Transforming Independent Physicians into High-Performing Organized Teams
|
|
- Tracey Walton
- 8 years ago
- Views:
Transcription
1 Transforming Independent Physicians into High-Performing Organized Teams Diane Laird, CEO, Greater Newport Physicians Debra Spindel, VP, Nautilus Healthcare Management Group Peter Kim MD, Medical Director, Coastal Family Medicine Organizational Overview Greater Newport Physicians (GNP) IPA 100,000 patients 1,000 independent physicians (180 PCPs) 90% PCPs are exclusive Nautilus Healthcare Management Group Management Services Organization 200+ independent physician clients Practice Management Billing Service Technology (EHR) Support 1
2 IPA Model: Physician Engagement Challenges & Strategies Independent Physicians (>30% solo) Varying levels of enrollment Office staff engagement EMR Strategy Large Financial Carrots Wide range of performance Encourage Practice Consolidation Practice Management offerings Physician Recruitment support Organizational Goals Improve Quality Ratings/HEDIS RAF Improve coding and documentation Reduce Costs Enrollment Growth and Patient Retention Strategic Themes: Enhance EHR capabilities Decrease performance variation Improve Physician Engagement 2
3 Transformation Imperative Transform who into what? Inconsistent t QM and RAF performance among independent practices - Also between physicians in the same group Inadequate levels of sustained physician engagement and desired behavior Too many competing priorities - Lack of team focus on aligned goals Independent Physicians exhibiting team characteristics Independent Physicians exhibiting normal individualistic tendencies 3
4 Independent Physician Characteristics IPA physicians are by definition Independent Resistant to change Protective of operational status quo Self-motivated Competitive Individualized workflows Fairly engaged Despite financial incentives, still much opportunity to improve IPA s performance Where to focus Attention: Create Physician Leadership committee Identify Target Engaged Practices to become test bed Develop strategy to share learnings with all PCPs 4
5 Underlying Principles of Organizational Change Agile Development Methodology a group of software development methods based on iterative and incremental development, where requirements and solutions evolve through collaboration between self-organizing, cross-functional teams. It promotes adaptive planning, evolutionary development and delivery, a time-boxed iterative approach, and encourages rapid and flexible response to change. Underlying Principles of Organizational Change Baby steps are the smallest, but they move the quickest. 5
6 Key Ingredient Key Ingredient Iterative system of improvement 6
7 13 The Essentials of Incremental Iterative Improvement Season, taste, judge, repeat Fire, ready, aim Process > Product Feedback 7
8 The Essentials of Incremental Iterative Improvement Adjust, and readjust quickly The Essentials of Incremental Iterative Improvement Speed is Life. 8
9 Qualities of High-performing Teams Meet regularly Agree to adjust Can-do, WTH Compete Role of GNP Physician Leadership Committee Beta-test new QM projects Brainstorm solutions to engagement obstacles Foster friendly & transparent competition Give feedback for IPA initiatives 9
10 Two Main Pathways 1. Test Case: Utilize engaged affiliated groups to test methods and track results 2. IPA-wide programs: Leverage results to focus resources and create effective IPA-wide initiatives 10
11 Case Study: Coastal Family Medicine 20 FT physicians employed by CFM: FP, IM, UC Et Extensive use of mid-level idl l providers Close affiliation with GNP and Nautilus (MSO) full practice management Fully electronic since 2001 no paper charts Ability to modify compensation formula Good stability and provider longevity QM and RAF scores inconsistent between PCP s Physician engagement OK, but not great Strategies Employed at CFM 1. Increase visibility to metrics and comparisons Un-blind EVERYTHING: QM ratings, RAF scores, bonus amount Friendly competition and simple f recognition: gift cards Humiliation and envy factors 11
12 Quarterly QM Reporting: Un-blinded Coastal Family Medicine GNP Quality Measure Results 2012 Measure GNP Avg. RB DB BC HF FF PK JK CN TP MS JW DY Asthma Medication Ratio Breast Cancer Screening LDL control:card Chlamydia Screening Colorectal Cancer Screening Generic Drug Use Optimal Diabetes Care Diabetic Eye Exam HbA1c<9% Adult Body Mass Index Blood Pressure: Diabetics Osteoporosis Management Rheumatoid Arthritis Mgmt % Higher than GNP Avg. 38% 77% 77% 50% 38% 91% 92% 91% 77% 27% 77% 58% Money Talks. Plus. 2. Financial incentives for providers and staff Redesign CFM Physician Compensation formula to emphasize QM performance with greater rewards Staff bonus potential based on QM results as well 3. Revamp operational workflows and share best practices Optimized utilization of mid-level resources MD/PA team development 4. Education and consistent feedback 12
