Clinical Mission

August 25, 2023

Information

Babar Khokhar, MD, MBA, FAAN

ID10283

To CiteDCA Citation Guide

00:04Good morning.
00:05So doctor McGovern sends her apologies.
00:08She she last night came down with
00:09something and she said if I could
00:11pinch and she doesn't want to be
00:12here spreading germs of course.
00:13But so I will,
00:14I will do the presentation on
00:16the on the clinical mission and
00:18really on Yale Medicine which
00:20is the the clinical practice of
00:22the of the School of Medicine.
00:25It comprises of the of the 19 clinical
00:28departments and and the ALE Cancer Center,
00:31it's actually now more than 1800
00:33faculty with the this new cohort here.
00:35So we we crossed that barrier this
00:39year 840 advanced practice providers,
00:40more than 1900 staff and we are
00:43through 100 locations throughout the
00:45state with 300 practice sites and
00:48that encompasses about 2.6 million
00:50encounters annually with a budget of
00:52about one point 1.5 at 1.4 billion.
00:54And I have all that that the chairs
00:56listed there I'm sure they're
00:57part of your department.
00:59These are the clinical
01:00chairs School of Medicine.
01:03So, so young medicine which
01:05is the fact to practice plan.
01:07We have our mission and vision here
01:09which is really to deliver exceptional
01:11medical care in a nurturing environment
01:13to each of our patients every day.
01:15And our vision is to advance medicine
01:16for the good of our patients,
01:18colleagues and community.
01:19And we do this with this circle
01:22which are our five pillars really
01:24to be inquisitive and really
01:25learn from our patients,
01:26be innovative by using that and
01:30translating into research from the
01:32bench to the to the bedside and and
01:35in factoring the the patient as a
01:36whole rather than their diseases.
01:38So really the human factor and while
01:40we're doing this work collaborating
01:41both internally at at the School of
01:43Medicine but also with our health
01:45system partners and doing it in a
01:47in a passionate way and and really
01:49in the middle are caregivers,
01:51Folks that are in this room are our
01:53patients And then by working together we
01:54can really achieve the best care possible.
01:59The Yale Medicine Board itself
02:02is led by by the department
02:04chairs and four atlarge members.
02:07Each year there is one chair that's
02:10chosen to to chair the board and
02:12and right now it's Doctor Nita
02:14Huja who's the chair of surgery.
02:16Proposals for Yale Medicine are developed
02:18in multiple different committees
02:20which are led by and appointed diet.
02:21So for example,
02:22our Finance Committee is led by Doctor
02:24Glaser who's the Chair of Radiation
02:26Oncology along with Ian Burchell
02:28who's our Chief Financial Officer.
02:30Our Network Strategy Committee is led by
02:32Doctor Liu who's the Chair Pathology,
02:33along with Yolanda London who's
02:35our Chief Strategy Officer.
02:36Then we have a few other committees there
02:38as well and that is how we function.
02:40So everything we do within
02:41Yale Medicine is reviewed,
02:42approved by the board which is
02:44which are the chairs as well As
02:45for at large faculty members.
02:50So these are some of the services
02:51supported by Yale Medicine.
02:52So those that'll be will
02:54be touching patients.
02:54If you have clinical duties,
02:56we will be supporting you along
02:58the way including revenue cycle
03:00and the billing component.
03:02Pay your contracting quality of
03:03safety under doctor Deb Rhodes
03:05who's the Chief Quality Officer
03:07not just for Yale Medicine but
03:09for also Northeast Medical Group
03:10which is Doctor Brown mentioned
03:12that group on the hospital side
03:13as well as the health system.
03:15We do see oversee ambulatory
03:17operations and we'll support you in
03:18your clinics and also try to optimize
03:20those those operations through
03:21our clinical optimization team.
03:23We're involved in practice acquisitions
03:25which is really working with the
03:26chairs and section chiefs on any
03:28opportunities throughout the state.
03:29IT support and services,
03:31registration of patients,
03:33any compliance issues that may
03:35come up both internally related to
03:37billing or clinically and of course
03:39risk management and malpractice.
03:41We do provide support for access
03:42and I'll give an example of
03:44the care center in in a minute.
03:46And then we have a population
03:47health team looking at how we can
03:49care for patients not just within
03:50within New Haven regionally,
03:51but also across the state and partnering
03:53with the health system on those initiatives.
03:55And there there's a large
03:57component of strategic growth.
03:58I trained here myself and
04:00when I was a resident,
04:01it was very New Haven focused.
04:03And now of course,
04:04we're across the entire state and there
04:05are plans to possibly move N to the state
04:07in Waterbury and a few other hospital system.
04:09So there's always growth in
04:11a system like this.
04:13And then of course,
04:14the marketing piece,
04:14we want to make sure we market
04:16the excellent care we provide,
04:17the research as well as the
04:19educational initiatives that we have.
04:21So I'll I'll use the care center
04:23as an example.
04:24Some of you will,
04:25if you have outpatient clinics,
04:26you will interact with the care
04:28center if your section or clinic
04:29is part of the care center.
04:30So the care center itself is,
04:32it's an acronym that stands for Coordination,
04:34Appointment,
04:35Referrals and Engagement Center.
04:37It was set up back in 2019 and
04:40now has integrated 22 specialties.
04:44They've answered more than I think
04:46it's actually close to 4 million calls,
04:47makes more than 3 million appointments.
04:50They do manage more than 1800 templates
04:52and I process more than 10,000
04:54new patient referrals and and done
04:56more than 9000 transitions of care.
