MEETING THE 2009 A N N U A L R E P O R T HEALTH WNC NETWORK Providers Working Together
WNC Health Network Mission and History The WNC Health Network (WNCHN) is a collaboration of hospitals and other health care providers that support the delivery of cost-effective, quality health services in Western North Carolina. The Network maintains a vision of community focus supported by collaboration, integrity and respect among its members. It provides the following primary functions for its members: group purchasing, a health information exchange (WNC Data Link), quality improvement activities, and wellness projects. The Network began in 1995 to identify, explore and implement cost-effective, collaborative opportunities among the hospitals and health care systems serving western North Carolina. In addition to the original 16 WNC hospitals that comprise the founding members, the Network now includes 40 affiliate members across the Carolinas, southern Virginia and eastern Tennessee. WNCHN Founding Members Group Purchasing Affiliates 1
WNCHN Group Purchasing Demographics Group Purchasing Membership 55 Hospitals / Health Systems representing 77 Sites Licensed Beds 14,000+ Premier Volume ~$1.1 Billion Contract Opportunities 275+ Work Groups Materials, Pharmacy, Lab, Food, CFO, Business Office, and Human Resources Primary GPO Affiliation Premier Definition Independent Regional Network GPO married to a GPO WNC Data Link Statistics Membership 16 Hospital Sites Users 440 Inquiries per Month 6,964 WNCHN 2009 Sources of Revenue Membership Dues 44% DataLink Fees 32% 2 Misc Income 1% Grants 9% Group Purchasing Fees 11% Continuing Education Fees 3%
by Reducing Costs The Group Purchasing function identifies, negotiates and implements contracts with vendors to achieve the best price possible and reduce the cost of healthcare delivery. The standardization of suppliers and the aggregated volume in the Group Purchasing Program achieved better tier pricing and enhanced Premier contracts with combined savings of $13,338,039 and an ROI > $15:$1 for all WNC Health Network Members in 2009. Highlights: - Established re-seller agreement for Premier My-Spend and My-Spend Lite products to allow reduced access cost for all participating members - Established group buy opportunities for patient room furniture, beds, stretchers and defibrillators for membership - Conducted Pharmacy study for use of drug Xopenex vs. Albuterol yielding significant savings opportunities for members - Promoted Patient Audit Recovery Pharmacy Program through Amerisource - Coordinated and instituted Human Resource group buy opportunity for Life and Disability Insurance - Completed key CFO cost savings opportunity contracts with: - Dixon Hughes for Audit Services - Lancaster Pollard for Capital Financing Options - Accudoc Solutions for patient statement creation and mailing and for web payment portal development - ProClaim Medical for Medical Claims Audit. Savings History D O L L A R S Y E A R WNCHN Annual Forum The second annual WNCHN Forum Meeting was held in Winston-Salem in October 2009 Work groups included: Materials Management, Pharmacy, Lab, and Food Total attendance was 85 staff from over 40 member hospitals Over 60 vendors exhibited Forum included education, work group meetings, and networking with no conference or lodging fees for any member Attendees rated the forum as 4.5 out of 5 3
with Connectivity WNC Data Link is a regional health information exchange for the 16 hospitals serving western North Carolina. Electronic patient information from each hospital is exchanged efficiently and securely to coordinate patient care and avoid duplication of tests. WNC Data Link Implementation Plan H WNC Hospitals Provider INTERNET State HIE VA Hospitals Retail HOSTING CENTER MEDSEEK NHIN WNC Hospitals PACS Vendor-Based EMR Hubs (To be determined) 4
