Automating Population Health Management to Deliver Sustainable, High-Quality Care. Michael Matthews, CEO MedVirginia / inhealth

Size: px
Start display at page:

Download "Automating Population Health Management to Deliver Sustainable, High-Quality Care. Michael Matthews, CEO MedVirginia / inhealth"

Transcription

1 Automating Population Health Management to Deliver Sustainable, High-Quality Care Michael Matthews, CEO MedVirginia / inhealth

2 Objectives Describe how to use technology to meet the challenges of population health management Transition from fee-for-service reimbursement to accountable care Identify how to automate routine tasks, including identification of care gaps, risk stratification to patient engagement, and care management Develop a strategy for measuring outcomes and using analytics to improve performance and financial sustainability 2

3 Better Aligned Incentives Improved Patient Outcomes Agreement on Principles The Journey Towards Improved Patient Access, Enhanced Clinical Outcomes, And Better Aligned Incentives Begins Here. Health Information Exchange Patient Access and Engagement Population Health Analytics Patient- Centered Medical Home Coordination of Care 3

4 Corporate Resume In production for seven years First HIE in production on NwHIN (2009) ConnectVirginia Statewide HIE (2011) Author and first signatory to DURSA (2009) First HIE to connect to SSA (2009) First HIE to connect to VA and DoD health records systems (2010) One of 5 HIEs to watch by CMIO magazine (2011) One of 12 HIE Leaders by NeHC (2011) 4

5 Definition The population health improvement model highlights three components: the central care delivery and leadership roles of the primary care physician; the critical importance of patient activation, involvement and personal responsibility; and the patient focus and capacity expansion of care coordination provided through wellness, disease and chronic care management programs. Care Continuum Alliance 5

6 Population Health: A new idea?? With our present amount of sanitary knowledge, it is as criminal to have a mortality of 17, 19, and 20 per 1000 in the Line, Artillery, and Guards in England, when that of Civil life is only 11 per 1000, as it would be to take 1100 men per annum out upon Salisbury Plain and shoot them. Florence Nightingale writing to Sir John Hall in

7 Ahead of his time. 7

8 Tipping Point? Percent GDP Value Medicare / Medicaid Insurance Tax codes Employer engagement Aging Consumerism Lifestyle Right vs. Privilege Uninsured Economic Social Clinical Technological Safety Best practice Therapeutic Diagnostic Genomic Pharmaceutical Decision Support EHR HIE Analytics mhealth Telemedicine 8

9 It s not that complicated. Will the world be different in 10 years? If yes, should I do nothing or do something? If do something, should I start now or wait 10 years? If I start now, should I turn my world upside down over night or implement low-risk, highyield, scenario independent strategies? 9

10 New model of care: Population Health Management Traditional View Patients Who Arrive New View Entire Patient Population Fee for Service PCMH Accountable Care 10

11 ACO Model Components Patient-centered health homes that deliver primary care and coordinate with other providers. Aligned networks of specialists, ancillary providers and hospitals focused on outcomes. Explicit care integration and coordination mechanisms. Payor provider partnership relationships and reimbursement models identified under healthcare reform that facilitate and reward high value, not high volume, healthcare. Source: Premier ACO Collaborative Population health information infrastructure to enable community-wide care coordination. 11

12 Scope of Automation Health information exchange ADT clinical alerts Gaps in care Transitions in care Population Health Management: A Roadmap for Provider-Based Automation in a New Era of Healthcare Institute for Health Technology Transformation 12

13 HIE: High Impact Use Cases Emergencies Chronically ill Uninsured Minority Wounded warriors Disabled Rural Incarcerated 13

14 Wounded Warriors Up to 60% of service member s healthcare is provided outside of the Military Health System. Private Sector Care 60% 40% 70 Veterans receive approximately 40% of their care outside of VA treatment facilities. DoD DoD-VA Continuum of Care VA 14

15 VLER Partners Fort Eustis McGuire VA Medical Center Hampton VA Medical Center Portsmouth Naval Hospital Fort Eustis Langley AFB 15

