Co-creating a Sustainable Healthy Tomorrow. Bush Foundation Project Final Report
|
|
- Randell Conley
- 6 years ago
- Views:
Transcription
1 Co-creating a Sustainable Healthy Tomorrow Bush Foundation Project Final Report
2 Co-creating a Sustainable Healthy Tomorrow Bush Foundation Project Final Report Introduction and Background Minnesota has the opportunity to pioneer a model of co-creation that transforms how clinicians, patients/citizens, and communities partner together to address health care costs. We are spending more than ever on health care, and we do not have better health to show for our investment. Our current rising health care costs are unsustainable and seriously reduce the resources available for other important factors that make us healthy such as education, affordable housing and job development. We must be transparent with patients/citizens about the gravity of this public problem. Addressing health care costs in a manner that is understandable and acceptable to patients/citizens and clinicians will be no small task. We believe, however, that empowering citizens to address health systems and health care costs within their own communities will ultimately generate the bold leadership, political will and action required to create a healthy economic future for our communities, our governments and ultimately our children and grandchildren. In health care, a framework that has made addressing health care costs acceptable to clinicians has been the Triple Aim 1 : simultaneously improving population health, improving the experience of care including quality, and improving affordability by reducing per capita costs. The recent Citizen Solutions report (Appendix B) has validated the importance of this framework but also revealed that citizens want more engagement and empowerment in their own health. Within this context, we created the initiative Co-Creating a Sustainable Healthy Tomorrow. This initiative has had an aim of fostering community conversations and actions around the Triple Aim with more engagement and empowerment by bringing clinicians, patients/citizens and community stakeholders together within communities to: 1. Understand rising health care costs, 2. Create goals on the Triple Aim, especially addressing ways to decrease costs by waste reduction in health care, 3. Develop action plans that inspire creative solutions to reach the goals. Minnesota had several building blocks in place for this work as this project began. The Institute for Clinical Systems Improvement (ICSI), Twin Cities Public Television (TPT), Bush Foundation, Citizens League, and the State of Minnesota have been working on various aspects of redesigning health and health care to address costs. The basis for citizen engagement was set by the Citizen Solutions initiative, spearheaded by the Bush Foundation and Citizens League. The timing is also ideal as new health care models emerge, such as Accountable Care Organizations (ACOs) that are responsible for delivering health care to a population with accountability for quality and costs. ACOs will benefit from 1 Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, Health and Cost, Health Affairs 27, no. 3 (2008): ; /hlthaff
3 citizen input into the transformations that are needed to improve the experience, quality and cost of care. In addition, their long-term viability will be influenced by the health of the populations they serve because of ACOs inherent economic incentives for improved population health. In fact, communities need clinicians and citizens to be accountable for health, i.e., Accountable Health Communities. (Appendix C.) The time is ripe for co-creation on health, care and costs. With the collective wisdom of citizens and clinicians, we can address health care costs and create a sustainable tomorrow for our children. Project Goals and Objectives The objective of this project was to support the early growth of the Co-Creating a Sustainable Healthy Tomorrow initiative by engaging in a deliberative planning process. Referred to as Phase 1 of the initiative, these deliberative planning activities were envisioned as an imperative first step prior to subsequent pilots and launching a broader initiative. Implementing Phase 1 activities required a dynamic collaboration and partnership. The partners involved ICSI, Citizens League, and TPT strove to advise and develop activities based on each organization s expertise and the unique aspects of the work. Each brought separate and complementary strengths and expertise to engage and plan with three categories of stakeholders: health care clinicians, individual citizens and leaders in local communities, and a larger public audience. Informed by this partnership, deliverables for this project were: 1) A summary of stakeholder interviews and key lessons on addressing health care costs. 2) A report on the lessons learned from bringing clinicians and citizens together, informed by the Citizens Solutions report. 3) A Reinertsen lecture, workshop and video-documentary. 4) Establishment of an Advisory Committee. 5) A graphic video developed by David Gillette. 6) A summary of the planning elements and recommended next steps. 7) Identified strategies to solicit funding for the proposed community pilots. A summary of these activities follows with documentation of each attached as an appendix and/or available online. Deliverables 1. Stakeholder Interviews about Addressing Costs To learn from past experience engaging citizens and clinicians on health care costs, interviews were conducted with fifteen health leaders in the state representing providers, citizens, health plans, policy makers, the philanthropic community, and nonprofits. Interviewees were asked for their thoughts in three areas: Based on your experience, what have we learned about addressing health care costs in Minnesota? What will be most important in bringing citizens and clinicians together to address costs, particularly since it is a sensitive topic? To set goals on the Triple Aim, especially costs, what advice would you give? 2
4 In reply, this group of health care leaders, some of whom have dedicated their entire careers to health reform, shared a virtually unanimous opinion that community-level conversations and efforts must be part of health reform. However, they also made it clear that addressing health care costs in a manner that is understandable and acceptable to patients/citizens and clinicians will be no small task. Nevertheless, they placed a high value on these conversations, and expressed hope about what they might contribute to achieving the Triple Aim. As one interviewee said, If we don t start, we ll never get there. Themes that emerged include: Past experience has shown the following to be especially challenging in addressing health care costs: o Lack of understanding o Belief systems about the way health care works o Economic structures and incentives o Lack of clear lines of accountability In bringing clinicians and citizens together to address the Triple Aim and health care costs, it will be important to: o Focus on shared responsibility o Have committed leadership o Imagine an alternative future o Provide good information A successful clinician and community process will: o Address the intersections in health care o Involve a broad cross-section of the community o Set clear and realistic expectations o Invest in professional meeting design and facilitation o Be open to community views o Work to build common understandings and priorities These interviews, conducted by Citizens League, resulted in findings that will help inform future work. (Appendix D.) 2. Citizen/Clinician Meetings The aim of citizen/clinician meetings was to further explore how to best engage citizens, community stakeholders and clinicians together to discuss the Triple Aim and what matters to them, with a focus on sharing their respective viewpoints, explicitly including rising health care costs, and considering goal-setting. Planning for this work was informed in part by the Citizen Solutions work conducted in 2012 by Citizens League and funded by the Bush Foundation that established a framework of community inclusion around health reform. This led to the determination that each citizen/clinician meeting must be tailored to the individuality of that community, including the status of the conversations already occurring in that community. For instance, the Fergus Falls local planning partnership chose a focus of developing a rural model for an 3