13 IPA-wide Initiatives Leverage power of shared EHR platform Point of care QM and RAF alerts Patient portal used for targeted broadcast messaging and QM reminders Built-in support for IPA initiatives Centralized Patient Outreach Program Assistance to PCP s with administrative burden of QM monitoring and patient outreach Quality Dashboards and reporting Results 13
14 CFM Results % QM metrics favorable to GNP average improved from 63% to 77% Significant increase in RAF scores for CFM physicians Enhanced dialogue between physicians about QM and RAF compliance and idea sharing Proliferation of physician/mid-level partnerships to improve access to care as well as QM follow-up Greater involvement by practice manager and staff in solution identification sense of ownership Example 1: Diabetic LDL Pilot, 5 FPs, ~ 500 diabetic patients Target #1: LDL < 100, better than average Results: 2 SDs above the mean, in 4 months 28 14
15 Example 2: Diabetic ODC Same pilot group and patients Target: simultaneous LDL/A1c/BP/albumin control Results: 2 SDs above the mean, in 6 months 29 Success Specifics Actionable information IT and statistical staff, OR A healthcare analytics platform Iterative workflow revealing failures Innovator using the Pareto Principle HUD-like report 1-step action items 30 15
16 Results of Transformation Initiatives Quality Metric Improvement Physician acceptance Changes accomplished Future challenges Sustainability: pyramid building Questions? Physician Transformation
HIMSS Davies Enterprise Application --- COVER PAGE ---
HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai i Pacific Health Organization s Address: 55 Merchant Street, 27 th Floor, Honolulu, Hawai i 96813 Submitter s Name:
More informationQuality and Efficiency of Care Improved with Analytics and Workflow Redesign
Quality and Efficiency of Care Improved with Analytics and Workflow Redesign London Health and Care Leaders Forum June 2, 2015 Simeon Schwartz, MD CEO, WESTMED Medical Group, P.C. WESTMED Medical Group
More informationAnalytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst
Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,
More informationA COMPARISON OF MEDI-CAL MANAGED CARE P4P MEASURE SETS
A COMPARISON OF MEDI-CAL MANAGED CARE P4P MEASURE SETS The matrix below provides a comparison of all measures included in Medi-Cal P4P programs and the measures includes in DHCS s External Accountability
More informationDELIVERING VALUE THROUGH TECHNOLOGY
DELIVERING VALUE THROUGH TECHNOLOGY Mark Nelson, MD - EMR Physician Champion Krishna Ramachandran - Chief Information and Transformation Officer Karen Adamson - Director, Epic Clinical Applications DuPage
More informationMedicare Physician Group Practice Demonstration
Medicare Physician Group Practice Demonstration Heather Grimsley Medicare Demonstrations Program Group Center for Medicare and Medicaid Innovation Centers for Medicare & Medicaid Services April 2011 PGP
More informationPopulation Health: Patient Care Reminders Step-By-Step
Population Health: Patient Care Reminders Step-By-Step Setting up a process to remind patients of care gaps is an important component of a population health management program. Both mailed and telephone
More informationArkansas Blue Cross and Blue Shield Patient Centered Medical Home Provider Manual
Arkansas Blue Cross and Blue Shield Patient Centered Medical Home Provider Manual 2015 This document is a guide to the 2015 Arkansas Blue Cross and Blue Shield Patient- Centered Medical Home program (Arkansas
More informationEnterprise Analytics Strategic Planning
Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management
More informationApplying Lessons from Two Years of a Commercial ACO to a Medicare Shared Savings Program
Applying Lessons from Two Years of a Commercial ACO to a Medicare Shared Savings Program Lee B. Sacks, MD, CEO Mark Shields MD, MBA, FACP, Senior Medical Director AMGA 2013 Annual Conference Orlando, FL
More informationAccountable Care Organizations. Rick Shinto, MD Aveta Health Inc. July 20, 2010
Accountable Care Organizations Rick Shinto, MD Aveta Health Inc. July 20, 2010 1 Health Care Reform- New Models of Care Patient Protection and Affordable care Act (PPACA 2010) controlling costs and improving
More informationQuality Measures Overview
Quality Measures Overview Health care quality, Stars and Member Engagement Initiatives Approved for External Use Section 1 Introduction Introduction Stars Quality Measures Overview UnitedHealthcare is
More informationEmbedding Guidance in the Kaiser Permanente EHR. Wiley Chan, MD Kaiser Permanente Care Management Institute Oakland, CA, USA
Embedding Guidance in the Kaiser Permanente EHR Wiley Chan, MD Kaiser Permanente Care Management Institute Oakland, CA, USA Statement of Disclosure Wiley Chan, MD I have no commercial or academic conflicts
More information1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care?
