial Officer of St. Catherine’s Hospital, Ermers provided finance leadership to the former Saint Joseph Health System for 16 years, where he oversaw the restructuring of the system’s supply chain, information technology, revenue cycle and finance functions. He has a master’s degree in business administration in finance from DePaul University, Chicago, and is a certified public accountant.

KentuckyOne Human Resources. Tanja Oquendo, Chief Human Resources Officer, is responsible for development of a workplace strategy that ensures all KentuckyOne employees can thrive. “We seek to become the employer of choice in each of the health care markets and communities we serve,” said Brinkley. Oquendo is an accomplished business leader who has a history of building human capital capability and aligning systems to drive growth, innovation and continuous improvement. Previously, she served as Vice President of Human Resources at St. Joseph Medical Center, Baltimore, MD, and Vice President of Human Resources at Spectrum Health Hospital Group. She received a juris doctorate at Wayne State University Law School in Michigan.

Senior Strategic Advisor to the CEO. David Laird, formerly CEO of Jewish Hospital & St. Mary’s HealthCare, will serve as Brinkley’s chief advisor regarding local and statewide strategic considerations. This function is imperative given the rapidly changing health care landscape and KentuckyOne’s aggressive vision. Laird will collaborate with members of the Strategy and Policy Council on matters such as the strategic plan, local market forces, health care reform and physician relations. Laird’s knowledge and extensive experience in the Louisville market will help KentuckyOne nimbly operationalize the strategic plan.

KentuckyOne Corporate Responsibility. Corporate responsibility became a national function of CHI at the end of 2011, and KentuckyOne has completed a restructuring of its corporate responsibility function. This will result in enhanced auditing, monitoring and proactive compliance efforts that support reduced compliance risk for KentuckyOne. Betsy Hall will serve as Division Corporate Responsibility Officer, and Carla Walter will serve as Assistant Division Corporate Responsibility Officer.

KentuckyOne Legal Services. This division, supported by CHI’s expertise and resources as well as local and regional resources, will develop and maintain KentuckyOne’s legal position. Sharon Hager, Vice President of Legal Operations for CHI, is the senior counsel responsible for legal operations in Kentucky.

The leaders mentioned above and several others will also serve on the KentuckyOne Strategy and Policy Council. This council serves as an executive “cabinet,” advising Brinkley on all matters of strategic importance to the organization.

“This divisional structure will best position KentuckyOne Health to thrive in an increasingly complex environment and to achieve our vision, goals and objectives,” said Brinkley. “I ask everyone to remember, and to take pride and comfort in, our integration imperatives: focus on the benefits of integration, display open mindsets, be stewards of our collective resources, and help us lead the next generation of health delivery.

“As KentuckyOne evolves, adjustments will be made to titles, roles and responsibilities to allow the ability to navigate and influence the evolving health care landscape,” Brinkley added. “We will need to become a very different health care organization during the next few years.” 

Rehabilitation Programs in the National Spotlight

The national spotlight has been shining on KentuckyOne’s rehabilitation programs. Southern Indiana Rehab Hospital, Sellersburg, and Frazier Rehab Institute, Louisville, have recently received a wealth of national media coverage.

Southern Indiana Rehab Hospital was featured on NBC’s Today Show and People.com as part of the story of Stephanie Decker, the 36-year-old Henryville, IN, mom who lost her legs when she was injured in the March 2 tornado outbreak. Decker gave the Today Show exclusive access to film her physical and occupational therapy sessions, as well as a tour of her newly renovated home when she left the hospital late last month. Her story was covered by regional media in Louisville and Indianapolis. Decker has been writing a blog for the Today Moms website, www.moms.today.com.

The recovery of a Frazier Rehab Institute patient, Janne Kouri, was the focus of a Good Morning America story last week. Kouri was paralyzed from the neck down after a freak accident in the ocean five years ago. Initially, doctors told him he would never walk again.

After months of research and visits to various rehabilitation centers, Kouri and his wife, Susan, moved to Louisville to work with Dr. Susan Harkema at Frazier Rehab Institute. Harkema is the Director of Research at Frazier Rehab Institute, the University of Louisville Owsley Brown Frazier Chair in Neurological Rehabilitation, Rehabilitation Director at the university’s Kentucky Spinal Cord Injury Research Center, and Director of the National NeuroRecovery Network.

Kouri began locomotor training, a therapy Harkema helped to develop that has now helped hundreds of spinal cord injury patients. Today, the 36-year-old Kouri can stand without assistance from a walker.

Kouri was ready to return home to California in 2007, but could not find a facility there to continue his therapy. With the help of family, friends, Harkema and the Christopher & Dana Reeve Foundation, he and his wife raised the funds to start NextStep Fitness, a nonprofit rehab center in Los Angeles, to make locomotor training available and affordable for other spinal cord injury patients.  

Answers to the Questions You’ve Been Asking

Do you have a question for Integration Update?
Submit your question here.

Q. Who are the people in the KentuckyOne ads?
A. Our current ad campaign features your KentuckyOne Health colleagues. This is M. Brennan Royalty, M.D., Saint Joseph Primary Care Associates. We’ll identify others in future issues of Integration Update for Employees.

Q. Will there be a change in our fiscal year?
A. Part of fully integrating across all of KentuckyOne is adopting the same accounting calendar. Beginning this July, KentuckyOne’s fiscal year will be from July 1 through June 30. This will allow us to budget and monitor our finances more effectively.

Meet KentuckyOne Health: Jewish Hospital Medical Center South

Jewish Hospital Medical Center South is one of four ambulatory care centers within the legacy Jewish Hospital & St. Mary’s HealthCare system. The facility was built to provide health care services – particularly emergency care – to the underserved area of Bullitt County, which previously was one of the most highly populated counties in Kentucky without full-time emergency care. With the strong support of the local community, including business and governmental leaders, Jewish Hospital Medical Center South opened in May 2006.

In addition to 24/7 emergency care, Medical Center South provides patients with outpatient surgery, diagnostics, infusion services, laboratory services, medical imaging – including MRI, CT, DEXA (bone density) and digital mammography – and Frazier Rehab outpatient services. An adjacent medical office building houses physician specialists for patient care in areas including cardiology, oncology, gastroenterology, orthopedics, endoscopy and primary care.

The employees of Medical Center South are leaders in community involvement initiatives, including the American Cancer Society’s Bullitt County Relay for Life, American Red Cross Blood Drives and the Bullitt County Chamber of Commerce Kids Fest and Health Expo. In 2011, the facility celebrated its fifth anniversary by hosting a community celebration and unveiling a dedication wall that reconfirmed Medical Center South’s long-term commitment to providing high-quality health care in Bullitt County.

