Regional Learning Session April 8, 2016 Agenda
... catalyzing healthcare quality improvement
Learning Objectives: Sharing best practices and lessons learned from quality improvement initiatives taking place at a national, state, and regional level •
Jeff Biehl, Healthcare Collaborative of Greater Columbus (HCGC)
8:30am
Update on the Work of HCGC’s Partners
8:45am Keynote Address
Best Practices and Trends Diabetes management • Brenda Rendelman, RD, CDE, Central Ohio Diabetes in the Management of Association Diabetes and Depression Depression management •
9:50am Learning Round A 10:40am Learning Round B
State Innovation Model (SIM) Updates
Staci Swenson, MA, MSW, LISW-S, PrimaryOne Health
Aligning payment innovation in Ohio •
Greg Moody, Governor’s Office of Health Transformation
Location: Bob Evans Auditorium
Accountable Health Communities Model
A national initiative to enhance clinicalcommunity linkages to improve health outcomes
Location: Board Room
• •
Franklin County Pathways Community HUB
An emerging regional infrastructure that aligns payment with results-based health and social services.
Location: Eastman Room
• •
Naomi Makni, MHA, Nationwide Children’s Hospital Michelle Missler, LSW, HCGC
David Ciccone, United Way of Central Ohio Isi Ikharebha, Physicians CareConnection
Our Public-Private Funding Partners Lead Supporter
Major Supporters
Clarity Consultancy our social enterprise subsidiary
Supporters
Additional Supporters • OhioHealth • 100% of our Board of Directors & Staff • Individual & Corporate Donations
www.hcgc.org
Starting in 2009
Starting in 2014
Evolution of Regional Healthcare Improvement Activities
Medical Neighborhood Impact on Chronic Conditions
alignment
…advancing the adoption of results-based practices to reduce variation
Quality Transparency …advancing the measurement and sharing of data to improve quality.
Patient-Centered Medical Homes …advancing high-value primary care to improve access, care coordination, and patient engagement
Collaborative Learning …hosting safe space with regional partners to explore results-based practices and apply learning
www.hcgc.org
improve health and the quality of healthcare
Our Public-Private Board of Directors • Mike Stull (Board Chair) Employers Health, Business Representative • Dianne Radigan (Board Vice Chair) Cardinal Health, Franklin County Representative • Bill Wulf, M.D. (Board Treasurer) Central Ohio Primary Care, Columbus Medical Association Representative • Doug Anderson (Board Secretary) Bailey Cavalieri, City of Columbus Representative • Jeff Biehl (President) non-voting, ex-officio • Dianne Biggs Labor Representative • Tara Britton The Center for Community Solutions, United Way of Central Ohio Representative • Sarah Durfee, RN Ohio Public Employees Retirement System, Purchaser Representative • Jerry Friedman The Ohio State University Wexner Medical Center, Hospital Representative • Jeff Geppert Battelle, Health Care Representative • Thomas Hadley Wells Fargo Insurance Services, Chamber of Commerce Representative • Kevin Hinkle Anthem Blue Cross & Blue Shield, Health Plan Representative • Isi Ikharebha Physicians CareConnection, Consumer Representative www.hcgc.org
• Karen King, M.D. Northwest Ob/Gyn, Columbus Medical Association Foundation Representative • Teresa Long, M.D. Columbus Public Health, Health Department Representative • Tani Mann The Dispatch Printing Company, Employer Representative • Julie Erwin Rinaldi Syntero, Behavioral Health Representative • Valerie Ruddock Nationwide Children’s Hospital, Hospital Representative • Greg Sawchyn, M.D. OhioHealth, Hospital Representative • Benjamin Shaker Mount Carmel Health System, Hospital Representative • Dana Vallangeon, M.D. Lower Lights Christian Health Center, Community Health Center Representative • Bruce Wall, M.D. Aetna, Columbus Medical Association Representative • Todd Weihl, D.O. OhioHealth, Columbus Osteopathic Association Representative
Our Collaborative Process
Build collaborations with providers, purchasers, social services
~trust~ Apply collaborative learning ~spread knowledge~
Catalyze best practices
improve health and the quality of healthcare
Measure actionable results
Convene diverse stakeholders
~collective impact~
~exploration~ Coordinate activities that transform healthcare delivery and value
www.hcgc.org
~awareness~
~commitment~
Thanks for participating in regional healthcare quality improvement! • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Aetna AIDS Resource Center Ohio Alliance Healthcare Partners American Cancer Society Anthem Blue Cross and Blue Shield Arthur J. Gallagher & Co. Asian American Community Services Bailey Cavalieri, LLC Battelle Buckeye Health Plan Caliber Patient Care Cardinal Health CareSource Cbiz, Inc. Central Ohio Area Agency on Aging Central Ohio Diabetes Association Central Ohio Primary Care Central Ohio Transit Authority Charitable Pharmacy of Central Ohio City of Columbus CliniSync Clintonville-Beechwold Community Resource Center Cognosante Columbus Area Integrated Health Services Columbus Public Health Community Refugee and Immigrant Services Community Shelter Board CompDrug Concord Counseling Services County Employee Benefits Consortium of Ohio Directions For Youth and Families Duet Health Employers Health Enroll America Ethiopian Tewahedo Social Services Evi-Base