1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care? Sharp Rees-Stealy medical group (SRSMG), a 400-physician multispecialty group
More informationCPR-PBGH Toolkit for Purchasers on Accountable Care Organizations. June 26, 2014
CPR-PBGH Toolkit for Purchasers on Accountable Care Organizations June 26, 2014 Overview Introductions The Current ACO Landscape ACO Options Available to Employers Today Features of the Ideal ACO CPR-PBGH
More informationMaximizing Limited Care Management Resources to Improve Clinical Quality and Ensure Safe Transitions
Maximizing Limited Care Management Resources to Improve Clinical Quality and Ensure Safe Transitions Scott Flinn MD Deborah Schutz RN JD Fritz Steen RN Arch Health Partners A medical foundation formed
More informationQ&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking
Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking Background on Harvard Vanguard Medical Associates and Atrius Health Harvard Vanguard Medical
More informationBeyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support
Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support Wendy Angelo, MD Capital Region Healthcare Learning Objectives
More informationCraig E. Samitt, MD, MBA President & CEO Dean Clinic
ACO Accelerated Development Learning Session Baltimore, MD November 17 18, 2011 Case Study 3: Building an ACO on the Foundation of an IDS November 17, 2011 10:00 10:30 a.m. Craig E. Samitt, MD, MBA President
More informationPopulation Health. Care Management. One Platform. NextGen Care
Population Health. Care Management. One Platform. NextGen Care We ve become very proactive in identifying at-risk patients and getting them in our door before they get sick. Our physicians have so many
More informationNorton Healthcare. Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices
Norton Healthcare Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices 2.2 Million yearly patient encounters $1.6 Billion yearly revenue
More information2015 QUALITY PLAN WORK PLAN. 2015 GHC Quality Work Plan
2015 GHC Quality Work Plan 1 Achieve 2015 Quality Goals: Improve population health, the quality, safety and satisfaction of the customer experience while improving affordability by committing to the integration
More informationFairview Care Model Innovation
Fairview Care Model Innovation Improving Care and Lowering Costs using Teamwork Christine Sinsky, MD 6.20.11 It s the teamwork cites Dr. Debra Newell, general internist at the Fairview Rosemont Clinic
More informationIntegrated Health Systems: Promise And Performance
Integrated Health Systems: Promise And Performance Stephen M. Shortell, Ph.D. Blue Cross of California Distinguished Professor of Health Policy and Management Professor of Organization Behavior Dean, School
More informationOutsourcing Star Improvement. Krista Sultan RN, BSN, MS. Program Development Manager
Outsourcing Star Improvement Krista Sultan RN, BSN, MS Program Development Manager The Evolution of Pay for Performance The Affordable Care Act Ties Quality to Reimbursement Medicare Advantage Plans are
More informationContra Cost Health Plan Quality Program Summary November, 2013
Contra Cost Health Plan Quality Program Summary November, 2013 Mission Statement: Contra Costa Health Plan, along with our community and county health care providers, is committed to ensure our diverse
More informationPopulation Health Management Helps Utica Park Clinic Ease the Transition to Value-Based Care
CASE STUDY Utica Park Clinic Population Health Management Helps Utica Park Clinic Ease the Transition to Value-Based Care The transition from fee-for-service to value-based reimbursement has been a challenge
More informationDashboard Overview Webinar
Regional Information for Shared Excellence (RISE) Initiative Dashboard Overview Webinar Jerry Lassa, MS Statistics May 15 & May 17, 2012 Do You Ever Spend a lot of time reviewing data trying to make sense
More informationCoventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business Quality Management Program 2012 Overview Quality Improvement
More informationSteven E. Ramsland, Ed.D., Senior Associate, OPEN MINDS The 2015 OPEN MINDS Performance Management Institute February 13, 2015 10:15am 11:30am
Steven E. Ramsland, Ed.D., Senior Associate, OPEN MINDS The 2015 OPEN MINDS Performance Management Institute February 13, 2015 10:15am 11:30am The execution or accomplishment of work, acts, or feats The
More informationBreathe Easier: Using Clinical Education and Redesign Techniques to Improve Pediatric Asthma Care
Breathe Easier: Using Clinical Education and Redesign Techniques to Improve Pediatric Asthma Care Lalit Bajaj,, MD, MPH The Children s s Hospital, Denver Hoke Stapp,, MD, FAAP Colorado Pediatric Partners,
More informationHow To Understand And Understand The Health Care System In California
Understanding Accountable Care Organizations (ACOs): What s Worked and What Hasn t in California s 30 Year ACO Experience ACOs are like unicorns mythical creatures. We know what they look like, but no
More informationAn Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange
An Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange Jonathan Everett Director, Health Information Technology Chinese Community Health Care Association Darren Schulte, MD, MPP
More informationMedicare Advantage - Stride Quality Program 2015. NH Medical Director Meeting March 2015
Medicare Advantage - Stride Quality Program 2015 NH Medical Director Meeting March 2015 Medicare Membership New Hampshire has 1000 Medicare Advantage Stride members Counties currently in contracts include
More informationRaise Your Voice, Raise Your Skills
ASHHRA s Initiative Raise Your Voice, Raise Your Skills Tool 00 Please fax d Tool to ASHHRA at --77 Attn: Jamie Macander ASHHRA s Initiative Raise Your Voice, Raise Your Skills Introduction Changes are
More informationAMGA NATIONAL MEETING. April 2014 Ruth Benton, CEO Ken Cohen, MD, CMO
AMGA NATIONAL MEETING April 2014 Ruth Benton, CEO Ken Cohen, MD, CMO MISSION To enhance the physical, mental and spiritual health of communities we serve through an integrated, primary-care owned and patient
More informationFinancial and Population Analytics for Accountable Care Organizations SEPTEMBER 20, 2012
Financial and Population Analytics for Accountable Care Organizations Valence Biographies Lori Fox Ward is Senior Vice President of Clinical Integration for Valence Health where her primary role involves
More informationPractice Readiness Assessment
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
More informationPerformance Results for Health Insurance Plans
WASHINGTON STATE COMMON MEASURE SET FOR HEALTH CARE QUALITY AND COST Performance Results for Health Insurance Plans DECEMBER 2015 Table of Contents Introduction... 3 About the Results... 4 How to Read
More informationChange is happening: Is your workforce ready? Many power and utilities companies are not, according to a recent PwC survey
January 2012 Change is happening: Is your workforce ready? Many power and utilities companies are not, according to a recent PwC survey At a glance Our utilities-industry survey shows that many companies
More informationCornerstone Health Care s ACO Playbook. Grace E. Terrell, MD January 17, 2012
Cornerstone Health Care s ACO Playbook Grace E. Terrell, MD January 17, 2012 Mission: To be your medical home Vision: To be the model for physician-led health care in America Values: As a physician owned
More informationStrategies and Considerations for Extending EHR Technology to Affiliated Practices/Community Physicians
Strategies and Considerations for Extending EHR Technology to Affiliated Practices/Community Physicians Dr. Phil Oravetz, MD, MPH, MBA Medical Director, Accountable Care Ochsner Health System Brad Boyd