In this issue:

• Order Set Comment Deadline May 14: Help Shape the Future of YOUR Electronic Order Sets
• Reminder: Complete the OneCare Communication Survey
• The Latest from the Clinical Advisory Group
• KentuckyOne Health Scheduled for Fiscal Year 2013
  Oncology Electronic Health Record Implementation
• OneCare Core Team Exploring Use of Provider-owned Devices
  with Hospital Electronic Health Records
• Cerner Design Work for KentuckyOne Health in Progress
• Ambulatory Electronic Health Record Implementation Planning Session a Success
• Visit CHIOneCare.net to access OneCare tools and resources for KentuckyOne Health.  

OneCare for KentuckyOne Health

Order Set Comment Deadline May 14: Help Shape the Future of YOUR Electronic Order Sets

As previously reported, the Computerized Provider Order Entry (CPOE) team has reopened order sets for commenting. Monday, May 14, is the deadline for comments and discussion to be included in versions of the order sets that will be deployed in 2013. Order sets are available for comment at CHIOneCare.net and are accessible in a simplified, alphabetical list. Periodically, order sets will be temporarily removed from the commenting process for updating. These order sets will be reposted as soon as possible for continued discussion.

Input from providers and clinicians in Kentucky is critical to the success of this clinical content work, and KentuckyOne Health is working to encourage participation in this important process. You will be seeing posters in facilities and team members wearing buttons to promote involvement in the order set process. In addition, clinicians and other representatives have been designated to assist anyone who has questions about commenting on order sets. Also, remember to register on CHIOneCare.net and follow these three easy steps to review order sets:

1. Go to CHIOneCare.net
2. Click on CPOE (near the right-hand side of the menu bar below the OneCare header)
3. Choose the order set(s) you want to review, and add your comments and suggestions

Registered users receive updates about specific order sets that are available for comment and their comment deadline. They also receive updates about the discussion process.

How Will This Process Meet Kentucky’s Order Set Needs?

The CPOE team has received questions about how regional needs will be accommodated in order sets. Kentucky, along with other CHI regions, will be able to make necessary revisions to order sets. These include the ability to:

• Check an unchecked order
• Uncheck a checked order
• Change the default value of an attribute (e.g., change 3 mcg/kg to 2 mcg/kg)
• Hide an order on the national order set so that it is not visible on the regional order set

The ability to add an order will not be included in regionalization. Any order needed in a regional order set must be in the national build. Requests for additional orders should be part of the order set commenting process.

Questions or comments should be submitted to CPOE@CatholicHealth.net.

Reminder: Complete the OneCare Communications Survey

As work on the OneCare program progresses, it’s important to periodically pause and get feedback about how well we are communicating, how well we are living the OneCare guiding principles, and learn ways we can improve. As a OneCare leader, project team or project steering committee member, or someone who is supporting the OneCare program or a clinical IT system, we value your input. 

If you haven’t already done so, please take a few minutes to complete a short survey. All responses will be confidential. Simply click on the link below or copy and paste it into the address line of your web browser and follow the instructions.

http://research.crainc.com/?s=OneCareProgramTeam

Thank you for your feedback! For more information, contact Marnie Gloor, OneCare clinical communication manager.

The Latest from the Clinical Advisory Group

The OneCare Clinical Advisory Group (CAG), which formed in January 2012, met March 29 and discussed a variety of topics. The group is making good progress in reviewing process and policy effects of clinical system implementations from a multidisciplinary perspective. Specific focus at the March 29 meeting included defining nursing priorities and recommending a standard process for discharging patients from McKesson.

The group unanimously agreed to recommend that all KentuckyOne Health facilities adopt the definition of nursing priorities as follows:

• Stat Orders: Highest priority
• Timed Orders: Certain orders may be requested to be completed at specific times
• Routine Orders: Any orders request that is not specified as a stat or timed request

CAG members also agreed on a recommendation that nursing staff—not registration—should discharge patients from the McKesson system. These recommendations are not final and will be brought to the regional clinical council and other OneCare committees for review and validation.

The Clinical Advisory group is appreciative of the preparatory activities for the meetings and leadership displayed by Stacie Back, Cheri Davidson and Dorie Shelburne from KentuckyOne Health. 

CAG questions? Contact Brian Norris, RN, vice president and regional chief nursing informatics officer.

KentuckyOne Health Scheduled for Fiscal Year 2013 Oncology Electronic Health Record Implementation

KentuckyOne Health is among the CHI markets slated to implement the Oncology Electronic Health Record (OEHR) in fiscal year 2013. St. Joseph Health System in Lexington will be the first MBO in Kentucky to implement the OEHR. The OEHR team anticipates meeting with the Lexington oncology team mid-summer to determine implementation timeframes.

The OEHR is an oncology-specific electronic health record used in medical oncology and radiation therapy settings. Customized by market, some of the new OEHR features will include:

• Clinical documentation
• Order entry
• Access to diagnostic results
• Nurse navigation
• Clinical trial management
• Chemotherapy mixing and administration
• Cancer support services documentation (including dietary, counseling and rehab)
• E-prescribing
• Laboratory and ADT interface
• Scheduling
• Charge capture functions
• Report capabilities

The Oncology EHR will reduce fragmentation across diagnostic and treatment disciplines involved in the care of cancer patients, which includes pathology, radiology, medical, surgical and radiation oncology. As a result, patient care will be better coordinated, leading to improved patient safety and increased patient, physician and staff satisfaction.
For more information about the OEHR project, contact Deb Hood, director, National Oncology Service Line, 719-313-7374.

OneCare Core Team Exploring Use of Provider-owned Devices with Hospital Electronic Health Records

The OneCare Core Team is addressing the request for CHI to support the use of provider-owned personal electronic devices such as iPads and smart phones with implementation of hospital electronic health records. This access will be in addition to what some hospitals currently provide. Governing requirements for adherence to security, privacy and legal controls and potential ITS support need to be developed, and the feasibility and costs for system changes clearly understood.

Ultimately, controls must be in place to ensure the security of patient information and prevent inappropriate movement of data. A team has been appointed to do this work over the next few months. Findings will be reported to the OneCare Core Team, which will make a final recommendation to the OneCare and ITS steering committees. Additional information will be shared in this newsletter when available.

