1 marjie harbrecht, md chief executive officer it takes a region working together to transform...
TRANSCRIPT
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Marjie Harbrecht, MDChief Executive Officer
It Takes a RegionWorking Together to Transform Healthcare
400-526707
HealthLINC ConferenceFebruary 17, 2012
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Abbott Sponsorship Disclosure
“This presentation is sponsored by, and on behalf of, Abbott, and the presentation contents are consistent with all applicable FDA requirements. The Speaker for this program has been selected by Abbott and is presenting the program material on Abbott’s behalf.”
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400-546705
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Health Care Expenses in an International Context
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For All the Money We Spend, How Well Does Our System Perform?
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THE CURRENT SYSTEM IS
UNSUSTAINABLE!!!
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We need a NEW way of thinking and
NEW systems and payment models to support the care we want
delivered.
Trying harder will not work!
Changing systems of care will…
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A nonprofit collaborative working to redesign healthcare and promote integrated communities of care, using evidence based
medicine and innovative systems to optimize health, improve quality and safety, reduce costs, and improve the care experience for
patients and their healthcare teams.
Have trained over 250 practices, 1500 providers impacting over 2 million patients!
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© MacColl Institute at Group Health 9
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Triple Aimby
Institute of Healthcare Improvement
PopulationHealth
Experienceof Care
Per CapitaCost
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Patient-Centered Medical Home (PCMH)
An approach to providing high-quality, safe, continuous, coordinated, comprehensive care, with a partnership between patients
and their personal health care team…
“The kind of care you’d want your Mom to have!”
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PROMISING TRENDS
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The world is changing
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The Colorado Multi-Payer PCMH Pilot
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Multi-Payer Pilot Stakeholders
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Patients
Health Plans
Employers
Community Resources
Funders
Associated IPAs and Societies
Evaluator
Hospitals
Primary Care &
Specialists
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• Three-year pilot• Planning Year - 2008
• May 2009 – April 2012
• 16 Family & Internal Medicine Practice sites• 83 providers; 258 staff
• Various sizes across the Front Range
• NCQA PCMH Recognition• 14 at Level III; 2 at Level II
• 7 Health Plans – public/private• Fee for service (FFS); Care management fee (PMPM); P4P
• 20,000 patients covered (100,000 affected)
Pilot Parameters
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Making a House a Home!
Making a House a Home!
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What Do People Really Want?
• Trusting Relationship with Care Team • “I can reach someone who knows me, knows my history, can
advise me and cares about my issues”
• Service• “I can get care or contact with someone when I feel I need to,
without having to always come in”• “Less waiting in general” – during visits, for test results, for
referrals, for refills, etc. • Reliable, Coordinated Care
• “My care is coordinated” – between providers, hospital/ER, home health, behavioral health, etc
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What Do We Want?
• Trusting Relationship with Our Patients and Staff
• Work-Life Balance
• Job Satisfaction • “Providing the best, most efficient care possible
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So what does it take?
So what does it take?
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Building a Solid InfrastructureFundamentals for Transforming
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Technology & Outcomes Reporting
Leadership & Team Based Care
Practice Viability & Efficiency
Care Mgmt, Coordination & Communication
Patient Engagement &
Access
Medical Homes &Medical
Neighborhoods
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Tactical
• Technology• Registry/EMR• Health Information
Exchange (HIE)
• Systems Redesign• Increased Access• Guidelines/Protocols• Workflow Redesign• Care Coordination/Care
Management• Test/Referral Tracking
Cultural
• Leadership• Team Based Care• Patient Activation
• Shared Decision Making
• Communication & Building Relationships
• Continuous Quality Improvement
Tactics vs Culture
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“Culture eats strategy for lunch…over and over again.”