• • • • •
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Fairfield Community Health Center Findley Davies Franklin County Board of Commissioners Franklin County Cooperative Health Benefits Program Franklin County Department of Job & Family Services Franklin County Pathways Community HUB Franklin County Public Health Godman Guild Association HandsOn Central Ohio Health Action Council Health Policy Institute of Ohio Heart of Ohio Family Health Centers Helping Hands Health and Wellness Center House of Hope InHealth Mutual Legal Aid Society of Columbus LifeCare Alliance Lower Lights Christian Health Center Maryhaven Medical Group of Ohio Medical Mutual of Ohio Mental Health America of Franklin County Mercer Mid-Ohio Foodbank Milestone Benefits Molina Healthcare Mount Carmel Health Partners Mount Carmel Health System Mount Carmel Medical Group Muskingum Valley Health Center National Alliance on Mental Illness National Church Residences Nationwide Children’s Hospital Nationwide Insurance Netcare Access
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
North Central Mental Health Services North Community Counseling Centers Northwest Ob/Gyn Ohio Aids Coalition Ohio Asian American Health Coalition Ohio Association of Community Health Centers Ohio Association of Foodbanks Ohio Bureau of Workers' Compensation Ohio Department of Health Ohio Department of Medicaid Ohio Public Employees Retirement System OhioHealth OhioHealth Physicians Group OSU Health Plan Physicians CareConnection Pickaway Health Services Preferred Benefits PrimaryOne Health Ripple Life Care Planning School Employees Retirement System of Ohio Small Business Majority Southeast, Inc. State Teachers Retirement System of Ohio Syntero The Breathing Association The Center for Community Solutions The Dispatch Printing Company The Ohio State University The Ohio State University Wexner Medical Center UHCAN Ohio United Way of Central Ohio UnitedHealthcare Wells Fargo Insurance Services Willis YMCA of Central Ohio
Aligning regional, state and national quality improvement activity
www.hcgc.org
Improving health and the quality of healthcare Quality Levers
Coordinated by the Healthcare Collaborative of Greater Columbus
PAYMENT PUBLIC OurHealthcareQuality.org REPORTING LEARNING & Behavioral Health Learning TECHNICAL Group ASSISTANCE Medical Neighborhood Learning Group Navigator & Certified Application Counselor Learning Group Purchaser Learning Group Quality Improvement Learning Group Regional Learning Sessions CERTIFICATION, ACCREDITATION, REGULATION www.hcgc.org
Participating in activities coordinated by others State Innovation Model (SIM): aligning public-private payments in Ohio
Health Policy Institute of Ohio Network for Regional Healthcare Improvement Ohio Patient-Centered Primary Care Collaborative Patient-Centered Primary Care Collaborative
Patient-Centered Medical Homes (PCMH) Recognition Programs
Improving health and the quality of healthcare Quality Levers
Coordinated by the Healthcare Collaborative of Greater Columbus
CONSUMER INCENTIVES & BENEFIT DESIGNS MEASUREMENT Quality Measurement for & FEEDBACK Improvement Project
Participating in activities coordinated by others
Choosing Wisely
HEALTH INFORMATION TECHNOLOGY
CliniSync
WORKFORCE DEVELOPMENT
Franklin County Pathways Community HUB
INNOVATION Medical Neighborhood Accountable Health Communities & DIFFUSION Referral Infrastructure Project (AHC) Model Medical Neighborhood Impact on Chronic Conditions
www.hcgc.org
Regional Quality Improvement
105 practices reporting 107 practices reporting 119,296 patients 148,804 patients www.hcgc.org
131 practices reporting 147,719 patients
Regional Quality Improvement
www.hcgc.org
105 practices reporting 45,792 patients
107 practices reporting 61,769 patients
131 practices reporting 66,162 patients
Regional Quality Improvement
81 practices reporting 107,942 patients www.hcgc.org
107 practices reporting 166,822 patients
122 practices reporting 181,826 patients
Regional Quality Improvement Providers Sharing Quality Data Central Ohio Primary Care Physicians Heart of Ohio Family Health Centers
Lower Lights Christian Health Center Mount Carmel Medical Group OhioHealth Physician Group The Ohio State University Wexner Medical Center - Primary Care Pickaway Health Services PrimaryOne Health Southeast, Inc. www.hcgc.org
Regional Quality Transparency
www.ourhealthcarequality.org
www.hcgc.org
Our Public-Private Funding Partners Lead Supporter
Major Supporters
Clarity Consultancy our social enterprise subsidiary
Supporters
Additional Supporters • OhioHealth • 100% of our Board of Directors & Staff • Individual & Corporate Donations
www.hcgc.org
Medical Neighborhood Impact on Chronic Conditions Roadmap
Purpose
Advancing the adoption of results-based practices to reduce variation starting with Diabetes and/or Depression www.hcgc.org
Quality Improvement Objectives
Areas of Alignment
Explore and Adopt Results-Based Practices
Self Management
Strengthen ClinicalCommunity Based Relationships
Continuity of Care
Diabetes Management Brenda Rendelman, RD, CDE Central Ohio Diabetes Association 1100 Dennison Ave Columbus 43201 www.diabetesohio.org
614-884-4400
Q: What Works?
