Stakeholder Engagement Governance Model for Engaging Physicians

Size: px
Start display at page:

Download "Stakeholder Engagement Governance Model for Engaging Physicians"

Transcription

1 Stakeholder Engagement Governance Model for Engaging Physicians Helen Macfie, Pharm.D., FABC For IHI Leading Population Heath Transformation February, 2017

2 Strategic Focus & Evolution Two decades of testing & learning

3

4 Engaging physician leaders Physicians as Partners same, together BUILDING WILL Shared learning Deep Dives 2012, 2014 Site visits, study teams Leadership Retreats Triple AIM Big names Ambulatory diversification Medical Foundation Sites of care Executive sponsors Population Health Clinical Integration Continued messaging

5 Physician voice & governance STRATEGIC INVOLVEMENT 1. Physician Society 2. Best Practice Teams 3. Physician Leadership Academy 4. MC*21 Informatics 5. MC*21 Lean Management System 6. Medical Foundation & ACOs 7. Ambulatory Services 8. Clinical Integration & BPCI 9. And Research Newest: Dialysis An Affiliate of Fresenius

6 Strategic Plan FY 17 Pyramid Key linkages to Population Health A. Develop and implement plan to respond to consumerism B. Advance population health roadmap for alternative payment models A. Implement plans to address Bold Goals for quality & amazing patient experience B. Realize benefits of a fully integrated leadership structure for key ancillary and clinical services C. Identify and implement new metrics to measure population health outcomes and link our community benefit programs A. Expand strategic health plan partnerships and relationships B. Grow and successfully manage MCMF at-risk lives to 250K C. Monitor and evolve Medi-Cal approach D. Advance diversified plan for ambulatory services A. Strengthen connections with independent and group practice physicians B. Grow both divisions of MCMF, maximize capacity for all sites new and existing C. Enhance MemorialCare/IPA physician partnership A. Activate Playing to Win strategies for CHLB B. Activate Playing to Win strategies for SMMC-SC A. Advance programs to foster world-class managers B. Resource the Plan

7 Physicians as Partners FIVE-YEAR VISION: MemorialCare has leadership and partnership models in place to optimize working relationships and alignment opportunities with our physicians. THREE-YEAR STRATEGY: Optimize our pluralistic model for physician alignment.

8 Physicians as Partners The power of the Physician Society The Physician Society Growth in Membership 95% of admissions Responsibilities Professional association. Board level. Committed to development and utilization of evidence-based/best practice medicine Lead development of best practice Implement best practice guidelines at the bedside / visit-side Leadership of physician informatics and outcomes 20 Years of Innovation Over 300 Best Practice guidelines Best Practice Teams, multidisciplinary Ambulatory Anesthesia Blood Use Breast Care Antimicrobial Stewardship Cardiac Colorectal Emergency Imaging Neonatology Orthopedics Palliative Care Pediatrics Pulmonary & Critical Care Sepsis Stroke Women s Health Wound Care

9 MemorialCare s Bold Goals For Safety, by June 2017 Reduce mortality Severe sepsis mortality by >70 % Achieve perfect care Core Measure sets all diagnoses/bundles to > 95% Medication Reconciliation metrics: all 3-90% Reduce harm to Zero Zone Hospital acquired infections (HAI) Achieve 100% hand hygiene compliance Hospital acquired pressure ulcers (HAPU) Patient falls with injury Harm Across the Board by > 80% Promote Population Health NTSV C-Section rate to < 15% Medical Foundation goals to top 10 th percentile Screening breast and colorectal; diabetes care HbA1c < 8, generic prescribing rate, childhood immunizations (combo 10)

10 History of shared accountability Harm Across the Board 15,668 Bold Goals: Lives Touched 73% Just HEN HAB* *Hospital Engagement Network definition includes Warfarin with INR > 6, Early Elective Delivery, Fall with Injury, Pressure Ulcer 2+, ICU Catheter Associated UTIs and Central Line Blood Stream Infections, Surgical Site Infections, Ventilator Pneumonias, and Pediatric Harm