– Anonymous
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Technical Assistance
• On-site Coaching
• Learning Collaboratives• Share lessons learned
• Data to Achieve Triple Aim• Meaningful Use, HIE and Beyond…
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You can’t manage what you can’t measure
Data is CRUCIAL…
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To Guide Your Team & Assess Gaps
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To Engage Your Patients
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To Outreach To Those Needing Care
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PROVIDER_ID PROVIDER_NAME COST TOTAL_MED TOTAL_RX AGE SEX PRIM_DXT_DESC
000095431770414832 KATHERINE FLARE MD $ 65.15 $ 705,353.84 $ 19,828.84 62M ACUTE OSTEOMYELITIS ANKLE
000095485770414832 ADRIANA PANDER MD $ 130.27 $ 423,103.62 $ 2,587.37 46F SEPTICEMIA UNSPEC
000095412770414832 SHARON L BREECE MD $ 300.36 $ 214,217.60 $ 6,654.81 56M ATHEROSCLER NATIVE COR ART
000092486770414832 AL FARE MD $ 182.46 $ 209,287.22 $ 365.79 54M LUMB/SAC DISC DEGENERATN
000405537770414832 ED RAMOS MD $ 64.52 $ 146,996.08 $ 3,450.81 52F RADIOTHERAPY
000442566770414832 AMY CARD MD $ 353.24 $ 113,608.34 $ 4,339.82 71F CHR INFLAM DEMYEL POLYNEURIT
000087963770414832 MARY SEK MD $ 207.21 $ 101,326.63 $ 5,285.18 47M END STAGE RENAL DISEASE
000511092770414832 MICHAEL GAYLE MD $ 139.62 $ 91,490.92 $ 382.87 56F MALIG NEO BREAST UP OUTER
000334824770414832 KEVIN W LONG MD $ 2,786.30 $ 91,033.04 $ 0.35 0 M TWIN BIRTH MATE LB IN HOSP
000262829770414832 ALICE G KELT MD $ 130.30 $ 88,755.67 $ 2,041.18 58M SEPTICEMIA UNSPEC
000060005770414832 RICHARD BRACK MD $ 495.21 $ 82,053.13 $ 4,227.43 58M IDIOPATHIC SCOLIOSIS
000095412770414832 SHARON L BREECE MD $ 99.04 $ 73,923.77 $ 17,177.89 63F END STAGE RENAL DISEASE
000095478770414832 KEVIN J WHITE MD $ 335.79 $ 69,478.83 $ 12.65 18F ANOREXIA NERVOSA
000095485770414832 ADRIANA PASH MD $ 545.50 $ 66,043.47 $ 376.97 36F CHR INFLAM DEMYEL POLYNEURIT
000405537770414832 ED RAMOS MD $ 49.52 $ 54,782.70 $ 5,278.77 44F FITTING OTHER DEVICE
000095485770414832 ADINA PALVIA MD $ 449.76 $ 53,393.74 $ 382.47 36M ACUTE VASC INSUFF INTESTINE
000060005770414832 RICH BLAKE MD $ 324.44 $ 49,676.46 $ 2,218.76 57M CHRONIC LIVER DIS UNSPEC
000060005770414832 RICH BLAKE MD $ 465.38 $ 48,638.97 $ 1,224.57 49M MORBID OBESITY
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To Identify/Manage High Risk, High Need Patients
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To Monitor Progress, Drive Improvement
Dec
-08
Jan-
09
Feb
-09
Mar
-09
Apr
-09
May
-09
Jun-
09
Jul-0
9
Aug
-09
Sep
-09
Oct
-09
Nov
-09
Dec
-09
Jan-
10
Feb
-10
Mar
-10
Apr
-10
May
-10
Jun-
10
Jul-1
0
Aug
-10
Sep
-10
Oct
-10
Nov
-10
Dec
-10
Jan-
11
Feb
-11
Mar
-11
Apr
-11
May
-11
Jun-
11
Jul-1
1
Aug
-11
Sep
-11
Oct
-11
Nov
-11
Dec
-11
Jan-
12
0
20
40
60
80
100
Pct of Heart patients with LDL < 100
Dec
-08
Jan-
09
Feb
-09
Mar
-09
Apr
-09
May
-09
Jun-
09
Jul-0
9
Aug
-09
Sep
-09
Oct
-09
Nov
-09
Dec
-09
Jan-
10
Feb
-10
Mar
-10
Apr
-10
May
-10
Jun-
10
Jul-1
0
Aug
-10
Sep
-10
Oct
-10
Nov
-10
Dec
-10
Jan-
11
Feb
-11
Mar
-11
Apr
-11
May
-11
Jun-
11
Jul-1
1
Aug
-11
Sep
-11
Oct
-11
Nov
-11
Dec
-11
Jan-
12
0
20
40
60
80
100
Pct of Heart patients with >=1 Lipid Profile
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To Connect With Others -HealthLINC
• Get ALL data on patient when needed• Know when patients have been in
ER/Hospital – prevent re-admissions• Coordinate Care – “conversation”
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To Compare With & Learn From Others
0%5%
10%15%20%25%30%35%40%45%50%55%60%65%70%75%80%85%90%95%
100%
Oct Feb Mar Apr May June
LDL Documented
CCFM
BFP
CFHS
iPN
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BUT BEWARE…