A: Education & Support
•
Individualized Comprehensive education, sooner than later
•
Addresses Meets the needs of the whole person
•
Empowers: Person with diabetes moves into driver’s seat
•
Help the person build the tool kit that works for them
•
Most people are hungry for education & support >> help them feel better and improve their health and life
Patient Karen…
Education & Support… •
Lifestyle Therapy including:
•
Nutrition Education
•
Grocery shopping & Cooking Skills: Cooking Matters classes!
•
Emotional/Psychosocial: support; professional counseling, meds if needed
•
Physical Activity
•
Weight loss, if overweight, key to managing type 2
•
Support at Organization & Community level: Programs that provide connection beyond the education
•
Support at Individual level: encouraging relative or friend to participate with client
•
Smart Technology for many/most clients: apps to inform, track, communicate with health team, and more
• People need and want complete, accurate, and clear information.
Equally, they want and need connection, respect, encouragement in all interactions. Central Ohio Diabetes Association provides many education and support programs and services‌ but no one organization in our area provides the complete and needed array.
A Vision and Goal:
A cutting-edge Diabetes Center in which ALL services and programs previously described are: •
Provided by skilled, highly-trained professionals
•
Efficiently, effectively provided year-round to those who live with diabetes, pre-diabetes, or are at high risk of developing diabetes.
Staci Swenson, MA, MSW, LISW-S Integrated Care Manager PrimaryOne Health
Starting assumptions about DEPRESSION
It is common, underdiagnosed, and undertreated It is frequently RECURRENT or CHRONIC Most patients will receive depression care through PCP Most patients present with somatic complaints
What’s the big deal about depression? Children with depression Children of parents with depression Depression complicates treatment of other chronic conditions Suicide rates increasing US Preventative Services Task Force recommendation
1. Screen 2. Evaluate when screening is positive 3. Diagnose and treat
Cultural shift Stigma
Patient preference: Engagement is key “Watchful waiting” Medication BH at PCP Outside counseling No counseling
Medical Neighborhood Impact on Chronic Conditions Roadmap
Purpose
Advancing the adoption of results-based practices to reduce variation starting with Diabetes and/or Depression www.hcgc.org
Quality Improvement Objectives
Areas of Alignment
Explore and Adopt Results-Based Practices
Self Management
Strengthen ClinicalCommunity Based Relationships
Continuity of Care
Regional Learning Session April 8, 2016 Break Out Sessions
... catalyzing healthcare quality improvement
Learning Objectives: Sharing best practices and lessons learned from quality improvement initiatives taking place at a national, state, and regional level 9:50am Learning Round A 10:40am Learning Round B
State Innovation Model (SIM) Updates
Aligning payment innovation in Ohio •
Greg Moody, Governor’s Office of Health Transformation
Location: Bob Evans Auditorium
Accountable Health Communities Model
A national initiative to enhance clinicalcommunity linkages to improve health outcomes
Location: Board Room
• •
Franklin County Pathways Community HUB
An emerging regional infrastructure that aligns payment with results-based health and social services.
Location: Eastman Room
• •
Naomi Makni, MHA, Nationwide Children’s Hospital Michelle Missler, LSW, HCGC
David Ciccone, United Way of Central Ohio Isi Ikharebha, Physicians CareConnection