Cerner News and Updates

Cerner Design Work for KentuckyOne Health in Progress

Another significant milestone has been crossed within the Cerner project. On April 2 – 6 a multidisciplinary group of clinicians, physicians and stakeholders met in Kansas City, Mo., to discuss a variety of topics surrounding the project. Some of the topics included medication reconciliation, transitions of care, physician documentation, discharge and more.

Several Cerner project team members and physicians dedicated a significant amount of time and positive energy to this valuable session and are commended for their contributions. The team’s good work and sessions such as this one will lead KentuckyOne Health to the goal of better care.

Additional information from the session is expected to be elaborated upon in upcoming issues of the KentuckyOne Health OneCare newsletter.

AEHR News and Updates

Ambulatory Electronic Health Record Implementation Planning Session a Success

To help prepare for implementation of the KentuckyOne Health Ambulatory Electronic Health Record (AEHR), more than 50 Saint Joseph Health System Physician Enterprise representatives and members of the national AEHR project team gathered in Lexington the week of March 26 for an AEHR implementation planning session. The summit was hosted by Carmel Jones, Saint Joseph Physician Enterprise chief operating officer and vice president, and Sandy Schuck, ITS director of ambulatory physician services.

Discussion topics at the planning session included project updates, a forum for dialogue about abstraction, equipment deployment, communications, training, AEHR go-live timeline for physician practices and more. Additional details will be shared as more definitive AEHR implementation schedules are developed.

Jewish Physician Group leadership is planning a similar AEHR implementation session. The date of the event will be shared when it is available.

• What is an Accountable Care Organization?
• Our Lady of Peace Shows Off its New Toyota Van
• Answers to the Questions You’ve Been Asking
• Meet KentuckyOne Health: Saint Joseph Jessamine

What is an Accountable Care Organization?

Since President Obama signed the Patient Protection and Affordable Care Act of 2010 (commonly known as the health reform law), some new terms have become common in conversations about the future of health care. One of those terms is “accountable care organization,” or ACO.

“An ACO is a way for health providers to become more accountable for patient care delivered in exchange for payments from Medicare,” said Mark Streety, chief innovations officer for the former Saint Joseph Health System. “Eventually, this will expand to include state government payers and private payers.”

The idea of an ACO is new and what it means is still becoming clear. We do know that an accountable care organization will be a group of coordinated health care providers that deliver a continuum of care. An ACO may be a comprehensive system or a group of otherwise unrelated providers, or sometimes a combination. For example, KentuckyOne may choose to collaborate with other providers to form an ACO to provide comprehensive services across care settings in a geographic area.

ACOs are all about being accountable to both patients and payers for the quality and cost of care. The federal government is phasing them in.

“The first phase is work that all parts of KentuckyOne have already been working on for years – that is, improvement in the quality and the cost of health care services provided,” said Streety. “One significant way to improve is to become part of a larger system of care that identifies and extends best practices to more sites of care.” This is an important reason KentuckyOne was formed.

The second phase will be when providers start getting paid not for performing more and more services, but for patients getting better or for “outcomes.”

“Currently, almost every ‘episode’ of a patient’s care is billed separately and paid for separately, regardless of clinical outcome,” said Streety. “Instead of that fragmented process, ACOs will receive one up-front payment for an episode of patient care, and will take clinical and fiscal responsibility for managing that episode, including payment to any other providers involved.”

An episode of care may be defined as the care provided to address heart failure, for example. This would include pre-hospital admission in the patient’s primary care clinic, a hospital stay and post-discharge care at home.

“This helps explain why the ability to share medical records electronically wherever a patient is seen is so important,” said Streety. “Electronic health records make it easier to track the delivery and the cost of patient treatment across sites of care, as well as a means to eliminate inconvenience to patients and avoid duplication of tests and other services.”

The third phase may be several years away. In the third phase, ACOs will take full accountability, responsibility and financial risk for the care of a population of people, whether a geographic population or a group of patients with similar diagnoses.

“In this phase, health providers will shift from working to increase patient volumes to working to increase the quality, efficiency and appropriateness of care delivered to patients,” said Streety.

“With no ability to bill a payer for additional costs, ACOs will work to prevent and postpone disease when possible, and to ensure that patients who have chronic conditions, disease or trauma are treated in the most effective, efficient way. It will be essential to ensure that each patient receives no more and no less than the right care, in the right place, at the right time.”

Note: The U.S. Supreme Court heard oral arguments on a case brought by 26 states seeking to overturn key elements of the Patient Protection and Affordable Care Act. KentuckyOne employees are encouraged to follow the news on this important legal review.

Our Lady of Peace Shows Off its New Toyota Van

A team from KentuckyOne visited Toyota in Georgetown, KY, on March 9 to show off the new Toyota Sienna minivan received by Our Lady of Peace, Louisville, as part of Toyota’s “100 Cars for Good” campaign. The group joined representatives from 10 other Kentucky nonprofit organizations that won new Toyota vehicles through the campaign.

Our Lady of Peace won the handicapped-accessible minivan last July, with the help of online votes from employees, board members and friends of Jewish Hospital & St. Mary’s HealthCare, Saint Joseph Health System and Catholic Health Initiatives. The new van replaced one with more than 300,000 miles on the odometer.

At the event, Sherri Craig, vice president of the Jewish Hospital & St. Mary’s Foundation, spoke about Our Lady of Peace and how the new van is being used to serve patients, who benefit from the comfort and ease of travel in the vehicle.

Craig shared the enthusiasm for the minivan shown by “John,” a 13-year-old Our Lady of Peace patient who suffers from acute behavioral health issues. Each week, John is transported from Our Lady of Peace to the hospital for treatment. When it’s time to go, he can’t wait to hop into the Sienna. He loves the sliding door that shuts automatically behind him, the TV monitor and DVD player.

But, John’s favorite feature may be the large-screen GPS system. During each ride, John pays close attention to the screen, carefully noting street names and landmarks along the way. The GPS system keeps him engaged and focused, and he can enjoy the view of the city through the Sienna’s large windows.

One day, John had to be taken to his hospital appointment in another vehicle. His disappointment was obvious. “Where’s the Sienna?” he asked.

Toyota plans to give away 100 cars a year for the next 10 years, and Our Lady of Peace will be eligible to enter the contest again in three years. All KentuckyOne employees will be notified when it’s time to vote online again!