11 Cascaded strategic focus Physician Society Strategic Plan A. Develop new communication models for internal campaigns, education and initiatives A. Lead focus on Overdiagnosis & Overtreatment 2.0 B. Build awareness of red pill, blue pill transparency C. Achieve Medication Reconciliation 90% A. Support evolution of new payment models B. Readiness for Physician Value-Based Payment A. Integrate onboarding process for membership B. Sponsor refinements to CVO services C. Foster use of Physician Data A. Foster engagement of younger physicians in new and existing areas of leadership B. Support expansion of clinical Integration C. Activate EMR Optimization A. Launch MemorialCare Experience for staff and physicians

12 Use Case: Best Practice Teams Addressing the opioid epidemic AMBULATORY & INPATIENT Identification of patients at risk EMR automation (Smart Set) Developing consistency in CURES 2.0 use, Controlled Substance Agreements, and Urine Drug Screens Embedding provider education (EHR Best Practice Alert) Participation in advocacy and collaboratives Data warehouse, push reports 5.6% patients with MME>90 (for at least 1 day over 3 months) Excluding cancer, palliative care Site Medical Directors, individual physician reports

13 Medical Foundation Creating pluralistic options INTEGRATING CARE DELIVERY & OVERSIGHT Medical Group and IPA Foundation model Primary care (31 offices) chassis and specialist network Partnerships UC Irvine Health Ambulatory Services Revenue diversification & strategic partnerships Joint venture opportunities Site neutral payment advocacy And ACOs R Us 0-93K in one year, 261K total Bold Goal 500K by 2021

14 Medical Foundation structure Physician voice in governance

15 Use Case: Ease of access Site neutral care in the right setting MOVING CARE SLOWLY BUT SURELY Case for change & advocacy Building ambulatory capacity Shared savings opportunities

16 Healthcare Value VALUE If Value = Quality Cost, what happens when we provide lots of services that don t help patients? Cost goes up Quality remains unchanged (at best) or worsens (harm), and Value declines

17 Use Case: Overdiagnosis Making people sick in the pursuit of health PHYSICIAN SOCIETY BOARD Stewards of precious resources Definition: The diagnosis of a condition or abnormality which will, if left alone, never cause symptoms, complications, or shortened life Understanding absolute Number Needed to Treat, or Harm, vs relative

18 How to Overdiagnose? 1. First, change the rules H. Gilbert Gil Welch, M.D. Author of Overdiagnosed 2. Improve technologies to see more 3. Look harder 4. Stumble onto incidental findings

19 How Medical Literature Overinflates Benefits 75% Reduction in Mortality!...? RRR: Relative Risk Reduction the relative reduction in adverse outcome with a given treatment Odds Ratio (OR) and Risk Ratio (RR): fractional relationship of an exposure to an outcome ARR: The absolute reduction in likelihood of the adverse outcome NNT: How many patients you have to treat to achieve the desired outcome, or to avoid the undesired outcome/harm (NNTB, NNTH) POEMs: Patient-Oriented Endpoints that Matter Assume: Mortality in Control Group 4% Mortality in Treatment Group 1% RRR = 75% (4%-1%) 4% OR: RR: 0.25 ARR = 3% (4% - 1%) NNT = ARR = Will diagnosis/treatment help me avoid suffering or death?

20 PREVNAR - The CAPiTa Trial TAKE A CLOSER LOOK 84,500 patients in the Netherlands Exclusion: Prior pneumococcal vaccination Mean follow-up for VT-CAP or VT- IPD was ~ 4 years Relative Risk Reduction (RRR) for VT-CAP (reported) 45.56% Absolute Risk Reduction (ARR not reported) 0.097% No difference in mortality (7.1%) NNT to prevent one case of pneumonia in 4 years: 1,030 (also not reported)

