Collaboration Key to Making Outcome Based Pathways and Reimbursement a Reality Yvonne Ashford (Central CCAC) Valerie Armstrong (North Simcoe Muskoka CCAC) Tina Hamilton(Saint Elizabeth Health Care) OACCAC Knowledge and Inspiration Conference June 20th, 2013
34
Embed
Collaboration Key to Making Outcome Based Pathways and … · 2013. 10. 17. · SPO Training SPO Business Process SPO Communication SPO Billing Process SPO Evaluation & ... reduce
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Collaboration Key to Making Outcome Based Pathways
and Reimbursement a Reality Yvonne Ashford (Central CCAC)
Valerie Armstrong (North Simcoe Muskoka CCAC)
Tina Hamilton(Saint Elizabeth Health Care)
OACCAC Knowledge and Inspiration Conference
June 20th, 2013
2
Supporting Structural and Cultural Change
Kotter’s 8-Stage Process
1. Establish a sense of urgency
2. Create the guiding coalition
3. Develop a vision and strategy
4. Communicate the change vision
5. Empower employees for broad based action
6. Generate short term wins
7. Consolidate gains and producing more change
8. Anchor new approaches in the culture
Improving Care Experiences
• Patient outcomes drive care delivery
• Care decisions made by patient and care professional closest to patient
• Care based on evidence-informed best practice
• Payment for quality (outcomes)
3
Establishing a Sense of Urgency
Planning
4
Creating a guiding coalition
Service Provider and CCAC Joint Team
Cross-functional teams NSM and Central CCAC Consolidated project plans developed with SPOs & CCACs
Joint CCAC Project Team
Central CCAC Champlain CCAC North Simcoe Muskoka CCAC
Local Service Provider Internal Project Team
Cross-functional team from CCAC including frontline staff
Local CCAC Internal Project Team
Cross-functional team from CCAC including frontline staff
5
Planned Activity
Central CCAC NSM CCAC
Pathways Wound Wound / Orthopaedic
Description All new wounds All populations
All new wounds/joint replacements Short Stay population
Provider Partners
1. Bayshore 2. Closing the Gap 3. Paramed 4. Revera 5. Saint Elizabeth 6. Spectrum 7. SRT Med-Staff 8. VHA Home 9. Calea
Wound: 1. Bayshore 2. Closing the Gap 3. Saint Elizabeth
Orthopaedic: 1. Revera 2. Closing the Gap
Start Date CHRIS changes – Oct. 25 Business change – Nov. 26
CHRIS changes - Oct. 25 Business change - Nov. 26
6
Developing a vision and strategy
Planning
7
CCAC
Deployment and
Testing (IT/IS)
CCAC
Contracts
CCAC
Education and
Training
CCAC
Business Process
Program Design
CCAC
Client Service
Governance
OA &CCAC
Project
Planning
CCAC
Engagement and
Communication
CCAC
Evaluation
Measurement
Reporting
WORK
BREAKDOWN
STRUCURE
SPO
Training
SPO
Business
Process
SPO
Communication
SPO
Billing
Process
SPO
Evaluation &
reporting
Detailed schedule
outlining activities
for all parties involved
CCAC
Finance
Communicating the change vision
CCAC/SPOs Joint Planning
8
VSM/Process Mapping Session
• Reviewed current state
• Identified “What will change” and “What remains the same”
• Mapped future state
• Completed gap analysis
• Demonstrated CHRIS and HPG interaction
Outcome:
• Joint action plan
• Business rules
• Revised process maps
Educational Tool Kit
1. Business process scenarios
2. Business rules document
3. Process maps
4. Q&As
5. Presentations
6. Change management material
7. User Guides – HPG / CHP
8. Guidelines for completing reports
9. Pathways
10. Video for HPG / CHP use
9
Educational Tool Kit
Change Management Resources
• Model for change analysis
• Change management exercises
• Train the trainer
10
Educational Tool Kit
Business process scenarios
• All known scenarios
• Communication
• SPO & CCAC actions
11
Scenario and technology testing
• Testing scenarios with CHP & CHRIS
• SPO & CCAC
Educational Tool Kit
Video for HPG / CHP use
Recorded instruction video
Accessible to all stakeholders
Easy to understand
Standardized instruction
12
Lessons Learned Planning
• Define Scope Early
• Risk analysis key
• Set the Stage
• Consolidated contracts, IT readiness, aligning caseloads