Olean General Hospital (OGH)

See schedule o.in 2022, Olean General hosptal discharged approximately 7,000 patients and provided services to approximately 275,000 outpatient visitors.the ogh campus in Olean, ny includes 186 patient rooms, together with comprehensive patient, administrative and physician services and accomondations to meet the diagnostic, treatment, administrative and educational needs of its patients and medical staff. The brmc campus in bradford, pa includes 50 patient rooms and 95 skilled nursing beds. Ogh offers patients and their families a full range of diagnostic and medical services, as well as many specialty services. A wide array of multi-specialty physicians and clinicians offer services ranging from orthopedic, vascular, neurology to General medicine. The Hospital provides cancer, cardiac and vascular care, ob/gyn, General surgery, urology, women's health, internal medicine, pediatrics, sleep medicine, and psychiatric care.2022 was a difficult year to accomplish "normal" improvements and program accomplishments as a result of the continued covid 19 pandemic. There are countless stories of heroic deeds by many of our healthcare workers which made a difference in our patients' lives as well as simply saving lives. Our greatest accomplishment in 2022 was the continued efforts around the pandemic. Below we also highlight a few traditional areas of focus at ogh and brmc relative to accomplishments in 2022.highlighted below are some of the initiatives that were realized in 2022 at ogh and brmc:- provider recruitment is critical to offer existing and expanded services at a health system. During 2022, ogh was successful in recruiting and program development in the following areas:- primary care - hired 2 mid-levels- orthopedics - hired 2 mid-levels2022 financial performance -Olean General Hospital (ogh) reported a net loss of ($25,674,000) for 2022 which results were very negatively impacted by the covid 19 pandemic. Revenue was under budget ($20,723,000) and expenses were over budget by ($7,864,000).during 2022 the organization implemented 22 initiatives that had an estimated value of $8,500,000. During 2022 quality matters, Olean General Hospital (ogh) develops a quality improvement plan annually. While 2022 was no different than any other planning year, the covid 19 pandemic forced ogh to focus internally on planning of potential disasters and ultimately taking care of large numbers of covid 19 infected patients. This put a damper on a number of quality improvement initiatives. Despite that impact, several projects were pursued during 2022 including:- developed plans to improve hcahps scores through: organizing the patient experience committee; leadership rounding on floors; increased awareness of all levels of staff on importance of customer satisfaction; focus on "commit to sit" program as well as answering patient call bells on a more timely basis; improve discharge instructions and patient understanding; improve bar code medication scanning; improve patient med reconciliations to 95% of all patients; reduce or even eliminate stage i, ii, and iii pressure ulcers.during 2022 information technology matters:1. Blue orange risk assessment -tt- completed the 2022 risk assessment with blue orange compliance- completed the pen tests and vulnerability scans- completed the virtual walkthroughs of each facility and location- conducted interviews with each organization.2. Checkpoint firewall upgrades- upgraded the checkpoint firewalls to the latest stable version of r81.10. Completed this across both data centers and all firewall services. Also upgraded the smaller checkpoint appliances at key locations with a site-to-site vpn.3. Cisco dna and ise- configured the cisco appliances for dna and ise use. Will be doing more in 2023 with these services and the network upgrades that are expected.4. Chemistry analyzer upgrade- upgraded to a new chemistry analyzer in ogh. Included the back-end servers needed for the system5. Cath lab / sensis upgrade- ogh cath lab was replaced. The system was 10+ years old and running on unsupported systems and software. This was upgraded to the new sensis and internal systems for the cath lab. Siemens is still working on the interface issues and is currently in a manual process (as had been since inception). Hopefully, in 2023, siemens can patch the system to enable the interface to continue to work, engineers have been onsite to take logs and identify the issue.6. Cloudmed implementation- worked with kaleida, finance, and revenue cycle to give utilize cloudmed for rev cycle.- dozens of cloudmed users were setup for meditech access.- each area was divided into their specialty and profiles were created to give only access that was needed.- 99% implemented. One final request to have access to the cancer center system for review of these rev cycle patient needs.7. Cms safer assessment- completed the cms safer assessments for all sites. One of the promoting interoperability requirements is to utilize their forms and complete them. Met with the apps and tech groups, as well as the change control groups to fill these out as accurately as possible. Submitted all to the security officer in december 2022.8. Medent consolidation phase 1- completed phase 1 of the medent consolidation. All instances of medent in ogh/brmc/hsp/fmg are now running on a single medent database. All conversions were complete. Multi-site billing was also implemented to be able to segregate the tax id billing per entity.9. Meditech -tt priority pack upgrade- huge upgrade to the entire meditech platform. Moved to the latest priority pack.- tested all of the pp updates in test. Met with the teams to review and test.- worked with meditech to schedule and implement the change.- only a few minor issues after the upgrade, which meditech was able to fix, quickly.- this puts us at a version that is supported by cms for the latest promoting interoperability10. Nys hcda (surge) project.- worked with nys doh to build out the surge needs and nedoc needs for the nys doh requirement.- setup the dr, sql, and sharepoint for internal reporting of staffing and the submission of data to the state.- met the state timeline and began submitting to test every 2 hours for ogh.- awaiting the state to be ready for sending to a live environment.- assisted other meditech hospitals in the state on how we are gathering and capturing and submitting the data.11. Nys hanys eqic reporting- worked with the state as a beta site to send the lab and pharmacy data to hanys.- we are now sending live data for this requirement for ogh, brmc.- met with several hospitals, hanys, and nys to show how we developed this. As well as shared our scripts for the meditech hospitals in nys.12. Winsurge upgrade- completed the winsurge upgrade for ogh pathology. The system was on a very old version and unsupported os. They are now on the latest versions and fully supported.13. Xcelera upgrade to iscv- phillips has changed from the xcelera platform for cardio to iscv. The old system was eos/eol and needed upgraded. All data was migrated from old to new, and ogh/brmc went live with the new iscv.