16 Serving the Disabled Avg. disability determination: 90 days With MedVirginia: 65 days 5% in 1-2 days CCD to SSA Algorithms by SSA Replication of model 16

17 Project Impact Case study commissioned by SSA Conducted by Kay Center for ehealth Research Perspectives: Claimant Provider SSA ROI 17

18 ADT Clinical Alerts _Learning_Guide_ADT_Feeds_Final.pdf 18

19 Patients Are Not Receiving Recommended Care McGlynn et al The Quality of Health Care Delivered to Adults in the United States NEJM June 26,

20 Risk stratification Target populations Outcomes reporting Quality metrics Patient outreach Telephonic PHR Analytics and Patient Engagement Text PHYTEL Population Management 20

21 Robust Protocol Engine Outreach Communications and Patient Self-Management Protocol Engine Evidence based standards Guidelines combined with expert opinion Specific practice requests Innovative proprietary protocols Patient Registry 21

22 Scheduler or Care Manager View of Outreach Events 22

23 Impact Ashok Rai, Paul Prichard, Richard Hodach, and Ted Courtemanche. Population Health Management. August 2011, 14(4): doi: /pop

24 Results Program data 3/1/12-2/28/13 Unique patients identified with gaps in care = 97,900 Contact success rate = 94% ROI = 10X 92,100 patients contacted 5,700 unsuccessful contacts 48,400 Patients Booked 24

25 Post Discharge Follow-up Improving Patient Post Discharge Care Improving Patient Satisfaction Scores Increasing Physician Services Interactions Readms 25

26 Transition : How it Works Patients contacted within hours of discharge Patient discharged Patient receives automated assessment Alerts are sent back to the nurse or case manager 26

27 Transition Follow-up List Follow-up list highlights patients with responses that generate escalations. 27

28 Riverside Medical Center 570 bed regional medical center Level II Trauma/ 42 beds 60,000 ED visits per year Improved Press Ganey scores from 58 to 63% Increased patient recommendation scores from 60 to 64% Reached 55% of discharged patients through automated contact Improved quality of care by providing additional support to patients who need it

29 Scope of Automation Health information exchange $2M revenue for 4 hospital system ADT clinical alerts Emerging data results Gaps in care 10X ROI for medical group Transitions in care Readmissions HCAPS scores Population Health Management: A Roadmap for Provider-Based Automation in a New Era of Healthcare Institute for Health Technology Transformation 29

30 Constancy of purpose.. in a sea of change. 30

Prevea Health. Prevea Health automates population health management and improves health outcomes. Overview

Prevea Health. Prevea Health automates population health management and improves health outcomes. Overview Prevea Health Prevea Health automates population health management and improves health outcomes Overview The need Prevea Health needed an infrastructure to help its physician practices automate population

More information

Population Health Solutions for Employers MEDIA RESOURCES

Population 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 information

Improving Quality And Bending the Cost Curve: Strategies That Work

Improving Quality And Bending the Cost Curve: Strategies That Work Improving Quality And Bending the Cost Curve: Strategies That Work Lewis G. Sandy MD SVP, Clinical Advancement, UnitedHealth Group UnitedHealth Center for Health Reform and Modernization AcademyHealth

More information

Population 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 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 information

How To Prepare For A Patient Care System

How To Prepare For A Patient Care System Preparing for Online Communication with Your Patients A Guide for Providers This easy-to-use, time-saving guide is designed to help medical practices and community clinics prepare for communicating with

More information

Emerging Technologies That Support Transitions of Care. 8 June 2016 Elaine Remmlinger, Senior Partner, and Robin Settle, Partner

Emerging Technologies That Support Transitions of Care. 8 June 2016 Elaine Remmlinger, Senior Partner, and Robin Settle, Partner Emerging Technologies That Support Transitions of Care 8 June 2016 Elaine Remmlinger, Senior Partner, and Robin Settle, Partner Topics of Discussion Drivers of Transitions of Care Technology Perspective:

More information

Population Health Management Helps Utica Park Clinic Ease the Transition to Value-Based Care