• GIGO….it’s important where and how you enter data
• All that can be measured is not important and all that is important cannot be measured
• Data is a guide, it’s NOT the end all be all…
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Remember Why We’re Doing This…
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New payment modelsAllow a new way of thinking!
• Transition from FFS “Treadmill Medicine” to coordinated planned management of entire panel, with extra care for those who need it
• Redefine “VISITS”• Secure email and/or phone• Save appointments for those needing it most (Outreach)
• Care Coordination - Care Management
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Care Coordination - Care Management
Internal
Care Coordination
Lab and Referral Tracking
Registry
Navigator
Care Management
Chronic Care Management
Patient Self Activation
Prioritizing High Risk / High Need
Medication Adherence
Prevention & Wellness
External
Medical Neighborhood
Hospital System
Specialists
Mental/ Behavior Health Systems
Community Resources
Shared Services
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Patient Centered Planned Care
• Before, During, and After Visit
• Develop Customized Care Plan• Shared-decision making• Prevention, Chronic Conditions, Acute Care Issues
• Warm Handover to Care Coordinator/Care Manager• Track tests/referrals, coordinate with medical neighborhood,
monitor registry (outreach and quality reports)• Engage patients, help them overcome barriers• Concentrate on high risk/high need patients
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Prioritizing Care Plan Management & Care Coordination
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Multiple Chronic
Conditions &
Complex Patients
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COLORADO MULTI-PAYER PILOT
RESULTS TO DATE
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Goals/Measures• Improve quality
• Diabetes• Cardiovascular disease• Tobacco• Depression• Prevention
• Reduce cost trends • Emergency room (ER) visits• Hospital admissions• Generic pharmacy
• Improve experience/satisfaction • Patients/families• Healthcare Team
• Internal • External
• Matched comparison design
• Meredith Rosenthal
• Harvard
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Team Approach
Information System Support
Self management Support
Use of Guideline
s
Quality Improvemen
t
Population Managemen
t Coordination of Care
Patient-centered Care
Mental
Health
Issues
Survey Group TA ISS SMS UG QI PM CC PCC MH Pilot Average - Baseline (n=60)
70% 73% 77% 81% 75% 74% 70% 73% 71%
Pilot Average - Yr 2 (n=63) 78% 81% 79% 85% 80% 82% 74% 80% 86%
Infrastructure & Process
Quality Measures
Utilization
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Pilot Diabetes Data
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Pilot Cardiovascular Data
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Pilot Prevention Data
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Patient Satisfaction
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98% Feel they get care when they need it
97% Would recommend their practice to friends and family
90% Find it easy to speak to a physician
95% Find their clinics well-organized, efficient and respectful of their time
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Provider/Staff Satisfaction*
• 44% less difficult to provide quality care• 90% less difficult to communicate with outside
specialists• 94% increase in calling patients overdue for visit• Equivocal – job satisfaction• 90% very busy/chaotic
*Meredith Rosenthal, PhD - Harvard School of Public HealthJob Satisfaction and Work life Survey - Minimizing Errors/Maximizing Outcomes (MEMO) Survey
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Cost/Utilization Data
Still early but...