21 How most studies are presented Pulling the wool over our eyes POEMs: Patient-Oriented Endpoints that Matter Relative Risk Reduction Surrogate Measure Odds Ratio Blood pressure lowering Risk Ratio Relative Risk Ratio Measures that Matter Heart attack, Heart Failure, Stroke, Kidney Failure, Death What truly matters: NNTB, Heart NNTH, attack, POEMs, Stroke, Death and $/POEM LDL Cholesterol Lowering Blood Sugar or HbA1c Heart Attack, Kidney Failure, Vision loss, Limb loss, Death

22 How to inform yourself

23 Overdiagnosis successes Physician Society roadmap ADVOCACY & ACTION Broad discussions across physician, leadership, employers, payors and other leadership groups about Overdiagnosis and Number Needed to Test or Treat to obtain benefit Increasing focus on POEMs Patient-Oriented Endpoints that Matter Implemented Choosing Wisely analytics & alerts Leveraging analytics for more sophisticated alerts Advocating with organizations promulgating P4P measures That promote overdiagnosis and overtreatment Requiring our research be published Hope for precision medicine

24 Key lessons? LESSONS LEARNED Benefits of ensuring physicians have voice in ALL governance and leadership focus Physicians as Partners strategy resonates Resourcing and activating the commitment

Leading System Change to Meet the Needs and Get Results

Leading System Change to Meet the Needs and Get Results Leading System Change to Meet the Needs and Get Results Helen Macfie, Chief Transformation Officer Critical Care Symposium April 2018 About MemorialCare Total Assets $3.3 billion Annual Revenues $2.3 billion

More information

MemorialCare Orange Coast: Using Innovative Technology to Improve Efficacy of Patient Repositioning

MemorialCare Orange Coast: Using Innovative Technology to Improve Efficacy of Patient Repositioning MemorialCare Orange Coast: Using Innovative Technology to Improve Efficacy of Patient Repositioning Presented by: Nika Carlson, MSN, RN, Director of Clinical and Quality Improvement Jennifer Castro, MSN,

More information

Bold Goal PI Radar Dashboard

Bold Goal PI Radar Dashboard Bold Goal PI Radar Dashboard Helen Macfie, Pharm.D., FABC Chief Transformation Officer Certified Lean Leader For IHI Patient Safety Executive Development Course, September, 2016 This presenter has nothing

More information

Introduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN

Introduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking

More information

Improving the Health of Our Patients and Our Communities:

Improving the Health of Our Patients and Our Communities: Jason Jones, PhD Executive Director Kaiser Permanente, Southern California Patti Harvey, RN, MPH, CPHQ Senior Vice President Kaiser Permanente, Southern California Improving the Health of Our Patients

More information

HIMSS Davies Enterprise Application --- COVER PAGE ---

HIMSS Davies Enterprise Application --- COVER PAGE --- HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai i Pacific Health Organization s Address: 55 Merchant Street, 27 th Floor, Honolulu, Hawai i 96813 Submitter s Name:

More information

The Challenges and Opportunities in Using Data Bundled Payment, Care Improvement

The Challenges and Opportunities in Using Data Bundled Payment, Care Improvement The Challenges and Opportunities in Using Data Bundled Payment, Care Improvement Helen Macfie, Pharm.D., FABC For IHI Leading Population Heath Transformation February, 2017 It started with a project PHYSICIAN

More information

Medi-Cal Performance Measurement: Making the Leap to Value-Based Incentives. Dolores Yanagihara IHA Stakeholders Meeting October 3, 2018

Medi-Cal Performance Measurement: Making the Leap to Value-Based Incentives. Dolores Yanagihara IHA Stakeholders Meeting October 3, 2018 Medi-Cal Performance Measurement: Making the Leap to Value-Based Incentives Dolores Yanagihara IHA Stakeholders Meeting October 3, 2018 Why Standardization? MEDI-CAL CROSS PRODUCT San Francisco Health

More information

How Data-Driven Safety Culture Changes Can Lower HAC Rates

How Data-Driven Safety Culture Changes Can Lower HAC Rates How Data-Driven Safety Culture Changes Can Lower HAC Rates Session #226, February 23, 2017 Holly O Brien & Abby Dexter Children s Hospital of Wisconsin 1 Speaker Introduction Holly O Brien, MSN RN Safety

