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Health Provider Services Organization (HPSO)

Clinical Integration Network

News: Voting is now OPEN for the HPSO Direction Elections....."HPSO Goes to the Gemba" - A Visit to the Cardiovascular Center by Christine Dindy, Nov 2014

South Shore Clinical Integration Network (SSCIN) is a dynamic group of physicians and other care providers who represent South Shore Hospital’s diverse Medical Staff. The SSCIN’s purpose is to strengthen clinical processes, communication and coordination to improve quality, efficiency and the patient care experience across the care continuum.

HPSO established the SSCIN in 2013 to help physicians and South Shore Hospital succeed in light of reforms that are changing how health care is provided and paid for.  The Clinical Integration Network Governance Council develops and oversee strategies to ensure that Hospital and its Medical Staff members have opportunities to collaborate  in redesigning patient care delivery. The Clinical Programs Committee provides insights and direction on future improvement initiatives and are ambassadors for spreading proven pathways across the South Shore.  The physician and administrator leaders comprising both groups, and those involved in the SSCIN improvement initiatives are committed to achieving the SSCIN goals:

- Reduce 30-day inpatient readmissions
- Reduce returns to the emergency department within 72 hours
- Enhance patients' likelihood to recommend our care

Working within the Clinical Integration Network-Testimonials

Justin Campbell, MD, Radiology, South Shore Hospital

Reduce variation across the Health System

A key strategy for achieving the SSCIN goals is to have multi-displinary clinical teams collaborate on ways to create or improve, and follow standards of care for common episodes. Using Health System data, the SSCIN Governance Council and Clinical Programs Committee selected the following two large improvement projects to start with: 

  • COPD:  This project involves improving care for patients from admission to South Shore Hospital to when they have their follow-up appointment in the community.
  • Chest Pain:
    • Project #1: Standards for stress testing for chest pain patients.
    • Project #2: Improved triage in the outpatient setting for patients who call the practice complaining of chest pain during office hours.

More than 40 physicians and care team providers from across the region are involved in these initiatives.  Improvement goals include: reducing readmissions within 30 days, improving patient satisfaction and reducing total medical expense (TME).

All of the SSCIN improvement work is being conducted using Lean methodology. The teams are collaborating on reducing unnecessary steps and wasteful efforts in patient care. The SSCIN will be providing updates on the progress of these efforts through department and community practice meetings, Lean report outs at South Shore Hospital, and on the Clinical Improvement Corner.  

Sharing Performance Data

To create a successful SSCIN, there is a need identified to share performance data across the Health System in order to communicate if the improvement projects and other collaborative work is improving patient care and outcomes.

  • The Clinical Improvement Corner offers updates on clinical integration initiatives, including solutions implemented and outcomes/scorecards. Updates on the COPD, Chest Pain, and other projects can be found here over time.
  • A pilot is underway for web-based SSCIN Data Portal designed to provide transparency around clinical benchmark performance and best practice data. A pilot group of 50 clinicians and administrative leaders involved in the development of this portal are currently testing features and providing feedback to help prepare for a broader launch.
    

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