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1 October 8, :00 3:00pm EDT

2 Agenda 1. Welcome 2. AMGA/AMGF Overview 3. Advisors & Participating Groups 4. HF Collaborative Overview and Project Timeline 5. Measurement and Reporting 6. Participant and AMGF Responsibilities 7. Next Steps 8. Questions

3 HF Collaborative Team AMGF Jerry Penso, M.D., M.B.A., Chief Quality & Medical Officer, AMGA & President of AMGF Danielle Casanova, M.B.A., Director, Population Health Initiatives Earlean Chambers, R.N., M.S., Assistant Director, Population Health Initiatives Erin Leaver-Schmidt, M.P.H., Program Manager, Population Health Initiatives Senait Sunny Temesgen, Program Coordinator, Population Health Initiatives Anceta John Cuddeback, M.D., Ph.D., Chief Medical Informatics Officer, Anceta Vaishali Joshi, Senior Data Analyst, Anceta Jill Powelson, R.N., M.B.A., M.P.H., Director of Clinical Translation, Anceta

4 HF Collaborative Support Preventive Cardiovascular Nurses Association (PCNA)

5 AMGA & AMGF Overview

6 American Medical Group Association (AMGA) Supports its members in enhancing population health and care for patients through integrated systems of care.

7 By the Numbers 170,000 physicians Approximately 440 Medical Group Members Deliver health care to 120 million Average group size is 348 MDs Median group size is 140 MDs AMGA medical groups treat approximately one in three Americans

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9 AMGA Members 9

10 AMGF Overview AMGF enables medical groups and other organized systems of care to consistently improve health and health care. AMGF is AMGA s 501 (c)(3) affiliate

11 AMGF s Programs Acclaim Award Chronic Care Challenge Best Practices Collaboratives

12 Best Practices In Managing Patients with Heart Failure Collaborative Overview

13 Advisory Committee Robert W. Brenner, MD, MMM Senior Vice President and Chief Physician Executive, Valley Health System Mae Centeno, DNP, RN, CCNS, ACNS VP, Chronic Care Continuum, Institute for Chronic Disease and Care Redesign Baylor Scott & White Health Leonard Fromer, MD Executive Medical Director Group Practice Forum Kim Newlin, RN, CNS, NP-C Board Member, Preventive Cardiovascular Nurses Association (PCNA) Ravi Ramani, MD Assistant Professor of Medicine, University of Pittsburgh Director, UPMC Integrated Heart Failure Randall C. Starling, M.D., M.P.H. Head, Section of Heart Failure and Cardiac Transplant Medicine Vice Chairman, Department of Cardiovascular Medicine Cleveland Clinic

14 Collaborative Participants Centura Health-Penrose Cleveland Clinic Foundation Cornerstone Health Care Kelsey-Seybold Clinic Mercy Clinic East Communities Mount Kisco Medical Group NorthShore University HealthSystem OhioHealth MedCentral Premier Medical Associates PriMed Physicians Springfield Clinic Summit Medical Group TriHealth Health Institute University of Utah Medical Group UPMC USMD Valley Physician Services, Inc. Watson Clinic

15 HF Collaborative Designed specifically for AMGA members striving to improve the care of patients with heart failure 1-2 year shared learning program Opportunities: Evidence of best practices Community of knowledge Vehicle to leverage key learnings and disseminate best practices to all AMGA members and external stakeholders

16 How does the collaborative work? Host data, orientation webinars & kick-off meeting Convene monthly webinars for networking and sharing Spread adoption of best practices Provide additional support: Website Listserv Getting Started Checklists Site visits Coaching Action Plan Submit and analyze data on regular basis Host Wrap-up Meeting Develop individual Best Practices Case Studies

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19 Getting Started Checklist Assist you and your team with preparing and getting organized for the collaborative. Earlean Chambers have reached out to ALL participating groups

20 Action Plan Working document Provide a description of the work being done by your organization to achieve your goals. AMGF will review for progress and to help facilitate the groups in achieving their goals. HF Action Plan Deadlines November 18, 2015 April 28, 2016 July 28, 2016 October 28, 2016 January 27, 2017 April 28, 2017

21 Action Plan Goal: Baseline Data: Item Plan Responsibility Measurement Plan Deadline/Status Results/ Lessons Learned Comments Identify plan for Develop Set deadlines and accomplishing the quantitative and monitor progress improvement in each qualitative overtime. Identify area identified for measurements to when completed. change monitor progress. Identify key areas for improvement. Identify project leader and team. Be sure to include individuals that directly work in the area that is under improvement. Assign clear responsibilities to each team member. Physician engagement (see comments) Record what you have learned. What has worked/not worked? Identify changes you would make to your project plan and plans you have moving forward. Identify potentials to spread good practices across your organization.