Population 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 information

Enterprise Analytics Strategic Planning

Enterprise 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 information

Care Transformation and the Journey to Population Health Management

Care Transformation and the Journey to Population Health Management Care Transformation and the Journey to Population Health Management Richard A Bankowitz, MD MBA FACP Chief Medical Officer, Premier healthcare alliance AMGA Institute for Quality September 26, 2013 Premier:

More information

How To Analyze Health Data

How To Analyze Health Data POPULATION HEALTH ANALYTICS ANALYTICALLY-DRIVEN INSIGHTS FOR POPULATION HEALTH LAURIE ROSE, PRINCIPAL CONSULTANT HEALTH CARE GLOBAL PRACTICE DISCUSSION TOPICS Population Health: What & Why Now? Population

More information

The Evolving Nature of Accountable Care. Results from the 2015 ACO Survey

The Evolving Nature of Accountable Care. Results from the 2015 ACO Survey The Evolving Nature of Accountable Care Results from the 2015 ACO Survey BACKGROUND Accountable care organizations (ACOs) are voluntary networks of healthcare providers that have agreed to work together

More information

ACOs: Six Things Specialty Practices Should Know

ACOs: Six Things Specialty Practices Should Know ACOs: Six Things Specialty Practices Should Know =TOS Newsletter, July/August 2014= Authors: John P. Schmitt, Ph.D. and J. Garrett Schmitt, MBA, PCMH CCE INTRODUCTION Do you remember the analogy of four

More information

The Accountable Care Organization: An Introduction

The Accountable Care Organization: An Introduction January 2011 The Accountable Care Organization: An Introduction The healthcare reform discussion introduced new terms and ideas and reintroduced many concepts explored in the past: value-based healthcare,

More information

Medicare Value Partners

Medicare Value Partners Medicare Value Partners Medicare Shared Savings ACO Program Frequently Asked Questions (FAQ) Q: What exactly is a Medicare Shared Savings Program ACO? A: Medicare Shared Savings Program accountable care

More information

11/27/2015. The Importance of Data Analytics in the Creation of a PopHealth Strategy. Conflict of Interest. Social Media Activity

11/27/2015. The Importance of Data Analytics in the Creation of a PopHealth Strategy. Conflict of Interest. Social Media Activity The Importance of Data Analytics in the Creation of a PopHealth Strategy Jonathan Ware, MD Chief Population Health Officer, Future State Healthcare Medical Director, Population Health Management, IBM Watson

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Realizing ACO Success with ICW Solutions

Realizing ACO Success with ICW Solutions Realizing ACO Success with ICW Solutions A Pathway to Collaborative Care Coordination and Care Management Decrease Healthcare Costs Improve Population Health Enhance Care for the Individual connect. manage.

More information

Making Health Information Technology

Making Health Information Technology Making Health Information Technology Work: For the Future of Health and Care Vish Sankaran Program Director June 18, 2009 Background Health Care spending in the United States is over $2 Trillion per Year

More information

Premier ACO Collaboratives Driving to a Patient-Centered Health System

Premier ACO Collaboratives Driving to a Patient-Centered Health System Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency

More information

Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations

Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Presented to The American College of Cardiology October 27, 2012 1 Franciscan Alliance Overview Franciscan

More information

Rehab Nursing Contribution to Value Based Purchasing. Where s the Value

Rehab Nursing Contribution to Value Based Purchasing. Where s the Value Rehab Nursing Contribution to Value Based Purchasing Florida State Association of Rehabilitation Nurses 37th Annual Education Conference Buena Vista, Orlando, Florida Thursday, May 8, 2014 Bob Habasevich,

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Population Health Management Primer

Population Health Management Primer Population Health Management Primer A White Paper October 2014 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800- 680-7570 Impact- Advisors.com Table of Contents What Is Population

More information

Care Coordination and Community Case Management Partner Meeting

Care Coordination and Community Case Management Partner Meeting Care Coordination and Community Case Management Partner Meeting To ensure the right care, in the right order, at the right time, in the right setting 1 Today s Objectives What is Integrated Community Health

More information

The Health Care Transformation Glossary

The Health Care Transformation Glossary The Health Care Transformation Glossary which was compiled using a variety of sources helps to educate your staff, governance and community about the new language associated with transformation. Using