More information

A New Clinical Operating Model Transforms Care Delivery and Improves Performance

A New Clinical Operating Model Transforms Care Delivery and Improves Performance A New Clinical Operating Model Transforms Care Delivery and Improves Performance The Unified Clinical Organization (UCO) Paul Conlon, PharmD, JD SVP, Clinical Quality and Patient Safety, Trinity Health

More information

President Kaiser Permanente Southern California. Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience

President Kaiser Permanente Southern California. Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience Benjamin K. Chu, MD, MPH President Kaiser Permanente Southern California Great Gains in Quality of Care and Patient Safety: The Kaiser Permanente Experience The triple aim : A blueprint for a more satisfying

More information

ACOs: Transforming Systems with New Payment Models & Community Integration

ACOs: Transforming Systems with New Payment Models & Community Integration ACOs: Transforming Systems with New Payment Models & Community Integration Sunnah Kim PNP (Moderator), American Academy of Pediatrics Herbert Druilhet, RN, DNP, FNP-BC Lafayette General Medical Doctors

More information

Jumpstarting population health management

Jumpstarting population health management Jumpstarting population health management Issue Brief April 2016 kpmg.com Table of contents Taking small, tangible steps towards PHM for scalable achievements 2 The power of PHM: Five steps 3 Case study

More information

Cleveland Clinic Implementing Value-Based Care

Cleveland Clinic Implementing Value-Based Care Cleveland Clinic Implementing Value-Based Care Overview Cleveland Clinic health system uses a systematic approach to performance improvement while simultaneously pursuing 3 goals: improving the patient

More information

OHA HEN 2.0 Partnership for Patients Letter of Commitment

OHA HEN 2.0 Partnership for Patients Letter of Commitment OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information

More information

Patient Experience Heart & Vascular Institute

Patient Experience Heart & Vascular Institute Patient Experience Heart & Vascular Institute Keeping patients at the center of all that Cleveland Clinic does is critical. Patients First is the guiding principle at Cleveland Clinic. Patients First is

More information

Advancing Primary Care Delivery

Advancing Primary Care Delivery Advancing Primary Care Delivery Tenth National Pay for Performance Summit March 3, 2015 Simeon Schwartz, MD CEO, WESTMED Medical Group, P.C. WESTMED Medical Group Established 1996 by 16 physicians 300

More information

Clinical Operations. Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012

Clinical Operations. Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012 Clinical Operations Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012 Forward-looking Statements Certain statements contained in this presentation

More information

Better to Best Quality Excellence Achievement Awards. Recognizing Illinois Hospitals Leading in Quality and Innovation COMPENDIUM

Better to Best Quality Excellence Achievement Awards. Recognizing Illinois Hospitals Leading in Quality and Innovation COMPENDIUM Better to Best 2011 Quality Excellence Achievement Awards COMPENDIUM Recognizing Illinois Hospitals Leading in Quality and Innovation 2011 Quality Excellence Achievement Awards Overview IHA s Quality Care

More information

Core Metrics for Better Care, Lower Costs, and Better Health

Core Metrics for Better Care, Lower Costs, and Better Health Core Metrics for Better Care, Lower Costs, and Better Health IOM Roundtable on Value & Science-Driven Health Care September 27, 2012 Washington, D.C. Sam Nussbaum, M.D. Executive Vice President, Clinical

More information

Understanding Patient Choice Insights Patient Choice Insights Network

Understanding Patient Choice Insights Patient Choice Insights Network Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Understanding Patient Choice Insights Patient Choice Insights Network SM www.aetna.com Helping consumers gain

More information

ACOs: California Style

ACOs: California Style ACOs: California Style ACO Congress John E. Jenrette, M.D. Chief Executive Officer Sharp Community Medical Group November 2, 2011 California Style California Style A CO California Style California Style

More information

Reducing Infections and Improving Engagement St. Luke's Nephrology Associates. Contact Information: Robert Gayner, M.D., FASN