22 HF Collaborative Timeline September - October Measurement Webinar September 24 th Kick-off Meeting Registration and Hotel Reservations Due October 7 th Orientation Webinar October 8 th Baseline Data Due October 26 th November Kick-off Meeting November th Action Plan Due November 18 th December 1 st Monthly webinar December 3rd, 2:00pm 3:30pm EST (1 st Thursday of every month from 2:00pm 3:30pm EST.) January October 2016 Monthly Webinars Data Reporting Action Plans Site Visits & Outreach Calls November 2016 Wrap-up Meeting (Date and location TBD)

23 HF Collaborative Timeline Baseline Data Due: October 26 th Collaborative Kick-Off Meeting: November 11-13, 2015, Orlando, FL Collaborative Start Date: Today! Monthly Webinars : 1st Thursday of every month Thursday, December 3, 2015, 2:00-3:30pm (EST) Wrap-up Meeting: November 2016, Location and Date TBD

24 Webinar Schedule December 3, :00-3:30pm (ET) June 2, :00-3:30pm (ET) January 7, :00-3:30pm (ET) July 7, :00-3:30pm (ET) February 4, :00-3:30pm (ET) August 4, :00-3:30pm (ET) March 3, :00-3:30pm (ET) September 1, :00-3:30pm (ET) April 7, :00-3:30pm (ET) October 6, :00-3:30pm (ET) May 5, :00-3:30pm (ET)

25 Kick-off Meeting Purpose & Objective Opportunity to network with peers in the collaborative & participate in sharedlearning through group work Highlights each groups current work Provides educational content and sets the schedule of work Presentations AMGF will provided a presentation template for participants to use: 15 minutes maximum to present, including question and answer period Will present in small groups Please your 15 minute presentation to Sunny Temesgen at stemesgen@amga.org no later than November 4 th.

26 Kick-off Meeting Hilton Orlando 6001 Destination Parkway Orlando, FL November 11-13, 2015 (407) Complete the registration form and return to Beth Sutter at or fax to her attention at by October 7th. Once your registration is completed, Beth will send you a confirmation and instructions to make your hotel reservations.

27 Kick-off Meeting Reimbursement If selected to receive a grant, travel and hotel expenses are expected to be covered by the educational grant you receive. If not selected for a grant, AMGF will reimburse coach airfare and ground transportation up to $800, and two night s hotel for two people. We ask that you cover expenses for additional team members.

28 Kick-off Meeting Wednesday, November 11, :00pm 7:00pm Welcome Reception Thursday, November 12, :00am 8:00am Breakfast 8:00am 5:15pm General Session 6:00pm 7:00pm Reception Friday, November 13, :00am 7:50am Breakfast 7:50am 12:00 pm General Session 12:00pm 12:30pm Wrap-Up & Meeting Adjourn Check-in is 3:00 p.m. / Check-out is 11:00 a.m.

29 Measurement & Reporting 1. ACE Inhibitor or ARB Therapy for Left Ventricular Systolic Dysfunction (LVSD) PQRS #5, HEDIS, NQF 0081, AHA/ACC Level A 2. Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) PQRS#8, HEDIS, NQF 0083, AHA/ACC Level A, ACO HF day HF readmissions

30 Measurement & Reporting Report via Excel templates (available 10/9), ed to AMGF, OR posted directly to data reporting website (available at a later date) Progress reports will be circulated quarterly

31 Participant Responsibilities 1. Create an implementation team 2. Develop process for measurement and reporting, and submit progress reports and measurement data on time. 3. Participate in face-to-face meetings and all monthly webinars. 4. Submit action plans 5. Engage in outreach (via telephone or site visits)

32 Measurement & Reporting 6. Share tools, insights, and protocols related to the project. 7. Engage in open dialogue and discussion. 8. Submit the final data report to AMGF by April Participate in Best Practices Case Studies

33 AMGF Responsibilities Provide timely updates to participants. Be available for questions and/or concerns related to the project. Provide PowerPoint templates to participants to use for progress reports. Excel templates for data reporting, along with measure specifications. Serve as resource and manage the collaborative. Maintain the collaborative website. BE THERE FOR YOU!

34 Contacts AMGF Danielle Casanova Jerry Penso Erin Leaver-Schmidt Sunny Temesgen Earlean Chambers AMGA s Anceta Collaborative John Cuddeback jcuddeback@amga.org Jill Powelson jpowelson@amga.org Vaishali Joshi vjoshi@amga.org

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