Carilion Clinic | Facing a New Era in Healthcare (2010) by Carilion Clinic

Facing a New Era in Healthcare

www.CarilionClinic.org

Living proof How acting fast saved Jonathan White When Jonathan White experienced a stroke, he was airlifted aboard Carilion Clinic’s Life-Guard helicopter. Communications and transmission of data during the ﬂight to interventional radiologist Jeﬀery Shay, M.D., allowed the team in Carilion Roanoke Memorial Hospital’s stroke unit to prepare for a CT scan that revealed the exact position of Jonathan’s clot. Dr. Shay then injected tPA to dissolve the clot and performed a thrombectomy using a new FDA-approved device to break up and remove clots in the blood vessels of Jonathan’s brain. Jonathan is expected to make a complete recovery, thanks to the cooperation of everyone involved in his care and the technology that connected them.

The stroke unit at Carilion Roanoke Memorial Hospital is certified by The Joint Commission for our commitment to the highest quality standards.

“We have embarked on a transformational journey to markedly improve health and well-being.” – Edward G. Murphy, M.D. President and CEO

Carilion Clinic | Facing a New Era in Healthcare

Wayne Baran gets back in the game New program keeps patients out of the hospital While undergoing a regular colonoscopy, Wayne Baran learned that his heart was beating strangely. The next thing he knew, he was scheduled for a stress test and immediately sent to Carilion Roanoke Memorial Hospital. Tests revealed that Wayne’s heart was pumping at only 10 percent of capacity. Wayne was given a deﬁbrillator and a pacemaker to help regulate his heart and a referral to Carilion Clinic’s Heart Failure Clinic. There he received individualized treatment that included support for symptom management, nutrition and medication education, as well as an exercise program. As part of the program, he’s now working out ﬁve days a week, enjoying weightlifting and playing basketball with friends.

Heart Failure Hospital Readmissions Within 30 Days 25

23.8%

Percent

17.5%

A readmission rate below the national average demonstrates Carilion Clinic’s eﬀectiveness at helping heart failure patients manage their condition. As further evidence, only 5 percent of patients referred to Carilion’s new Heart Failure Clinic are back in the hospital within 30 days.

Carilion Roanoke Memorial Hospital

National Average

Sources: Virginia Health Information, 2008; American Heart Association, 2009.

“Our goal is to put patients and their families at the center of all we do.” – Nancy Howell Agee President, Hospital Division

Carilion Clinic | Facing a New Era in Healthcare

Improving health one patient at a time Being among the first in the nation to provide the most advanced life-saving care like that used in the cases of Jonathan White and Wayne Baran fulfills our primary mission. But we must also be good stewards of the healthcare dollar by delivering the most efficient care. With that philosophy as our foundation, in 2006 we began

About Carilion Clinic

the transformation of Carilion

Carilion Clinic is a multi-specialty healthcare organization with more than 600 physicians, eight not-for-profit hospitals and ancillary services. With headquarters in Roanoke, Carilion serves a population of approximately 1 million in western Virginia.

Health System, a hospital system that dates to the turn of the 20th century, into Carilion Clinic. Founded on the pillars of clinical excellence, education

and research, Carilion today has evolved into a multispecialty group practice with hospital and ancillary services, all focused on the goal of providing the best possible health outcome and healthcare experience for each patient.

“We believe that a comprehensive network of physicians working together, supported by the latest technology can

improve the health of our entire community while reducing cost.” – Mark J. Werner, M.D. President, Carilion Clinic Physicians On facing page: Pete Eshelman with 5-year-old daughter Sally. The Eshelman family is cared for by Robert Stockburger, M.D., of Carilion Clinic.

Carilion Clinic | Facing a New Era in Healthcare

A new way of caring “Medical home” strengthens doctor-patient bond We recognize that putting the patient truly ﬁrst in today’s environment requires innovative restructuring of traditional healthcare delivery. That’s why Carilion Clinic is transforming our primary care practices into “medical homes.” In a medical home, a team of healthcare professionals, led by a doctor, proactively cares for each patient. Imagine getting a phone call or an e-mail from your doctor asking you how you’re feeling or how your new blood pressure medication is working. And what if you could check your medical records and request a doctor’s appointment as easily as you check your e-mail or update your status on Facebook? We’re also working with The Brookings Institution and The Dartmouth Institute

Medical information at your fingertips Carilion Clinic is bringing the speed and convenience of online communication to healthcare. Through the use of MyChart®, patients now have a convenient new way to communicate with their doctor’s oﬃce. MyChart provides secure online access to portions of patients’ electronic medical records, allowing them to renew prescriptions, view test results, send messages or request an appointment.

for Health Policy and Clinical Practice to pilot a new national payment model known as “accountable care” that makes it ﬁnancially feasible to keep patients healthy, improve outcomes, and avoid costly medications and procedures. These new approaches are among the ways Carilion is working to bring real change to healthcare.