More informationHow To Fix A Broken Performance Management Program How Leading Organizations are transforming Performance Management to maximize Business Value
Orange County Convention Center Orlando, Florida June 3-5, 2014 How To Fix A Broken Performance Management Program How Leading Organizations are transforming Performance Management to maximize Business
More informationThe Centers for Medicare & Medicaid Services (CMS) strives to make information available to all. Nevertheless, portions of our files including
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
More informationCatawba County Government
Catawba County Government Human Resources 11.00 FTEs $836,054 Administration Recruitment 9.00 FTEs 1.00 FTEs $593,789 $88,593 Risk Management 2.00 FTEs $153,672 Human Resources Reinventing Department Summary
More informationAccess for the Future. Maximizing Patient Satisfaction and On-Demand Care with a Multi- Specialty Contact Center
Access for the Future Maximizing Patient Satisfaction and On-Demand Care with a Multi- Specialty Contact Center Presenters Anna Roman, PhD, MPA Senior Vice President, Administrative Services 30 years of
More informationAgricultural Communication Strategic Plan 2010 2015
Agricultural Communication Strategic Plan 2010 2015 The Department of Agricultural Communication has set the following goals for 2010 2015 to enhance and expand our already vital service to Purdue Agriculture.
More informationClinical Decision Support Systems The revolution for a better health care
Clinical Decision Support Systems The revolution for a better health care CDSS Definition Clinical Decision Support systems link health observations with health knowledge to influence health choices by
More informationHEDIS, STAR Performance Metrics. Sheila Linehan, RN,MPH, CPHQ Director of QM, Horizon BCBSNJ July 16, 2014
HEDIS, STAR Performance Metrics Sheila Linehan, RN,MPH, CPHQ Director of QM, Horizon BCBSNJ July 16, 2014 Goals Discuss what HEDIS and Star Metrics are Discuss their impact on Health Plans Discuss their
More informationData Analytics and Wellness Programming
Click to edit Master title style Data Analytics and Wellness Programming Presented to: International Public Management Association for Human Resources January 9, 2014 Presented by: Erin Eason and Bridgette
More informationEngaging the Community: Involving Patients and their Providers in ACOs
Taconic Health Information Network and Community w w w. t h I n c. o r g Engaging the Community: Involving Patients and their Providers in ACOs THINC ACO Insights Program Webinar Three: September 27, 2011
More informationPopulation Health Solutions for Employers MEDIA RESOURCES
Population Health Solutions for Employers MEDIA RESOURCES ABOUT MISSIONPOINT MissionPoint s mission is to make healthcare more affordable, accessible and improve the quality of care for our members. MissionPoint
More informationProeHealth Enhancing Procurement Validation Workshop. Telemonitoring Northern Ireland Case Study
ProeHealth Enhancing Procurement Validation Workshop Telemonitoring Northern Ireland Case Study Eddie Ritson Programme Director NI Centre for Connected Health & Social Care NI Chronic Disease Challenge
More informationAnatomy of an ACO. Through the Eyes of a Physician-owned IPA. Genesis Accountable Care Organization
Anatomy of an ACO Through the Eyes of a Physician-owned IPA Genesis: IPA by the Numbers 1,400 Physicians PCPs 500 900 SCPs 700 Practices 400 Square miles in North Texas Genesis: Challenges for Change Pressure
More informationContinuity of Care Guide for Ambulatory Medical Practices
Continuity of Care Guide for Ambulatory Medical Practices www.himss.org t ra n sf o r m i ng he a lth c a re th rou g h IT TM Table of Contents Introduction 3 Roles and Responsibilities 4 List of work/responsibilities
More informationHCCs and Star-Ratings: An IPA s Successful Approach to Revenue Integrity. Nancy Hirschl, CCS Victoria McKemy, MHA James Taylor, MD, CPC
