February 2024

Reminder: Complete Your 2024 Performance and Participation Attestation Module

Ochsner Health Network and Ochsner Accountable Care Network’s annual Participation and Performance Attestation module is now available to complete. Located online via Ochsner Learning Network (OLN), the attestation:

  • Outlines your 2024 participation and performance requirements as a physician or advanced practice provider who manages patients in value-based contracts
  • Highlights your responsibility to engage with your OHN performance improvement coordinator or clinical care coordinator throughout the year to stay on top of your quality measures

Please use the appropriate link below to review and complete your Participation and Performance Attestation by April 7.

Ochsner Health Network Group

Ochsner Learning Network Link

Ochsner Health Employed
Ochsner Health Contracted
OLG Employed
Ochsner LSU Physicians Group Employed
Ochsner Rush Health Employed
Singing River Health System Employed
Slidell Memorial Hospital Employed
Independent: Family Doctors of Shreveport
Independent: Infirmary Health
Independent (if login does not start with "st-" or "tg-")

Independent: Titus Regional Medical Center

Terrebonne General Health System Employed
Independent (if login starts with "tg-")

St. Tammany Health System Employed
Independent (if login starts with "st-")

Coming Soon:

Beginning May 1, your personalized scorecard and dashboard will be accessible and fully operational, allowing you to interact with real time data and insights. In the meantime, please connect with your performance improvement coordinator or clinical care coordinator if you have any questions about your 2024 scorecard.

Text-Based Tracker Strengthens Patient Care Post-Discharge

On the fifth day after her discharge from the hospital, one patient enrolled in Ochsner’s Post-Discharge Tracker program indicated she needed help. When nurse, Victoria Potter, called the patient, she discovered the patient needed help getting a new oxygen tank. Her tank was running low, and the medical equipment company did not help her when she called directly.

Potter immediately reached out to other members of the tracker resource team. Angela Washington, a Community Health Worker, jumped in to help right away. Within an hour, she had contacted the home health company and equipment company involved and arranged for the patient to receive her new oxygen tank the same day. The patient called Washington an hour later to let her know the tank had been delivered and that she was incredibly grateful for the assistance. She also contacted Washington’s manager to ensure she received recognition for her efforts.

This level of care and resource coordination puts patients first and offers you and your patients peace of mind knowing that they can easily access what they need, even after they’ve left your hospital or clinic.

About the Post Discharge Tracker Program

In the days following a hospital stay, patients will naturally have questions or concerns. As your partner in patient-centered care, Ochsner Health Network is working behind the scenes to help care for this cohort of patients on your behalf. Patients who meet program criteria are automatically enrolled in Ochsner’s Post-Discharge Tracker program when their physician or advanced practice professional processes their discharge paperwork. If your patient opts in, the text-based tracker interacts with them over a 10-day period.  

  • On day one, patients receive a text asking about any new or worsening symptoms.
  • Texts on days two and three ask about medications.
  • Day five is focused on appointments.
  • On days seven and nine, the patient is asked about any additional needs they may have, like food and transportation.

Each day, patients can indicate any need, and they’ll be routed to the right resource, including Ochsner On Call nurses, pharmacists, post-discharge nurses and community health workers. Every patient encounter in the Post-Discharge Tracker is also documented in Epic to ensure you are kept in the loop and that you or one of the patient’s other providers can be contacted directly if more complicated medical or prescription issues arise.

“This type of text-based tracker makes care more equitable,” says Monique Ebberman, BSN, RN, CEN, Director of Nursing – Ochsner Health Network Care Transitions. “Text messages are simple enough. As long as we have the right phone number, we can quickly get patients what they need. This prevents readmission and helps patients navigate the system, hopefully leading to a better experience and better health outcomes.”

If you have questions about the Post-Discharge Tracker, contact Monique Ebberman at Monique.Ebberman@ochsner.org.

A Letter From Ochsner Health Network’s CEO and CMO

In Ochsner Health Network’s annual 2023 Impact Report, Eric Gallagher, Chief Executive Officer, and Sidney “Beau” Raymond, MD, FACP, MMM, Chief Medical Officer, address the current state of healthcare and how OHN and its physicians are delivering solutions to combat the industry’s most dominant challenges.