“I can focus my energy on improving the health of patients at the highest risk for disease.” – Peyton Taliaferro, M.D. Carilion Clinic – Family Medicine

Carilion Clinic | Facing a New Era in Healthcare

Lifting the burden of complexity and confusion No longer do patients have to navigate a maze of fragmented systems, trying to understand the complicated relationships between hospitals and doctors. Led by our team of Carilion Clinic Physicians, we are streamlining care delivery and aligning physicians and hospitals toward a singular goal: delivering the best possible health outcome for each patient. Primary care physicians serve as the gateway to our fully integrated team of specialists, tech-

Electronic medical records improve patient care and safety Carilion Clinic is one of the first healthcare organizations in the country to transition from paper patient records to electronic medical records (EMR). Our new EMR system brings together patients’ medical records in one place, providing doctors at all Carilion facilities easy access to their patients’ most upto-date and accurate records. The electronic medical record is an essential tool to improving patient care because it allows members of the patient’s healthcare team to communicate and collaborate more eﬀectively for the patient’s benefit. Carilion ranks 18th in the country on Modern Healthcare’s list of the most integrated health networks and among Hospitals & Health Networks “100 Most Wired.”

nology and other resources, with tools such as electronic medical records supporting the coordination of care at every step. For patients, that means less time between diagnosis and treatment, and a quicker return to health.

Among the Best Carilion Clinic has earned recognition from the country’s most prestigious organizations for our commitment to quality and care coordination. Among our achievements are: • The Gold Seal of Approval by The Joint Commission for both stroke care and orthopaedics at Carilion Roanoke Memorial Hospital. • Two-time designation of Carilion’s Roanoke hospitals as Magnet facilities by the American Nurses Credentialing Center, the gold standard of nursing and patient care. • Consumer Choice #1 award for healthcare quality by the National Research Corp. for Carilion Roanoke Memorial Hospital and Carilion New River Valley Medical Center. • Level 3 Patient-Centered Medical Home, Carilion Clinic Family Medicine – Vinton from the National Committee for Quality Assurance. • National Quality Award from the National Committee for Quality Healthcare.

On facing page: Lesley Stewart, R.N., Carilion Clinic Children’s Hospital and 2010 Healthcare with a Human Touch recipient.

Carilion Clinic | Facing a New Era in Healthcare

Reinventing medical education Research commitment promises brighter future Because we’re committed to providing the best care for each patient, we are also committed to pushing the boundaries of medical education and research. Together with Virginia Tech, one of the nation’s leading universities, we created the Virginia Tech Carilion School of Medicine and Research Institute, where we are training the physicians of tomorrow using an innovative patient-centered curriculum and fully integrated research and interprofessionalism programs. Through our own graduate medical education program, we provide accredited residency and fellowship training in more than a

The Virginia Tech Carilion School of Medicine trains physicians who can translate research from the bench to the bedside and into the community. Only 5 percent of medical schools nationwide oﬀer research as a key curricular component.

dozen specialties, while the Carilion-affiliated Jefferson College of Health Sciences awards master’s degrees in nursing, physician assistant and occupational therapy, as well as baccalaureate and associate degrees in 12 other healthcare programs. Carilion Clinic also provides training to visiting medical students from colleges and universities in the region. We continue our long journey with the knowledge that there is much still to be done, but that our commitment to innovative medical education will pay off with meaningful and significant improvements for our patients.