HCCs and Star-Ratings: An IPA s Successful Approach to Revenue Integrity Nancy Hirschl, CCS Victoria McKemy, MHA James Taylor, MD, CPC 1 Introduction Agenda HCCs (Hierarchical Condition Categories) Diagnosis
More informationThe Promise of Regional Data Aggregation
The Promise of Regional Data Aggregation Lessons Learned by the Robert Wood Johnson Foundation s National Program Office for Aligning Forces for Quality 1 Background Measuring and reporting the quality
More informationPopulation Health Management: Advancing Your Position in the Journey to Value-Based Care
Population Health Management: Advancing Your Position in the Journey to Value-Based Care Webcast Session One: An Integrated Approach to Population Health Management 11 August 2015 Welcome & Introductions
More informationLasting commercial success with Agile Evolution
Turning visions into business December 2011 Lasting commercial success with Agile Evolution Malte Foegen, David Croome, Timo Foegen Scrum techniques are spreading increasingly. In many cases, they lead
More informationBest Practices of Highly Effective Health Plans
Best Practices of Highly Effective Health Plans The Myers Group The Myers Group 0 BEST PRACTICES OF HIGHLY Best Practices of Highly Effective Health Plans tougher and more ambitious EFFECTIVE HEALTH PLANS
More informationHealth Care Reform Update January 2012 MG76120 0212 LILLY USA, LLC. ALL RIGHTS RESERVED
Health Care Reform Update January 2012 Disclaimer This presentation is for educational purposes only. It is not a complete analysis of the material contained herein. Before taking any action on the issues
More informationUtilizing Physician Extenders to Achieve Group Practice Initiatives
Utilizing Physician Extenders to Achieve Group Practice Initiatives Your presenters Debra Johansen, MBA, CMPE Chief Operating Administrator, HealthFirst Medical Group, Melbourne FL Richard Baney, Jr, MD,
More informationCoventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida Medicare Quality Management Program Overview Quality Improvement (QI) Overview At Coventry, we
More informationPOPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk
POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk Julia Andrieni, MD, FACP Vice President, Population Health and Primary
More informationTransforming life sciences contract management operations into sustainable profit centers
Point of View Generating life sciences Impact Transforming life sciences contract management operations into sustainable profit centers Globally, life sciences companies spend anywhere from $700 million
More informationAdding Value to. Provider Compensation. June 13, 2016. Healthcare Strategy Group OHA Presentation 2016. Adding Value to. Physician Compensation
Provider Compensation June 13, 2016 1 Who are We? About (HSG) Hospital-physician integration specialists since 1999 Strategic, best practice approach to employed physician networks and independent physician
More informationSearch Profile. Vice President, People and Culture
Search Profile Vice President, People and Culture Company Description For over half a century, Bethany Care Society has been improving the lives of Alberta seniors and adults with disabilities by providing
More informationI recently met with Thad Scheer, President of Sphere of Influence, Inc. Thad s company specializes in agile and lean project management methods.
1 of 7 6/13/2008 11:51 AM How Can Collaboration Systems and Social Media Complement Agile Project Management? Thursday, June 12, 2008 at 11:50AM Dennis D. McDonald in Collaboration, Project Management,
More informationPatient Centered Medical Home
Patient Centered Medical Home 2013 2014 Program Overview Florida Blue is a trade name of Blue Cross and Blue Shield of Florida Inc., an Independent Licensee of the Blue Cross and Blue Shield Association.