04:58So it's a really,
04:59really large operation and if
05:01you have outpatient clinics,
05:02it's likely that you will
05:03interact with the care center.
05:04This is a function that Yale
05:06Medicine provides to to the
05:08faculty and to the departments.
05:10Another function will actually be a
05:12monthly dashboard that you will receive.
05:14If you don't let me know,
05:15just shoot me an e-mail,
05:16we'll make sure you get it.
05:16But this is a monthly dashboard from
05:18Yale Medicine that gives you data.
05:20This is just two sample pages
05:22from there related to
05:23your productivity RVU's,
05:25how many patients you're seeing,
05:26charges, collections,
05:27that's sort of the front page.
05:29And then there's information
05:30about your clinics.
05:31If you do have outpatient duties,
05:32you'll be able to see how long
05:34is it taking patients to see you,
05:35what percentage of visits are telemedicine.
05:38So all those sort of data points
05:40will be there on a monthly basis.
05:41And this is for our physicians and our APP's.
05:44And again,
05:45if you if you don't receive this,
05:47please let me know directly,
05:48just e-mail me or e-mail your section
05:50chief for chair and they'll take care of
05:54it. And and Doctor Brown mentioned that
05:56we really work in an ecosystem and and
05:58this slide sort of gives you an idea of
06:01what that health ecosystem looks like.
06:02So you have the, the school and Yale
06:05Medicine there in the middle and
06:06really our key partner is the only
06:08Heaven health system which is truly an
06:10integrated system across the state.
06:11So of course you have Yale New
06:13Haven Hospital which is right here,
06:14our largest academic affiliated
06:16hospital with just under 1700 beds.
06:18It's actually considered one of the
06:20largest hospitals in the country
06:21with the two campuses.
06:23We have Lawrence and Memorial
06:25Hospital in New London,
06:27CT Westerly Hospital in Rhode Island.
06:30So we do have a flag in in Rhode Island,
06:33Milford Hospital,
06:34Bridgeport Hospital and then and
06:36then Greenwich Hospital and she
06:38mentioned Northeast Medical Group,
06:40any MG, so any MG is the employed
06:43physician group of the health system.
06:45It was, it was,
06:46it was created in the late sort of 2000,
06:492007,
06:492008 and is primarily composed of primary
06:53care majority of the clinicians and
06:55APP's that are in any MG or primary care.
06:58But they do have specialists as well.
07:00And this year for the first time
07:02we've actually come together under
07:04the aligned clinician enterprise.
07:06I know her slide had the physician
07:08enterprise always changes to
07:10clinician to to recognize our
07:12APP's and our other colleagues.
07:12So it's called ACE.
07:13So we're all aces in the books of of these,
07:15of these groups.
07:17So they're going to come together
07:19really closely and and and it makes
07:21sense over time really the primary
07:23care component and specialty component
07:25really need to sort of function
07:26together and this will allow us to
07:28align much closer with our health
07:30system partners and Doctor McGovern is
07:32going to lead those groups together.
07:34We have of course other key
07:35partners as well in the state.
07:36So the VA healthcare system,
07:39many of you may go there.
07:40I actually started there
07:42myself in West Haven.
07:43It's a great system and we have our trainees,
07:46our students, fellows,
07:47residents also go there.
07:48So it's a really,
07:49really close partner for us.
07:50Check in mental Health Center,
07:52which is right here in New Haven,
07:53it's another partner.
07:54And then we do have key relationships
07:56with other hospitals that are not
07:57in the only heaven health system
07:59but are throughout the state,
08:00Griffin Hospital and a few others
08:02that we also work with very closely.
08:05So I won't go into this too much.
08:08This is the old, I can say it's
08:09the old strategic framework now
08:11because the one doctor brown chair
08:13just came out about a month ago.
08:15But we've had a strategic framework
08:17with the health system for for many
08:19years and it's really focused around
08:22these pillars in terms of providing
08:24care and inspired culture of excellence,
08:26ensure consistent care signature you
08:27you you'll still hear the care signature
08:30piece a lot from the health system and
08:32and Yale Medicine enhanced clinical
08:34services manage the cost of care.
08:36This will be important of course
08:38there's extreme pressures on all
08:39healthcare systems right now and
08:41as the cost continue could go up,
08:42but our reimbursements continue to go down.
08:45So.
08:46So you'll hear about this both
08:47from the health system,
08:49the school and Yale medicine and really
08:51sustaining a financial strength there.
08:53There is actually initiative right now
08:55that the health system has kicked off
08:57cause called strengthening our core,
08:59really related to improving our efficiency,
09:01reducing our cost and really delivering
09:03high quality, excellent care.
09:06So you'll hear more about the
09:07strategic framework.
09:08I know Doctor Brown just mentioned it,
09:09but there's going to be more communication
09:11about this in the coming weeks and months.
09:13And I would say in my last slide.
09:16So this sort of puts all the
09:17puzzle pieces together, right?
09:18These are the, I think,
09:20institution groups here really
09:22to support you and our patients.
09:25You have Yale Medicine, School of Medicine,
09:27Yale University and the Only Heaven
09:30Health System.
09:31And as you embark on this journey,
09:33we are here to support you and our patients.
09:36And if there's anything you need,
09:37you can contact me directly.
09:39e-mail me. e-mail Doctor McGovern.
09:41We'll be happy to address it,
09:42speak with your chief or chair as well,
09:44but we are really here to support you
09:45as you take on this clinical journey.