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Central Ohio Health Information Exchange
Mental Health Access
Central Ohio Hospital Quality Collaborative
Blood Supply
Caring for the Uninsured
Health Information Translations
Ohio Better Birth Outcomes
Community Health
Needs Assessment
Hospitals Economic Contributions Analysis
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The four hospital systems have partnered with the
business community, physicians, and others to establish
the Central Ohio
Health Information Exchange, or COHIE, with a goal of assisting
primary care physicians and critical access hospitals successfully
implement electronic health record technology. COHIE is also
investigating options to establish a health information exchange, so
that patient information can be shared with participating hospitals,
physicians and other community providers.
Facing reduced bed capacity and higher demand
for behavioral health services, central Ohio psychiatric providers are
working together to ensure continued access to care for patients in need
of inpatient services. Franklin County’s three adult hospital systems --
Mount Carmel Health System, OhioHealth and The Ohio State University
Medical Center – are partnering with Netcare, the local crisis
intervention facility; Twin Valley Behavioral HealthCare, a state
psychiatric hospital; and Ohio Hospital for Psychiatry to communicate psychiatric bed availability
throughout the area. Working with COHC and the Columbus Foundation, this
group has developed a web-based, secure bed board, which lists all
psychiatric patients needing admission in the entire community as well
as all open and potential beds. Representatives from each entity then
communicate daily by conference call to place the right patient in the
right bed at the right time. This collaborative effort has reduced the
wait time for patients in the crisis intervention facility, the
emergency departments and medical surgical/ICU beds.
In
2003, central Ohio hospitals created the Central Ohio Hospital Quality
Collaborative, a quality improvement initiative, managed by the Ohio
Hospital Association, to improve heart attack failure, heart attack,
pneumonia care and surgical care in the community. Since its inception,
the Collaborative has undertaken additional quality improvement
projects, including reducing hospital acquired infections and
incidents of patient harm. Through the collaborative,
hospitals have demonstrated their commitment to creating an environment
in which they can learn and share best practices, engage in
quality-improvement projects and standardize processes which are proven
to improve the quality of care for patients. Learn more about the
Central Ohio Hospital Quality
Collaborative.
In the late 1990s, central Ohio hospitals began
facing large price increases for blood and blood products from the
American Red Cross, Central Ohio Region. As a result, the hospitals
entered into discussions with the Red Cross, which lead to the formation
of the Joint Committee on Local Accountability (JCOLA) with the goal of
assuring a safe, effective and cost efficient blood supply for the
Central Ohio region.
Franklin County hospitals have seen large spikes
in the number of uninsured patients seeking care, with admissions rising
three-and-a-half times the amount of the overall population in the last
four years alone. Unlike many other large cities, where designated
charity care hospitals are established, Columbus is fortunate that local
hospitals have a long-standing commitment to share responsibility for
providing care to all members of our community, regardless of their
ability to pay. Hospital leaders recently reaffirmed that commitment by
adopting a
uniform charity care policy, in which they agree to follow the same
guidelines when providing free and significantly discounted care to
patients. Hospital leaders have also agreed to
principles which each hospital system follows when working with
patients in need of financial assistance.
In 2005, the four Franklin County hospital
systems launched a Web site,
www.HealthInfoTranslations.org, to address a growing problem within
the central Ohio community: a lack of patient education materials for
low-literacy and limited English-speaking patients. The hospitals
recognized that more and more individuals in our community have limited
English language skills or a low literacy level, which could be a
barrier to their ability to fully understand healthcare related
information. HealthInfoTranslations.org includes more than 3,000 free
resources to help clinicians teach patients with complex communications
needs. The patient education materials are available in English and 17
additional languages, including Arabic, Bosnian, Simplified Chinese,
Traditional Chinese, Korean, Japanese, Hindi, French, Russian,
Ukrainian, Vietnamese, Spanish, Somali, Marshallese, Portuguese and
Tagalog. Health topics on the site include diagnostic tests,
diseases and
conditions, exercise
and rehabilitation, food
and diet,
health and
wellness, home
care, pain
and comfort, pediatrics,
pregnancy and
baby care,
safety,
stress
and coping, and surgeries
and treatments.
Since April 2009, the four hospital systems have
joined with Columbus Public Health and local government and community
organizations to reduce the number of recurrent preterm births in
Franklin County . In Franklin County alone, more than 13 percent of
births occur preterm with that rate rising as high as one in five births
for mothers with high risk conditions. Each year, more than 2,000 babies
are born too early in Franklin County. Preterm birth — birth before 37
weeks gestation — is the leading cause of death among newborns in our
community. Together, this group is using the latest research to improve
outcomes for high risk pregnant women and their children in Franklin
County.
Through the COHC, the four hospital systems are working with community
partners to develop a tool that identifies the health care needs and
priorities of Franklin County residents through the collection and
analyses of data obtained from multiple sources. The assessment tool
will be updated every three years and used by local providers to
implementation strategy that helps determine future health investments,
activities and priorities for the central Ohio community. The health
needs assessment and implementation strategies will be made available to
the public in mid 2012.
In 2011, COHC released an report, with
an analysis performed by Driscoll and Fleeter, showing the economic
contributions made by the four Franklin County hospital systems. The
report showed in 2009, local hospitals
directly employed 36,295 central Ohioans, with total payroll and
benefits exceeding $1.8 billion. As hospital employees use their
earnings to purchase various products and services, an additional 35,000
jobs are created in our community with an additional $1.8 billion being
created in revenues for other local businesses. According to the
Columbus Chamber, one in nine jobs in Franklin County is directly or
indirectly due to our local hospitals. In addition, Franklin County
hospitals have combined total operating expenditures of $5.5 billion.
Hospitals’ purchases generate revenue and create jobs for hundreds of
other businesses, with a “ripple effect” totaling $11.0 billion in
economic activity for other business entities, or 16% of Franklin
County's total economic output. |