5 Accountable Health Community. In the North Minneapolis clinic, the conversation was centered on community values and goals. Thus, questions and format were tailored to each group accordingly. Three communities were chosen for these meetings. The first group was made up of members of ICSI s Board of Directors and members of ICSI s Patient Advisory Council. The other two communities, Fergus Falls and North Minneapolis, were chosen both for the differences in their demographics and focal points of conversations as well as the strength of engagement and interest of their local health care leaders. Written summaries of the meetings were developed, as well as video documentary pieces that will be useful tools in demonstrating to other communities how these conversations can be held. (Appendix E. See video clips of the conversations on the ICSI website.) Community 1: ICSI Board of Directors and Patient Advisory Council Participants of the first two meetings in the spring of 2013 were members of the ICSI Board of Directors (clinicians, employer, payer, providers) and members of ICSI s Patient Advisory Council (PAC) plus additional patients to reflect the diversity in the community. The composition of this group was a good starting point for clinician/citizen conversations and offered a safe environment to test messages and format. The meeting opened with the debut of the Healthy Tomorrow video (see section 5 below), which was well received and helped to generate dialogue; next participants engaged in multiple small group exercises. Through these exercises participants identified areas of health care spending they felt they could influence and gave input on how to hold future conversations on Total Cost of Care. Observing and gaining input from this meeting s participants validated that it is possible to engage clinicians and citizens together in conversations that include cost and goal-setting efforts. It also helped to inform our next steps with other community groups. A Healthy Tomorrow by David Gillette Community 2: Fergus Falls Area Fergus Falls is a rural community with a population of just over 13,000. In this community, there was already a local impetus towards developing a sustainable rural health model through the leadership of Larry Schulz, CEO of Lake Region Health Care, and in partnership with Gina Nolte, Director, PartnerSHIP 4 Health. This partnership helped garner the participation of approximately 70 local community stakeholders, including business leaders, clinicians, public health, policymakers, and other citizens in two meetings. Participants in this group imagined ways that the community could impact health, costs and care, and discussed challenges and responsibilities for each type of stakeholder. They expressed appreciation for the mix of viewpoints among participants, saying that it promoted productive, thoughtful conversations. One community participant said, It was good to hear the doctor s viewpoint at our table, and it was good for him to hear ours. 4
6 At the conclusion of the second meeting, participants were asked to leave their name if they were interested in follow-up. More than 35 individuals expressed an interest in continuing involvement in this work in their community. Community 3: North Minneapolis The final citizen/clinician meeting was held in an urban setting, with local leadership by Stella Whitney-West, CEO of NorthPoint Health and Wellness Center of Minneapolis. A community health center, NorthPoint wanted to support more conversations with the community to improve health outcomes. The co-creating partnership wanted to better understand issues in an urban, more diverse setting, and learn how conversations around heath and costs might differ. Participation consisted of NorthPoint patients and a number of clinicians. In small group exercises, participants explored possible goals and action steps they could set in their community around improving health and reducing costs. Participants in this group particularly stressed challenges of affordability and awareness of resources. Citizens and clinicians were highly satisfied with the event and most reported that the mix of perspectives at the table helped them think through the issues. Comments also acknowledged the complexity of the issues and need for more time and effort to be able to thoughtfully cocreate solutions and build healthier communities. We began changing our approach from just treating sick people to disease prevention and wellness we had to go beyond our medical group and involve other community leaders to achieve better health in our region. Community leaders came together to define what we wanted our community to be in the future. - Larry Schultz, CEO of Lake Region Health 3. ICSI Reinertsen Lecture and ReThink Workshop The annual ICSI Reinertsen lecture in October 2012 was used to lay the groundwork for the cocreating work and Accountable Health Communities (AHCos). Entitled Moving from ACOs to Accountable Health Communities: Delivering on Population Health in the Triple Aim, with two leading national experts (Drs. David Kindig and Bobby Milstein), the lecture discussed stewardship of health care costs to avoid robbing the other social determinants of health. Dr. Milstein also talked about the unique ReThink Health Dynamic simulation model designed to facilitate conversations on health investments. Following the lecture, ICSI hosted a workshop that provided an opportunity for 50+ Minnesota health and health care stakeholders to explore these concepts more in-depth. We envisioned that together, this lecture and workshop could expand the co-creating conversation. These events were indeed a catalyst for further energy around local solutions to meet this challenge, galvanizing leaders in Fergus Falls who then became part of the co-creating initiative. Further, in the spring of 2013, ICSI again partnered with ReThink Health to sponsor ReThinking Health: Leadership Essentials in a Changing System, an online course which involved more than 60 Minnesota health care professionals. Participants learned how to best assess their community s challenges, assets and progress in moving toward an accountable, sustainable health system. 5