ABOVE PHOTO: Wil James (center), president of Toyota Motor Manufacturing, Georgetown, KY, is flanked by KentuckyOne Health’s Brad Lincks, CNO at Our Lady of Peace; Barbara Mackovic, senior marketing/communications manager; Sherri Craig, vice president, Jewish Hospital & St. Mary’s Foundation; and Willie Springfield, transportation supervisor for Our Lady of Peace.

Answers to the Questions You’ve Been Asking

Do you have a question for Integration Update?
Submit your question here.

Q. What happened to the Founder’s Book pages we signed at employee meetings when KentuckyOne was formed?
A. All of the pages will be assembled and bound in a book, which will be displayed in the KentuckyOne Health corporate office when it is established.

Q. Who are the people in the KentuckyOne ads?
A. Our current ad campaign features your KentuckyOne Health colleagues. This is Anna Taylor, director of development for the Saint Joseph Hospital Foundation. We’ll identify others in future issues of Integration Update for Employees.

Meet KentuckyOne Health: Saint Joseph Jessamine

The Saint Joseph Jessamine RJ Corman Ambulatory Care Center in Nicholasville opened in January 2009 as Jessamine County’s first and only full service, 24/7 emergency room. It also provides diagnostic imaging, laboratory services, occupational medicine, rehabilitation services, space for community health education and other events, and physician offices for gynecological services and primary care.

The facility is named in honor of Rick Corman, founder and owner of RJ Corman Railroad Group, who provided a generous donation to the Saint Joseph Hospital Foundation for the development of a comprehensive medical facility in Jessamine County.

When he spoke at the facility’s grand opening event, Corman said that Saint Joseph Jessamine puts residents of Jessamine County “26 stoplights closer to care.” There are 26 stoplights between Saint Joseph Jessamine and the closest Lexington hospital – a long drive when you need immediate medical care, but the route previously driven by many patients who can now access primary, gynecological and emergency care closer to home.

In this Issue: 

• Order Set Comment Deadline Extended
• Better Understand the Order Set Review Process: Attend Webinar and Use New Guides
• Health Information Exchange and Clinical Portal Overview
• Physician and Clinical Advisory Groups Meet to Discuss Project, Design Decisions
• Cerner Demonstrations in Kentucky Garner Success
• Cerner Demonstration Videos Available on CHIOneCare.net
• Ambulatory Electronic Health Record Implementation Planning Session
  to be Held March 28 in Lexington
• Recommendation for Outside-provider Access to the Ambulatory Electronic Health Record
  Being Developed 
• Visit CHIOneCare.net to access OneCare tools and resources for KentuckyOne Health.

OneCare for KentuckyOne Health

Order Set Comment Deadline Extended

The Computerized Provider Order Entry (CPOE) team has reopened order sets for commenting to improve the versions of those order sets that will be deployed in 2013. The order set comment deadline has been extended to May 14. Input from providers and clinicians inKentucky is vital and will help shape the future of order sets used in the region.

Order sets are available for comment at CHIOneCare.net. Participating in order set commenting ensures each market is able to provide input on the development of electronic order sets. If you have not yet visited the site, register now to review and comment on order sets. Registering will also enable you to receive updates about specific order sets that are available for comment and their comment deadline.

Order sets open for comment include the following specialties:

• Anesthesia
• Behavioral health
• Cardiac surgery
• Cardiology
• Critical care
• General medicine
• General procedures
• General surgery
• Gynecology
• Interventional radiology
• Nephrology
• Orthopedics
• Thoracic surgery
• Urology
• Vascular surgery

As reported previously, Kentuckyparticipation in order set commenting on CHIOneCare.net is growing. Participation metrics fromKentucky have been expanded and are illustrated in the charts below:

Please submit questions or comments to CPOE@CatholicHealth.net.

For more information, contact Val Slayton, MD, vice president medical informatics, Jewish Hospital and St. Mary’s Healthcare, or Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer.   

Better Understand the Order Set Review Process: Attend Webinar and Use New Guides

To better assist physicians and clinicians with the order set review and commenting process, the Computerized Provider Order Entry (CPOE) team is hosting the following orientation webinars. MBO clinical leaders and key staff members who can then orient providers as needed are invited to attend:

Thursday, March, 22, 2–2:30 p.m. ET

Attendees: Join Live Meeting (03-22-12)

Add to my Outlook Calendar

Tuesday, March 27, Noon–12:30 p.m. ET

Attendees: Join Live Meeting (03-27-12)

Add to my Outlook Calendar

Wednesday, April 4, 4–4:30 p.m. ET

Attendees: Join Live Meeting (04-04-12)

Add to my Outlook Calendar

The CPOE team has developed new supporting materials for the project. Guides to the order set review process are now available on CHIOneCare.net.

• The Quick Guide to Reviewing Order Sets provides a two-page overview of symbols and options on the order set review pages.
• The Step-by-Step Guide to Reviewing Order Sets provides a detailed walk-through of the entire review, comment and discussion process.

The Presentation on Reviewing Order Sets is a PowerPoint presentation that guides participants through the process of commenting on and discussing order sets. An updated overview presentation with notes is also available on the CPOE page on CHIOneCare.net, in the box titled CPOE Materials for Physicians and Providers.

For additional guidance and information, contact Val Slayton, MD, vice president medical informatics, Jewish Hospital and St. Mary’s Healthcare, or Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer.   

Health Information Exchange and Clinical Portal Overview

The CHI Health Information Exchange (HIE) and Clinical Portal are intended to enable CHI’s employed and affiliated providers one view of patient information from any of the OneCare applications. This comprehensive view will allow providers to view information from multiple systems and see the patient’s entire history. It is a critical project that will unlock the potential of the OneCare program. However, there is still a great deal of uncertainty about what a Health Information Exchange and Clinical Portal are, what they mean for CHI and what to expect. To begin to answer these questions, the HIE project team has created an introductory presentation. For more information, contact Rebecca Madison, HIE program manager.  

Physician and Clinical Advisory Groups Meet to Discuss Issues, Design Decisions

PAG Update

The OneCare Physician Advisory Group (PAG) works in an advisory capacity to support the OneCare Cerner initiatives withinKentuckyand meets bi-weekly to discuss project developments, key design decisions and other areas of interest to physicians. The following is a recap of what transpired during the March 7, 2012, PAG meeting:

• Because PAG members are engaged in Cerner system issues, some members have been invited to attend the Cerner system design review inKansas City,Mo., April 1–4.
• PAG members reviewed participation metrics from Kentuckyon CHIOneCare.net for February (see charts in story above), and provided feedback and suggestions for how to best communicate order set registration and the review and commenting process. Members also discussed ways to optimize physician involvement and discussed overall physician engagement and how it can be improved.

