RESULTS

The remaining slides showcase case studies of how Sonia Panigrahy’s work has resulted in improvements as evidenced by outcome data.

RESULTS

Clinical Excellence

IMPROVEMENT OPPORTUNITY

PROCESS RESULTS BENEFITS

Identified an inconsistent and un-standardized practice to screen and diagnose a communicable disease in a high-risk patient population.

Built a disease-specific clinic recognized by the industry as a coordinated patient-centered medical home care model in an underserved population that utilized evidence-based care, technology, and a multi-lingual coordinated care team.

The organization saw 129 newly diagnosed patients within 15 months as a result of new screening and diagnosis protocols, 30% of whom endured a difficult treatment and are cured, 59% receiving care and treatment, and a 100% appointment show-rate.

Reduced the spread of a communicable disease with a high transmission rate, retained patients who were no longer referred outside and absorbed by competing facilities, and engendered greater loyalty to the organization with the potential for utilization of more services and referral to friends and family.

Supply Chain Management



Ineffective ordering, purchasing, and delivery processes led to supply shortages that caused inefficient resource utilization and storage, staff frustration, and inability to provide patient care when supplies were unavailable.

Evaluated the system of delivering supplies to clinics. Identified system break-downs that were operational, financial, technical, and human in nature. Facilitated technology and operational changes in all departments involved in the process.

Improved a 5-business day turnaround rate of supplies by 30% within 10 months.

Superior resource utilization, enhanced user interface with technology, stronger cross-departmental relations, higher clinical staff satisfaction, and more clinical care provided with improved access to needed supplies at the time of the patient visit. The ability to provide services resulted in the earning of financial incentives tied to quality of care.

Safeguarding Risk



Reconciliation of results to orders (i.e. outside referrals, diagnostic testing and imaging, etc.) were needed while re-structuring during transition from paper to electronic information systems.

Facilitated the processes of ordering and processing test orders and receiving internal and external results to ensure that all diagnostic test orders for patients were received or identified as needing follow-up.

Improved the reconciliation of diagnostic test orders with their results by 100% in two years.

A safer delivery care system, minimizing potential for delayed treatment or missed diagnoses, and increased provider confidence by assuring them that the care delivery system helped support their patients as well as provided protection from legal liability.

Client Satisfaction



Health care organization struggled to collect patient satisfaction surveys to have useful data on the patient experience.

Revised the survey tool to have a more user-friendly and linguistically appropriate format, that met regulatory needs and internal quality concerns. Staff were engaged with measurable targets and incentives for survey distribution and collection.

Increased a patient satisfaction survey response rate by 49% for a quantitative and qualitative measurement of the patient experience while receiving care.

The use of questions that met multiple accreditation and regulatory compliance standards and the provision of statistically significant and meaningful data to the organization to target areas of improvement.

Client Satisfaction



Health care organization lacked a process to routinely collect information from patients about their experiences that provided root causes for poor retention.

Built an in-house database tailored to staffing capacity and computer skills to track and trend daily patient complaints.

Reduction in a complaint category that occurred with a frequency of 21% to 3% of all complaints within 15 months.

A more robust and routine data collection process on the patient experience than that of a bi-annual or quarterly patient satisfaction survey. Data allowed the organization to focus limited resources on key areas to reduce complaints, resulting in a potential increase of retained users and referrals to friends and family.

Health Information Technology



A newly implemented electronic medical record did not meet the federal Meaningful Use requirements, resulting in lack of funding. Providers need to show they’re using certified EHR technology in ways that can be measured significantly in quality and in quantity.

Facilitated a performance improvement team project to identify and organize the standards, determine how to change internal processes and the electronic medical records, built a routine monitoring function for standards compliance, and educated staff on changes needed to improve compliance.

Increased Meaningful Use (electronic health record technology) compliance of 26 new standards by 23% in 5 months.

Enhanced staff user capabilities with the electronic health record by modifying human and information technology processes to promote safer patient care and increased the availability of public health data, leading to higher compliance with governmental mandates tied to financial reimbursements.

Regulatory Compliance



Weak collaboration between two departments led to an inefficient reporting of a metric required by the city Dept of Health.

Worked with nursing staff to identify barriers in knowledge, documentation tools, and technology for reporting. Built a stronger collaboration with laboratory services to systematically and consistently identify communicable diseases.

Increased the reporting of a metric to a city’s Department of Health by 81% in less than 12 months.

A stronger collaboration between multiple departments and increased compliance of reporting for public health purposes.

Contact Me

For questions or more information, contact Sonia at:

Email: [email protected]

mailto:[email protected]

Documents

RESULTS