Regional Learning Session December 4, 2015 Today’s Learning Objective Sharing best practices and lessons learned with our public-private partners Break-Out Session Topics • High Value Primary Care • Medical Neighborhood Referral Infrastructure • Quality Transparency Upcoming Regional Learning Sessions Please save these dates from 8:30-11:30am: April 8, 2016 August 19, 2016 December 9, 2016 www.hcgc.org
Welcome message from author
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
Regional Learning Session December 4, 2015
Today’s Learning Objective Sharing best practices and lessons learned with our public-private partners
Break-Out Session Topics • High Value Primary Care
• Medical Neighborhood
Referral Infrastructure
• Quality Transparency
Upcoming Regional Learning Sessions
Please save these dates from 8:30-11:30am: April 8, 2016
August 19, 2016
December 9, 2016
www.hcgc.org
www.hcgc.org
The Healthcare Collaborative of Greater Columbus is a non-profit, public-private partnership. We serve as a catalyst, convener, and coordinator of healthcare transformation & learning in Greater Columbus.
... c
atal
yzin
g th
e sp
read
of h
ealth
care
bes
t pra
ctic
es
Regional Learning Session December 4, 2015
Build collaborations with providers,
purchasers, social services
~trust~
Catalyze best practices ~awareness~
Convene diverse stakeholders
~exploration~
Coordinate activities that
transform healthcare delivery and value
~commitment~
Measure actionable results
~collective impact~
Apply collaborative learning ~spread knowledge~
Our Collaborative Process
transform healthcare
delivery and value
www.hcgc.org
... c
atal
yzin
g th
e sp
read
of h
ealth
care
bes
t pra
ctic
es
Our Public-Private Board of Directors
• Mike Stull (Board Chair) Employers Health, Business Representative
• Dianne Radigan (Board Vice Chair) Cardinal Health, Franklin County Representative
• Bill Wulf, M.D. (Board Treasurer) Central Ohio Primary Care, Columbus Medical Association Representative
• Doug Anderson (Board Secretary) Bailey Cavalieri, City of Columbus Representative
• Jeff Biehl (President) non-voting, ex-officio • Dianne Biggs Labor Representative • Tara Britton The Center for Community Solutions,
United Way of Central Ohio Representative • Sarah Durfee, RN Ohio Public Employees
Retirement System, Purchaser Representative • Jerry Friedman The Ohio State University Wexner
Medical Center, Hospital Representative • Jeff Geppert Battelle, Health Care Representative • Thomas Hadley Wells Fargo Insurance Services,
Chamber of Commerce Representative • Kevin Hinkle Anthem Blue Cross & Blue Shield,
Health Plan Representative • Isi Ikharebha Physicians CareConnection,
Consumer Representative
• Karen King, M.D. Northwest Ob/Gyn, Columbus Medical Association Foundation Representative
• Teresa Long, M.D. Columbus Public Health, Health Department Representative
• Tani Mann The Dispatch Printing Company, Employer Representative
• Julie Erwin Rinaldi Syntero, Behavioral Health Representative
• Valerie Ruddock Nationwide Children’s Hospital, Hospital Representative
• Greg Sawchyn, M.D. OhioHealth, Hospital Representative
• Benjamin Shaker Mount Carmel Health System, Hospital Representative
• Dana Vallangeon, M.D. Lower Lights Christian Health Center, Community Health Center Representative
• Bruce Wall, M.D. Aetna, Columbus Medical Association Representative
• Todd Weihl, D.O. OhioHealth, Columbus Osteopathic Association Representative
www.hcgc.org
Lead Supporter
Major Supporters
Individual & Corporate Donations
100% of our Board of Directors
& Staff
Additional Supporters
Our Public-Private Funding Partners
Clarity Consultancy Services, our social enterprise subsidiary
Celebrate 2015 Collaboration In Greater Columbus
Collaborative Learning …hosting safe learning space with healthcare teams, purchasers, and social services to explore actionable best practices and apply lessons learned
2009
Population
Health Management
… advancing health care
delivery and payment
innovations designed to
improve health outcomes and bend the cost
curve
www.hcgc.org
Behavioral Health Learning Group