Design decisions:

• When a physician places a consult order to another physician,
  what should the workflow be?

PAG decision: This topic requires additional follow-up as to how physician-to-physician consults are completed at each site.

• What fields should the demographic banner include?

PAG decision: In addition to name, allergies, weight, date of birth, patient location, age, sex, medical record number (MRN), financial number (FIN) and code status, body mass index (BMI) should also be added to the demographic banner.

CAG Update

The OneCare Clinical Advisory Group (CAG) is responsible for broad decision making and ensuring the alignment of clinical standards across KentuckyOne Health clinical technology. At its recent meeting, the CAG discussed a variety of topics including rehabilitation education tools, medication reconciliation, and policy and procedure tracking process. CAG members and leaders Cheri Davidson, Stacie Back and Dorie Shelburne are leading efforts to track potential policy and procedure change needs. A key topic for discussion at upcoming CAG meetings will include the review of content change requests developed by project teams prior to sending to the national informatics team for review.

CAG questions? Contact Brian Norris, RN, vice president and regional chief nursing informatics officer. 

Cerner News and Updates

Cerner Demonstrations in Kentucky Garner Success

Physicians and allied health professionals in Kentuckyattended drop-in sessions in late February to see a demonstration of the OneCare Cerner electronic health record. Val Slayton, MD, vice president medical informatics, Jewish Hospital and St. Mary’s Healthcare, along with representatives from Cerner led sessions atFlagetMemorialHospital, Saint Joseph Berea, Saint Joseph Mount Sterling and Saint Joseph Martin.

The Cerner demonstration sessions were received positively and attended by several. Providers and clinicians were able to get answers to questions regarding the application and learned about several key topics including order sets, the message center, documentation and templates.

Attendees also received an overview of how to review, comment on and vote on draft order sets, which are currently being developed.  

Cerner Demonstration Videos Available on CHIOneCare.net

For those interested in learning more about the Cerner electronic health record and seeing it in action, visit CHIOneCare.net. Two 40-minute Cerner demonstration videos, one for physicians and one for nurses and clinicians, are now available on CHIOneCare.net. Additional Cerner resources and project updates are also available on CHIOneCare.net. 

AEHR News and Updates

Ambulatory Electronic Health Record Implementation Planning Session
to be Held March 28 in Lexington

Kentucky’s Ambulatory Electronic Health Record (AEHR) implementation planning session for St. Joseph Health System Physician Enterprise leadership will be held inLexington on March 28. The event will consist of several sessions held throughout the day followed by a group dinner for discussion, dialogue and networking.

A similar implementation planning session for Jewish Physician Group leadership is being coordinated. The date will be shared when it is available.

Go-live schedules for KentuckyOne Health AEHR implementation are being revised and are expected to be announced in April.  

Recommendation for Outside-provider Access to the Ambulatory Electronic Health Record
Being Developed

As the Ambulatory Electronic Health Record (AEHR) is implemented, it is reasonable to expect that other physicians, non-physician providers and clinicians will want access to the AEHR to view patient demographic and other clinical information pertinent to the transition of patient care across facilities. These providers may include employed or affiliated (non-employed) physicians on other electronic health records at a clinic, outpatient surgery center or heart hospital, and hospital-based providers such as hospitalists and Emergency Department providers or pre-surgery staff.

Though this type of request for additional provider and hospital access is not within the current OneCare AEHR scope, the OneCare Core Team recognizes the need to have national guidelines and an approach in place to support identified market needs. The team has asked the AEHR project leads to work with Legal Services, Compliance and ITS to prepare a recommendation for April’s OneCare Executive Steering and ITS Steering Committee meetings. The recommendation will need to address additional resources and costs associated with added technology, provider licenses, user training and ongoing support, and compliance with antitrust, patient privacy and security regulations. CHI also needs to better understand how the Health Information Exchange (HIE) will support access to information, negating the need for direct access to the AEHR.

In the interim, the AEHR project team will work with markets to preserve current workflows for sharing information across facilities with AEHR implementations.

• Brinkley Makes the Rounds
• KentuckyOne Recognized for Program to Reduce Disparities in Health Care
• You Could Star in Our Next Commercial
• Protocol Helps Heart Failure Patients Look Forward to a Longer Life
• Answers to the Questions You’ve Been Asking
• Meet KentuckyOne Health: Jewish Hospital Shelbyville

Brinkley Makes the Rounds

Listening and learning continue to be on the agenda for Ruth Brinkley, president and CEO of KentuckyOne Health, as she travels across the system. In recent weeks she has visited Saint Joseph Hospital medical staff; employees at Frazier Rehab, Our Lady of Peace, Saint Joseph Martin and Saint Joseph Berea; Lexington Chamber of Commerce leaders; the Jewish Hospital HealthCare Services board; and Governor Steve Beshear, among others.

“It is important to me to get to know our employees, physicians and the many, many community partners who make it possible for us to serve our communities,” Brinkley said. “High on my priority list is to visit every KentuckyOne hospital. It will take time, but I want to understand firsthand the richness and diversity of our system and the people we serve.”

During the next few weeks, Brinkley’s schedule includes Jewish Medical Center East, the Jewish Physicians Group board and the Kentucky Hospital Association.

KentuckyOne Recognized for Program to Reduce Disparities
in Health Care

Some of Louisville’s most vulnerable populations are able to better manage their health conditions in the comfort of their own homes, thanks to a new project created by Jewish Hospital & St. Mary’s HealthCare and the Louisville Metro Department of Public Health and Wellness. The project, “A Partnership to Manage Care Transitions,” has been honored with the Best Overall Project award by the Disparities Leadership Program, a national program that seeks to eliminate racial and ethnic disparities in health care.

The project, supported by a grant from CHI’s Mission and Ministry Fund, helps patients who are uninsured, underinsured or covered by Medicare make a successful transition from hospital to home. A community care nurse navigator at Jewish Hospital visits each participant while they are inpatients, then makes four to eight follow-up calls to their homes. Each patient also receives four to eight home visits from a health department peer advisor to reinforce self-care and ensure access to community resources. “By helping this vulnerable population better manage their care at home, we will reduce unnecessary re-hospitalizations and emergency department visits while better identifying and addressing barriers to good care,” said David Laird, president and CEO of Jewish Hospital & St. Mary’s HealthCare.

Each patient also receives a personal health record to help them organize physician appointments, manage medications, and watch for symptoms that may require a call to the doctor or a visit to an emergency department.

