Healthcare Transformation Learning Session September 24th Webinar, 1:00 - 2:00 PM Learning Topic: Better Health Care: Changes to Learn About Now: A new consumer/patient resource published by Consumer Reports to help people understand the changes taking place NOW to make health care better. Featured speakers: Steven Findlay, Contributing Editor, Consumer Reports Chuck Bell, Director, Special Projects, Consumer Reports Regional update: Krista Stock, Director, Healthcare Collaborative of Greater Columbus Lead Support
Major Support
Additional Support 100% of our Board of Directors & Staff Individual & Corporate Donations
www.hcgc.org
Consumer Reports – Getting Healthcare Right Project Steven Findlay, MPH Contributing Editor
Project’s Purpose • • • •
Funded by Atlantic Philanthropies Explain changes in care delivery to consumers Help people navigate fast-changing system Just-the-facts education on ACA implementation and impact • Research, CR articles, briefs, events, outreach • Upcoming: Articles in CR – Wasted health care $$, End-of-life care; brief on “Big Data” and what it means for consumers; research and report on consumers and costs
Project Publications • A Doctor’s Office That’s All About You (Medical Homes) • Dr Who? The Nurse Practitioner Will See You Now • The Doctor Will E-Mail You Now • How to Live Well Into Your 80s and Beyond • Healthy Gadgets • Glossary of Health Care Terms www.ConsumerHealthChoices.org/GettingHealthcareRight
Other Consumer Reports Initiatives • Began to expand healthcare coverage, content, advocacy and ratings in 2004-05; big commitment! • Provider ratings – insurers, hospitals, doctors in four states including heart surgeons • Care/treatments – prescription drugs, preventive care, and Choosing Wisely campaign • More than a dozen organizations as partners • www.consumerhealthchoices.org • Our advocacy wing: www.ConsumersUnion.org • Our main content site: www.consumerreports.org
The 16-Page Guide • Broad overview • Written for consumer – minimal jargon • Focus on 3 areas of positive change with most direct consumer impact: - payment changes - info/data on quality and performance - HIT/EHRs, digital health • Practical advice, resources, links, glossary (more on web)
Our Hope for Guide Use • As a supplement to other materials distributed to consumers • PDF and written • As tool to explain changing system and ACA initiatives other than insurance • To expand awareness of websites with info and tools to help consumers choose providers and treatments • To expand awareness of resources at ConsumerHealthChoices.org and Consumer Reports.org
Major Trends • Emerging from intense political acrimony over ACA • Coverage – acceptance growing • Broad agreement on wasteful spending, unnecessary care, inefficient system • New models of care taking hold - if not exactly catching fire • Shift of costs to consumers – deductibles, out-ofpocket, % premium • Consumers accessing info online – engagement!
Consumer Engagement – of One Kind • U.S. News got a million hits in one day after August release of “best hospital” ratings • Two recent surveys probe use of physician ratings • Findings: 65% aware of online reviews and rankings; 40% have “seen” or “used” them; 5% have rated a doc. • Healthgrades – largest provider ratings site: close to 1 million/day access it; 4 million posted reviews; 95,000 added each month over last 12 months
“Engagement” Shifts • • • •
Passive patient ——————› Price/cost naïve ——————› Patient as patient —————› Hard-to-understand info/data on quality&price —› • Doc group level reporting ——› • Process measures —————›
Active patient Price savvy and sensitive Patient as partner
5 star ratings, composite scores Individual doc reporting Outcome and functional status measures, and condition/ procedure specific • “Raw” patient reviews ————› Validated reviews, CAHPS
Shifts Needed….continued • Separate info/data on cost and quality ——————› • Registries for QI ——————›
Integrated cost + quality Registry data for choice and payment initiatives • “Some” access to EHRs ———› Universal access and notes • Doc data entry ———————› Automated data entry and patient-entered data with outcomes! • Large employer cost + quality data (e.g. Castlight) —› More $$$ for initiatives that reach all consumers
1. Check medical bills and EOB forms 2. Compare prices for medical services 3. Bargain with hospitals and doctors for reduced fees 4. Get a surgical safety checklist and a hospital safety checklist
5. Compare treatment options with your doctor or other clinicians. 6. Check out doctor and hospital ratings and report cards online. 7. Track your medical history in a notebook, computer document, or file. Or create a PHR. 8. Create an advance directive
The Future
Thank You! • We’d be glad to help in any way • Chuck Bell – Director, Special Projects, Consumer Reports • cbell@consumer.org • Steve Findlay – if any questions • stevenfindlay2@gmail.org
Collaborative Transformational Activities (we are coordinating in the region)
SHARED RESPONSIBILITY
Patient-Centered Medical Home (PCMH)
Choosing Wisely®
Medical Neighborhood Pilot
Patient Engagement Education & Training
Physical-Behavioral Integration Pilot
Open Notes® emerging
HEALTHCARE DELIVERY
active
emerging
active
…exploring and catalyzing best practices to strengthen engagement between consumers, providers, and purchasers HEALTHCARE TRANSPARENCY COLLABORATIVE LEARNING Public-Private Board of Directors Healthcare Improvement Collaboratives
Primary Care Quality Reporting Pilot
Transformation Learning Sessions
Doctor Project
Speaking Engagements
(public reporting)
Learning Groups
emerging www.hcgc.org
active
emerging
active
Patient Engagement Education & Training
…helping people learn how to use the right questions to receive high-quality healthcare at a lower cost Participating organizations: • Invite employees, retirees, patients, covered lives to participate in 90 minute session(s) • Provide training space to host at preferred location • Provide us with feedback www.hcgc.org
Participating Partners
Bailey Cavalieri Charitable Pharmacy of Central Ohio Columbus Medical Association Medical Mutual of Ohio State Employee Retirement Systems The Medical Group of Ohio
Please contact Krista Stock if interested in hosting a session krista@hcgc.org
Healthcare Transformation Learning Session
Send your questions or reflections via webinar option
www.hcgc.org
THANK YOU! • Thank you for joining us today!
• Thanks to our speakers! • Thanks to our funding partners! • Please respond to the evaluation question via poll
Lead Support
Major Support
Please save the dates for these scheduled learning sessions
• Webinar: 10/22, 1-2PM Expanding role of pharmacists in value-based healthcare • In-person: 12/5, 8:00-11:30AM Learning from regional partners
Additional Support 100% of our Board of Directors & Staff Individual & Corporate Donations
www.hcgc.org