7 (Recordings of the Reinertsen lecture can be accessed on the ICSI website and information on the ReThink Health course can be found at 4. Advisory Committee An Advisory Committee was established to help shape the path for future community collaborations and provide important connections to other innovative health and health care model initiatives across Minnesota [e.g., accountable care organizations, State Health Improvement Programs (SHIP), etc.] The advisory committee was charged with making specific recommendations on areas critical to the development of an Accountable Health Community (AHCo) model, including framework, design, implementation, and anticipated outcomes; how to involve multiple populations and address disparities; how goal-setting might be accomplished; and how to align with other innovative health and health care initiatives. They were asked to share innovations and lessons learned from their respective organization, position, and/or community to enhance our collaboration and further inform the development of AHCos and co-creating efforts. The committee defined important attributes and parameters of community that would pertain to an AHCo, from geographic location and an association of data and budget, to a community s commitment to the issue and its capacity for interventions. Anticipated outcomes included increasing the capacity for interventions and defining specific parameters around improving health, reduced costs, and care. The group recommended requirements for community-level goal setting in the Triple Aim, and ways to create a reinforcing loop for investment. (Appendix F.) 5. Graphic Video from David Gillette In the past, clinicians and citizens have often been shielded or asked not to consider costs in their discussions about health care, so a tool was needed to help quickly articulate to clinicians and citizens why their involvement is valuable and necessary in cost discussions. We envisioned that this graphic video could be used in multiple ways, including interactions with funders. Thus, the Healthy Tomorrow video was commissioned by the co-creating partnership through TPT and created by David Gillette. This two-minute video was shown at the start of each citizen/clinician meeting and was extremely well received. It has also been used in various health and health care presentations in Minnesota and beyond, including a recent showing at the national Institute for Healthcare Improvement (IHI) forum, and is available on the ICSI website. 6. Planning Elements Partners ICSI, TPT and Citizens League met twice monthly to accomplish initiative activities, incorporate lessons learned, manage the budget, align with local and national work, and consider strategies for future expanded initiative work (section 7 below). We sought input from Grassroots Solutions on specific questions related to engagement, particularly with regard to public and private collaboration. 7. Alignment, Strategies for Future Funding and Next Steps Several opportunities exist to advance this work either in alignment with existing projects or in response to interest expressed by other parties. During the course of our development and 6
8 implementation, the State of Minnesota applied to the federal government for a State Innovation Model that included the concept of Accountable Health Communities called Accountable Communities for Health (ACHs). In 2013, the state received more than $40 million for a multi-pronged initiative that will include 15 ACHs. Recently, the Robert Wood Johnson Foundation (RWJF) has funded Total Cost of Care projects in five states. Minnesota is one of those states, and we have had conversations with MN Community Measurement, the Network for Regional Healthcare Improvement and RWJF about how to use this coming data transparency to spur conversations with citizens and clinicians. Further, RWJF invited representatives from the partnership to meet with them in December 2013 about our co-creating work. We continue to have follow-up conversations with them to consider our common goals and opportunities for future endeavors, potentially in conjunction with their work with ReThink Health. Meanwhile, RWJF has awarded ICSI a grant that funds the development of communication materials directed to a health care audience to promote greater interrelatedness of health care with public health and other community health resources. This work will include a communication about how to get boards on board with the Triple Aim and community involvement. (More information available on the ICSI website.) In addition, ICSI successfully applied to the ABIM Foundation for a Choosing Wisely grant in partnership with the Minnesota Health Action Group and the Minnesota Medical Association. This two-year $50,000 grant enables us to engage clinicians and citizens in awareness of overuse that contributes to rising health care costs. (More information available on the ICSI website.) Finally, in December 2013 we were asked to speak at the IHI National Forum to share the strategies piloted here. The workshop was well attended, and many of the 125 participants stayed afterward to ask questions and continue the discussion. (Appendix G.) Lessons Learned This project taught us some valuable lessons as well as provided some validation for the direction of co-creating. For instance, an unanticipated finding was how readily, in a safe setting, clinicians and citizens could discuss all aspects of the Triple Aim and deepen their understanding of the issues. This validated the belief that lower cost could be part of a conversation (and an initiative) when approached simultaneously with issues of better health and better care (i.e., the Triple Aim). Lessons learned from each citizen/clinician meeting instructed the development of the next. In the beginning some planners had discomfort with conversations that included cost; this became easier as experience showed it could be done and would even be welcomed. Leadership was key to focusing on the sensitive issue of costs while simultaneously addressing health and care. In Fergus Falls, a key takeaway was that their community members believe that a community can make a meaningful difference when it comes to health, costs, and care, and they want to participate in doing so. We learned they were eager for information, especially regarding health status and costs: when they had that information, they used it to set priorities and make choices. In North Minneapolis, one theme noted was trust. It was articulated in multiple ways that when health care stakeholders build trust, citizens can feel comfortable with information given and in working towards a common goal. 7
9 Small group exercises with citizens and clinicians generated significant conversations, and included: 1. Choosing a clinic based on costs and quality 2. Improving a clinic in your community what would you and other citizens do to improve the quality and cost 3. Prioritizing goals 4. Setting a goal on Total Cost of Care It was absolutely critical to have a neutral, trusted facilitator such as Citizens League who made it safe for community members to talk among themselves during these exercises. The facilitator also was sensitive to the issues and dynamics of each group and was able to keep participants from shying away from difficult topics. We learned they were hungry for information, especially regarding health status and costs. When they had that information they used it to set priorities and make choices. During the conversations, we ensured a mix of citizens and clinicians at each table for richer small group discussions with a broad representation of viewpoints. Our experience taught us that this needed to be scripted carefully; otherwise, clinicians sit with clinicians and citizens sit with citizens. These interactions gave people a chance to experience meeting face-to-face to discuss hard issues, bridging differences of background and experience, and seeing the different perspectives as an asset rather than a liability. Including citizens, clinicians, and other community stakeholders in not only the conversations but in the planning allowed the best outcomes. Details like sending personal invitations helped gain participation, and choosing a neutral location when possible was helpful. Having food at the event even if only healthy snacks provided a way for participants to socialize and begin talking before the formal conversations began. It was important to include all aspects of the Triple Aim in the discussion, while being explicit about costs. Attention to language was important because often the separate and unique features of each part of the Triple Aim could be confused. For example, people thought the population health aim was individual health versus the health of the community. Costs were not just the price of an individual item, but it was the combination of how much we used and how much things cost. Using local data such as the county-based health rankings information ( Medicare costs, health care measures (e.g., MN Community Measurement), demographic data, etc. was critical to engagement. To engage people in the data and stimulate conversations, we used an audience response system to poll participants and display the groups results in real time for all to review and discuss. Having a video to open the meeting, such as A Healthy Tomorrow, was a quick way to frame a very challenging topic of health care costs and the social determinants of health. We have had multiple requests for use of the video, and showed A Healthy Tomorrow twice in Fergus Falls. For taping of the events, attendees were comfortable being recorded when we explained that the video would be used to show others how to have these conversations, and we offered people an opt-out process. Overall, we validated that constructive clinician/citizen meetings are possible - bringing citizens, clinicians, and community stakeholder together in co-creating efforts to review data, consider goals 8