Data Link Log-Ins/Month 8000 7000 6000 6039 6227 5827 6076 5682 6439 6674 6964 6449 6105 6091 5211 Number of Log-ins 5000 4000 3000 2000 1000 0 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Month Project Enhancements - Developed Request for Information (RFI) for adding images into Data Link - Performed three production updates to enhance Data Link usage and decrease Java errors - Developed additional user definitions to assist in increasing Data Link usage in appropriate venues Sustainability - Obtained an additional $235k in Health Resources Services Administration (HRSA) funds in the Health & Human Services (HHS) appropriations bill for linkage of physician EMRs - Assisted the NC Health & Wellness Trust Fund (HWTF) in the HITECH ACT application for $12.9M for the NC Health Information Exchange (HIE) - Assisted NC by having Data Link in production and qualifying them for Stimulus funding as the only operational Health Information Exchange (HIE) in the state 5
by Enhancing Quality WNC REGIONAL QUALITY IMPROVEMENT Infection Rates Supported the reduction of infection rates by collecting data and sharing best practices Stroke Care WNCHN collaborated with the Mountain Area Health Education Center and others to develop a WNC Regional Stroke System of Care Emergency Department Care Supported the improvement of emergency department patient flow for several hospitals 6
to Improve Regional Health Status Mental Health - Task force fostered ongoing communication between Local Management Entities (LMEs) and hospitals, addressing coordination of inpatient care - Task Force met with Broughton Hospital to address opportunities for improvements in the admissions/referral process and improve communications - WNCHN Founding Member CEOs met with NC DHHS Secretary Lanier Cansler to raise issues about the lack of mental health services and the need for funded community beds Healthcare Workforce Development - WNCHN assisted Mountain Area Health Education Center and Mission Hospital in implementing the initial WNC medical school plan - WNCHN is supporting MAHEC and Mission Hospital in exploring options for a pharmacy school component in Western NC - WNCHN advocated that Western Carolina University continue the Lab/Med Tech program to expand the number of well-trained laboratory technicians in WNC Childhood Obesity - Developed and planned for a childhood obesity prevention project in the region (WNC Healthy Kids) 7
WNCHN Staff Janice Lato, President & CEO Dana Gibson, Vice President, WNC Data Link Services Mark Landau, Vice President, Group Purchasing Tim Bugg, Vice President, Member Services Robin Lincoln, Director, Group Purchasing Dedra Channell, Group Purchasing Contracts Analyst Jackie Hege, Group Purchasing Contracts Analyst Kim Meadows, Group Purchasing Administrative Assistant Erin Moreau, Office Manager John Graeter, Project Director, WNC Healthy Kids Sally Smith, Project Coordinator, WNC Healthy Kids janice.lato@wnchn.org dana.gibson@@wnchn.org mark.landau@wnchn.org tim.bugg@wnchn.org robin.lincoln@wnchn.org dedra.channell@wnchn.org jackie.hege@wnchn.org kim.meadows@wnchn.org erin.moreau@wnchn.org john.graeter@wnchn.org sally.smith@wnchn.org Board of Directors Robert J. Bednarek, CEO Transylvania Regional Hospital David M. Bixler, CEO Rutherford Hospital James Bruckner, Director Macon County Health Department Tracy T. Buchanan, CEO CarePartners Health Services James A. Bunch, CEO Park Ridge Hospital Casey M. Cooper, CEO Cherokee Indian Hospital Carleton T. Rider, Interim CEO Mission Hospital Edward J. Hannon, CEO The McDowell Hospital N. Kristopher Hoce, CEO Margaret R. Pardee Memorial Hospital Keith S. Holtsclaw, CEO Blue Ridge Regional Hospital Timothy S. Hubbs, CEO Angel Medical Center Frank Leslie, Interim CEO Highlands-Cashiers Hospital J. Michael Poore, CEO MedWest Health System Kenneth A. Shull, CEO St. Luke s Hospital J. Michael Stevenson, CEO Murphy Medical Center 8