Reducing Infections and Improving Engagement St. Luke's Nephrology Associates. Contact Information: Robert Gayner, M.D., FASN BEST PRACTICES Vascular Access and CLABSI Reduction Reducing Infections and Improving Engagement St. Luke's Nephrology Associates Contact Information: Robert Gayner, M.D., FASN St. Luke's Nephrology Associates

More information

Value Based P4P High Performers

Value Based P4P High Performers Value Based P4P High Performers Marnie Baker, MD, MemorialCare Medical Foundation George Christides, MD, AppleCare Medical Management Melissa Gerdes, MD, John Muir Health Moderated by: Diane Stewart, Pacific

More information

Results from Contra Costa Regional Medical Center

Results from Contra Costa Regional Medical Center Results from Contra Costa Regional Medical Center Karin Stryker, MBA DSRIP Manager, Health Services Administrator Chris Farnitano, MD Medical Director, Ambulatory Care High Impact Interventions Sepsis

More information

Welcome and Instructions

Welcome and Instructions Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.

More information

Role of the C-Suite in High Reliability Antimicrobial Stewardship

Role of the C-Suite in High Reliability Antimicrobial Stewardship Role of the C-Suite in High Reliability Antimicrobial Stewardship 1 st Annual Texas Medical Center Antimicrobial Resistance and Stewardship Conference January 19, 2018 M. Michael Shabot, MD, FACS, FCCM,

More information

SCORING METHODOLOGY APRIL 2014

SCORING METHODOLOGY APRIL 2014 SCORING METHODOLOGY APRIL 2014 HOSPITAL SAFETY SCORE Contents What is the Hospital Safety Score?... 4 Who is The Leapfrog Group?... 4 Eligible and Excluded Hospitals... 4 Scoring Methodology... 5 Measures...

More information

Transforming Care at the Bedside: Climbing the Clinical Ladder

Transforming Care at the Bedside: Climbing the Clinical Ladder Transforming Care at the Bedside: Climbing the Clinical Ladder Rebecca Springer, MSN, RN Chief Nursing Officer, Nurse Executive Temiela Blackman, MA Quality Manager Hendry Regional Medical Center April

More information

Intro to Global Budgeting

Intro to Global Budgeting Intro to Global Budgeting Jim Hester House Health Care Committee & Senate Health & Welfare Committee 1/21/10 Agenda Goal of global budgeting Global budget models and examples Global payment model and examples

More information

Clinical and Financial Benefits of IT Implementation

Clinical and Financial Benefits of IT Implementation Clinical and Financial Benefits of IT Implementation October 24, 2014 Replace text box with chapter logo (on all master slides) Who Is HIMSS Analytics? A subsidiary of HIMSS We collect data on what information

More information

Oregon's Health System Transformation

Oregon's Health System Transformation Oregon's Health System Transformation MEASUREMENT PERIOD Baseline Year 2011 and Calendar Year 2013 JUNE 24, 2014 TABLE OF CONTENTS Executive Summary...iii 2013 CCO Performance and Quality Pool Distribution...1

More information

Target condition for today:

Target condition for today: James Hereford President and CEO Target condition for today: Challenge us as a community to further our understanding of why lean works This is critical if we want to transform health care organizations.

More information

Health Sciences North Horizon Santé-Nord (QIP) Quality Improvement Plan

Health Sciences North Horizon Santé-Nord (QIP) Quality Improvement Plan Health Sciences North Horizon Santé-Nord 2015 2016 (QIP) Quality Improvement Plan March 31, 2015 Overview HSN 2015-2016 Quality Improvement Plan Introduction Health Sciences North/Horizon Santé-Nord (HSN)

More information

IHA District Meetings February-March, : Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM

IHA District Meetings February-March, : Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM IHA District Meetings February-March, 2015 2015: Iowa Environmental Assessment in Quality and Patient Safety HEN, QIN, TCPI, SIM Looking Back 10 Years Ago IHA, AHA, CMS, IFMC, State of Iowa, JCAHO, AHRQ

More information

Minnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654

Minnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654 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 information

Preventing Health Care Associated Infections. PJ Brennan, MD Chief Medical Officer University of Pennsylvania Health System August 16, 2011.