10 and consider actions around the Triple Aim, including cost. Further, as supported by key stakeholder interviews and the thoughtful consideration of an Advisory Committee, we have explored how stakeholders can build Accountable Health Communities. Summary While Minnesota is working to accelerate accountability in the health care system, we are creating Accountable Health Communities communities accountable for the Triple Aim of better health, better costs and better care. Addressing health care costs in a manner that is understandable and acceptable to patients/citizens and clinicians will be no small task, and their engagement is crucial for accountability. Empowering stakeholders to address health, costs and care within their own communities will ultimately generate the bold leadership, political will and action required to create a healthy economic future for communities, governments and future generations. Appendix A. Financial Report B. Citizens Solutions Report C. Achieving Accountability for Health and Health Care White Paper D. Interview Summary E. Clinician/Citizen Meeting Materials F. Advisory Committee Summary G. IHI Presentation 9
Co-creating a Sustainable Healthy Tomorrow
Co-creating a Sustainable Healthy Tomorrow Sanne Magnan, MD, PhD-ICSI Joann Foreman, RN, BAN-ICSI Sean Kershaw-Citizens League (virtual) Bill Hanley-Twin Cities Public Television (virtual) 1 Objectives
More informationOpportunity Knocks: Population Health in State Innovation Models
Opportunity Knocks: Population Health in State Innovation Models John Auerbach, Debbie I. Chang, James A. Hester, Sanne Magnan* August 21, 2013 *Participants in the activities of the IOM Roundtable on
More informationMinistry of Health Patients as Partners Provincial Dialogue Report
Ministry of Health Patients as Partners 2017 Provincial Dialogue Report Contents Executive Summary 4 Introduction 6 Balanced Participation: Demographics and Representation at the Dialogue 8 Engagement
More informationExecutive Summary. Leadership Toolkit for Redefining the H: Engaging Trustees and Communities
Executive Summary Leadership Toolkit for Redefining the H: Engaging Trustees and Communities Report produced by the AHA Committee on Research and Committee on Performance Improvement 2015 Executive Summary
More informationState Levers to Advance Accountable Communities for Health
A PUBLICATION OF THE NATIONAL ACADEMY FOR STATE HEALTH POLICY May 2016 State Levers to Advance Accountable Communities for Health Felicia Heider, Taylor Kniffin, and Jill Rosenthal Introduction In an era
More informationTake-Home Advice from the Panelists of CJA s Accelerating Action Toward Health & Equity Scavenger Hunt
Improving Health Eliminating Disparities 2015 Annual Conference Breaking News Take-Home Advice from the Panelists of CJA s Accelerating Action Toward Health & Equity Scavenger Hunt October 1, 2015 This
More informationModels of Accountable Care
Models of Accountable Care Medical Home, Episodes and ACOs Making it work Elliott Fisher, MD, MPH Director, Population Health and Policy The Dartmouth Institute for Health Policy and Clinical Practice
More informationVIBRANT. Strategic Plan Executive Summary
Inspiring Philanthropy VIBRANT Community Strategic Plan 2014 2016 Executive Summary embracing change Our community is fluid. The ebbs and flows of local, regional and national issues constantly influence
More informationIntroduction Patient-Centered Outcomes Research Institute (PCORI)
2 Introduction The Patient-Centered Outcomes Research Institute (PCORI) is an independent, nonprofit health research organization authorized by the Patient Protection and Affordable Care Act of 2010. Its
More informationMedicare Total Cost of Care Reporting
Issue Brief Medicare Total Cost of Care Reporting True health care transformation requires access to clear and consistent data. Three regions are working together to develop reporting that is as consistent
More informationSOCIAL BUSINESS FUND. Request for Proposals
SOCIAL BUSINESS FUND Request for Proposals 2018 TABLE OF CONTENTS I. INTRODUCTION... 2 II. OVERVIEW OF THE BUSH FOUNDATION AND SOCIAL BUSINESS VENTURES INITIATIVE... 2 III. OVERVIEW OF REGIONAL ENTREPRENEURIAL,
More informationNCQA WHITE PAPER. NCQA Accreditation of Accountable Care Organizations. Better Quality. Lower Cost. Coordinated Care
NCQA Accreditation of Accountable Care Organizations Better Quality. Lower Cost. Coordinated Care. NCQA WHITE PAPER NCQA Accreditation of Accountable Care Organizations Accountable Care Organizations (ACO)
More informationTransforming Louisiana s Long Term Care Supports and Services System. Initial Program Concept
Transforming Louisiana s Long Term Care Supports and Services System Initial Program Concept August 30, 2013 Transforming Louisiana s Long Term Care Supports and Services System Our Vision Introduction
More informationTHE COLLEGE OF LE COLLÈGE DES FAMILY PHYSICIANS MÉDECINS DE FAMILLE OF CANADA DU CANADA A VISION FOR CANADA
THE COLLEGE OF FAMILY PHYSICIANS OF CANADA LE COLLÈGE DES MÉDECINS DE FAMILLE DU CANADA A VISION FOR CANADA Family Practice The Patient s Medical Home September 2011 The College of Family Physicians of
More informationJanuary 04, Submitted Electronically
January 04, 2016 Submitted Electronically Mr. Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building
More informationHEADER. Enabling the consumer role in clinical governance A guide for health services
HEADER Enabling the consumer role in clinical governance A guide for health services A supplementary paper to the VQC document Better Quality, Better Health Care A Safety and Quality Improvement Framework
More informationPATIENT ATTRIBUTION WHITE PAPER
PATIENT ATTRIBUTION WHITE PAPER Comment Response Document Written by: Population-Based Payment Work Group Version Date: 05/13/2016 Contents Introduction... 2 Patient Engagement... 2 Incentives for Using
More informationMINISTRY OF HEALTH PATIENT, P F A A TI MIL EN Y, TS C AR AS EGIVER PART AND NER SPU BLIC ENGAGEMENT FRAMEWORK
MINISTRY OF HEALTH PATIENT, FAMILY, CAREGIVER AND PUBLIC ENGAGEMENT FRAMEWORK 2018 MINISTRY OF HEALTH PATIENT, FAMILY, CAREGIVER AND PUBLIC ENGAGEMENT FRAMEWORK 2018 Executive Summary The Ministry of Health
More informationAlternative Managed Care Reimbursement Models
Alternative Managed Care Reimbursement Models David R. Swann, MA, LCSA, CCS, LPC, NCC Senior Healthcare Integration Consultant MTM Services Healthcare Reform Trends in 2015 Moving from carve out Medicaid
More informationMinnesota Accountable Health Model Accountable Communities for Health Grant Program
Request for Proposals Minnesota Accountable Health Model Accountable Communities for Health Grant Program September 2, 2014 Page 1 of 79 Contents: 1. Overview... 3 2. Available Funding and Estimated Awards...