More information

Healthcare Reform: An Analysis of the Impact on Healthcare Providers

Healthcare Reform: An Analysis of the Impact on Healthcare Providers Healthcare Reform: An Analysis of the Impact on Healthcare Providers Background The financial impact from the Affordable Care Act on providers from changes in Medicare reimbursement have been well documented

More information

Guide to Population Health Management

Guide to Population Health Management Guide to Population Health Management presented by the Healthcare Intelligence Network Note: This is an authorized excerpt from the Guide to Population Health Management. To download the entire guide,

More information

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics Identifying High-Risk Medicare Beneficiaries with Predictive Analytics September 2014 Until recently, with the passage of the Affordable Care Act (ACA), Medicare Fee-for-Service (FFS) providers had little

More information

Accountable Care: Implications for Managing Health Information. Quality Healthcare Through Quality Information

Accountable Care: Implications for Managing Health Information. Quality Healthcare Through Quality Information Accountable Care: Implications for Managing Health Information Quality Healthcare Through Quality Information Introduction Healthcare is currently experiencing a critical shift: away from the current the

More information

E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences

E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences Accountable Care Organizations and You E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State University

More information

Healthcare Facilities Accreditation Program

Healthcare Facilities Accreditation Program 1 Healthcare Facilities 2 Moving Accreditation from Standards to Quality and Safety Based Lessons from the Healthcare Facilities Richard Snow DO, MPH Healthcare Facilities Advisory Board Medical Director

More information

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have

More information

ACO Case Study. MedChi Network Services. Provided By: The National Learning Consortium (NLC)

ACO Case Study. MedChi Network Services. Provided By: The National Learning Consortium (NLC) ACO Case Study MedChi Network Services Provided By: The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC) HITRC Training Team The material in this document

More information

ACOs: What They Are and How They Work? MedChi Facts 9/17/2014. MedChi Works to Enhance Health Care for All Marylanders

ACOs: What They Are and How They Work? MedChi Facts 9/17/2014. MedChi Works to Enhance Health Care for All Marylanders ACOs: What They Are and How They Work? Maryland MGMA Annual Conference Gene Ransom CEO, MedChi September 19, 2014 MedChi Facts MedChi is the seventh oldest medical society, formed in 1799 in Annapolis,

More information

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation Dignity Health Population Health Management and Compliance Programs Julie Bietsch, VP Population Health Management Dawnese Kindelt, Senior Compliance Director, Clinical Integration June 8, 2015 Moving

More information

Big Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics. David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014

Big Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics. David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014 Big Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014 Agenda The Triple Aim Population Health in Russia The

More information

Our Patient-Centered Medical Home a Process, not a Click

Our Patient-Centered Medical Home a Process, not a Click Our Patient-Centered Medical Home a Process, not a Click Richard Johnston, M.D. President, Medical Clinic of North Texas, P.A. Medical Clinic of North Texas, P.A. MCNT Physician Owned Primary Care Medical

More information

Partnerships in Primary and Behavioral Health Care ACO Survival Integrated Care

Partnerships in Primary and Behavioral Health Care ACO Survival Integrated Care Partnerships in Primary and Behavioral Health Care ACO Survival Integrated Care Ensuring Success for ACOs September 22 23 Joyce Wale LCSW Vice President, Institute for Behavioral Healthcare Improvement

More information

Proven Innovations in Primary Care Practice

Proven Innovations in Primary Care Practice Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

The New Health Care Model. Axel Arroyo, MD MPH

The New Health Care Model. Axel Arroyo, MD MPH The New Health Care Model Axel Arroyo, MD MPH Past Learning Objectives Which are the reasons behind these changes? To review the reasons of this transformation. To review Legislative initiatives (ARRA,

More information

Michael J. Tronolone, MD, MMM, Chief Medical Officer Michelle Matin, MD, FAAFP Associate Medical Director for Quality The Polyclinic Seattle, WA

Michael 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 information

3M s unique solution for value-based health care

3M s unique solution for value-based health care A quick guide to 3M s unique solution for value-based health care Volume-based health care Part 1: Helping your organization navigate the journey from volume- to value-based health care. Value-based health

