1 THE COMMONWEALTH FUND The Commonwealth Fund International Health Policy Surveys November 17, 2011 Robin Osborn Vice President and Director International Program in Health Policy and Innovation
2 Commonwealth Fund International Surveys 2 General Population Conducted every three years 1998, 5 countries 2001, 5 countries 2004, 5 countries 2007, 7 countries Sicker Adults Conducted every three years 1999, 5 countries (Elderly) 2002, 5 countries 2005, 5 countries 2008, 8 countries (Chronically Ill) 2011, 11 countries Physicians 2000, 5 countries: Primary Care and Specialists 2006, 6 countries: Primary Care 2009, 11 countries: Primary Care Other 2003 Survey of Hospital Executives; 5 countries
3 Questionnaire Categories 3 Overall Views Views of health care system Confidence in care Doctor rating Waste and Inefficiency Access Financial barriers Same-day appointments After-hours care Waiting times: surgery/specialists Telephone contact Out-of-pocket costs Doctor-Patient Relationship Communication Involvement in decision-making Prevention & Health Promotion Reminders for preventive care Appropriateness and recommended care Coordination Specialist care/care from other doctors Coordination after hospital discharge Coordination after ER visit Availability/duplication of tests Conflicting information Communication between providers Information Technology in Practice Electronic Medical Records Ordering, Prescribing, Tracking, Tests, Alerts, etc. Patient Safety Medication/medical errors Lab errors Provider follow-up after adverse events System to track/address errors in primary care Primary Care Satisfaction with practice Plans to leave practice
4 Quality Improvement in Practice Performance data Financial Incentives Use of guidelines Chronic Illness Multiple chronic conditions Prescription drugs Disease management Support for self-management Use of teams Preventive care Emergency Room Waiting time Non-urgent care Quality of care/pain control Hospital Hospital-acquired Infections Nurse staffing Pain control Discharge experience Readmissions Questionnaire Categories Choice of Specialist Choice Information availability/use Engagement in treatment options Medications Reviewed by doctor and pharmacist Adherence Complexity of System Paperwork Billing/medical bills Health Care Coverage Public/private coverage Gaps in coverage Out-of-pocket costs Demographics Income Education Gender Race Age 4
5 Barriers to Care 5
6 Out-of-Pocket Spending and Problems Paying Medical Bills in Past Year, Percent 60 More than US$1,000 OOP Costs Serious Problems Paying or Unable to Pay Medical Bills Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
7 Cost-Related Access Problems in the Past Year, Percent because of costs: Did not fill prescription or skipped doses Had a medical problem but did not visit doctor Skipped test, treatment, or follow-up Yes to at least one of the above AUS CAN FR GER NETH NZ NOR SWE SWIZ UK US Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
8 Access to Doctor or Nurse Last Time Sick, Percent 100 Same- or next-day appointment Waited six days or more Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
9 After-Hours Care and Emergency Room Use, Percent 100 Difficulty Getting After-Hours Care Without Going to the ER Used ER in Past Two Years Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
10 Policy Implications 10 Insurance design matters Cost-sharing or lack of insurance create serious barriers to access to care Subsidies, exemptions, caps on OOP spending, and other protections for vulnerable populations are critical Having a primary care doctor does not ensure access at the time patients need care Difficulty getting same-day access and after-hours care translates into higher ER use
11 Care Coordination and Transitions 11
12 Coordination Problems in the Past Two Years, Percent AUS CAN FR GER NETH NZ NOR SWE SWIZ UK US Test results/ records not available at appointment and/or duplicate tests ordered Providers failed to share important information with each other Specialist did not have information about medical history and/or regular doctor not informed about specialist care Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
13 Gaps in Hospital or Surgery Discharge in Past Two Years, Percent UK US SWIZ CAN NZ AUS GER NETH SWE NOR FR * Last time hospitalized or had surgery, did NOT: 1) receive instructions about symptoms and when to seek further care; 2) know who to contact for questions about condition or treatment; 3) receive written plan for care after discharge; 4) have arrangements made for follow-up visits; and/or 5) receive very clear instructions about what medicines you should be taking. Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
14 Policy Implications 14 Greater interoperability of electronic health records is needed to ensure that information follows the patient Greater coordination is needed between primary care doctors and specialists to ensure quality and safety Gaps in care transitions between hospital and home can place patients at risk for adverse events and avoidable readmissions Lack of coordination is inefficient and costly to health systems Care systems need to be re-designed around patients and payment mechanisms are needed to promote system integration
15 Chronic Care and Self-Management 15
16 16 Patient Engagement in Care, 2008 Base: Adults with any chronic condition Percent AUS CAN FR GER NETH NZ UK US Regular doctor always tells you about treatment options and involves you in decisions* Your clinician gives you a written plan to manage care at home * Among those with regular doctor or place of care. Data collection: Harris Interactive, Inc. Source: 2008 Commonwealth Fund International Health Policy Survey of Sicker Adults.