More informationIntegrating Population Health into Delivery System Reform
Integrating Population Health into Delivery System Reform Population Health Roundtable IOM Jim Hester Washington DC June 13, 2013 Theme The health care system is transitioning from payment rewarding volume
More informationPursuing the Triple Aim: CareOregon
Pursuing the Triple Aim: CareOregon The Triple Aim: An Introduction The Institute for Healthcare Improvement (IHI) launched the Triple Aim initiative in September 2007 to develop new models of care that
More informationWHITE PAPER. NCQA Accreditation of Accountable Care Organizations
WHITE PAPER NCQA Accreditation of Accountable Care Organizations CONTENTS Introduction 3 What are ACOs, and what do we want them to achieve? 3 Building from patient-centered medical homes 4 Program elements
More informationRoadmaps to Health Community Grants
40 YEARS OF IMPROVING HEALTH AND HEALTH CARE Roadmaps to Health Community Grants 2012 Call for Proposals Brief Proposal Deadline May 2, 2012 Program Overview (For complete details, refer to specific pages/sections
More informationA Call to Action: Trustee Advocacy to Advance Opportunity for Black Communities in Philanthropy. April 2016
A B F E A Philanthropic Partnership for Black Communities A Call to Action: Trustee Advocacy to Advance Opportunity for Black Communities in Philanthropy April 2016 1, with the assistance of Marga, Incorporated
More informationSustainable Funding for Healthy Communities Local Health Trusts: Structures to Support Local Coordination of Funds
Sustainable Funding for Healthy Communities Local Health Trusts: Structures to Support Local Coordination of Funds Executive Summary In the wake of enactment of the Affordable Care Act, the Trust for America
More informationMinnesota Accountable Health Model Practice Transformation Grant Program
Amendment to the Request for Proposals Minnesota Accountable Health Model Practice Transformation Grant Program Posted October 20, 2014 Amended November 5, 2014 As of October 23, 2014, the following changes
More informationCopyright 2011 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.
32 May 2011 Nursing Management Future of Nursing special Leadership at all levels By Tim Porter-O Grady, DM, EdD, ScD(h), FAAN This five-part editorial series examines the Institute of Medicine s (IOM)
More informationNational League for Nursing February 5, 2016 Interprofessional Education and Collaborative Practice: The New Forty-Year-Old Field
National League for Nursing February 5, 2016 Interprofessional Education and Collaborative Practice: The New Forty-Year-Old Field Barbara F. Brandt, PhD, Director Associate Vice President for Education
More informationUC HEALTH. 8/15/16 Working Document
1) UC Health Mission Our mission is to make health care better. Each UC health system works to advance this mission in its community and as a system of health systems, we work together to catalyze innovation
More informationcommunity clinic case studies professional development
community clinic case studies professional development LFA Group 2011 Prepared by: Established in 2000, LFA Group: Learning for Action provides highly customized research, strategy, and evaluation services
More informationValue-Based Contracting and Payer-Provider Collaboration
Value-Based Contracting and Payer-Provider Collaboration David Moroney, MD September 21, 2017 Agenda Introduction and Takeaways Current Value-Based Programs BlueCross BlueShield of Tennessee Mission and
More informationThe Minnesota Accountable Health Model SIM Minnesota
The Minnesota Accountable Health Model SIM Minnesota 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 M P H A C O N F E R E N C E J U N E 5,
More informationSection 2: Frequently Asked Questions (FINAL)
The Delta Center for a Thriving Safety Net Letter of Intent Instructions Addendum #1 Issued February 26, 2018 The following shall be incorporated as part of the Letter of Intent Instructions: Section 1
More informationPennsylvania Patient and Provider Network (P3N)
Pennsylvania Patient and Provider Network (P3N) Cross-Boundary Collaboration and Partnerships Commonwealth of Pennsylvania David Grinberg, Deputy Executive Director 717-214-2273 dgrinberg@pa.gov Project
More informationStrategic Alignment in Health Care