More information

ACO s as Private Label Insurance Products

ACO s as Private Label Insurance Products ACO s as Private Label Insurance Products Creating Value for Plan Sponsors Continuing Education: November 19, 2013 Clarence Williams Vice President Client Strategy Accountable Care Solutions Today s discussion

More information

Patient Centered Medical Homes

Patient Centered Medical Homes 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

More information

Population Health Management: Using Quality Metrics to Drive Improved Patient Outcomes

Population Health Management: Using Quality Metrics to Drive Improved Patient Outcomes Executive Webinar Series Population Health Management: Using Quality Metrics to Drive Improved Patient Outcomes Presenters: Richard Hodach, MD, PhD, MPH Chief Medical Officer and VP, Clinical Product Strategy

More information

Using e-health: EHRs, HIE and the Minnesota Accountable Health Model

Using e-health: EHRs, HIE and the Minnesota Accountable Health Model Using e-health: EHRs, HIE and the Minnesota Accountable Health Model Minnesota Rural Health Conference June 24, 2014 Duluth, MN Karen Soderberg and Anne Schloegel Office of Health Information Technology

More information

Cornerstone 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 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 information

THE FUTURE OF QUALITY HEALTHCARE: ACO S?????

THE FUTURE OF QUALITY HEALTHCARE: ACO S????? THE FUTURE OF QUALITY HEALTHCARE: ACO S????? ARKANSAS LEADERSHIP FORUM Lance W. Keilers, MBA, CAPPM September 15, 2015 Learning Objectives Recognize current changes in rural hospital delivery systems Identify

More information

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration

More information

Brief environmental scan Ti Triple AIM?...key elements Why the Plus One? How do we get there? What will be the advantage for us?

Brief environmental scan Ti Triple AIM?...key elements Why the Plus One? How do we get there? What will be the advantage for us? The Current Environment Requires Progress On All Four Simultaneously! Bruce Bagley, MD President and CEO TransforMED Brief environmental scan Ti Triple AIM?...key elements Why the Plus One? How do we get

More information

Population Health Management Systems

Population Health Management Systems Population Health Management Systems What are they and how can they help public health? August 18, 1:00 p.m. 2:30 p.m. EDT Presented by the Public Health Informatics Working Group Webinar sponsored by

More information

Engage Connect Influence

Engage Connect Influence Engage Connect Influence 2013 CAP Policy Meeting Pathology s Experience with Care Coordination Blair Childs Premier Healthcare Alliance Blair Childs SVP, Public Affairs THE NATION S LARGEST HEALTHCARE

More information

Walden University Q & A continued from Webinar Todd Linden

Walden University Q & A continued from Webinar Todd Linden Walden University Q & A continued from Webinar Todd Linden General Note: The answers to these questions are my opinion. The mountain of rules and regulations that will be produced from this legislation

More information

OPEN MINDS 2012 Planning & Innovation Institute

OPEN MINDS 2012 Planning & Innovation Institute Panel: Trish Cavestany, MSN, RN, CCM Director, Clinical Products and Services, Robert Bosch Healthcare Systems Steve Daviss, MD Chair, Dept Psychiatry, Baltimore Washington Medical Center Chair, Committee

More information

Compensation Techniques Used to Improve Provider Performance and Organizational Alignment. Tuesday, March 24, 2015 9:00 a.m. 3:00 p.m.

Compensation Techniques Used to Improve Provider Performance and Organizational Alignment. Tuesday, March 24, 2015 9:00 a.m. 3:00 p.m. Compensation Techniques Used to Improve Provider Performance and Organizational Alignment Tuesday, March 24, 2015 9:00 a.m. 3:00 p.m. 1 Agenda Time Topic Speaker 9:00 to 9:10 Welcome and Introductions

More information

A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure

A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure + A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure + Disclosures: Timothy Harlan: I have no actual or potential conflict of interest in relation to this presentation.

More information

Accountable Care Organizations: What Are They and Why Should I Care?