17 Role of Nurse in Care Management, Base: Adults with any chronic condition Percent said nurse is regularly involved in management of condition UK NZ US NETH FR CAN AUS GER Data collection: Harris Interactive, Inc. Source: 2008 Commonwealth Fund International Health Policy Survey of Sicker Adults.
18 Adults with Hypertension/Diabetes Received Recommended Care,* by Self-Management Plan or Nurse Involvement, Neither self-management plan or nurse Percent Self-management plan and/or nurse AUS CAN GER NZ UK US * Includes blood pressure and cholesterol checked for hypertension; Hemoglobin A1c and cholesterol checked, and feet and eyes examined for diabetes 2005 Commonwealth Fund International Health Policy Survey.
19 Between Doctor Visits, Has a Health Care Professional Who : 19 Percent 100 You can easily call to ask a question or get advice Contacts you to see how things are going Base: Has chronic condition. Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
20 Prescription Drug Adherence, Percent 60 Patient Skipped or Stopped Taking Rx 60 Did NOT Tell Doctor or Nurse They Skipped or Stopped Rx Base: Has any chronic condition and takes Rx Base: Has any chronic condition and skipped or stopped taking Rx Source: 2008 Commonwealth Fund International Health Policy Survey of Sicker Adults
21 Doctors Did Not Regularly Review All Medications in Past Two Years, Base: Adults with any chronic condition and taking Rx medications regularly Percent reported doctors or pharmacists sometimes/rarely/never reviewed and discussed all medications they were using CAN AUS US NZ UK GER NETH FR Data collection: Harris Interactive, Inc. Source: 2008 Commonwealth Fund International Health Policy Survey of Sicker Adults.
22 Policy Implications 22 Chronically ill patients need to be further empowered and supported in self-management, including being given a plan to manage care at home Nurses and teams that support patients in self-management can contribute to better care and outcomes Lack of patient adherence is a concern and strategies, such as, more patient engagement in care decisions and ongoing support, are needed Failure to review all medications put patients at risk for potential drug interactions, duplicate prescriptions, hospital admissions, and less than optimally effective medication regimens
23 Primary Care Practice Infrastructure and Capacity for Improvement 23
24 Computerized Capacity to Generate Patient Information, Percent report the COMPUTERIZED capacity to generate: List of patients by diagnosis AUS CAN FR GER ITA NET NZ NOR SWE UK US List of patients by lab result List of patients who are due or overdue for tests/preventive care List of all medications taken by an individual patient* * Including those that may be prescribed by other doctors. Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
25 Doctors Receive Feedback For Quality Improvement, Percent AUS CAN FR GER ITA NETH NZ NOR SWE UK US Practice routinely receives and reviews clinical outcomes data Practice routinely receives and reviews patient satisfaction & experience data Doctor s clinical performance annually reviewed against targets Doctor routinely receives data comparing practices clinical performance to other practices Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
26 Financial Incentives and Targeted Support, Percent can receive financial incentives* for: High patient satisfaction ratings Achieving clinical care targets Managing patients w/ chronic disease or complex needs Enhanced preventive care activities** Adding nonphysician clinicians to practice Non-face-to-face interactions with patients AUS CAN FR GER ITA NET NZ NOR SWE UK US * Including bonuses, special payments, higher fees, or reimbursements. ** Including patient counseling or group visits. Source: 2009 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
27 Policy Implications 27 Enhancing capacity of EMRs, including greater decision support and increased interoperability, is needed to support clinicians in managing complex patients Use of performance data and feedback, patient satisfaction surveys, and structured quality improvement activities are key to enabling primary care practices to address deficiencies in care and improve patient experiences Financial incentives can be used as a tool for driving quality improvement and encouraging practices to provide additional services for complex patients
28 Medical Homes 28