Strategic Alignment in Health Care Presented to CAJPA Fall Conference 9/15/16 1 Transforming Care Delivery Value-Based Pay for Performance Oncology Practice of the Future Maternity Care Focus - C-Sections
More informationProduct and Network Innovation: Strategies to Achieve Triple Aim Success. Patrick Courneya, MD Medical Director, HealthPartners October 31, 2013
Product and Network Innovation: Strategies to Achieve Triple Aim Success Patrick Courneya, MD Medical Director, HealthPartners October 31, 2013 Agenda About Minnesota s Market Measurement building blocks
More informationIntegrated Delivery Networks and ACOs: C-Suite Perspective. Mark D. Dixon, President The Mark Dixon Group LLC October 22, 2012
Integrated Delivery Networks and ACOs: C-Suite Perspective Mark D. Dixon, President October 22, 2012 Meet Mark Dixon Mark D. Dixon, R.Ph, M.H.A., FACHE, leads the Mark Dixon Group, LLC which provides integrated
More informationThe Community Foundation Difference
The Community Foundation Difference DESCRIBING WHAT MAKES US SPECIAL Endorsed by CFC Members May 4, 2002 301-75 rue Albert Street Ottawa ON Canada K1P 5E7 www.community-fdn.ca A Message from Community
More informationSoros Equality Fellowship 2017
G U I D E L I N E S A N D A P P L I C AT I O N Soros Equality Fellowship 2017 Fellowship Overview and Applicant Deadlines The Open Society Foundations (OSF) seeks applicants for its inaugural Soros Equality
More informationTHE ROLE AND VALUE OF THE PACKARD FOUNDATION S COMMUNICATIONS: KEY INSIGHTS FROM GRANTEES SEPTEMBER 2016
THE ROLE AND VALUE OF THE PACKARD FOUNDATION S COMMUNICATIONS: KEY INSIGHTS FROM GRANTEES SEPTEMBER 2016 CONTENTS Preface 3 Study Purpose and Design 4 Key Findings 1. How the Foundation s Communications
More informationThe Minnesota Accountable Health Model
The Minnesota Accountable Health Model L E A R N I N G S F R O M S I M : I N T E G R AT I O N O F P R I M A R Y A N D B E H AV I O R A L H E A LT H R U R A L H E A LT H C O N F E R E N C E J U N E 2 0,
More informationWorking Together for a Healthier Washington
Working Together for a Healthier Washington Dorothy Teeter, HCA Director Nathan Johnson, HCA Chief Policy Officer All Alliance Meeting June 9, 2015 By 2019, we will have a Healthier Washington. Here s
More informationQuality Measurement at the Interface of Health Care and Population Health
Quality Measurement at the Interface of Health Care and Population Health December 10, 2012 Meeting of the Institute of Medicine s Committee on Quality Measures for the Healthy People Leading Health Indicators
More informationHealth System Transformation, CMS Priorities, and the Medicare Access and CHIP Reauthorization Act
Health System Transformation, CMS Priorities, and the Medicare Access and CHIP Reauthorization Act Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, Region IX Centers for Medicare and Medicaid Services
More informationLong term commitment to a new vision. Medical Director February 9, 2011
ACCOUNTABLE CARE ORGANIZATION (ACO): Long term commitment to a new vision Michael Belman MD Michael Belman MD Medical Director February 9, 2011 Physician Reimbursement There are three ways to pay a physician,
More informationMinistry of Health Patients as Partners Provincial Dialogue Event Summary Two Day Annual Event
Ministry of Health Patients as Partners 2015 Provincial Dialogue Event Summary Two Day Annual Event Contents Executive Summary... 2 Introduction... 3 Dialogue Overview... 5 Experiences with Patient- and
More informationHosted by: February 6-7, 2018 PARTNER OVERVIEW
Hosted by: February 6-7, 2018 PARTNER OVERVIEW ABOUT US WASHINGTON & OREGON HIGHER EDUCATION SUSTAINABILITY CONFERENCE The Washington & Oregon Higher Education Sustainability Conference (WOHESC) is a platform
More informationThe influx of newly insured Californians through
January 2016 Managing Cost of Care: Lessons from Successful Organizations Issue Brief The influx of newly insured Californians through the public exchange and Medicaid expansion has renewed efforts by
More informationGetting to More Affordable Care: How Community Health Plans are Leading the Way
Getting to More Affordable Care: How Community Health Plans are Leading the Way The Affordable Care Act (ACA) is making health care accessible to millions of Americans who previously had little or no reliable
More informationWhat are ACOs and how are they performing?