Accountable Care Organizations: What Are They and Why Should I Care? Accountable Care Organizations: What Are They and Why Should I Care? Adrienne Green, MD Associate Chief Medical Officer, UCSF Medical Center Ami Parekh, MD, JD Med. Director, Health System Innovation,

More information

Health Care Analytics Symposium. Grace E. Terrell, MD July 25, 2012

Health Care Analytics Symposium. Grace E. Terrell, MD July 25, 2012 Health Care Analytics Symposium Grace E. Terrell, MD July 25, 2012 Mission: To be your medical home Vision: To be the model for physician-led health care in America Values: As a physician owned and directed

More information

ACO CASE STUDY METRO HEALTH: GRAND RAPIDS, MICHIGAN

ACO CASE STUDY METRO HEALTH: GRAND RAPIDS, MICHIGAN ACO CASE STUDY METRO HEALTH: GRAND RAPIDS, MICHIGAN January 2011 ACO CASE STUDY METRO HEALTH: GRAND RAPIDS, MICHIGAN Prepared by: Keith D. Moore / kmoore@mcmanisconsulting.com & Dean C. Coddington / dcoddington@mcmanisconsulting.com

More information

Physician Discovery Services Provide a Full Range of Physician Practice Solutions

Physician Discovery Services Provide a Full Range of Physician Practice Solutions Physician Discovery Services OUR SOLUTION Truven Health Physician Discovery Services experts provide insights into a hospital or health system s physician enterprise. With experience in physician assessment,

More information

Analytic-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. 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 information

Health Home Program (Section 2703) Iowa Medicaid Enterprise. Marni Bussell Project Manager December 13, 2013

Health Home Program (Section 2703) Iowa Medicaid Enterprise. Marni Bussell Project Manager December 13, 2013 Health Home Program (Section 2703) Iowa Medicaid Enterprise Marni Bussell Project Manager December 13, 2013 1 Two Health Home Programs: Same Triple Aim Goals Chronic Condition Health Home: Primary Care

More information

What is an Accountable Care Organization. Amit Rastogi, MD President/CEO PriMed

What is an Accountable Care Organization. Amit Rastogi, MD President/CEO PriMed What is an Accountable Care Organization Amit Rastogi, MD President/CEO PriMed Goals Why is U.S. healthcare undergoing dramatic change How reimbursement structures are likely to change What is the timeline

More information

PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS

PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS An Availity Research Study April, 2014 TABLE OF CONTENTS 1 Introduction 2 Definitions 3 Key Findings 5 Survey Results 6 Revenue sources and experience

More information

Financial and Population Analytics for Accountable Care Organizations SEPTEMBER 20, 2012

Financial 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 information

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY Table of Contents I. Introduction... 2 II. Background... 2 III. Patient Safety... 3 IV. A Comprehensive Approach to Reducing

More information

Sharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012

Sharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare ACO Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare Not-for-profit serving 3.1 million residents of San Diego County Grew from one hospital in 1955 to an integrated

More information

PCMH and Care Management: Where do we start?

PCMH and Care Management: Where do we start? PCMH and Care Management: Where do we start? Patricia Bohs, RN, BSN Quality Assurance Manager Kelly McCloughan QA Data Manager Wayne Memorial Community Health Centers Honesdale, PA Wayne Memorial Community

More information

Accountable Care Communities 101. Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014

Accountable Care Communities 101. Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014 Accountable Care Communities 101 Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014 Premier is the largest healthcare alliance in the U.S. Our Mission:

More information

Federal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services

Federal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services Federal Health Care Reform: Implications for Hospital and Physician partnerships Walter Kopp Medical Management Services Outline Overview of federal health reform legislation Implications for Care delivery

More information

1. Introduction - Nevada E-Health Survey

1. Introduction - Nevada E-Health Survey 1. Introduction - Nevada E-Health Survey Welcome to the Nevada E-Health Survey for health care professional providers and hospitals. The Office of Health Information Technology (OHIT) for the State of

More information

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric

More information

ACOs and Population Health Management

ACOs and Population Health Management ACOs and Population Health Management How Physician Practices Must Change to Effectively Manage Patient Populations American Medical Group Association Case Study Part 1 Phytel, Inc. 1 How Physician Practices