29 Sicker Adults with a Regular Doctor vs. Medical Home, Percent Has a regular doctor or place of care Has a medical home UK SWIZ NZ US NOR FR AUS CAN GER NETH SWE Patients with a medical home have a regular practice who is accessible, knows them, and helps coordinate their care. Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
30 Patient-Doctor Relationship and Communication, by Medical Home 30 Percent reporting positive patient-doctor relationship and communication* 100 Medical home No medical home AUS CAN FR GER NETH NZ NOR SWE SWIZ UK US * Regular doctor always/often: spends enough time with you, encourages you to ask questions, and explains things in a way that is easy to understand. Base: Has a regular doctor/place of care. Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
31 Percent* 80 Experienced Coordination Gaps in Past Two Years, by Medical Home, 2011 Medical home No medical home AUS CAN FR GER NETH NZ NOR SWE SWIZ UK US * Test results/records not available at time of appointment, doctors ordered test that had already been done, providers failed to share important information with each other, specialist did not have information about medical history, and/or regular doctor not informed about specialist care. Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
32 Medical, Medication, or Lab Test Errors in Past Two Years, by Medical Home, Percent* 40 Medical home No medical home AUS CAN FR GER NETH NZ NOR SWE SWIZ UK US * Reported medical mistake, medication error, and/or lab test error or delay in past two years. Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
33 Rated Quality of Care in Past Year as Excellent" or Very Good, by Medical Home, Percent Medical home No medical home AUS CAN FR GER NETH NZ NOR SWE SWIZ UK US Source: 2011 Commonwealth Fund International Health Policy Survey of Sicker Adults in Eleven Countries.
34 Policy Implications 34 Having a Medical Home a regular doctor who knows your medical history, can be easily reached during the day, and coordinates your care makes a difference Patients with a Medical Home report better doctor/patient relationship, care coordination, fewer medical errors, and rate the quality of their care higher Primary care redesign is central to improving health system performance
35 35 Commonwealth Fund International Symposium on Health Care Policy Annual Release of Survey Findings to Ministers Panel Followed by Ministers Policy Roundtable Carolyn Clancy, AHRQ (US); The Rt. Hon. Andrew Lansley MP (UK); The Hon. Annette Widmann-Mauz MP (GER) The Hon. Robin Martin Kåss (NOR); The Hon. Karin Johansson (SWE); The Hon. Pascal Strupler (SWIZ)
36 Media Coverage of International Surveys 36 New York Times Washington Post Boston Globe CNN National Public Radio PBS Newshour ABC News Bloomberg Guardian (UK) Times (UK) Daily Mail (CAN) Globe and Mail (CAN) The Australian NZ Herald News Norwegian Broadcasting Corporation
37 Media Coverage of International Surveys 37
38 Survey Publications 38 Recent Commonwealth Fund International Survey findings published by: Health Affairs Commonwealth Fund National Scorecard and Mirror, Mirror report PLUS Congressional Testimony Health Policy International Journal for Quality in Health Care BMC Health Services Research International Journal of Clinical Practice Evaluation & the Health Professions Clinical Therapeutics Canadian Family Physician Medisch Contact (Netherlands) Deutsches Ärzteblatt (Germany) Canadian Health Services Research Foundation Health Council of Canada Haute Autorité de Santé (French National Authority for Health) Scientific Insititute for Quality of Healthcare (IQ healthcare) (Netherlands) Australian Safety and Quality Commission and NSW Bur of Health Info
The Commonwealth Fund 2013 International Health Policy Survey in Eleven Countries Robin Osborn and Cathy Schoen The Commonwealth Fund November 2013 The Commonwealth Fund 2013 International Health Policy
How Does Canadian Health Care Compare Internationally? Eric Schneider, M.D., F.A.C.P. Senior Vice President for Policy and Research November 2015 1 Views of the Health Care System Works well, only minor
The Commonwealth Fund Aiming for a High Performing Health Care System: Opportunities for Cross-National Learning ISQua International Conference Rio De Janeiro October 6, 214 Robin Osborn Vice President
Learning from European Models of Health Insurance Exchanges and Patient-Centered Medical Homes Karen Davis President The Commonwealth Fund www.commonwealthfund.org firstname.lastname@example.org Academ Health Ann al Research
GBMC HealthCare is Building a Better System of Care for Our Community John B. Chessare MD, MPH President and CEO GBMC HealthCare System Agenda The Challenges in our National and Local Healthcare Systems