Preventing Health Care Associated Infections. PJ Brennan, MD Chief Medical Officer University of Pennsylvania Health System August 16, 2011. Preventing Health Care Associated Infections PJ Brennan, MD Chief Medical Officer University of Pennsylvania Health System August 16, 2011 Lind 2 Gaps in Knowldege? Pathogenesis Epidemiology Prevention

More information

Using EHRs and Case Management to Improve Patient Care and Population Health

Using EHRs and Case Management to Improve Patient Care and Population Health Using EHRs and Case Management to Improve Patient Care and Population Health Session #211, February 22, 2017 Thomas Schiller, MD and Jennifer Kuroda, SwedishAmerican Health System A Division of UW 1 Speaker

More information

Riverside University Health System. Hospital Updates and Approval of Capital Project List September 21, 2015

Riverside University Health System. Hospital Updates and Approval of Capital Project List September 21, 2015 Riverside University Health System Hospital Updates and Approval of Capital Project List September 21, 2015 For More Than 100 Years Riverside University Health System has been the foundation of healthcare,

More information

AF4Q and TCAB: An Introduction

AF4Q and TCAB: An Introduction AF4Q and TCAB: An Introduction July 13, 2011 Ellen Interlandi, MHM, RN, NE-BC Patricia Montoya, MPA, BSN 1 What is Aligning Forces for Quality? An unprecedented commitment by the Robert Wood Johnson Foundation

More information

FY 13 Pillar Goal Update and FY 14 Pillar Goals

FY 13 Pillar Goal Update and FY 14 Pillar Goals FY 13 Pillar Goal Update and FY 14 Pillar Goals Summer Leadership Assembly C. Wright Pinson, MD, MBA Deputy Vice Chancellor, Health Affairs CEO, Vanderbilt Health System June 19, 2013 Staying Focused on

More information

The Drive Towards Value Based Care

The Drive Towards Value Based Care The Drive Towards Value Based Care Thursday, March 3, 2016 Michael Aratow, MD, FACEP Chief Medical Information Officer, San Mateo Medical Center Gaurav Nagrath, MBA, Sr. Strategist, Population Health Research

More information

The Nexus of Quality and Finance

The Nexus of Quality and Finance The Nexus of Quality and Finance Kristen Geissler Pat Ercolano March 4, 2014 Transition from Volume to Value: IHI Triple Aim IHI Triple Aim Improve patient experience of care (quality & satisfaction) Improve

More information

FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction

FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction Meaghan McCamman Assistant Director of Policy California Primary Care Association 1 Agenda Incentives in PPS: what does

More information

10/6/2017. FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction. Agenda. Incentives in PPS: what does excludable mean?

10/6/2017. FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction. Agenda. Incentives in PPS: what does excludable mean? FQHC Incentive Payments: A Critical Practice for Quality and Patient Satisfaction Meaghan McCamman Assistant Director of Policy California Primary Care Association Agenda Incentives in PPS: what does excludable

More information

Performance Incentives in the Southern California Permanente Medical Group (SCPMG):

Performance Incentives in the Southern California Permanente Medical Group (SCPMG): Performance Incentives in the Southern California Permanente Medical Group (SCPMG): 1994-2007 Joel D. Hyatt, MD Assistant Medical Director Southern California Permanente Medical Group joel.d.hyatt@kp.org

More information

Saving Lives with Best Practices and Improvements in Sepsis Care

Saving Lives with Best Practices and Improvements in Sepsis Care Success Story Saving Lives with Best Practices and Improvements in Sepsis Care EXECUTIVE SUMMARY Although Thibodaux Regional Medical Center had achieved sepsis mortality rates below the national average,

More information

HealthInsight HIIN Onboarding Event: DATA, DATA, DATA. April 12, a.m. to noon PT Noon to 1 p.m. MT