More informationMedicare 2015 QI Program Evaluation
Color Code: Red does not meet 5 star threshold, or target. Green meets or exceeds 5 star threshold/target. Improving or Maintaining Physical Health (HOS) Improving or Maintaining Mental Health (HOS) Diabetes
More informationAdvancing Accountable Care
Advancing Accountable Care Sean McBride Project Manager, Engelberg Center for Health Care Reform; Project Manager, ACO Learning Network Agenda 2. 4. Overview of national ACO Implementation: growing private
More informationImproving Colon Cancer Screening Rates
Improving Colon Cancer Screening Rates March 19, 2014 Presenters Matt Flory Health Care Partnerships Director Midwest Division American Cancer Society (ACS) Beverly Annis, RN Professional Resource for
More informationKick off Meeting November 11 13, 2015. MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF)
Kick off Meeting November 11 13, 2015 MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF) Team Composition Justin Huynh, MD Internal Medicine, Physician Champion Mary Laubinger,
More informationOVERVIEW OF CASE STUDY FINDINGS AND BEST PRACTICES
OVERVIEW OF CASE STUDY FINDINGS AND BEST PRACTICES We conducted in-depth case studies of healthcare and non-healthcare organizations that have been publicly recognized for achieving high levels of success
More informationStar Quality Ratings: Legal, Operational and Strategic Questions for MA Organizations and Part D Plan Sponsors
Where Do We Go From Here? Star Quality Ratings: Legal, Operational and Strategic Questions for MA Organizations and Part D Plan Sponsors American Health Lawyers Association 2011 Payors, Plans and Managed
More informationQuality Improvement Case Study: Improving Blood Pressure Control in a 3- Provider Primary Care Practice
Quality Improvement Case Study: Improving Blood Pressure Control in a 3- Provider Primary Care Practice EXECUTIVE SUMMARY Organization Ellsworth Medical Clinic 1 is a family medicine practice in Wisconsin
More informationMedicare Part C & D Star Ratings: Update for 2016. August 5, 2015 Part C & D User Group Call
Medicare Part C & D Star Ratings: Update for 2016 August 5, 2015 Part C & D User Group Call Session Overview 2016 Star Ratings Changes announced in Call Letter. HPMS Plan Previews. 2016 Display Measures.
More informationBeacon User Stories Version 1.0
Table of Contents 1. Introduction... 2 2. User Stories... 2 2.1 Update Clinical Data Repository and Disease Registry... 2 2.1.1 Beacon Context... 2 2.1.2 Actors... 2 2.1.3 Preconditions... 3 2.1.4 Story
More informationDr. Peters has declared no conflicts of interest related to the content of his presentation.
Dr. Peters has declared no conflicts of interest related to the content of his presentation. Steve G. Peters MD NAMDRC 2013 No financial conflicts No off-label usages If specific vendors are named, will
More informationOutline. Vision for Delivering Quality Care Do the Right Thing. Lessons from Quality
Outline Effectiveness Research Using EHRs: Gold Mine or Tower of Babel? Paul Tang, MD VP, Chief Medical Information Officer Palo Alto Medical Foundation Consulting Associate Professor Stanford University
More informationDeveloping a Healthcare Analytics Strategy Across the Continuum of Care
Developing a Healthcare Analytics Strategy July 2015 Healthcare Provider Analytics Investments Are Steadily Increasing Healthcare providers are still focusing their investment plans on more traditional
More informationPhysician Engagement: Innovation on the Front Lines. Jonathan F. Nasser MD G. Varuni Kondagunta MD Crystal Run Healthcare
Physician Engagement: Innovation on the Front Lines Jonathan F. Nasser MD G. Varuni Kondagunta MD Crystal Run Healthcare Crystal Run Healthcare Physician owned MSG in NY State, founded 1996 300 providers,
More informationEnhanced Personal Health Care Program
Enhanced Personal Health Care Program Documents included in the Recruitment Packet: Program Summary FAQ Checklist List of Program Information Form Questions Member Medical History Plus (MMH+) access form
More information2011-2016 Strategic Plan. Creating a healthier world through bold innovation
2011-2016 Strategic Plan Creating a healthier world through bold innovation 2011-2016 STRATEGIC PLAN Table of contents I. Global direction 1 Mission and vision statements 2 Guiding principles 3 Organizational
More informationAn Update on Medicare Parts C & D Performance Measures
An Update on Medicare Parts C & D Performance Measures CMS Spring Conference April 12 & 13, 2011 Liz Goldstein, Ph.D. Director, Division of Consumer Assessment & Plan Performance Vikki Oates, M.A.S Director,
