Adult Immunization (AI) Collaborative Group 3 First In-Person Meeting Organization Profile for St. Cloud Hospital/CentraCare Health I. Organizational Profile Date established, major milestones Founded by the Sisters of the Order of St. Benedict in 1886, St. Cloud Hospital has grown from a small, community hospital to a comprehensive, high-quality regional medical system. St. Cloud Hospital remains the flagship of CentraCare. In 1995, the first local clinic merged with St. Cloud Hospital to form CentraCare Health. CentraCare Health is a not-for-profit health care system that provides comprehensive, highquality care to people throughout Central Minnesota. Our collaborative network includes hospitals in St. Cloud, Long Prairie, Melrose, Monticello, Paynesville and Sauk Centre, six nursing homes, senior housing in six communities, 19 clinics, and four pharmacies. CentraCare also operates numerous specialty services, including the CentraCare Heart & Vascular Center, Coborn Cancer Center and the CentraCare Kidney Program. CentraCare serves all who seek care with compassion, dignity and respect, while seeking to enhance individual and community health. Location, communities served CentraCare s service area is comprised of the following 12 counties in Central Minnesota: Benton, Crow Wing, Douglas, Kandiyohi, Meeker, Mille Lacs, Morrison, Pope, Sherburne, Stearns, Todd and Wright.
Type of organization integrated system, ambulatory practice, etc. Integrated system Organizational size/scale o Number of FTE physicians employed or contracted, number of APPs 262 physicians and 83 APPs o Proportion of primary care 103,540 Primary Care o Number sites of care 37 sites of care (hospitals, clinics, LTC and sub-acute) + 4 pharmacies o Number of patients served 154,426 total patients 103,540 Primary Care 38,261 Specialty Care 12,625 Hospital (unique patients) Market population: 698,577 (CY17)
II. Population Identification Describe your target AI patient population and how you identify them. CentraCare Health s EHR was the capacity to identify specifics on patients. Because of this, we can identify patients based on age, specific visit types, detailed diagnoses, and exact vaccinations. Provide demographics on target population(s). Pneumonia Vaccine- total population o Gender: Male: 40% Female: 60% o Race: White: 94.3% African American: 3.2% Hispanic: 1.2% Asian: 0.8% o Language: English: 97.5% Somali: 1.4% Influenza Vaccine- total population o Gender: Male: 39% Female: 61% o Race: White: 91.5% African American: 4.9% Hispanic: 2.0% Asian: 0.1% o Language: English: 95.9% Somali: 2.6%
III. Program Goals Goals and Objectives o Describe your organization s AI goals The purpose of this program is to increase immunization rates in adult patients with a specific focus on influenza and pneumococcal vaccines, thereby reducing the clinical and economic burden of vaccine preventable diseases. SCH/CCH strives to improve systemwide evidence based practice with influenza and pneumococcal vaccinations to improve our patient outcomes and community health. By increasing compliance with influenza and pneumococcal vaccinations SCH should see fewer admissions or less severity of illness with these related illnesses. Since influenza vaccinations are a Core Measure (IMM2) for CMS, SCH wants to reduce our missed opportunities for the impatient population for this measure as well. The Glob IMM statement for vaccine screening for CCH is: CentraCare Health will offer appropriate vaccine screening and administration to all eligible health care customers seen within the health system.
o Where are you now?
IV. Interventions List your 3 in 3 improvement interventions Provider and Staff Education: 1) Explore incomplete Problem List impacts to clinically appropriate and evidence based application of immunizations. 2) Flu plus ALL in clinic setting. If flu vaccine being administered, the patient will be evaluated for the administration of all currently due/overdue immunizations and said vaccines will be administered as appropriate. Information Technology: 3) Build out the addition of Prevnar with appropriate low, medium, high risk groupers; and, the approval process for a new Health Maintenance buildout within EMR. 4) Address existing issue of the Flu and Pneumococcal BPA s not firing for LPNs.
V. Team Composition List names, titles 1) Barb Friederichs, RN, Performance Improvement Consultant, Sr., SCH/CCH (Grant Lead) 2) Dean Kirkeby, Performance Improvement Consultant, Sr., CCC (Grant Co-Lead) 3) Patrick Ilboudo, Quality Data Analyst, CCH (Grant Data Co-Lead) 4) Angela Nathan, Quality Data Analyst, CCC (Grant Data Co-Lead) 5) Sarah Abdul Jabbar, MBBS, Physician, Plaza Internal Medicine, SCH/CCH 6) Michelle Templin, RN, BSN, Case Manager, SCH 7) Renee Doetkott, RN, Director Ambulatory Nursing Practice, CCC 8) Todd Lemke, PharmD, Pharmacy Services Manager, CCH Paynesville 9) James Mahowald, PharmD, Director Hospital Pharmacy Services, SCH 10) Keith Karsky, Coordinator Retail Pharmacy, CCC 11) Sandy Hamilton, MLS, OP Application System Analyst, Sr., CCC 12) Holly Kockler, RN, BSN, IP Application System Analyst, CCH