Medical Neighborhood Learning Group
Navigator & Certified Application Counselor Learning Group
Public-Private Board of Directors
Purchaser Learning Group
Quality Improvement Learning Group
Regional Learning Sessions
Evolution of Regional Healthcare Improvement Activities
Collaborative Learning: Alignment with National Best Practice
www.hcgc.org
Collaborative Learning …hosting safe learning space with healthcare teams, purchasers, and social services to explore actionable best practices and apply lessons learned
Patient-Centered Medical Homes …advancing high-value primary care to improve access, care coordination, and patient engagement
2009
Population
Health Management
… advancing health care
delivery and payment
innovations designed to
improve health outcomes and bend the cost
curve
www.hcgc.org
Participating in transformation coordinated by others…
Ohio’s State Innovation Model (SIM) Initiative
SW Ohio Comprehensive Primary Care (CPC) Initiative
Ohio Patient-Centered Primary Care Collaborative (OPCPCC)
Evolution of Regional Healthcare Improvement Activities
High-Value Primary Care: Alignment with National Best Practice
www.hcgc.org
Collaborative Learning …hosting safe learning space with healthcare teams, purchasers, and social services to explore actionable best practices and apply lessons learned
Patient-Centered Medical Homes …advancing high-value primary care to improve access, care coordination, and patient engagement
Quality Transparency …advancing the sharing of clinical data to improve quality and monitor impact on chronic disease
2009
Population
Health Management
… advancing health care
delivery and payment
innovations designed to
improve health outcomes and bend the cost
curve
2014
www.hcgc.org
Quality Sharing for Quality Improvement Project
Public Quality Sharing Project
Evolution of Regional Healthcare Improvement Activities
www.hcgc.org
Quality Sharing: Alignment with National Best Practice
Public Sharing for Quality Improvement Project
www.hcgc.org
Pilot Purpose: Based on nationally endorsed measures for managing chronic conditions: • Compile all-payer data every six
months from electronic medical records (EMRs) at participating primary care practice sites.
• Share comparable quality data across participating providers and regional purchasers.
• Apply learning from quality reports to catalyze quality improvement.
Participating Providers
• Central Ohio Primary Care
• Heart of Ohio Family Health
• Lower Lights Christian Health Center
• Mount Carmel Medical Group
• OhioHealth
• PrimaryOne Health
• Southeast, Inc.
• The Ohio State University Wexner Medical Center
www.hcgc.org
Quality Sharing Project Snapshot: Q3/2014 – Q2/2015 (data not risk adjusted)
• 8 Primary Care Organizations
• 107 Practice Sites
# Patients Healthy People 2020
Target
# Practices ≥ 2020 Target
Regional Average
Regional Variation
Colorectal Screening for Patients 50-75 [NQF #0034]
166,822 71% 18
48% 3 - 99%
Diabetes Patients 18-75, Hemoglobin A1c IN Control (≤ 9%) [NQF #0059 ]
61,769 83.9% 49
79% 26 - 96%
Hypertensive Patients 18-85, Blood Pressure Management (<140/90) [NQF #0018]
148,804 61.2% 88
70%
41 – 86%
www.hcgc.org
Public Quality Sharing Project : Regional Website Launch on December 9th
www.hcgc.org
Public Quality Sharing Project : Consumer Reports Magazine May 2016
Collaborative Learning …hosting safe learning space with healthcare teams, purchasers, and social services to explore actionable best practices and apply lessons learned
Patient-Centered Medical Homes …advancing high-value primary care to improve access, care coordination, and patient engagement
Quality Transparency …advancing the sharing of clinical data to improve quality and monitor impact on chronic disease
Medical Neighborhood Referral Infrastructure …advancing exchange of referrals between healthcare and social services organizations to improve care coordination
2009
Population
Health Management
… advancing health care
delivery and payment
innovations designed to
improve health outcomes and bend the cost
curve
2014
www.hcgc.org
Evolution of Regional Healthcare Improvement Activities
