Simeon Schwartz

1
The WestchesterMedical Group
Simeon Schwartz
President
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The Westchester Medical Group

• Established 1996 by 16 physicians
• Currently, 125 physicians Over 20 specialties
• 2/3 of growth by consolidating small practices
• 2 clinics 8000 sq meters and 6000 sq meters
• 6 small satellite offices
• Federal Medicare Program is largest payer
• Physician governed by an elected board

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Happy Patients - Happy Doctors/Staff

• Happy Patients
• Coordinated care
• Efficient care
• Quality care

• Happy Doctors/Staff
• Income
• Quality of life
• Professional satisfaction
• Preserve Autonomy

4
Clinic Strategies to Improve Quality and
Efficiency

• Incorporate modern corporate business practices
  Six Sigma/Lean
• Improve operational efficiencies
• Advance IT systems and workflow redesign
• Employee training
• Increase services in the clinic that improve
  patient convenience
• Improve physician communication and coordination
  of care

5
Clinic Structure

• Architecture
• Small practice feel with open spacesand clear
  signage
• GP and Obstetrics about ½ space and 20
  consultants, both full time and part time
• Onsite laboratory for collection and routine
  testing
• Imaging services including CT, MRI, Ultrasound
• Same day surgical and endoscopic procedures
• New partnership with local hospital for 4 room
  center
• Urgent care 9-9 weekdays 9-5 weekends

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WMG IT Integration
Clinical Messenger
Care Catalyst
Dictaphone
E Script Messenger
Intellidose
Scanned Documents
PATIENT EMAILS
Brentwood EKG
DEMOGRAPHICS
PRESCRIPTIONS
DEMOGRAPHICS
DRUG DOSE NOTES
CENTRICITY PM
CENTRICITY EMR
Dinamap
RESULTS
On Base
CHARGES
DEMOGRAPHICS/SCHEDULING
CHARGES
RESULTS
DEMOGRAPHICS, RADIOLOGY, LAB, H P, DISCHARGE
NOTES
ORDERS
Orchard LIS
Right Fax
EDI/ERA
PRENATAL RECORDS
DEMOGRAPHICS
REPORT IMAGES
WP Hospital
Greenwich Hospital ?
VNS ?
ORDERS DEMOGRAPHICS
Quest
Amicas Pacs
Labcorp
Dictaphone
CHARGES
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WMG IT Integration

• Paperless and film less practice
• Computerized order entry systems
• Electronic physician interactions
• Dramatic decrease in phone calls
• Web based access for patients to their physicians
  and parts of their chart

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Clinical Impact of Multi-Specialty Clinic

• GP, Consultant and Imaging visits same day in
  same location
• Rapid outpatient management of common conditions
  that previously required hospitalization
• Examples
• Deep venous thrombosis
• Cancer care continuum
• Routine lab drawn just before visit with
  resultsavailable within 45 minutes
• X-ray and imaging reports available within 15-20
  minutes

9
Quality Programs

• NCQA
• Diabetes
• Heart- Stroke
• Computerized tracking systems
• Mammogram, Cervical Cytology, Vaccines,
  Colonoscopies
• Yearly departmental quality goals
• Quality bonus

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Happy Patients-Happy Doctors

• 98th percentile nationally in physician
  satisfaction
• 25 decline in A and E visit and admissions for
  our under 65 year old group between 2005-2006
• Clinic structure improves physician
  efficiencyand hassle factor
• More time to focus on doctor patient relationship
• Rising patient satisfaction
• Patient appreciate the coordinated and efficient
  care
• Less time lost from work and family