On facing page: Alice Chen of Irvine, Calif., a member of the charter class of the Virginia Tech Carilion School of Medicine. Carilion Clinic | Facing a New Era in Healthcare 11

“I like being part of a team that shares the goal of optimizing patient outcomes through efficiency, research and improved access.” – Mariana Phillips, M.D. 12

Carilion Clinic | Facing a New

Carilion Clinic – Dermatology and Mohs Surgery

Carilion Clinic Physicians Carilion Clinic Physicians is one of the largest primary and specialty groups in Virginia, with more than 600 physicians and nearly 1 million primary care visits annually. Our physicians are united in the philosophy of putting the patient at the center of everything they do and share in the meaningful work of assuring and restoring health. Carilion Clinic Physicians works tirelessly to provide extraordinary care through integrated group practice, research and education. Specialties Cardiology Cardiothoracic Surgery Critical Care Medicine Dentistry Dermatology and Mohs Surgery Family Medicine Gastroenterology General, Breast and Trauma Surgery Geriatric Medicine Gynecologic Oncology Gynecology Hospitalists Infectious Diseases Infertility and Reproductive Medicine Internal Medicine Maternal Fetal Medicine Neurology Neuropsychology Neurosurgery Obstetrics and Gynecology Occupational Medicine Orthopaedics Otolaryngology (Ear, Nose and Throat) Palliative Care Physical Medicine and Rehabilitation Podiatry Psychiatry and Behavioral Medicine Pulmonary and Sleep Medicine Radiology

Rheumatology Urogynecology Vascular Surgery Pediatric Specialties Allergy and Immunology Cardiology Child and Adolescent Psychiatry Child Development Dentistry Endocrinology Gastroenterology Gynecology (pediatric and adolescent) Genetics Hospitalists Hematology/Oncology Neurosurgery Orthopaedics Pediatric Intensivist Pulmonary Medicine Surgery Specialty Centers Breast Care Center Cancer Center Center for Healthy Aging Sleep Center Spine Center Urgent Care Wound Care

Carilion Clinic | Facing a New Era in Healthcare 13

Carilion New River Valley Medical Center As the leading healthcare provider in the New River Valley, Carilion New River Valley Medical Center anchors a medical/surgical complex that includes a 146-bed hospital and more than 25 specialty physicians and services, such as a Heart and Vascular Center, The Birthplace and a Level III trauma center. Carilion Clinic Saint Albans Hospital, also on site, provides psychiatric and behavioral inpatient and outpatient care.

Carilion Giles Community Hospital This new state-of-the-art replacement facility provides 24-hour emergency care; general and minimally invasive surgery; imaging, including CT, nuclear medicine and digital mammography; and physical rehabilitation and cardiac therapy. Opened in 2010, Carilion Giles Community Hospital is a 25-bed critical access hospital.

Carilion Tazewell Community Hospital The most recent addition to Carilion Clinic’s hospital division, the 56-bed Carilion Tazewell Community Hospital provides important healthcare services to this rural area, including emergency care, diagnostics, surgery and home care. The hospital admits approximately 1,100 patients annually.

Virginia Tech Carilion School of Medicine and Research Institute The Virginia Tech Carilion School of Medicine and Research Institute leverages Virginia Tech’s worldclass strength in basic sciences, bioinformatics and engineering with Carilion Clinic’s highly experienced medical staﬀ and rich history in medical education.

Carilion Clinic | Facing a New Era in Healthcare

Carilion Roanoke Memorial Hospital One of the largest hospitals in the state, Carilion Roanoke Memorial Hospital (CRMH) is a 703-bed hospital with an additional 60-bed Neonatal Intensive Care Unit. The facility includes the Carilion Clinic Children’s Hospital complete with a Pediatric Emergency Room. Now in its second century of providing premier healthcare services, CRMH also features a Level I trauma center.

Carilion Roanoke Community Hospital Carilion Roanoke Community Hospital is home to an Urgent Care Center, Occupational Medicine, Wound Care, pediatric dental services, outpatient surgery and a 34-bed inpatient rehabilitation unit.

Carilion Stonewall Jackson Hospital This 25-bed critical access facility has long served the Rockbridge County community. With more than 200 employees, the hospital admits approximately 1,600 acute patients each year.

Bedford Memorial Hospital In partnership with Centra, Carilion Clinic manages this 50-bed hospital that also has 111 long-term care and skilled beds in its Oakwood Health and Rehabilitation Center.

