Transforming Health Care Delivery: Central Health and the Community Care Collaborative

Teaching Hospitals of Texas

September 11, 2015

Patricia Young Brown, Central Health President & CEO

Health Care Partnerships in Travis County

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CCC Vision and Mission

Vision: a health care delivery system that is a national model for

providing high quality, cost-effective, person-centered care and

improving health outcomes Mission: Create an integrated health care delivery system for

identified vulnerable populations in Travis County that considers the

whole person, engages patients as part of the care team, focuses on

prevention and wellness and utilizes outcome data to improve care

delivery

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CCC Roles

• Pay for health care services for the safety net population;

• Manage new health care projects to transform care and maximize

state/federal funding; and

• Create and operate an integrated delivery system (IDS).

An IDS is: a coordinated continuum of health care

services that assumes clinical and financial

accountability for the population served.

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Evolution of the CCC

FRAGMENTED

SYSTEM

FUTURE VISION

TRANSITION

STATE

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Integrated Delivery System

Overview

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How the IDS works

Health services to be

provided:

Health promotion

Primary care medical homes

Specialty care

Pharmacy

Urgent and emergency care

Inpatient care

Palliative care

Post-acute care

How services will be

enhanced:

Health information technology

Navigation

Shared, evidence-based protocols

Medical management

Continuous quality improvement

What we hope to

achieve:

Improve efficiency

Better health outcomes

Improve patient experience

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Long-Term Vision

The Integrated delivery system (IDS) will offer targeted patient populations:

• No “wrong door” for patient care

• Coordinated, integrated, efficient health care services

• A spectrum of primary, specialty, hospital

and social service providers

• Better health outcomes

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Building the Integrated Delivery System

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• Specialty care expansion

• Care coordination

• Health information technology

• Measurement, assessment and performance

• Improve health outcomes through benefit redesign that promotes appropriate access

CCC IDS System

Implementation: FY 2016

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A Coordinated Continuum

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Care Coordination Hub:

The IDS Centralized Brain

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Maximize Funding to Transform Care • Central Health utilized public funds to provide the local share for

intergovernmental transfers (IGT) in the amount of $99.1 million to draw

total funding (local share + federal match) of $239.6 million during

fiscal year 2014.

• Utilized additional five-cent tax increase to fund Delivery System Reform

Incentive Payment (DSRIP) projects.

• Among the 24 projects that track patient visits, 58,297 patients

received a new program or service.

• Among the 11 projects that track patient encounters, 310,451

encounters were provided.

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A Move in the Right Direction

• Total number of people served increased

8 percent

• Specialty care visits increased 54 percent

• Primary care visits increased 4 percent

• Emergency room visits by Medical Access

Program (MAP) enrollees decreased

9 percent

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Comments…

Questions…

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512-978-8000

www.centralhealth.net

@centralhealthtx