More information

Idaho Health Home State Plan Amendment Matrix: Summary Overview. Overview of Approved Health Home SPAs

Idaho Health Home State Plan Amendment Matrix: Summary Overview. Overview of Approved Health Home SPAs Idaho Health Home State Plan Amendment Matrix: Summary Overview This matrix outlines key program design features from health home State Plan Amendments (SPAs) approved by the Centers for Medicare & Medicaid

More information

AT&T Healthcare Community Online

AT&T Healthcare Community Online AT&T Healthcare Community Online January 30, 2012 HCO empowers health care professionals to reduce re-admissions, increase care coordination and provide seamless care transitions while improving patient

More information

Patient-Centered. Medical Home

Patient-Centered. Medical Home Patient-Centered Medical Home PROTECT PROMOTE IMPROVE Healthcare Transformation in Ohio Ted Wymyslo, MD Director Ohio Department of Health Adherence Summit II Continuing Medical Educators Nov. 14,

More information

AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY

AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY AGENCY-SPECIFIC PLAN FOR THE NATIONAL QUALITY STRATEGY Adult Medicaid Quality Grants Program The Adult Medicaid Quality Grants Program is a 2-year funding opportunity designed to support grantee Medicaid

More information

Primary Care, ACOs, and Payment Reform

Primary Care, ACOs, and Payment Reform Primary Care, ACOs, and Payment Reform Mark McClellan, MD, PhD Director, Initiatives on Value and Innovation in Health Care Engelberg Center for Healthcare Reform Senior Fellow, Economic Studies The Brookings

More information

Health Information Technology (IT) Simplified

Health Information Technology (IT) Simplified Health Information Technology (IT) Simplified A glossary of all things Health IT Accountable Care Organizations (ACO) - A group of health care providers who give coordinated care, chronic disease management,

More information

Leveraging Population Health to Meet Value-Based Care Goals. 19 out of 25 Organizations view population health as a high priority today.

Leveraging Population Health to Meet Value-Based Care Goals. 19 out of 25 Organizations view population health as a high priority today. Leveraging Population Health to Meet Value-Based Care Goals Value-based reimbursement is no longer a futuristic concept. It s a reality that healthcare organizations need to face today. 19 out of 25 Organizations

More information

A Roadmap for Population Health: Best Practices for Achieving Operational Alignment

A Roadmap for Population Health: Best Practices for Achieving Operational Alignment RESEARCH BRIEF A Roadmap for Population Health: Best Practices for Achieving Operational Alignment Larry Yuhasz February 2014 Reform under the Patient Protection and Affordable Care Act (PPACA) demands

More information

Value-Based Programs. Blue Plans Improving Healthcare Quality and Affordability through Innovative Partnerships with Clinicians

Value-Based Programs. Blue Plans Improving Healthcare Quality and Affordability through Innovative Partnerships with Clinicians Value-Based Programs Blue Plans Improving Healthcare Quality and Affordability through Innovative Partnerships with Clinicians Issue: U.S. healthcare spending exceeds $2.8 trillion annually. 1 With studies

More information

Development of a Rural ACO Model: The Taos Experience

Development of a Rural ACO Model: The Taos Experience Development of a Rural ACO Model: The Taos Experience What Who Why Where How Michael Kaufman, MD Jemery Kaufman, MD Our Definition: ACO Care - Patient centered and specific Organized Innovative and Evidence

More information

Nationwide Health Information Network Overview

Nationwide Health Information Network Overview Nationwide Health Information Network Overview Ginger Price Program Director, Nationwide Health Information Network Office of the National Coordinator for Health IT Presentation to the Secretary s Advisory

More information

Ohio s strategy to enroll primary care practices in the federal Comprehensive Primary Care Plus (CPC+) Program

Ohio s strategy to enroll primary care practices in the federal Comprehensive Primary Care Plus (CPC+) Program Ohio s strategy to enroll primary care practices in the federal Comprehensive Primary Care Plus (CPC+) Program Greg Moody, Director Governor s Office of Health Transformation Webinar for Primary Care Practices

More information

POPULATION 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 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 information