“Through this project, systems have been developed to measure and trend findings from the nurse navigator and peer advisors to improve care for all patients, while improving outcomes for underserved populations,” said Dr. LaQuandra Nesbitt, director of Louisville Metro Public Health and Wellness.

The Disparities Leadership Program, led by the Disparities Solutions Center at Massachusetts General Hospital in Boston, is sponsored by the Committee for Quality Assurance and supported by Joint Commission Resources, an affiliate of The Joint Commission.

You Could Star in Our Next Commercial

Send in a brief video of yourself walking in your favorite place in Kentucky, and you could find yourself starring in KentuckyOne’s next television commercial!

Like our first commercial, which aired during the Super Bowl, the second will feature the people of KentuckyOne Health in locations around the state. Here’s how you can be part of it:

• Using a smart phone or camera, simply capture several seconds of you walking in a place that you love.
• Upload the video to KentuckyOneEmployees.org/video by March 28. Please make your video no more than 30 seconds – a few seconds is all that’s needed.
•  If you’re camera-shy but would like to show us your favorite place in Kentucky, film it and share that video with us.

Remember, send in your video by March 28. The selected cast and locations for the commercial will be announced on April 2.

Protocol Helps Heart Failure Patients Look Forward to a Longer Life

Some younger patients who have heart failure can now look forward to a longer life expectancy. Through a Jewish Hospital/University of Louisville Hospital program that treats advanced heart failure, these patients are implanted with a left ventricular assist device (LVAD), followed by a recovery protocol. While the average life expectancy for a patient who receives a heart transplant is 10 years, the protocol can help patients delay or avoid a transplant, giving them hope for a longer life.

Emma Birks, MD, PhD, leads the program for patients who have LVADs, which are pumps that help a deteriorating heart muscle to function. The program’s recovery protocol uses a specific combination of medications that work together to strengthen a patient’s heart. Birks monitors each patient closely, and when a patient’s heart function improves to normal levels, the LVAD is removed. These patients continue to receive medication therapy, but they are able to function normally and return to work and other daily activities.

In just 18 months, 11 patients in the program improved to the point that their LVADs were successfully removed.  The only other heart center in the U.S. that has removed LVADs using this protocol is the Texas Heart Institute, where 20 devices have been removed in the past 10 years.

A collaborative study on the protocol, led by Jewish Hospital and the University of Louisville Hospital, will begin in the coming months. Seven heart centers will participate, including the Texas Heart Institute, University of Pennsylvania, University of Pittsburgh, Cleveland Clinic, University of Michigan and Montefiore Medical Center, New York.

Answers to the Questions You’ve Been Asking

Do you have a question for Integration Update? Submit your question here.

Q. Will employees of KentuckyOne ever be able to go online to see pay stubs, vacation balance and other personal information?
A. Yes. KentuckyOne is working toward making it possible for every employee to have access to his or her individual payroll and benefits information. These features, expected to be available in January, are part of the CHI Connect implementation project for Jewish Hospital & St. Mary’s HealthCare employees. Saint Joseph employees already have access to these features.

Q. Who are the people in the KentuckyOne ads?
A. Our current ad campaign features your KentuckyOne Health colleagues. This is Muhammad Shakeel, MD, a hospitalist at Saint Joseph London. We’ll identify others in future issues of Integration Update for Employees.

Q. I’m confused. I work at Jewish Hospital. Am I an employee of Jewish Hospital, JHSMH or KentuckyOne?
A. When Jewish Hospital & St. Mary’s HealthCare merged with Saint Joseph Health System on January 1, 2012, they both became part of the new statewide health system KentuckyOne Health. That’s when you also became an employee of KentuckyOne. It is now preferred that you refer to your employer as “Jewish Hospital, part of KentuckyOne Health.”

Meet KentuckyOne Health: Jewish Hospital Shelbyville

Jewish Hospital Shelbyville has provided comprehensive, high-quality services to the people of Shelby, Henry and Spencer counties for more than 100 years.  Located just 30 minutes east of downtown Louisville, the 42-private bed community hospital provides a full range of services, including 24/7 emergency care, critical care, diagnostic imaging, cardiac and pulmonary rehabilitation, general and specialized surgery, physical therapy, occupational therapy and speech language pathology, pain management, sleep medicine and wound care.

Founded in 1906 by the King’s Daughters & Sons organization, the hospital was originally located on Henry Clay Street in downtown Shelbyville. In 1954, the community opened a new facility in what was then the “far western” part of Shelby County, growing in space and services. In the late 1980s, Jewish Hospital HealthCare Services began to manage the hospital, which it purchased in 1992. Since then, the organization has invested more than $45 million in facility updates and new services.

In 2009, the hospital completed a $2 million expansion of its emergency department, doubling the space thanks to the generosity of the Harland D. Sanders Foundation & Charitable Trust and local community donors. The emergency department now includes 13 private treatment rooms, a state-of-the art trauma room, bedside registration and other new equipment. Members of the Sanders Foundation commissioned a bronze statue of Harland Sanders, founder of the Kentucky Fried Chicken restaurant chain, which now greets guests as they arrive at the hospital. Colonel Sanders and his wife were residents of Shelbyville and supporters of the local hospital.

The Shelbyville hospital is well positioned to make a positive contribution to the KentuckyOne Health system and to be a front door to better care in the state.

In this issue:

• Supporting Employees as Communities Recover from Tornadoes
• Friday, March 16, is KentuckyOne T-shirt Day
• Appalachian Outreach Program Marks 25 Years of Care and Compassion
• Answers to the Questions You’ve Been Asking
• Meet KentuckyOne Health: Saint Joseph Martin

Supporting Employees as Communities Recover from Tornadoes

KentuckyOne employees, their families and our communities are among those devastated by the storms and tornadoes that swept through the tri-state area of Indiana, Kentucky and Ohio on March 2. We are mourning the death of Saint Joseph London employee Debbie Allen, who was killed in the storms along with her husband, Wayne. Several other employees’ homes were completely lost, and entire communities are suffering.

Many employees have asked how they can contribute to the recovery. the Saint Joseph Hospital Foundation, along with the Flaget Memorial Hospital Foundation, Saint Joseph Berea Foundation, Saint Joseph London Foundation, and Saint Joseph Mount Sterling Foundation, have established disaster relief funds to provide immediate outreach to their communities, employees and families affected by this disaster. Similarly, the Jewish Hospital & St. Mary’s Foundation has established funds to assist their employees, families and communities in the Louisville area and Indiana.