What are ACOs and how are they performing? What is an accountable care organisation (ACO)? ACOs involve groups of providers taking responsibility for all care for a given population within a capitated
More informationA Systems Approach to Achieve the Triple Aim
12/5/2012 A Systems Approach to Achieve the Triple Aim George Isham, MD, MS Senior Advisor HealthPartners Institute of Medicine: Workshop on Core Metrics for Better Care, Lower Costs & Better Health Ants
More informationMinnesota Statewide Quality Reporting and Measurement System:
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
More informationMoving from Volume to Value:
Moving from Volume to Value: Framework for Population Health Models September 26, 2013 Kari Bunkers, M.D. Robert Stroebel, M.D. James Yolch 2 Disclosures At today s session, Mayo Clinic staff will be sharing
More informationIntegrated Leadership for Hospitals and Health Systems: Principles for Success
Integrated Leadership for Hospitals and Health Systems: Principles for Success In the current healthcare environment, there are many forces, both internal and external, that require some physicians and
More informationREPORT OF THE BOARD OF TRUSTEES
REPORT OF THE BOARD OF TRUSTEES B of T Report 21-A-17 Subject: Presented by: Risk Adjustment Refinement in Accountable Care Organization (ACO) Settings and Medicare Shared Savings Programs (MSSP) Patrice
More informationThe TFN Ripple Effect Our Impact To Date
The TFN Ripple Effect Our Impact To Date Australians are famed for their spirit of entrepreneurship, particularly when coming up with new ways to tackle our most persistent community problems. However,
More informationRe: Rewarding Provider Performance: Aligning Incentives in Medicare
September 25, 2006 Institute of Medicine 500 Fifth Street NW Washington DC 20001 Re: Rewarding Provider Performance: Aligning Incentives in Medicare The American College of Physicians (ACP), representing
More informationCommunity Health Worker (CHW) Strategies and Local Public Health: Overview and Opportunities Local Public Health Association Meeting May 16, 2013
Community Health Worker (CHW) Strategies and Local Public Health: Overview and Opportunities Local Public Health Association Meeting May 16, 2013 Carol Berg, Board Member Joan Cleary, Executive Director
More informationAssessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1
EVALUATION Assessing and Increasing Readiness for Patient-Centered Medical Home Implementation 1 Research Summary No. 9 March 2012 Introduction The current model of primary care in the United States is
More informationGeorge Brown College: Submission to Expert Panel on Federal Support for R&D
George Brown College: Submission to Expert Panel on Federal Support for R&D George Brown College is a key part of the economic, cultural and social fabric of Toronto. George Brown College is one of Canada's
More informationPosition Specification
AUGUST 28, 2018 Executive Director Onassis Foundation USA DHR International POSITION SPECIFICATION POSITION TITLE: REPORTING TO: DIRECT REPORTS: LOCATION: THE COMPANY: Executive Director President and
More informationThe Accountable Care Organization Specific Objectives
Accountable Care Organizations and You E. Christopher h Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State
More information2017 Call for Proposals
RAISING PLACES: BUILDING CHILD- CENTERED COMMUNITIES OPPORTUNITY SUMMARY At the Robert Wood Johnson Foundation (RWJF), we are working to build a national Culture of Health so that all people can reach
More informationThe Minnesota Accountable Health Model STATE INNOVATION MODEL (SIM) GRANT OVERVIEW, GOALS, & ACTIVITIES
The Minnesota Accountable Health Model STATE INNOVATION MODEL (SIM) GRANT OVERVIEW, GOALS, & ACTIVITIES What is the? Funding awarded to Minnesota by the CMS Innovation Center In partnership under the Minnesota
More informationMinnesota s Accountable Communities for Health: Strengthening Clinical/Community Partnerships
Minnesota s Accountable Communities for Health: Strengthening Clinical/Community Partnerships Agenda How we got here What we are building on What we have learned so far Where we are now Key issues/questions
More informationCollaborative Activation of Resources and Empowerment Services Building Programs to Fit Patients vs. Bending Patients to Fit Programs
Organization: Solution Title: Calvert Memorial Hospital Calvert CARES: Collaborative Activation of Resources and Empowerment Services Building Programs to Fit Patients vs. Bending Patients to Fit Programs
More informationSample Exam Case Studies/Questions
Module II of the CHFP Program: HFMA's Operational Excellence exam Sample Exam Case Studies/Questions The intent of the Operational Excellence exam is for you to exhibit your mastery of the information
More informationSmall Rural Hospital Transitions (SRHT) Project. Rural Relevant Measures: Next Steps for the Future
Small Rural Hospital Transitions (SRHT) Project Rural Relevant Measures: Next Steps for the Future Paul Moore, DPh Senior Health Policy Advisor Federal Office of Rural Health Policy, Health Resources &
More informationArizona Higher Education Enterprise Technology and Research Initiative Fund (TRIF) Five-Year Project Plan Summary July 1, 2016 through June 30, 2021
Arizona Higher Education Enterprise Technology and Research Initiative Fund (TRIF) Five-Year Project Plan Summary July 1, 2016 through June 30, 2021 Contents Executive Summary 3 Outline of University mission/goals/values
More informationUNIFYING THE 4-H BRAND
UNIFYING THE 4-H BRAND AN INVESTMENT PARTNERSHIP BETWEEN COOPERATIVE EXTENSION AND NATIONAL 4-H COUNCIL FOR DISCUSSION: 1) What excites you most about this opportunity? 2) What benefits do you see providing
More informationAdvancing Health in America Strategic Plan
2017 2020 Plan Advancing Health in America 20 18 Up d ate Our vision is of a society of healthy communities, where all individuals reach their highest potential for health. Our mission is to advance the
More informationWhole-Community Cooperation Health by Design
Whole-Community Cooperation Health by Design South King County Care Transitions Conference Marc Pierson June 4, 2015 From Prediction to Action Who is We? Where is Home? How long will you care? Anything
More information1875 Connecticut Avenue, NW, Suite 650 P Washington, DC F
June 27, 2016 The Honorable Sylvia Matthews Burwell Secretary, U.S. Department of Health and Human Services 200 Independence Avenue, SW Washington, D.C. 20201 Mr. Andy Slavitt Acting Administrator, Centers
More informationFederal Policy Agenda / 2016 & Beyond
Federal Policy Agenda / 2016 & Beyond Compassion & Choices is the leading national nonprofit organization dedicated to improving care and expanding choice for people with advanced illness, and nearing
More informationPosition Description January 2016 PRESIDENT AND CEO
Position Description January 2016 OVERVIEW PRESIDENT AND CEO Local Initiatives Support Corporation (LISC) is the nation s largest private, nonprofit community development intermediary, dedicated to helping