Founding and Affiliate Members denotes WNCHN founding member Alamance Regional Medical Center - Burlington, NC Angel Medical Center - Franklin, NC AnMed Health - Anderson, SC Appalachian Regional Healthcare System Watauga Medical Center - Boone, NC Charles Cannon Memorial Hospital - Linville, NC Blowing Rock Hospital - Blowing Rock, NC Asheville Specialty Hospital - Asheville, NC Blue Ridge Regional Hospital - Spruce Pine, NC Buchanan General Hospital - Grundy, VA Caldwell Memorial Hospital - Lenoir, NC Cape Fear Valley Health System Cape Fear Valley Hospital - Fayetteville, NC Highsmith Rainey Hospital - Fayetteville, NC Bladen County Hospital - Elizabethtown, NC CarePartners Health Services - Asheville, NC CaroMont Health- Gastonia, NC Carteret General Hospital - Morehead City, NC Catawba Valley Medical Center - Hickory, NC Cherokee Indian Hospital - Cherokee, NC Community Memorial Healthcenter - South Hill, VA Conway Medical Center - Conway, SC FirstHealth of the Carolinas FirstHealth: Montgomery Memorial Hospital - Troy, NC FirstHealth: Moore Regional Hospital - Pinehurst, NC FirstHealth: Richmond Memorial Hospital - Rockingham, NC Gaston Memorial Hospital (Caromont Health) - Gastonia, NC Granville Medical Center - Oxford, NC Halifax Regional Medical Center - Roanoke Rapids, NC Highlands-Cashiers Hospital - Highlands, NC Iredell Memorial Hospital - Statesville, NC Laurens County Hospital - Clinton, SC Lenoir Memorial Hospital - Kinston, NC Lexington Medical Center West - Columbia, SC Loris Community Hospital - Loris, SC Margaret R. Pardee Memorial Hospital - Hendersonville, NC Maria Parham Hospital - Henderson, NC The McDowell Hospital - Marion, NC McLeod Regional Medical Center - Florence, SC MedWest Health Haywood Regional Medical Center - Clyde, NC Harris Regional Hospital - Sylva, NC Swain County Hospital - Bryson City, NC Mission Hospital - Asheville, NC Murphy Medical Center - Murphy, NC Oconee Medical Center - Seneca, SC Park Ridge Hospital - Fletcher, NC Randolph Hospital - Asheboro, NC Rutherford Hospital - Rutherfordton, NC Self Regional Healthcare - Greenwood, SC Southeastern Regional Medical Center - Lumberton, NC Spartanburg Regional Healthcare - Spartanburg, SC Stanly Regional Medical Center - Albemarle, NC St. Luke s Hospital - Columbus, NC Transylvania Regional Hospital - Brevard, NC Twin County Regional Healthcare - Galax, VA Wayne Memorial Hospital - Goldsboro, NC Wilson Medical Center - Wilson, NC Synergy Health Group Blount Memorial Hospital - Maryville, TN Cumberland Medical Center - Crossville, TN Laughlin Memorial Hospital - Greenville, TN Morristown-Hamblen Healthcare System - Morristown, TN MSHA - Mountain States Health Alliance - Johnson City, TN MSHA - Dickenson Community Hospital - Clintwood, VA MSHA Indian Path Medical Center - Kingsport, TN MSHA - Johnson City Medical Center - Johnson City, TN MSHA - Johnson City Specialty Hospital - Johnson City, TN MSHA - Johnson County Health Center - Mountain City, TN MSHA - Johnston Memorial Hospital - Abingdon, VA MSHA Niswonger Children s Hospital - Johnson City, TN MSHA - Northside Hospital - Johnson City, TN MSHA - Norton Community Hospital - Norton, VA MSHA - Quillen Rehabilitation Center - Johnson City, TN MSHA - Russell County Medical Center - Lebanon, VA MSHA - Smyth County Community Hospital - Marion, VA MSHA - Sycamore Shoals Hospital - Elizabethton, TN MSHA - Woodridge Hospital - Johnson City, TN The University of Tennessee Medical Center - Knoxville, TN Unicoi County Memorial Hospital - Erwin, TN
HEALTH WNC NETWORK 501 Biltmore Avenue Asheville NC 28801 828-257-2983 fax: 828-257-2984 www.wnchn.org