临床企业的战略计划(FY 2018-2022)
Practice Plan – Mission
The mission of the clinical practice at McGovern Medical School is to provide excellent, compassionate and patient centered care based on quality, safety and accessibility while demonstrating measurable effectiveness in primary and specialty services. Our mission will be accomplished through the development of targeted objectives, strategies and outcomes over the next five years.
核心价值
• Providing the highest quality of medical care that is patient centered, compassionate and collaborative, and focused on the population that we serve.
• Provide and maintain an environment where patients, providers, students and staff will be treated with dignity and respect.
• Commitment to a mission embracing social responsibility and promotion of a culture of transparency, diversity, growth and innovation.
练习计划 - 目标1
开发关注患者以患者为中心和协作的创新护理交付模型approach to care delivery that is responsive and flexible to address the needs of the population we serve.
STRATEGIES
•通过扩大诊所小时，护理提供者和位置的增加，促进患者的可及性。将实施一种新的患者导航结构，以增强在线和虚拟护理。
•扩大家庭访问的使用，以进行身体，行为和社会健康干预措施。
•确定并制定在初级保健环境中临床上脆弱的风险人群的干预计划，包括脆弱的老年人，患有抑郁症，酒精中毒，肥胖，烟草成瘾和滥用药物的患者。
• Demonstrate a clear institutional leadership position as an advocate for improved vaccination compliance across Texas.
• Use and improve chronic disease dashboards to monitor physician and overall system performance.
•通过改进的推荐系统和患者导航工具，增加了休斯敦UTHEADY系统六所学校的协作和协调的患者护理。外围beplay
• Expand the tele-medicine programs for physical and behavioral health services through development of a UTHealth McGovern Medical School Center for Telemedicine.
•使用每天24小时可用的护士分类线作为快速接触点。
• Enhance patient and care team contact with patients between clinic visits through novel applications of technology including wearable monitoring devices and enhanced use of new care team members such as Clinical Pharmacists.
• Increase the percentage of patients receiving care coordination services via a Care Team, (clinical pharmacists, community health worker, social workers, diabetic educator and others).
• Increase the percentage of clinics offering pre-visit planning, post-visit planning and / or standing orders protocols.
• Develop and implement a centralized transitions of care team for high-risk patients.
OUTCOMES
• Increased numbers of patients accessing care outside of traditional clinic hours including nights and weekends.
•随着使用频率可衡量的增加疾病预防策略。
•减少可避免的急诊就诊，住院，再入院和住院时间。
• Increased identification and appropriate clinical follow up of depression, falls, obesity, nicotine use, substance abuse, and health harming social needs through comprehensive screening tools, appropriate treatment measures, and prevention strategies.
• Increased number of rapid follow up appointments, 90% of which will occur within thirty days, throughout all UTP clinics. Improve the effectiveness of case managers, community health workers in coordinating post-hospital care.
•增加了与卫生系统科学，信息学和人工智能有关的教育计划的参与。
•增加了所有六所UTHealth学校生物医学信息学方面的协作计划。外围beplay
•在本地及以后的人口保健提供临床卓越，相关性和影响方面的声誉提高。
•pediatri增加疫苗的利率c and adult populations served.
•增加服务请求，推荐或患者触摸的增加。
• Number of patients receiving transitions of care services, percentage of patients completing a post hospital discharge clinic visit with a Primary Care provider.
•减少可避免的急诊就诊和入院次数。
练习计划 - 目标2
Complement Behavioral Health services for both inpatient and outpatient care including substance abuse.
STRATEGIES
•通过使用多部门协作方法制定新的社区外展计划来减少健康差异并满足损害患者法律需求的健康状况。
• Expand and enhance existing programs for wellness, diabetes education and self-management, hypertension, physical fitness and behavioral health.
•与现有基于社区的计划合作，以增强我们对人口比例增加的宣传。
•开发，研究/研究并启动创新项目，beplay苹果手机能用吗以解决影响我们患者的健康的社会决定因素。
•提供针对健康决定因素的计划。
OUTCOMES
•改善健康成果，包括参加健康方案的患者数量增加，包括糖尿病，运动，太极拳，健康饮食和烹饪，园艺和健康展览会，改善疾病管理措施以及改善患者自我报告的整体健康满意度和幸福。
•使用自我报告和标准化的筛查工具改善员工健康状况。
• Needs assessments by clinic.
•可用的实际编号和类型。
• Number of patients screened.
• Number of patients who screened positive and received services.
• Decreased patient no show or non-adherence to treatment.
练习计划 - 目标3
开发基于社区的计划，使人口的整体健康受益。
STRATEGIES
•通过使用多部门协作方法制定新的社区外展计划来减少健康差异并满足损害患者法律需求的健康状况。
• Expand and enhance existing programs for wellness, diabetes education and self-management, hypertension, physical fitness and behavioral health.
•与现有基于社区的计划合作，以增强我们对人口比例增加的宣传。
•开发，研究/研究并启动创新项目，beplay苹果手机能用吗以解决影响我们患者的健康的社会决定因素。
OUTCOMES
•改善健康成果，包括参加健康方案的患者数量增加，包括糖尿病，运动，太极拳，健康饮食和烹饪，园艺和健康展览会，改善疾病管理措施以及改善患者自我报告的整体健康满意度和幸福。
•使用自我报告和标准化的筛查工具改善员工健康状况。
练习计划 - 目标4
Promote stronger, more integrated and patient focused affiliations with our major academic and community partners while aligning our strategic and financial goals with the stakeholders.
STRATEGIES
• Establish criteria for mutually negotiated goals for patient care and outcomes for the clinical and financial enterprise.