The COMMONWEALTH FUND 4 UPDATE MIRROR, MIRROR ON THE WALL How the Performance of the U.S. Health Care System Compares Internationally Karen Davis, Kristof Stremikis, David Squires, and Cathy Schoen June
Emerging Benefits of EMR Use in Community-Based Settings Simon Hagens, Clinical Adoption Partnership 2013 Outline Approach to EMR Benefits Evaluation EMR use in Primary Care EMR Benefits Pan-Canadian Study
Average Health Care Spending per Capita, 198 211 Adjusted for Differences in Cost of Living 3 Dollars ($US) 9 8 7 6 5 4 3 2 1 198 1984 1988 1992 1996 2 24 28 * 21 Source: OECD Health Data 213. US ($8,58)
Analyzing the Impact of President Obama s Stimulus Plan March, 2009 Executive Summary Health Information Technology (HIT) is not just about convenience and savings it is also about saving lives and reducing
Joint Commission Primary Care Medical Home (PCMH) Certification for Accredited Ambulatory Health Care Organizations Question & Answer Guide A. SCORING/DECISION-RELATED Question: We are already Joint Commission
May 2002 Issue Brief Comparison of Health Care System Views and Experiences in Five Nations, 2001 Findings from The Commonwealth Fund 2001 International Health Policy Survey Cathy Schoen, Robert J. Blendon,
1 Aaron McKethan PhD (email@example.com) About NEHI: NEHI is a national health policy institute focused on enabling innovation to improve health care quality and lower health care costs. In partnership
Joint Commission Primary Care Medical Home (PCMH) Certification for Accredited Ambulatory Health Care Organizations Question & Answer Guide (Effective July 1, 2014) A. ELIGIBILITY/DECISION-RELATED Question:
SEPTEMBER 2011 CANADIAN HEALTH CARE MATTERS BULLETIN 5 How Engaged are Canadians in their Primary Care? Results from the 2010 Commonwealth Fund International Health Policy Survey About the Health Council
Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care
Multinational Comparisons of Health Systems Data, 214 Chloe Anderson The Commonwealth Fund November 214 Health Care Spending 2 Dollars ($US) Average Health Care Spending per Capita, 198 212 Adjusted for
The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and Families What is a Patient-Centered Medical Home? A Medical Home is all about you. Caring about you is the most
Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised
Why Doctors Are Checking In With Patients Through Texting ABC Primary Care You have an upcoming appointment with Dr. Jones on 10/11 @ 10:30 am press 1 to confirm What is ehealth & mhealth? And Why Your
How We Make Sure You Get the Best Health Care Table of Contents Quality Improvement... 1 Care Management... 2 Utilization Management: Working to Get You Covered and Necessary Care... 3 Behavioral Health...
Menzies Centre for Health Policy Perceptions of economic hardship and implications for illness management: a survey of general practitioners in western Sydney. January 2011 Dr Angela Beaton 1, Professor
Submission to the Senate Committee on out-of-pocket costs in Australian healthcare June 2014 Combined Pensioners & Superannuants Association of NSW Inc, 2014 Combined Pensioners & Superannuants Association
Strategies for Changing Members Behavior to Reduce Unnecessary Health Care Costs by Christopher J. Mathews Wasteful spending in the U.S. health care system costs an estimated $750 billion to $1.2 trillion
Community Health Centers and Health Reform: Issues and Ideas for States Ann S. Torregrossa, Esq. Deputy Director & Director of Policy Governor s Office of Health Care Reform Commonwealth of Pennsylvania
Family Caregiver Guide Emergency Room (ER) Visits: A Family Caregiver s Guide Your family member may someday have a medical emergency and need to go to a hospital Emergency Room (ER), which is also called
Patient Centered Medical Homes Paul Kleeberg, MD, FAAFP, FHIMSS CMIO Stratis Health North Dakota e-health Summit November 20, 2013 REACH - Achieving - Achieving meaningful meaningful use of your use EHR
Prescription for Pennsylvania A set of integrated practical strategies for Improving the health care of all Pennsylvanians, Making the health care system more efficient, and Containing costs. PA Family
SOA 2012 Annual Meeting & Exhibit October 14-17, 2012 Session 36 PD, The Public versus Private Debate: Health Care Systems in North America Moderator: Kristi M. Bohn, FSA, EA, MAAA Presenters: Scott Keefer
gordon point informatics www.nformatics.com 2009 Progress in Comprehensive Care for Rare Blood Disorders Conference Health Informatics Primer Topics 1. Background 2. Health Informatics 3. EHR, EMR, PHR...