If you would like to make a donation, consider these options:

Online Donations

• SaintJosephFoundation.org. Click on the DONATE NOW icon. Indicate which hospital you would like the funds designated to, then denote “Disaster Relief Fund (Employee).” If this gift is in honor or in memory of a specific person, please note that as well. 
• Giving.JHSMH.org. Click on “Make your gift to the Jewish Hospital & St. Mary’s Foundation,” then check “Other: Please specify below” and type “Employee Assistance Fund” in the box.

Check Donations

• Send checks payable to Saint Joseph Hospital Foundation to One Saint Joseph Drive, Lexington, Kentucky 40504. Write “Disaster Relief” in the memo line.
• Send checks payable to Jewish Hospital & St. Mary’s Foundation to 200 Abraham Flexner Way, Louisville, KY 40202. Write “Employee Assistance Fund” in the memo line.

To speak with a Foundation Representative
Saint Joseph London Foundation: April Nease, 606-330-6008 
Saint Joseph Mount Sterling Foundation: Martin Riggs, 859-497-5013
Saint Joseph Berea Foundation: Chris Schill, 859-986-6498 
Flaget Memorial Hospital Foundation: Bobbi Harned, 502-350-5058 
Saint Joseph Hospital Foundation: Anna Taylor, 859-313-2055 
Saint Joseph Martin: Anna Taylor, 859-313-2055
Jewish Hospital & St. Mary’s Foundation: Sherri Craig, 502-587-4543

Friday, March 16, is KentuckyOne T-shirt Day

Show your KentuckyOne spirit Friday, March 16, and join employees across KentuckyOne wearing their new logo T-shirts to work – just for fun.

Other elements of our dress code apply on Friday. Bedside caregivers should wear their shirt along with their usual scrubs and scrub jackets. Check with your local HR office if you did not pick up your shirt during a recent employee event. Participation is voluntary.

Appalachian Outreach Program Marks 25 Years
of Care and Compassion

In September 1986, Betty Shelton, SCN, and the Sisters of Charity of Nazareth started the Appalachian Outreach Program to serve Kentucky’s rural communities. The program follows up with patients who live in rural areas after they are discharged from Saint Joseph Hospital in Lexington.

“It’s such an encouragement and statement of commitment and caring for someone to visit a patient in their home,” said Rose Rexroat, manager of virtual care and community services for Saint Joseph Hospital, who manages the Appalachian Outreach Program.

“Patients frequently comment about how much the time spent has meant to them.”

Sister Betty ran the program until 1991, and since then other sisters and laypeople have served on the program staff, assisted by many volunteers.

Currently, social worker Jeanie Lawson makes up to 60 calls each Friday to check on discharged patients and schedule home visits. She visits patients and their families to offer support, referrals, counseling and any type of help they need. 

When one patient needed plumbing for his mobile home, Lawson found a plumbing company to take care of him. When another was having “episodes” with a new heart stent, she encouraged him to go to the emergency room if it happened again. “Often, they don’t think to call the doctor,” Lawson said. “Sometimes, I’m the only person who comes by.
God has called us all for something. I feel called for this.”

In addition to social services, the program has added nutrition and pastoral care components through the years. Barbara Baumgardner, a registered dietitian and diabetes educator, is in her ninth year with the program. “The program gives people access to really good nutrition information that many of them never had any other chance to get,” she said.

“I cannot think of another program that exemplifies the ministry of Saint Joseph like the Appalachian Outreach Program,” said Barry Stumbo, president and CEO of the Saint Joseph Hospital Foundation. “The care and compassion demonstrated by our dedicated staff has helped save lives and brought hope, a renewed spirit and higher quality of life to thousands of patients.”

Photo: Current Appalachian Outreach Program team members include (left to right) Jeanie Lawson, Barbara Baumgardner, Sister Joan Wilson, Sister Ann Kernen and Rose Rexroat.

BY THE NUMBERS
Since 1986, the Appalachian Outreach Program has:

• Made 306,849 contacts with patients
• Served people in 30 counties
• Logged 1,141,890 miles
• Logged 5,943 volunteer hours 

Answers to the Questions You’ve Been Asking

Do you have a question for Integration Update? Submit your question here.

Q. Is Continuing Care Hospital a part of KentuckyOne Health?
Why isn’t it listed in the KentuckyOne ads?
A. Yes, Continuing Care Hospital, the “hospital in a hospital” at Saint Joseph Hospital and Saint Joseph East in Lexington, is an important part of KentuckyOne. Continuing Care Hospital is a long-term acute care hospital that meets an important community need and is part of the KentuckyOne continuum of care. However, with nearly 200 sites of care within KentuckyOne, we had to make a judgment about how many would reasonably fit in a print ad. Unfortunately, we had to leave out many important facilities and services, but we will continue to find ways to highlight all of the facilities and services within KentuckyOne Health.

Q. Who are the people in the KentuckyOne ads?
A. Our current ad campaign features your KentuckyOne Health colleagues. This is Lamarr Collier, RN, of Sts. Mary & Elizabeth Hospital in Louisville. We’ll identify others in future issues of Integration Update for Employees.

Q. Where can I find back issues of Integration Update for Employees?
A. You can find them at KentuckyOneEmployees.org.

Q. Will we get a new sign on our building?
A. We are working on a signage plan, but we don’t have a timeline yet. Changing all of the facility signage within KentuckyOne will be expensive and will take several years. 

Meet KentuckyOne Health: Saint Joseph Martin

Saint Joseph Martin, a critical access facility, is located in the beautiful Appalachian Mountains of Eastern Kentucky. In addition to the hospital, Saint Joseph Martin operates four rural health clinics.

Saint Joseph Martin’s history began in September 1947, when three courageous Sisters of Divine Providence of Melbourne, KY, boarded a train to Floyd County to take ownership of a 30-bed facility, Martin General Hospital, which became Our Lady of the Way Hospital (OLWH).

The hospital experienced horrific floods in 1957 and again in 1963. In 1967, a new 40-bed hospital was built on land out of flood range.

In August 1982, the hospital changed hands from the Sisters of Divine Providence to the Sisters of Charity of Cincinnati, Ohio. This allowed OLWH to be incorporated into its first health care system. With the formation of Saint Joseph Health System in 2008, Our Lady of the Way Hospital became Saint Joseph Martin.