Carilion Franklin Memorial Hospital A 37-bed community hospital with more than 320 employees, the hospital provides a wide range of medical and surgical services. Carilion Franklin Memorial Hospital admits approximately 2,100 acute patients and treats more than 26,000 Emergency Room patients annually.

Hospitals Urgent Care Primary Care Home Care Hospice

Carilion Clinic | Facing a New Era in Healthcare 15

Connect with Carilion Clinic Whether you’re looking for a physician, have a general healthcare question, or just need someone to help you ﬁgure out where to start with improving your health, we’re here to help. Nurse Line Carilion Clinic’s physician referral and health information service is here to help. Call us at 540-266-6000 or 800-422-8482, or e-mail us at direct@carilionclinic.org.

“Well Said” Speaker’s Bureau If you’d like a speaker on a health topic for your community group, call 540-224-4961. For a speaker at your workplace, call 540-224-4967. Or visit www.CarilionClinic.org/speakers.

Community Health Screenings Health screenings throughout the community are available at little or no cost. Call 540-266-6000 or 800-422-8482, or e-mail us at direct@carilionclinic.org.

Comprehensive Website Check out these features at www.CarilionClinic.org: • An easy-to-use physicians database with multiple search criteria • Interactive maps to help you ﬁnd our locations • Multimedia health and wellness content, including an A-Z library • A community health education and events calendar

MyChart MyChart provides secure online access to portions of patients’ electronic medical records, allowing them to renew prescriptions, view test results, send messages or request an appointment. For more information, call 540-266-6000 or 800-422-8482.

News Blog Keep up with the latest news, photos, videos and more at Carilion Clinic’s news blog. Visit newsblog.CarilionClinic.org.

Social Media Stay connected with us through Facebook, Twitter, YouTube and Linkedin: www.facebook.com/carilionclinic www.twitter.com/carilionclinic www.youtube.com/carilionclinic www.linkedin.com/companies/carilion-clinic.

Publications Pick up a copy of verve, Carilion Clinic’s health and lifestyle magazine, at a magazine rack or grocery store near you. Or read past issues of verve and the Carilion Clinic Report at www.CarilionClinic.org/publications. For health tips and news about health events, check out our e-newsletter, Carilion Clinic Living, also at www.CarilionClinic.org/publications.

Support Groups Support groups are available for a wide range of health and emotional needs, including gynecologic cancer, breast cancer and perinatal loss. Learn more at www.CarilionClinic.org/support.

Health Information Centers Computer stations with health information are available at Carilion Clinic’s 3 Riverside building at the corner of South Jeﬀerson Street and Reserve Avenue in Roanoke. Check out the audio library, video library, clinical wizards, health news and interactive tools. Photo Credits Cover: Mary Ellen Saker with daughter Gabriella, 22 months, a patient of Michael Meyer, M.D., of Carilion Clinic Pediatric Medicine.

Carilion Clinic | Facing a New Era in Healthcare

Purpose Carilion Clinic achieves the best possible outcome for every patient by working together to practice, teach and discover better ways to heal.

Our Commitment To Care Patient Care Comes First— Carilion Clinic’s defining value is patient care. We will design better ways to put our patients at the center of everything we do. Timely Access to Care— Time is of the essence in the delivery of care. We will work to eliminate delays in the delivery of care so that our patients will receive the treatment they need, when they need it. Teamwork and Efficiency— Coordination of care is essential to positive outcomes. We will work together to provide the most accurate diagnoses and deliver the most appropriate treatments for our patients. Measurable Quality— Healthcare is best measured by quality outcomes. We will do everything we can to continuously improve toward the most positive outcomes possible for our patients. Continuous Learning— Medical education ensures our ability to care for future generations. We will train medical professionals in dynamic ways to attract and retain the most skilled staff to care for our patients. Research and Discovery— Advances in medicine are critical to improving the care we provide. We will support clinical research to remain on the leading edge of medicine and make the latest treatments available to our patients. Trust and Respect— A high level of trust is required for patients to face disease with dignity and courage. We will respect our patients as fellow human beings who need our compassion and deserve our care. Transparency and Accountability— Patients have every right to expect open and honest answers from their healthcare provider. We will hold ourselves accountable to our patients and provide them access to the information they need to make informed decisions about their health.

Carilion Clinic P.O. Box 13727 Roanoke, VA 24036-3727 540-266-6000 or 800-422-8482 www.CarilionClinic.org