HealthInsight HIIN Onboarding Event: DATA, DATA, DATA. April 12, a.m. to noon PT Noon to 1 p.m. MT HealthInsight HIIN Onboarding Event: DATA, DATA, DATA April 12, 2017 11 a.m. to noon PT Noon to 1 p.m. MT Welcome So glad you are able to join us! This session is being recorded and a copy of the slides

More information

Establishing a Culture of Quality and Safety and the Journey to High Reliability

Establishing a Culture of Quality and Safety and the Journey to High Reliability Establishing a Culture of Quality and Safety and the Journey to High Reliability Becker s Hospital Review May 9, 2013 Charles D. Stokes System Chief Operating Officer M. Michael Shabot, M.D. System Chief

More information

HEALTH CARE REFORM IN THE U.S.

HEALTH CARE REFORM IN THE U.S. HEALTH CARE REFORM IN THE U.S. A LOOK AT THE PAST, PRESENT AND FUTURE Carolyn Belk January 11, 2016 0 HEALTH CARE REFORM BIRTH OF THE AFFORDABLE CARE ACT Health care reform in the U.S. has been an ongoing

More information

Connected Care Partners

Connected Care Partners Connected Care Partners Our Discussion Today Introducing the Connected Care Partners CIN What is a Clinically Integrated Network (CIN) and why is the time right to join the Connected Care Partners CIN?

More information

Patient Experience Heart & Vascular Institute

Patient Experience Heart & Vascular Institute Patient Experience Heart & Vascular Institute Cleveland Clinic is dedicated to delivering excellent clinical outcomes surrounded by the best possible experience for patients and their families. Reported

More information

UC HEALTH. 8/15/16 Working Document

UC 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 information

Improving Quality Outcomes in a Risk-Based World: A Davies Story Session #100, March 7, 2018

Improving Quality Outcomes in a Risk-Based World: A Davies Story Session #100, March 7, 2018 Improving Quality Outcomes in a Risk-Based World: A Davies Story Session #100, March 7, 2018 David Cloyed, MS, RN-BC, Applications Manager, Nebraska Medicine Tammy Winterboer, PharmD, BCPS, Director, Clinical

More information

Vanderbilt University Medical Center is a 20,000-person community, where each of us is drawn to health care to help people. I see the passion and

Vanderbilt University Medical Center is a 20,000-person community, where each of us is drawn to health care to help people. I see the passion and 1 Vanderbilt University Medical Center is a 20,000-person community, where each of us is drawn to health care to help people. I see the passion and commitment for our patients and their families throughout

More information

Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013)

Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013) Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013) 24 percent (52 ACOs) earned shared savings bonus 27 percent (60 ACOs) reduced spending,

More information

What Have we Learned from the Pioneer ACO Model?

What Have we Learned from the Pioneer ACO Model? What Have we Learned from the Pioneer ACO Model? Sherly Binu, CMMI December 7, 2016 Disclaimers 2 This presentation was prepared as a tool to assist providers and is not intended to grant rights or impose

More information

Delivering Great Care with High Reliability

Delivering Great Care with High Reliability FE4 These presenters have nothing to disclose Delivering Great Care with High Reliability The Orlando Health Journey December 5, 2016 Joelle Baehrend, MA Director, Institute of Healthcare Improvement 1

More information

Shana Scott, JD, MPH, Health Systems Team Lead Tuesday, October 3, 2017

Shana Scott, JD, MPH, Health Systems Team Lead Tuesday, October 3, 2017 Health Systems Transformation & Health System Interventions: Innovative Public Health Approaches to Improve Quality of Care for Georgians with Chronic Conditions Presentation at 2017 Southern Obesity Summit

More information

Expanding Your Pharmacist Team

Expanding Your Pharmacist Team CALIFORNIA QUALITY COLLABORATIVE CHANGE PACKAGE Expanding Your Pharmacist Team Improving Medication Adherence and Beyond August 2017 TABLE OF CONTENTS Introduction and Purpose 1 The CQC Approach to Addressing