“In 2021, U.S. healthcare spending reached $4.3 trillion, over 18% of the national GDP. With 10,000 people turning 65 each day, healthcare needs will continue to grow. Health systems and primary care physicians are facing dwindling margins amid rising labor, drug and supply costs. At the same time, clinicians are experiencing burnout at critical rates, with over 60% of physicians reporting burnout in 2021.

Daunting as it may seem, Ochsner Health Network (OHN) and Ochsner Accountable Care Network (OACN) are relentlessly focused on these issues, and value-based care (VBC) continues to stand out as the clear solution, driving down costs, providing enhanced clinician support, improving patient experiences and outcomes, and rewarding patient-focused care.”

Read the full letter - https://www.ochsner.org/impact-report/#letter-from-ceo-cmo

3 Clinicians Recognized for Outstanding Documentation Efforts

We are proud to present the Circle of Excellence Award winners for February 2024. Circle of Excellence Awards are given monthly to an outstanding advanced practice provider, primary care physician and physician specialist nominated by their clinical documentation educator. Along with the recognition here in the OHN Newsletter, these clinicians receive the Clinical Documentation Excellence (CDE) Circle of Excellence lapel pin, an Ochsner Ovation for Excellence, and an acknowledgement on the CDE SharePoint site (https://ochsnerhealth.sharepoint.com/sites/OHNCDE).

Our February winners are:

Dwight Green, MD, Primary Care

Dwight Green, MD

Dr. Green, a senior physician at Ochsner Health Center – Metairie, was dealing with some technological challenges when he first met with his CDE nurse, Lisa Schmidt. Dr. Green was very receptive to the CDE Focus Education Program, actively engaging in and initiating dialogue regarding various diagnosis guidelines, CDE tools and key performance indicators. Additionally, he incorporated the use of the Hierarchical Condition Categories (HCC) Best Practice Advisory (BPA) tool into his workflow. This workflow enhancement contributed to his achievement of the 2023 HCC Reconciliation Rate goal, finishing the year reconciling more than 93% of his patients’ chronic conditions, an increase of nearly 14% year over year from 2022. We sincerely appreciate Dr. Green’s dedication and support of CDE initiatives!  

Colin Vanhook, MD, Neurology

Colin Vanhook, MD

Dr. Vanhook is a neurologist, splitting his time between Ochsner’s main campus on Jefferson Highway in New Orleans, and Ochsner Medical Complex – The Grove in Baton Rouge. In his initial engagement with his CDE neurology nurse, Lauren Tallo, Dr. Vanhook was somewhat hesitant about participating in CDE Specialty Education and the overall HCC process. After meeting with his CDE nurse, Dr. Vanhook became a strong advocate for the program and routinely attends monthly neurology meetings focused on CDE initiatives. He now serves as a CDE resource for other physicians during meetings and education sessions, and he has become an active proponent of using the HCC BPA tool to gain a better understanding of his patients’ disease states and potential comorbidities. Dr. Vanhook’s encounter action rate rose to 100% in both December 2023 and January 2024. We appreciate Dr. Vanhook’s newfound enthusiasm for CDE, and we are excited to have another strong advocate in neurology.

Kathryn Duplantis, FNP

Kathryn Duplantis, FNP

Duplantis is an advanced practice provider at St. Martinville Family Medicine. From her first meeting in the CDE Focus Program, her documentation excelled. Independently, Duplantis decided to use problem list charting, and her documentation in this area is among the best in the region. She has noted that it was somewhat difficult to incorporate problem list charting during the first few months, but she is delighted that she learned how to do it and is now incorporating it in her daily charting. She sees the benefits, not only for herself, but also for her patients’ quality of care and safety. Duplantis says she wishes this was the only way to chart and that this workflow could be shown to all clinicians during onboarding. Additionally, she recognizes the value that the BPAs hold for her patients. She is always a pleasure to meet with, regularly asks meaningful questions and is committed to doing what is best for her patients. She is a shining example of Ochsner’s pillar of putting patients first.

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