John Berneike John Crowley Josette Dorius Juliana Preston Ken Schaecher
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1 Tuesday, September 16, :00pm 6:00pm (Mountain Time) HealthInsight Board Room AGENDA 1. Welcome and Introductions 2. Progress to Date and Meeting Goals 3. Measurement Overview 4. Measurement Exercise 5. Wrap Up and Next Steps Lead Clare Lence Korey Capozza PRESENT Clare Lence Dana Wilson David Jackson Gail Rapp Gloria Nicholas Jason Stevenson John Berneike John Crowley Josette Dorius Juliana Preston Ken Schaecher Korey Capozza Marti Kullen Steve Donnelly Suzy Wickens Wayne Cannon TO DOs Korey rewrite causes language to be parallel NOTES Welcome and Introductions Sarah welcomed the group and asked, What do you like most about Fall? Marti Kullen cooler, cozy Gail Rapp Jonathan apples John Crowley kids soccer games Ken Schaecher football, better bike weather David Jackson, ARUP crisp evening air Clare Lence cooking everything with pumpkin Korey Capozza Starbuck s pumpkin lattes married in the Fall, apples, colors/changes in nature John Berneike cooler bike weather, ENS notifications from the CHIE Steve Donnelly good hiking weather Wayne Cannon lower utility bills Juliana Preston geese Suzy Wickens closer to Winter Dana Wilson back to school feeling in the fall, walking thru crunchy leaves Josette Dorius tailgating, Go Utes, leaves in Park City, moose in the yard Gloria Nicholas change of season Jason Stevenson stand in for Matt Slonaker
2 Reviewed processes and guidelines and principles (please see slides) Korey Capozza said that with this multi stakeholder group there is bound to be disagreement and that different perspectives and POVs will only enrich the discussion Justin Jones (SL Chamber) and David Clark (Zions Bank) have now joined the bard The Charter was passed around for everyone s signature. It is a living document that will be continually reviewed and updated In October the advisory board meeting will be part of the larger UPV group Progress to Date and Meeting Goals Reviewed process/progress of group Given our vision, what will be the outcomes? Outcomes will be the focus of today. DISCUSSION Jason Stevenson how do we account for patient irrationality? John Berneike wrapped in in the first common cause David Jackson dealing w/patient as the navigators Josette Dorius others (not patients) have trouble navigating, maybe broader than patients Dana Wilson universe of public health, patients are a subset Korey group landed on how it would have the biggest impact on consumers Sarah look at it macro/micro, people in this group advocate for patients. Use the word consumer most often Measurement Overview (please see slides) Track progress to goal, i.e., how to know you re making a difference Clare presented indicators on getting information on whether something is making a difference Measurement Exercise EASEL A Active & Informed Consumers/Juli Pt requesting pre planned visits Standard measures of patient activation Results in fewer low value electives Pharmacy data / appropriate / generic use Participation in preventive programs Advance directives filled out Immunization Best practice screening # Goals set / # Care plans Track compliance & Rx & core protocols (preventive / chronic d7) Portal utilization Patient activation measure, pt satisfaction is higher Well education Pt, decrease hospitalizations, ER, readmissions Develop a trusted document through public survey inquiry of same Pts actively asking questions Patients rating other reviews (AMD)
3 EASEL A DISCUSSION John Berneike votes for measures we already have access to, i.e., pharmacy fill rates, practicality Ken Schaecher CAP scores, a lot of what we re talking about has already been done, do we want to skip to the end or do something different? To achieve goals that others have tried but have been unsuccessful in achieving, Gloria Nicholas who is our audience Korey Capozza measure at the community level, that s the rub, we won t have a dream measure, we will be cobbling things together John Berneike getting measurements before our intervention is created Marti Kullen we need a link, cause and effect Dana Wilson straw man, flu vaccine, low 40% in UT, Wayne Cannon how do we isolate patient response from what s in the system? John Berneike get your flu shot billboard will reduce ER wait time billboards Clare [comment ending move what we want to move]help pls, missed Josette Dorius HR tracked company incentives, track health and wellness thru employers, incentives are driving it, Healthy U is huge Ken Schaecher are current rates in populations definitive of an active and informed consumer? John Berneike doesn t matter how the patient activates, who cares what is the motivation, include chronic disease care (chronic diabetics), John Crowley people actively pursuing their health is making a difference, Dana Wilson track Internet traffic about certain topics EASEL B Use Reliable Health Information/Steve Use of provider and payer portals increase in % using CHIE more participation increase hospitals/providers My Chart delivery of treatment guidance and choices CDC/ACID adherence to recommendations/vaccination rate USPSTF HEDIS STARS Choosing Wisely steering healthcare conversations Scam participation rates HON Code Certification $ Healthgrades choose best provider EASEL B DISCUSSION Wayne Cannon Utilization of bad information/scam information Dana Wilson CW, RWJF grant, measurement tools will be useful for us Korey Capozza would previous measures help us with this piece, Ken Schaecher surrogate for active and informed consumer? These are broad and don t indicate use of reliable health information, shared decision making Josette Dorius measure and means John Crowley can you measure people using bad information
4 EASEL C Access Health Services that Improve Health and Wellness/Clare Assessment of personal health % people with insurance accessing preventive services (HEDIS) Self reported evaluation of health Utilize Medicare funded screening Employer backing of wellness programs % enrolled in H/W programs % who complete SOM tools when offered % USPSTF recommended screening % completed SF 36 Monitor ENS/ADT data for utilization compliance and preventive/chronic d7 core Health outcomes improvement, A/C, Framingham, BP % reporting barriers to health care access because of underinsurance/$ limits EASEL C DISCUSSION Many tie ins to previous discussion Korey Capozza anything to add?, patients self assessment of health Josette Dorius metabolic syndrome Ken Schaecher wellness is a state of mind WHITEBOARD COMPILATION Patient activation measure Less low value care Appropriate medication use Appropriate care plans use/development Standard measures activation increase and satisfaction increase Patients asking questions cannot measure, s/portals Increase preventive actions (preventive services) Planning cure goals, adv directives, questions
5 Patient rate reviews increase Increase in chronic disease recommended care Antibiotic use Pharmacy data will show diagnosis Pharma utilization measures/generic use rates Upcoming Events/Meetings The Governor s Health Summit Tuesday, September 30, The Grand America Hotel, Salt Lake City, UT UPV Quarterly Meeting / UPV Advisory Board Meeting (combined groups) Thursday, October 16, HealthInsight Board Room UPV Advisory Board Meeting Tuesday, November 18, HealthInsight Board Room
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