www.pwc.com/ca/virtualcare Making care mobile Emerging delivery models Emerging delivery models After gauging respondents overall opinions of the general concepts of mobile health solutions, we posed a
The Centers for Medicare & Medicaid Services (CMS) strives to make information available to all. Nevertheless, portions of our files including charts, tables, and graphics may be difficult to read using
THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams Agenda Overview Impact of HIT on Patient-Centered Care (PCC)
Consumer-Driven Strategies: What do we know about Health Savings Accounts and Other Account-Based Health Plans? Paul Fronstin, Ph.D. Director, Health Research & Education Program March 14, 2007 Copyright
Practice Demographics Practice Name: Tax ID Number: Practice Address: REC Implementation Agent: Practice Telephone Number: Practice Fax Number: Lead Physician: Project Primary Contact: Lead Physician Email
ENGAGING PHARMACISTS IN 1305 UTAH EXAMPLES NICOLE BISSONETTE, MPH, MCHES EPICC PROGRAM MANAGER UTAH PROJECTS INVOLVING PHARMACISTS Prior to 1305 Select Health Pharmacist Hypertension Management Team Based
Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare
Health System Strategies to Improve Chronic Disease Management and Prevention: What Works? Michele Heisler, MD, MPA VA Center for Clinical Practice Management Research University of Michigan Department
Updated as of 05/15/13-1 - GENERAL OFFICE POLICIES Thank you for choosing the Quiroz Adult Medicine Clinic, PA (QAMC) as your health care provider. The following general office policies are provided to
American Heart Association Principles on Health Care Reform The American Heart Association has a longstanding commitment to approaching health care reform from the patient s perspective. This focus including
AHIA 2010 9 November 2010 Sydney PRIVATE HEALTH / PUBLIC GOOD How to Integrate Private and Public Actors in Health Care: the Swiss Answer Prof. Dr. Thomas Zeltner Advanced Leadership Initiative, Harvard
BARACK OBAMA S PLAN FOR A HEALTHY AMERICA: Lowering health care costs and ensuring affordable, high-quality health care for all The U.S. spends $2 trillion on health care every year, and offers the best
SPECIALTY CASE MANAGEMENT Our Specialty Case Management programs boost ROI and empower members to make informed decisions and work with their physicians to better manage their health. KEPRO is Effectively
BCBSM Physician Group Incentive Program Patient-Centered Medical Home and Patient-Centered Medical Home-Neighbor Domains of Function Interpretive Guidelines 2014-2015 V1.0 5.0 Extended Access Goal: All
Insurance Markets Ready or Not: Consumers Face New Health Insurance Choices Introduction Not long ago, most working Californians, at least those working for large or midsize companies, could expect a standard
- 1 - ALZHEIMER S DISEASE CAREGIVING ADVISORY GROUP Convened by the National Alliance for Caregiving Through generous funding of Wyeth & Élan Alliance April 8, 2009 - 2 - Represented Organizations Alzheimer
how to choose the health plan that s right for you It s easy to feel a little confused about where to start when choosing a health plan. Some people ask their friends, family, or co-workers for advice.
Creating a More Connected Health Care System Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer Agenda Our Role in the Changing Health Care System CVS/minuteclinic: Growth and
PRESCRIPTION MEDICINES: COSTS IN CONTEXT 2015 Since 2000, biopharmaceutical companies have brought MORE THAN 500 NEW TREATMENTS AND CURES to U.S. patients In the last 100 years, medicines have helped raise
Concept Series Paper on Disease Management Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing
Pre-Budget Submission Submitted to the Standing Committee on Finance August 6, 2014 Executive Summary The trend toward Canadians taking more control over their own health through self-care is associated
Isn t All of Special? Developing Services Presented to: 2015 ICHP Annual Meeting Presented on: September 10, 2015 Presented by: Lana Gerzenshtein, Pharm.D., BCPS The speaker has no conflicts of interest
MaY 2014 Issue Brief The Adoption and Use of Health Information Technology by Community Health Centers, 2009 2013 Jamie Ryan, Michelle M. Doty, Melinda K. Abrams, and Pamela Riley The mission of The Commonwealth
If you want to use all or part of this questionnaire, please contact Patty Ramsay (email: firstname.lastname@example.org; phone: 510/643-8063; mail: Patty Ramsay, University of California, SPH/HPM, 50 University
Patient Registration Please Print Patient Name Last First Middle Address City Zip Home Phone Work Ext Cell Birthdate - - Social Security # - - Gender Marital Status Employer Referred by_emergency Contact
ACTIVELY MANAGED DRUG SOLUTIONS for maintenance and specialty medication Actively Managed Drug Solutions is not available in the province of Quebec ARE YOU UNDERESTIMATING THE IMPACT OF CHRONIC DISEASE?