Embracing Accountable Care: 10 Key Steps

Embracing Accountable Care: 10 Key Steps Embracing Accountable Care: 10 Key Steps Sivakumar Nandiwada and Vijay Sylvestine Abstract For quite some time now, the U.S. healthcare market has been grappling with issues of spiraling costs and disparities

More information

Disclosure of Conflict of Interest

Disclosure of Conflict of Interest Challenging the Status Quo of Telehealth in Policy, Technology, & Clinical Care H. Stephen Lieber President and Chief Executive Officer HIMSS Disclosure of Conflict of Interest No Conflict of Interest

More information

1900 K St. NW Washington, DC 20006 c/o McKenna Long

1900 K St. NW Washington, DC 20006 c/o McKenna Long 1900 K St. NW Washington, DC 20006 c/o McKenna Long Centers for Medicare & Medicaid Services U. S. Department of Health and Human Services Attention CMS 1345 P P.O. Box 8013, Baltimore, MD 21244 8013 Re:

More information

Population health management:

Population health management: 3M Health Information Systems Population health management: A bridge between fee for service and value-based care Balancing multiple payment models Although 85 percent of healthcare reimbursement is currently

More information

Accountable Care Organizations: From Promise to Progress

Accountable Care Organizations: From Promise to Progress Accountable Care Organizations: From Promise to Progress April 24, 2013 We strongly encourage you join the call by receiving a call back. If you choose to dial in, please be sure to use your attendee #

More information

Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association

Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association Pushing the Boundaries of Population Health Management: How University Hospitals Launched Three ACOs July 26, 2013 American Hospital Association Eric J. Bieber, M.D. Chief Medical Officer, University Hospitals

More information

The Minnesota State Innovation Model (SIM)

The Minnesota State Innovation Model (SIM) The Minnesota State Innovation Model (SIM) T E S T I N G A N D I M P L E M E N T I N G T H E M I N N E S O TA A C C O U N TA B L E H E A LT H M O D E L 2014 State Innovation Model Initiative (SIM) SIM

More information

Healthcare s Transformation Journey

Healthcare s Transformation Journey Healthcare s Transformation Journey Susan DeVore, president and CEO, Premier, Inc. November 21, 2014 2 Premier, Inc. Our Mission: To improve the health of communities. Uniting approximately 3,400 hospitals

More information

Signature Leadership Series. Metrics for the Second Curve of Health Care

Signature Leadership Series. Metrics for the Second Curve of Health Care Signature Leadership Series Metrics for the Second Curve of Health Care April 2013 Metrics for the Second Curve of Health Care Resources: For information related to health care delivery transformation,

More information

ehealth Exchange Onboarding Overview Jennifer Rosas, ehealth Exchange Director Kati Odom, ehealth Exchange Implementation Manager

ehealth Exchange Onboarding Overview Jennifer Rosas, ehealth Exchange Director Kati Odom, ehealth Exchange Implementation Manager ehealth Exchange Onboarding Overview Jennifer Rosas, ehealth Exchange Director Kati Odom, ehealth Exchange Implementation Manager Introduction to the ehealth Exchange Rapidly growing network for securely

More information

Terry McGeeney, MD MBA, President, CEO of TransforMED

Terry McGeeney, MD MBA, President, CEO of TransforMED Terry McGeeney, MD MBA, President, CEO of TransforMED Terry McGeeney, MD MBA, President, CEO of TransforMED According to the Future of Family Medicine Report: unless there are changes in the broader healthcare

More information

Care Coordination among DSRIP Partners

Care Coordination among DSRIP Partners Care Coordination among DSRIP Partners John F. Skip Williams, Jr., MD, EdD, MPH Maureen Fahey, RN, MBA Thursday, June 25, 2015 3:00-3:30 pm OVERVIEW OF PRESENTATION New York State DSRIP Overview Brooklyn

More information

Patient Centered Medical Home: An Approach for the Health Plan

Patient Centered Medical Home: An Approach for the Health Plan : An Approach for the Health Plan By Marissa A. Harper and JoAnn E. Balara Excellence in healthcare consulting The Medical Home Concept Works Recent Medicare demonstration projects on Patient Centered

More information