The hospital has received many awards, including Kentucky Hospital Association Quality Awards in the category of Critical Access Hospitals in 2007, 2009 and 2011; a JD Power award for Service Excellence in 2011; and a 100 Top Hospitals: National Benchmarks for Success recognition. It has twice been named one of the top 25 places to work in Kentucky in the medium-sized employer category. 

In 2002, the hospital received national recognition as one of seven hospitals, and the only rural hospital, selected for the study, “A Commitment to Caring: The Role of Catholic Hospitals in the Health Care Safety Net,” commissioned by the Catholic Health Association and conducted by Georgetown University Institute for Health Care Research and Policy.

Saint Joseph Martin has a rich history of providing quality care with compassion and is honored to continue the legacy of care established by our foundresses 65 years ago.

March 8, 2012
OneCare for KentuckyOne Health

In this Issue: 

• Order Sets Open for Balloting through March 12, Others Available for Review and Comment
• New Computerized Provider Order Entry Talking Points Address
  Order Set Regionalization Questions
• Meaningful Use Resources Available for Eligible Professionals;
  Hospital Registration Nears Completion
• Site Traffic on CHIOneCare.net Indicates Growing Interest, Participation from Kentucky
• Cerner Demonstration Videos Available on CHIOneCare.net
• OneCare Cerner Video Competition
• Visit CHIonecare.net to access OneCare tools and resources for KentuckyOne Health. 

OneCare for KentuckyOne Health

Order Sets Open for Balloting through March 12, Others Available for Review and Comment

Open for Balloting
The Computerized Provider Order Entry (CPOE) team has posted order sets for balloting on CHIOneCare.net. The deadline for this phase of balloting is March 12. When balloting is completed, the order sets will be finalized and delivered to electronic health record (EHR) build teams. The following order sets are available for balloting:

• General Medicine: General Medicine Fenoldopam and Vit K
• General Procedures: Percutaneus gastrostomy placement, Thoracentesis, TPN

Open for Review and Comment
The CPOE team has received hundreds of valuable comments and suggestions on the draft order sets currently posted for review via CHIOneCare.net. Many comments have been addressed, and appropriate changes will be made to the order sets during the build stage of CHI’s acute care electronic health record (EHR). Balloting is designed to resolve remaining questions to order set content.

Order sets in the following specialty categories are available for review and comment through Monday, March 12:

• Anesthesia
• Interventional Radiology
• Thoracic Surgery
• Urology

Order sets in the following specialty categories are available for review and comment through Monday, March 19:

• Anesthesia
• Behavioral Health
• Cardiac Surgery
• Cardiology
• Critical Care
• General Medicine
• General Procedures
• Gynecology
• Interventional Radiology
• Nephrology
• Vascular Surgery

If you have not yet visited the site, register now to review and comment on order sets. If you have questions or comments, contact Sam Brandt, MD, chief medical informatics and telehealth officer, or Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer.  

New Computerized Provider Order Entry Talking Points Address
Order Set Regionalization Questions

The Computerized Provider Order Entry (CPOE) team recently received a number of questions regarding how, and to what extent, order set content will be customized to meet regional and local needs. The CPOE team has posted updated Talking Points that clarify regionalization and provide answers to questions regarding the order set process on CHIOneCare.net. For additional questions and comments, contact Sam Brandt, MD, chief medical informatics and telehealth officer. 

Also, guidance on reviewing order sets is available on CHIOneCare.net:

• The Quick Guide to Reviewing Order Sets, which provides a two-page overview of symbols and options on the order set review pages
• Alternatively, the Step-by-Step Guide to Reviewing Order Sets provides a detailed walk-through of the entire review, comment and discussion process
• A slide presentation on reviewing order sets

Meaningful Use Resources Available for Eligible Professionals;
Hospital Registration Nears Completion

Non-hospital based providers should determine Meaningful Use eligibility now because those eligible for the Medicaid incentive program can receive payments prior to their electronic health record (EHR) go-live. To aid in the eligibility and registration process, additional information and resources regarding the eligible professionals (EP) program are now available, including an overview, eligibility assessment, registration basics for Medicaid and Medicare incentive programs, and a CHI registration tracker.

National training and education for the EP process is under way. Webinars for KentuckyOne Health are being scheduled.

Hospital Registration for Meaningful Use Drawing to a Close
The CHI registration process for Meaningful Use-eligible hospitals is nearly complete. A total of 41 hospitals across the system have registered, including many of the Kentucky hospitals. Incentive payments totaling $17.9 million have been received by CHI and JOA hospitals to date. CHI is working to complete the registration process with the Jewish hospitals.

For more information, contact Cheryl Canto, Meaningful Use program manager, at cherylcanto@catholichealth.net or MeaningfulUse@CatholicHealth.net.  

Site Traffic on CHIOneCare.net Indicates Growing Interest, Participation from Kentucky

During the month of February, CHIOneCare.net received a total of 2,744 visitors who viewed the site more than 4,000 times. KentuckyOne Health physicians, clinicians and support staff visited the site 416 times, comprising more than 15 percent of the total divisional traffic to the site last month. This made Kentucky the state with the highest number of visits to CHIOneCare.net.

Top-viewing cities in Kentucky were Louisville (283 visits) and Lexington (58 visits), and more than 58 percent of the visitors were new to the site. Kentucky’s February engagement with the order set reviewing process shows that 58 comments were made on four CPOE specialty order sets, and there were 38 new registered users. The increase in registered users represents double-digit growth over January numbers, indicating rising interest and participation.

If you have not yet visited CHIOneCare.net, register now to review and comment on order sets. If you have already registered, you can support physician participation in Kentucky by encouraging colleagues to register and participate in order set reviews.

If you have questions or comments, contact Sam Brandt, MD, chief medical informatics and telehealth officer, or Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer.

Cerner News and Updates

Cerner Demonstration Videos Available on CHIOneCare.net

Interested in learning more about the Cerner electronic health record and seeing it in action? Two 40-minute Cerner demonstration videos, one for physicians and one for nurses and clinicians, are now available on CHIOneCare.net. Additional Cerner resources and project updates are also available on CHIOneCare.net.  

OneCare Cerner Video Competition

To help the Cerner design teams build teamwork and camaraderie, the communication team challenged each group with making a one-minute video about what OneCare Cerner means to their team. Each of the nine teams participated and created clever videos that used humor, drama and even singing to portray how OneCare Cerner is going to change KentuckyOne Health. The first week of March, the teams gathered to view the videos, and the Radiology department was announced the winner. Team members gladly accepted the first-place certificate and prizes for their valiant effort.