More informationCreating Team Based Proactive Office Encounters
Better Health Greater Cleveland relies on the presenter to obtain all rights to use and display copyright-protected information. Anyone claiming a right or interest in or to any posted information should
More informationBusiness Architecture A Balance of Approaches to Implementation. Business Architecture Innovation Summit June 2013 Presenter: Andrew Sommers
Business Architecture A Balance of Approaches to Implementation Business Architecture Innovation Summit June 2013 Presenter: Andrew Sommers Implementing Business Architecture at Capital Group Positioning
More informationThe Accountable Care Journey: Getting Started. By Robin Mancuso Managing Director Healthcare Practice
By Robin Mancuso Managing Director Healthcare Practice What is accountable care? The healthcare system of the future will focus as much on preventative care and fostering healthy habits from birth, as
More informationROI through Quality Improvement: Davies Winner Lessons from the Field Steve Robertson Dale Glenn, MD
ROI through Quality Improvement: Davies Winner Lessons from the Field Steve Robertson Dale Glenn, MD DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not
More informationThe 4 Pillars of Clinical Integration: A Flexible Model for Hospital- Physician Collaboration
The 4 Pillars of Clinical Integration: A Flexible Model for Hospital- Physician Collaboration Written by Daniel J. Marino, President & CEO, Health Directions November 14, 2012 Originally published by Becker
More informationPurchasers Efforts to Promote Better Information Technology
Purchasers Efforts to Promote Better Information Technology Peter V. Lee Pacific Business Group on Health The Health Information Technology Summit West March 7, 2005 Measuring Provider Quality and Cost-Efficiency
More informationEnabling Healthcare in Out-Patient Settings and The Patient Centered Medical Home of the Future
Enabling Healthcare in Out-Patient Settings and The Patient Centered Medical Home of the Future Gregory J. Raglow, MD, FAAFP Group Health Informatics Officer Abu Dhabi Health Services SEHA Objectives List
More informationUsing Lean/6 Sigma Methodology to Facilitate Medical Home Implementation
Using Lean/6 Sigma Methodology to Facilitate Medical Home Implementation Timothy Quinn, MD, MBA President, MercyCare Community Physicians The MercyCare System MercyCare Community Physicians is a physician-led
More informationCRITICAL GUIDANCE FOR INTEGRATING INDEPENDENT PHYSICIANS. The Surgical and Physician Services Experts
CRITICAL GUIDANCE FOR INTEGRATING INDEPENDENT PHYSICIANS 1 Agenda The dynamics driving the physician market place Practical models for achieving physician alignment Guidance for ensuring success Q & A
More informationMichael J. Tronolone, MD, MMM, Chief Medical Officer Michelle Matin, MD, FAAFP Associate Medical Director for Quality The Polyclinic Seattle, WA
Succeed with Population Health Management in a Fee-for-Service Environment and Improve Clinical Quality Measures While Transitioning to Value- Based Care Michael J. Tronolone, MD, MMM, Chief Medical Officer
More informationModel for a Virtual ACO
Today Tomorrow Model for a Virtual ACO An Emerging Primary care Based Multi- specialty Virtual ACO Responding to Need Small practices operate in isolation Can t t compete with hospital-based delivery systems
More informationCo-management (Service Line Agreement 2007)
Co-management (Service Line Agreement 2007) Orthopedics Neuroscience Cardiology Cardiovascular Surgery Collaboration on a different level Tactical method of increasing alignment and collaboration Agreement
More informationVHA CENTRAL ATLANTIC COMPENSATION PLAN REDESIGN. Karin Chernoff Kaplan, AVA, Director, DGA Partners. January 5, 2012
VHA CENTRAL ATLANTIC COMPENSATION PLAN REDESIGN Karin Chernoff Kaplan, AVA, Director, DGA Partners January 5, 2012 AGENDA > Introduction and Trends in Physician Compensation > Compensation Plan Design
More informationPatient Centered Health Home and Data Analytics. Amanda Stangis, Director of Programs, CPCA Andrew Principe, VP Strategy, Arcadia Solutions
Patient Centered Health Home and Data Analytics Amanda Stangis, Director of Programs, CPCA Andrew Principe, VP Strategy, Arcadia Solutions Agenda What is a Health Home? What is the connection between Health
More informationPlan for Successful CDS Development, Design, and Deployment
1 Plan for Successful CDS Development, Design, and Deployment CDS Roll-Out Requires Careful Preparation and Capacity-Building Deploying CDS rolling out a new CDS intervention should only start after a
More information