Response by Michael A. Franklin, FACHE, President/CEO, Atlantic General Hospital/Health System

1. Atlantic General Hospital &
Health System
Our Mission:
To create a coordinated care delivery
system that will provide access to quality
care, personalized service and education to
improve individual and community health.

2. AGH Population Density Map
MD Core
MD Secondary
DE Core
DE Secondary
Source: ARC GIS and 2010 US Census data.
Each Dot equals 100 People

3. AGH Service Area Population
2 0 1 1 P o p u la t io n E s t ima t e s
%of
M D C o re
Na me
00- 17
18- 44
45- 64
65+
T otal
21811
BE RLIN
4 ,4 0 5
5 ,8 4 5
7 ,2 1 4
6 ,1 0 9
2 3 ,5 7 3
63%
21842
O C E A N C IT Y
1 ,4 7 2
2 ,8 2 6
3 ,3 8 7
2 ,8 2 2
1 0 ,5 0 7
28%
10%
21813
BIS HO P V ILLE
533
592
787
410
2 ,3 2 2
6%
2%
21841
NE W A RK
155
191
223
114
683
2%
1%
21872
W HA LE Y V ILLE
125
152
190
105
572
2%
1%
6 ,6 9 0
9 ,6 0 6
1 1 ,8 0 1
9 ,5 6 0
3 7 ,6 5 7
M D S e c o d a ry
M D Core T otal
Na me
21851
P O C O M O KE C IT Y
1 ,7 0 2
2 ,0 8 4
1 ,8 5 9
1 ,1 9 5
6 ,8 4 0
39%
6%
21863
S NO W HILL
932
1 ,5 1 0
1 ,3 7 0
933
4 ,7 4 5
27%
4%
21850
P IT T S V ILLE
679
880
685
312
2 ,5 5 6
15%
2%
21874
W ILLA RDS
669
827
635
272
2 ,4 0 3
14%
2%
21864
S T O C KT O N
109
157
140
81
487
3%
0%
21829
GIRDLE T RE E
82
125
123
71
401
2%
0%
4 ,1 7 3
5 ,5 8 3
4 ,8 1 2
2 ,8 6 4
1 7 ,4 3 2
100%
16%
1 ,2 8 8
1 ,7 3 5
2 ,2 9 1
2 ,2 6 7
7 ,5 8 1
91%
7%
62
102
282
300
746
9%
1%
1 ,3 5 0
1 ,8 3 7
2 ,5 7 3
2 ,5 6 7
8 ,3 2 7
100%
•
21%
8%
M D Se c o n d a r y T o t a l
DE C o re
Na me
19975
S E LBY V ILLE
19944
F E NW IC K IS LA ND
DE C o r e T o t a l
M DC % o f T o t a l
100%
34%
%of %of T otal
•
% o f DE C % o f T o t a l
DE S e c o n d a ry
Na me
19945
F RA NKF O RD
1 ,6 3 2
2 ,2 8 2
2 ,4 0 6
1 ,6 6 7
7 ,9 8 7
17%
7%
19966
M ILLS BO RO
4 ,0 4 5
5 ,4 5 9
6 ,5 3 6
6 ,0 7 4
2 2 ,1 1 4
47%
20%
19939
DA GS BO RO
1 ,1 2 9
1 ,5 5 8
1 ,8 2 5
1 ,4 1 9
5 ,9 3 1
13%
5%
19970
O C E A N V IE W
960
1 ,2 8 1
2 ,3 8 3
2 ,2 2 6
6 ,8 5 0
15%
6%
19930
BE T HA NY BE A C H
301
506
1 ,3 5 9
1 ,4 1 7
3 ,5 8 3
8%
3%
19967
M ILLV ILLE
25
27
46
39
137
0%
0%
DE Se c o n d a r y T o t a l
8 ,0 9 2
1 1 ,1 1 3
1 4 ,5 5 5
1 2 ,8 4 2
4 6 ,6 0 2
100%
42%
To ta l S e rv ic e A re a
•
% o f DE S % o f T o t a l
2 0 ,3 0 5
2 8 ,1 3 9
3 3 ,7 4 1
2 7 ,8 3 3
1 1 0 ,0 1 8
T o t a l S e rv ic e A re a
18%
26%
31%
25%
100%
M a ry la n d
24%
36%
27%
13%
100%
Un it e d S t a t e s
24%
36%
26%
13%
100%
S ou rce:T h om son Reu ters Health care
Source: ARC GIS
•
Berlin ZIP Code (21811) has an
estimated population of 23,573
and accounts for 63% of the
Maryland Core service area
(MDC) population, and 21% of
the total service area.
The Berlin (21811) and
Millsboro, DE (19966) ZIP codes
combine to equal 41% of the
total service area population.
The total service area has an
estimated population of
110,018.
The total service area has
TWICE the percentage of
people in the 65+ age cohort
than the state or US.

4. ICU TELEMEDICINE

5. Rural Maryland Hospitals
Form Unprecedented
Collaborative to Improve
Patient Care
Mon Apr 28, 2008 10:00am EDT

9. MED/SURG
CONNECTIVITY

11. care.connection
• Decreased noise
• Improved patient
satisfaction
• Increased patient safety
Personal units installed in each
patient room October 2012 in
conjunction with room redesigns
Connection with PERKS upon
project go-live

12. eStrategy Continues…
eCare – July 2010
• Remote 24 hr monitoring of critical patients in ICU
Wireless phones provided to nursing staff – October 2012
• Connection to telemetry
• Nurse call
• Text capability
• Scanners for those giving meds
Additional cardiac monitoring capabilities – October 2012
Introduction of Smart Pumps – coming in February 2013
• Increases safety in medication administration

13. PSYCHIATRIC
TELEMEDICINE

15. How do we accomplish a Patient
Centered Medical Home?
Looking
Ahead
for our Community
 Improved
Communication within
Healthcare Community
 Patient Portal
 Faith Based Partnership

16. Health Care Innovation Awards: Maryland
ATLANTIC GENERAL HOSPITAL CORPORATION
Project Title: “Expand Atlantic General Hospital’s infrastructure to create a
patient-centered medical home”
Geographic Reach: Maryland
Funding Amount: $1,097,512
Estimated 3-Year Savings: $3,522,000
Summary: Atlantic General Hospital Corporation, which serves largely rural
Worcester County, Maryland, is receiving a grant to improve care for Medicare
beneficiaries with either a primary or admitting diagnosis of congestive heart
failure, chronic obstructive pulmonary disease, or diabetes, who currently rely on
high cost ER visits and Acute Care admissions. The corporation plans to expand
infrastructure and create a Patient-Centered Medical Home, increasing access for
patients needing non-emergency episodic care and reducing hospital admission
rates and emergency department visits for these Medicare beneficiaries.
Over a three-year period, Atlantic General Hospital Corporation will create three
new jobs and train 75 workers. New hires will include a patient care manager, a
patient advocate, and a care team coordinator.

17. Patient-Centered Medical Home
Achieved NCQA Level 2 Recognition for
Berlin Primary Care & Townsend Medical
Center locations in Oct. 2012
Received $1.1 million federal grant in July
2012 from CMS to expand PCMH to Health
System PCP offices for Medicare patients
• Recruitment of a care coordination team
underway
• Funding also includes purchase of 12
computers for Faith-Based Medical Home
partners