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HOT OFF THE PRESS!
“In a pilot program with other insurers and reform groups, Anthem found that paying primary-care doctors more to coordinate patient care cut hospital admissions by 18 percent and emergency room use by 15 percent.”
“Anthem has found spending money on the primary-care incentives creates a return on investment of 2.5 times to more than four times, Kraft said.”
Denver Post February 2, 2012
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HOT OFF THE PRESS !!
“WellPoint officials said they think the company's upfront investment in primary care could reduce its projected medical costs by as much as 20% by 2015 by improving overall patient health and reducing the
need for costlier medical services”
“The impact could be amplified by another new effort, by health insurer Aetna Inc., which will start paying the 55,000 primary-care doctors across its network an extra fee if their practices are certified as meeting certain standards for providing access for patients and
coordinating their care.”
Wall Street Journal, January 27, 2012
“Efforts to change how Americans pay for health care are gathering momentum on a national scale as UnitedHealth Group Inc., the largest U.S. health insurer, becomes the latest carrier to say it is
overhauling its fees for medical providers.”
Wall Street Journal, February 9, 201250
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“The current system will implode if we don’t
fix it. … And the only way to achieve that is
by crossing tribal boundaries.”
— Michael Soman, President and Chief Medical Executiveof Group Health Permanente
A Medical Home Without An Integrated Medical Neighborhood
Is Just An Island
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Integrated Community Care (Accountable Care Organizations)
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Building The Medical Neighborhood
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• Shared Services Model- Complex Care Managers, Clinical Pharmacists, Social
Workers, Educators, Mental Health Providers, etc
• Specialists– Compacts
• Hospitals– Identification, Notification, Communication
• Mental/Behavioral Health– Overcoming HIPAA, Carve Outs
• Community Resources– Awareness and Connections
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Ultimately, working together to assist patients in achieving the highest level of health they can, preventing problems BEFORE
they occur!
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Key Elements to Consider for Payment Reform
• Multi-payer or high penetrance - (ASOs!!)
Attribution x PMPM = Redesign Budget
• Reduce FFS Treadmill – “think panel”
• Build “new” solid infrastructure (PMPM)
• Maintain “new” infrastructure (PMPM)
• Performance incentives (P4P/Shared Savings)
• Incentivize “neighborhood” to work together (PACs/Shared Savings)
• Incentives for patients – (Value-based benefit designs)
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Employers--Health Plans--Providers Reduce Fragmentation – Increase Impact
• Common approaches for:• PCMH program• Quality measures• Aggregated Data • Payment structures
• Build on positive attributes already in place
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IN SUMMARY
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NOW IS THE TIME!!!
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Our Healthcare System Needs to be Rebuilt!
WE ARE IN THE BEST POSITION TO LEAD THIS CHANGE BUT…
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THIS WILL TAKE A COMPREHENSIVE
TRANSFORMATION AT ALL LEVELS
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• Medical Groups• Willing to redesign and coordinate care
• Hospitals• Coordinate care - different business models
• Health Plans• Payment reform - data to practices/aggregators
• Employers• Participation in pilots - incent employees
• Patients/Consumers• Engage in their care and healthy outcomes - value
based choices
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CULTURE CHANGE FOR ALL!!
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Investment Required to Reduce CHAOS and Build Solid Infrastructure
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IT’S ALL ABOUT RELATIONSHIPS!!
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With Our TEAM
Building Accountability to Each Other and Our Communities
With Our NEIGHBORS
With Our PATIENTS!
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For stepping up to the plate and having the courage to build a better
health care system!
SO…CONGRATULATIONS!!
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QUESTIONS?
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www.healthteamworks.org720-297-1681