•与托管护理组织和付款人合作，以改善临床结果并降低成本。
• Partner with other UT schools to identify and secure new funding to improve infrastructure and patient outcomes.
OUTCOMES
•作为患者护理的提供者，并在葡萄酒指数和新闻界的Gainey Surveys中保持最高的10％排名。
• Increase our funded and philanthropic research awards by at least 5% yearly.
• Increased participation and increased performance in quality and shared savings programs.
•通过补充数据提要或FTP（文件传输协议）增加数据交换。
练习计划 - 目标5
通过使用新的和现有的增强报告机制来证明患者安全和质量措施的持续改进。
STRATEGIES
•扩大以所有临床部位为中心的NCQA患者的认证。
• Enhance and facilitate the use of the Patient Safety Reporting Module.
•启动方法以改善和增强错误报告的易用性。
• Provide continuing education programs for error reduction and patient safety for students, staff and faculty.
• Implement Population Health measures to create and sustain systemic improvement through development of performance tools that allow multi-level tracking.
OUTCOMES
•绝对减少严重和不太安全的安全事件。
•绝对减少护理错误，近乎失误以及护理管理的遗漏。
•国家认可作为患者质量和安全领域的领导者。
•将跟踪质量和临床成果的数据库，建模以分层风险，包括用于护理分析差距的工具。
练习计划 - 目标6
开发和增强专业教育（IPE）计划，重点是基于团队的患者护理和疾病预防方法。
STRATEGIES
• Improve collaboration between all the UTHSC schools in IPE at all levels, undergraduate, graduate and professional CME activities.
OUTCOMES
•学校中的IPE计划增加，学生，教职员工和教职员工的数量不断增加。外围beplay
练习计划 - 目标7
专注于招募和保留杰出的临床教师。扩展和监视旨在促进教师福祉的计划，包括识别和减少临床医生倦怠的工具和策略，并增强了教师发展的职业长计划。
STRATEGIES
•扩展教师发展计划，包括指导和教练计划。
•支持教师参与我们l Safety and Effectiveness (CS&E) and Leadership development courses through UTHealth and McGovern Medical School as well as participation in national leadership development courses.
• Use tools to survey workplace satisfaction to identify areas for improvement.
•鼓励使用筛查工具来帮助识别有风险的人并提供适当的管理选择。
OUTCOMES
• Recruitment of outstanding clinical faculty, with a measurable increase in recruitment of women and underrepresented minorities.
•所有新租用的教师将有一位设计的教师导师。
•通过提高教师，学员，员工的满意度得分来提高工作满意度。
• Improved retention of faculty and staff.
MEASURED OUTCOMES TO 2019
• Same-day appointments, evening and weekend hours added at all Community Based Clinics totaling an additional 424 hours per month for patient care
•自成立以来，护理团队的护理协调和过渡获得了15,000多个推荐。护理协调团队目前由财务顾问，临床药剂师，糖尿病教育者，医学社会工作者，社区卫生工作者，行为健康提供者，护士，高级护理从业人员和医生组成。
•小儿高风险护理计划导致ED访问，入院，PICU入院和住院时间降低了47-69％。
• Medicaid payments were reduced by $6,243/child-year with care coordination.
•自成立以来，社会工作者已收到10,000多个推荐。
•自成立以来，糖尿病教育者已收到6,000多个推荐。
• Clinical pharmacist referrals have identified and resolved over 300 drug therapy problems.
•EHR综合患者安全报告模块已收到100多个已经进行了评估和补救措施的潜在患者安全事件实例。
• Nurse triage line operating 24/7 answered 349,000 patient calls in 2019.
• Behavioral health is now integrated in all primary care clinics.
• Approximately 40 clinical care measures for primary ,secondary and tertiary prevention have been established each with a measureable performance dashboard.
•现在，所有初级保健患者每年都会筛查抑郁症，跌倒，肥胖，尼古丁和酒精的筛查。
• Over 50 Wellness Programs for patients are currently available in conjunction with 30 community partners. Caring for the community programs include chronic disease management, nutrition and lifestyle, physical fitness, maternal and child care, and patient education and support.
• Strong Foundations for Motherhood uses community health workers to decrease severity and duration of postpartum depression showing a 50% decrease is psychological distress and achieved depression remission.
•小儿和成人疫苗接种率显着提高。
• Construction on a new psychiatric hospital has commenced.
• A new physician to physician telephone consultation line for psychiatric patients is now operational.
• The Department of Psychiatry has enrolled students in a program to education Psychiatric Advanced Care Practitioners.
• UTP is leading a 60 member consortium to address food insecurity and clinical outcomes of intervention.
•11个诊所的NCQQA PCMH认证，在2020年预计将有7个诊所。
•IPE活动，包括参加模拟灾难模拟的所有健康科学学科的参与者，包括每年两次大规模伤亡训练，创新挑战专业团队竞争，以寻找最佳的医疗保健问题解决方案，在所有临床环境中的协作保健继续教育。
Practice Plan – Oversight
•代表临床，研究和教育冠军的多学科团队，将每半年监视该计划，以完成成功的成果完成，这些更新将用于一般教师审查和评论。beplay苹果手机能用吗
• Outcomes that are identified as not meeting anticipated goals will be brought to the Medical Directors, Section Chiefs or Department Chairs for discussion and implementation of methodologies for improvement.
• Periodic re-assessment and adjustments to the plan will be required over time. Responding to and anticipating future clinical challenges will be a necessary task of the plan oversight committee.
• Performance dashboards, retrospective and prospective analysis will be employed to track the performance in each of the identified areas.