Guide to Taking Control of Your Healthcare Why Personal Health Records Empower a Healthier America Taking Control of Your Healthcare Guide to taking control of your healthcare Why Personal Health Records
Frequently Asked Questions (FAQs) Treatment Authorization Request (TAR) Restriction on Antipsychotic Medications for the 0-17 Population Prescriber FAQs Update January 22, 2015 1. What information is needed
Electronic Medical Record Use and the Quality of Care in Physician i Offices AcademyHealth Annual Research Meeting June 27, 2010 Chun-Ju (Janey) Hsiao, Ph.D, M.H.S. Jill A. Marsteller, Ph.D, M.P.P. Alan
This section of the Stryker Benefits Summary describes the procedures for filing a claim for medical and prescription drug benefits and how to appeal denied claims. Medical and Rx Benefits In-Network Providers
Consumer, Physician, and Payer Perspectives on Primary Care Medication Management Services with a Shared Resource Pharmacists Network Marie Smith, PharmD and Michlle Breland, PhD University of Connecticut,
Post Discharge Pharmacy Phone Calls Don Julian, RPh Pharmacy Director Deon Neal, Pharm D, Pharmacy Safety Specialist St. Mary s Medical Center Member of Ascension Health Number of Available Beds: 509 Admissions:
Stakeholder feedback is requested on the following: 1) metrics 69 through 94; and 2) withhold measures for years 1, 2, and 3. Steward/ 1 Antidepressant medication management Percentage of members 18 years
The UnitedHealthcare Better information. Better decisions. Better results. 1 Agenda Market Health Trends- declining health status and increase disease prevalence Optimal Decisions and Opportunity for Improvement
Community Health Program Outpatient Care Management Program Beverly Dowling Assistant Vice President Community Health Network Office of Health Policy and Legislative Affairs The University of Texas Medical
Pennsylvania s Chronic Care/ Medical Home Initiative: Transforming Primary Care Ann S. Torregrossa, Esq. Director Governor s Office of Health Care Reform Commonwealth of Pennsylvania WORKING TO ACHIEVE
Family Health Teams Advancing Primary Health Care Guide to Health Promotion and Disease Prevention January 16, 2006 Table of Contents 3 Introduction 3 Purpose 3 Background 4 Developing Health Promotion
Consultation: Two proposals for registered nurse prescribing Submission Form Please read and refer to the consultation document Two proposals for registered nurse prescribing available on the Nursing Council
CLOSING THE GAP tackling disease INDIGENOUS CHRONIC DISEASE PACKAGE CARE COORDINATION AND SUPPLEMENTARY SERVICES PROGRAM GUIDELINES November 2012 CONTENTS 1. Introduction... 3 Program Context... 3 Service
San Mateo Medical Center Innovative Care Clinic 2 2009 CAPH/SNI Quality Leaders Awards NARRATIVE DESCRIPTION OF PROGRAM Please respond to the following questions. Please give detailed, but succinct answers
Champlain BASE Project: Building Access to Specialists through econsultation Dr Clare Liddy Sept 15, 2011 PHCS Rounds Project Team Élisabeth-Bruyère Research Institute (EBRI) Champlain Local Health Integration
CHRONIC CARE MANAGEMENT TOOL KIT What Practices Need to Do to Implement and Bill CCM Codes Understanding CCM Chronic Care Management (CCM) is defined as the non-face-to-face services provided to Medicare
Best Practices Managing Patients with Multiple Chronic Conditions Advocate Medical Group Case Study Organization Profile Advocate Medical Group is part of Advocate Health Care, a large, integrated, not-for-profit