More informationQuality of Care Approach Quality assurance to drive improvement
Quality of Care Approach Quality assurance to drive improvement December 2017 We are committed to equality and diversity. We have assessed this framework for likely impact on the nine equality protected
More informationRe: Promise Zones Initiative: Proposed Third Rounds Selection Process Solicitation of Comment [Docket No N-03]
September 25, 2015 Valerie Piper Deputy Assistant Secretary for Economic Development U.S. Department of Housing and Urban Development 451 Seventh Street, SW Room 7136 Washington, DC 20410 Re: Promise Zones
More informationCMS Priorities, MACRA and The Quality Payment Program
CMS Priorities, MACRA and The Quality Payment Program Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, Region IX Centers for Medicare and Medicaid Services Presentation on behalf of HSAG November 16, 2016
More informationWeathering the Storm: Challenges and Opportunities Facing Colorado Nonprofits During Recession 2009 Update
Weathering the Storm: Challenges and Opportunities Facing Colorado Nonprofits During Recession 2009 Update Weathering the Storm: 2009 Update Early in 2009, the Colorado Nonprofit Association and the Community
More informationFUNDING COHORTS. Microsoft Silicon Valley 2014 YouthSpark Cohort Program. A Summary Report
FUNDING COHORTS Microsoft Silicon Valley 2014 YouthSpark Cohort Program A Summary Report This white paper reflects on Microsoft Silicon Valley s 2014 YouthSpark cohort grant program and provides recommendations
More informationStrategy for Quality Improvement in Health Care
Strategy for Quality Improvement in Health Care Neal D. Kohatsu, MD, MPH, DHCS Medical Director Desiree Backman, DrPH, RD, UC Davis Institute for Population Heath Improvement & DHCS Chief Prevention Officer
More informationCenters for Medicare & Medicaid Services: Innovation Center New Direction
Centers for Medicare & Medicaid Services: Innovation Center New Direction I. Background One of the most important goals at CMS is fostering an affordable, accessible healthcare system that puts patients
More informationMcKee, M; Healy, J (2002) Future hospitals. In: Hospitals in a changing Europe. Open University Press, Buckingham, pp
McKee, M; Healy, J (2002) Future hospitals. In: Hospitals in a changing Europe. Open University Press, Buckingham, pp. 281-284. Downloaded from: http://researchonline.lshtm.ac.uk/15267/ DOI: Usage Guidelines
More informationHealthPartners and the Triple Aim. IHI Open School August 23, 2012 Beth Waterman, RN MBA Chief Improvement Officer HealthPartners
HealthPartners and the Triple Aim IHI Open School August 23, 2012 Beth Waterman, RN MBA Chief Improvement Officer HealthPartners HealthPartners Not for profit, consumer governed Integrated care and financing
More informationSUPPORTING ENTREPRENEURS. A Longitudinal Impact Study of Accion and Opportunity Fund Small Business Lending in the U.S.
SUPPORTING ENTREPRENEURS A Longitudinal Impact Study of Accion and Opportunity Fund Small Business Lending in the U.S. April 2018 A Letter from Accion & Opportunity Fund Dear Partners, Friends and Supporters:
More informationTwin Cities Public Television Annual EEO Public File Report Stations KTCA TV and KTCI TV Reporting Period: November 22, 2016 November 21, 2017
Annual EEO Public File Report Stations KTCA TV and KTCI TV Reporting Period: November 22, 2016 November 21, 2017 1. A list of all full time vacancies filled by the station s employment unit during the
More informationValue-Based Contracting
Value-Based Contracting AUTHOR Melissa Stahl Research Manager, The Health Management Academy 2018 Lumeris, Inc 1.888.586.3747 lumeris.com Introduction As the healthcare industry continues to undergo transformative
More informationIMPROVING WORKFORCE EFFICIENCY
JULY 14, 2010 IMPROVING WORKFORCE EFFICIENCY Developing and training a health care workforce to meet the increased demand on services due to an increase in access from health reform, an aging population,
More informationBetter has no limit: Partnering for a Quality Health System
A THREE-YEAR STRATEGIC PLAN 2016-2019 Better has no limit: Partnering for a Quality Health System Let s make our health system healthier Who is Health Quality Ontario Health Quality Ontario is the provincial
More informationInnovative Approaches on our Journey Toward Improving Care, Value, and the Health of Populations
October 2016 Innovative Approaches on our Journey Toward Improving Care, Value, and the Health of Populations Trissa Torres, MD, MSPH, FACPM Chief Operations and North America Programs Officer Changing
More informationPrimary Care Transformation in the Era of Value
Primary Care Transformation in the Era of Value CMS Innovation Center & Primary Care Bruce Finke, MD Janel Jin, MSPH Gabrielle Schechter, MPH Center for Medicare & Medicaid Innovation Centers for Medicare
More informationFINAL NARRATIVE REPORT
FINAL NARRATIVE REPORT UTAH NURSE RESIDENCY IMPLEMENTATION PROGRAM RWJF Grant ID# 70695 Period: February 1, 2013 January 31, 2015 $150,000 Goal: To Implement the Institute of Medicine Goal #3, Nurse Residency
More informationUS Health Care Reform by Region
US Health Care Reform by Region This paper was presented by Thomas Nolan, PhD, Senior Fellow, Institute for Healthcare Improvement (IHI), to the IHI Board of Directors on February 17, 2010. The trajectory
More informationOverview: Core Services for Members
Overview: Core Services for Members Government Relations The Oklahoma Hospital Association provides advocacy representation for member hospitals on both the state and federal levels. The Association s
More informationChoosing Wisely in an Era of Limited Resources
2012 A B I M F O U N D A T I O N F O R U M At the end of July, 140 leaders from across the health care field gathered at the 2012 ABIM Foundation Forum to examine innovations that are changing health care
More informationPresented by Kay Bensing, MA, RN
Presented by Kay Bensing, MA, RN At the end of this 1-hour session, participants will be able to: Discuss how healthcare consumers evaluate the quality of the healthcare they receive Identify goals for
More informationPHILANTHROPIC ADVISORY SERVICES. Philanthropic Guidance, When and How You Need It
PHILANTHROPIC ADVISORY SERVICES Philanthropic Guidance, When and How You Need It Take Action. Make Change. Whether you re just getting started with your private foundation, or your foundation has been
More informationThe Continuum of Learning and Experience in the Practice of Team-Based Collaborative Care to Improve Health Outcomes
The Continuum of Learning and Experience in the Practice of Team-Based Collaborative Care to Improve Health Outcomes Frank B. Cerra MD Emeritus Professor and Dean of Medical School Former Senior Vice President
More informationMACRA Frequently Asked Questions
Following the release of the Quality Payment Program Interim Final Rule, the American Medical Association (AMA) conducted numerous informational and training sessions for physicians and medical societies.
More information