POPULATION HEALTH 10/31/2014. The Problem. The Opportunity. A Transformative Business Model for Pediatric Health

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1 POPULATION HEALTH A Transformative Business Model for Pediatric Health November 5, 2014 The Problem We know that despite all of our best efforts, healthcare costs are rising and families aren t getting healthier. The Opportunity What if we could join forces with our community to nurture healthier children and families in a business model that works for everyone? 1

2 Change is inevitable; transformation is optional. Dr. Edwards Deming The Solution Children s Health is embracing change and transforming healthcare to do better for our families. Click image above to play video. 2

3 10/31/2014 Summary Children s Health is working with families and communities to redesign healthcare as an ecosystem of uncommon partners collaborating to improve the well-being of our families. Families Experience Before Families Experience After 3

4 It takes more than a village. Population Health is the backbone of communication, integration, and accountability. 4

5 5

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7 10/31/2014 Elements of Transformation Family-Directed Rooted in Communities Physician Led Clinically Integrated Comprehensive Technology Infrastructure Financially Sustainable Innovation & Discovery Family Directed We re working closely with families to co-design a system that works for them. Embed knowledge and resources in families everyday activities Enable parents to better share their child s strengths, abilities, and health needs Connect the medical home with other resources to strengthen the support network 7

8 Rooted in Communities We re working within communities on prevention and intervention. School-based Telehealth YMCA Weight Management Courses Neighborhood Development Partnerships Health and Wellness Alliance for Children working on a collective impact approach Faith-Based Partnerships EMS Partnerships Home Care Collaboration across neighborhood clinics Children s Pediatric Group medical homes Government and Non-Profits Physician Led & Clinically Integrated Physicians are collaborating to improve outcomes and optimize cost. Clinical Integration & Care Management Collaborative Networks of Physicians Chronic Care Medical Home Accountable Care Organization Shared Data and Technology Alliances with Private and Academic Providers Comprehensive Technology Infrastructure Population Health is connected by shared tools and technology. Health Information Exchange Outcomes & Analytics Predictive Modeling Telehealth Supporting community based initiatives with baseline information, data trends, and surveys. 8

9 Financially Sustainable We re building a financial model sustained by a healthy community. Children s Medical Center Health Plan Pay for performance insurance partnerships Accountable Care Organization connecting value-based payment to delivery Shifting leadership to the community catalyzes sustainable wellness Innovation & Discovery We are creating a Center for Population Health Research to ensure ongoing learning, iteration, and improvement. Learning Trajectory GROWING Identification and Promotion EXPLORING Center for Population Health Research Community Advisory Board Mobile Health/Virtual Office Visits Place-based Community Development (WINS) PILOTING Adult Health System Partnerships Complex Chronic Medical Home Partnership with EMS 24-hour Nurse Engagement Line for Clinical Integration Integrated Behavioral/Medical Health Health Literacy in Schools Weight Management Program with YMCA HMO & ACO Health Information Exchange Clinical Integration/Care Management Health and Wellness Alliance Initiatives and Charting the Course for Impact Quality Measurement System Children's Health Pediatric Group Pediatric Partners for Children Patient Centered Medical Home CHPG PPC Telehealth in Schools Collective Impact for Social Change Asthma Obesity Poverty 9

10 Measuring Impact Clinical Outcomes Communicate Wellness Family and Child Behaviors Improved Healthcare Delivery What s Next Enroll and embrace the patient / family populations Fail fast and continuously improve Expand the uncommon partners Strive towards The Triple Aim! Quality Efficiency Health Why Us? Children s Health System of Texas is invested in the leadership, the structure, the technologies and the financial sustainability that will ensure the ecosystem is connected and thriving. 10

11 10/31/2014 Population Health Team Chris Durovich President and CEO Peter W. Roberts EVP, Population Health and Business Development Summer Collins Vice President, Data Strategies Joseph W. Egan Vice President, Business Development jodi Landon, RN Vice President, Managed Care W, Robert Morrow, M.D. EVP, Professional Services and Chief Clinical Officer Lister Robinson, RN, MBA Vice President, Clinical Integration Hilda Sallack, Senior Director, Population Health Stephanie Slaughter VP and Chief Operating Officer, Children s Medical Center Health Plan Ray Tsai, M.D. President and Chief Medical Officer, Children s Pediatric Group Cheryl Boswell Executive Director, Health and Wellness Alliance for Children Angela Moemeka, MD Vice President and Medical Director, Community Health, CHST Doris Hunt Vice President Population Health Finance and Vice President Population Health ACO Matthew Davis Senior Vice President, Physician Networks and Clinical Enterprises Mary Goessler, MD Vice President and Medical Director, Accountable Care and Health Management Organization, Population Health Cheryl Mayo-Williams Senior Director, Community Engagement Patricia U. Winning SVP, Business Development The Community as Our Team Dr. Marlon Waites Principal, Rosa Parks Elementary Mark Murrell, Pastor, Victory Baptist Church April LaBrada Children s Pediatric Group Betty Cree YMCA Wellness Coach Ken Smith Working in Neighborhoods Strategically (WINS) The Simmons Family Chief Norman Seals Dallas Fire and Rescue Dr. Elizabeth Thomas Children s Pediatric Group Physician Donna Sherman Elementary School Teacher These leaders and many more are catalyzing wellness throughout Dallas. We re transforming healthcare. 11

12 QUESTIONS? 12

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