Medical Neighborhood: Alignment with National Best Practice
www.hcgc.org
Build new and accountable clinical-community partnerships
www.hcgc.org
Medical Neighborhood Referral Infrastructure
Referral Process Between Social Service Agencies and Healthcare Providers
Organization A
Client Data
Client Data
Client Data
Client Data
Client Data
Referral Type
Fax
Phone
Organization B
Organization C
Organization E Organization
D
Current Referral Process Medical Neighborhood Referral
Infrastructure
Referral Process Between Social Service Agencies and Healthcare Providers
Organization A
Client Data
Client Data
Client Data
Client Data
Client Data
Organization B
Organization C
Organization E Organization
D
Shared Referral Infrastructure
Emerging Referral Process Medical Neighborhood Referral
Infrastructure
www.hcgc.org
Participating Provider Organizations • Central Ohio Primary Care • Helping Hands Health and Wellness
Center • Lower Lights Christian Health Center
• PrimaryOne Health • Southeast, Inc. • Syntero
Participating Social Service Agencies Organization Initial Services Included
• AIDS Resource Center Ohio • The Breathing Association • Caliber Patient Care • Central Ohio Area Agency on Aging • Central Ohio Diabetes Association • Charitable Pharmacy of Central Ohio • Clintonville-Beechwold Community
Resource Center • LifeCare Alliance • Physicians CareConnection • YMCA of Central Ohio
• Behavioral Health, Case Management • Mobile Lung Clinic • Patient Transportation • Senior Education and Training • Diabetes Education • Pharmacy Services/Prescription Drugs • Family Services, Senior Supportive Services
• Columbus Cancer Clinic, Meals-On-Wheels • Care Coordination Services • Diabetes Prevention
Catalyzing Spread of Medical Neighborhood Best Practices
2016 Strategic Direction
Collaborative Learning …hosting safe learning space with healthcare teams, purchasers, and social services to explore actionable best practices and apply lessons learned
Patient-Centered Medical Homes …advancing high-value primary care to improve access, care coordination, and patient engagement
Quality Transparency …advancing the sharing of clinical data to improve quality and monitor impact on chronic disease
Medical Neighborhood Referral Infrastructure …advancing exchange of referrals between healthcare and social services organizations to improve care coordination
Medical Neighborhood Impact on Chronic Conditions …advancing best practices to improve alignment of clinical-community activity
2009
Population
Health Management
… advancing health care
delivery and payment
innovations designed to
improve health outcomes and bend the cost
curve
2014
20
16
www.hcgc.org
alignment
Evolution of Regional Healthcare Improvement Activities
Population
Health Management
… advancing health care
delivery and payment
innovations designed to
improve health outcomes and bend the cost
curve
www.hcgc.org
Preliminary Objectives • Start with focus on diabetes and depression
Next phase of medical neighborhood impact
Medical Neighborhood Impact on Chronic Conditions …advancing best practices to improve alignment of clinical-community activity 20
16
alignment
www.hcgc.org
Next phase of medical neighborhood impact
www.hcgc.org
Next phase of medical neighborhood impact
www.hcgc.org
Next phase of medical neighborhood impact
Population
Health Management
… advancing health care
delivery and payment
innovations designed to
improve health outcomes and bend the cost
curve
www.hcgc.org
Preliminary Objectives • Start with focus on diabetes and depression
• Build new and accountable clinical-community partnerships
• Reduce variation by implementing best practices, such as:
Clinical protocols for chronic disease management Care coordination Quality measurement Patient education Patient engagement Payment innovation
• Increase the number of patients with chronic conditions
IN CONTROL based on regional health goals
Next phase of medical neighborhood impact
Medical Neighborhood Impact on Chronic Conditions …advancing best practices to improve alignment of clinical-community activity 20
16
alignment
Related Documents