More information

Pharmacy Round Table Tuesday, August 20, 2013

Pharmacy Round Table Tuesday, August 20, 2013 Florida Hospital Association Hospital Engagement Network (HEN) Pharmacy Round Table Tuesday, August 20, 2013 Audio for today s presentation is broadcast via phone access only: Please Dial-in - 866.740.1260

More information

Patient Safety Course Descriptions

Patient Safety Course Descriptions Adverse Events Antibiotic Resistance This course will teach you how to deal with adverse events at your facility. You will learn: What incidents are, and how to respond to them. What sentinel events are,

More information

Banner Health Friday, February 20, 2015

Banner Health Friday, February 20, 2015 Banner Health Friday, February 20, 2015 Leveraging the Power of Clinical and Business Intelligence: A Primer Presented by: Dr. Maxine Rand, DNP, RN-BC, CPHIMS, Director, Clinical Education, Practice and

More information

ECU Teacher s in Quality Academy Vidant Health Quality Program. Learning Session 1 March 24, 2014

ECU Teacher s in Quality Academy Vidant Health Quality Program. Learning Session 1 March 24, 2014 ECU Teacher s in Quality Academy Vidant Health Quality Program Learning Session 1 March 24, 2014 Objectives 1. Describe organizational approach to patient safety/quality improvement at Vidant Health and

More information

Goals and Objectives for Fiscal Year 2012

Goals and Objectives for Fiscal Year 2012 Goals and Objectives for Fiscal Year 2012 UPMC St. Margaret Teresa G. Petrick July 8, 2011 UPMC St. Margaret: Major Goals and Objectives for FY 2012 Deliver Financial Results and Operational Metrics Established

More information

CLINICAL SERVICES OVERVIEW

CLINICAL SERVICES OVERVIEW MEDICLINIC ANNUAL REPORT 2017 37 CLINICAL SERVICES OVERVIEW INTRODUCTION Mediclinic provides a wide range of clinical services throughout its operating platforms. The services include acute care inpatient

More information

Strategies to Address All Types of Harm. Objectives. Share implementation process for a successful large scale harm reduction campaign

Strategies to Address All Types of Harm. Objectives. Share implementation process for a successful large scale harm reduction campaign C20 These presenters have nothing to disclose Strategies to Address All Types of Harm Jack Jordan, Partnership for Patients, CMMI William Conway, MD Henry Ford Health System Sam Watson, Michigan Hospital

More information

Standardizing Medi-Cal Pay for Performance Advisory Committee Meeting. November 3, 2016

Standardizing Medi-Cal Pay for Performance Advisory Committee Meeting. November 3, 2016 Standardizing Medi-Cal Pay for Performance Advisory Committee Meeting November 3, 2016 Agenda Welcome & Introductions Core Measure Set MY 2017 EAS Measure Set Update Benchmarks Core Measure Set Adoption

More information

Clinical Integration and P4P: Using Pay for Performance to Build Clinical Integration within a Physician-Hospital IPA

Clinical Integration and P4P: Using Pay for Performance to Build Clinical Integration within a Physician-Hospital IPA Clinical Integration and P4P: Using Pay for Performance to Build Clinical Integration within a Physician-Hospital IPA March 9, 2010 Presented by: Michael Edbauer, DO, Vice President, Medical Affairs CIPA

More information

Building a Culture That Lasts

Building a Culture That Lasts Building a Culture That Lasts Establishing a Leadership Legacy Quality Texas Foundation June 28, 2016 M. Michael Shabot, MD, FACS, FCCM, FACMI Executive Vice President System Chief Clinical Officer V2

More information

Sandra Robinson, RN, MSN, ACM, CEN

Sandra Robinson, RN, MSN, ACM, CEN Developing and Measuring Care Coordination Outcome Goals and Objectives ACMA National Conference April 28, 2015 Cleveland Clinic Care Management Sandra Robinson, RN, MSN, ACM, CEN (robinss12@ccf.org) Joan

More information

Money and Members: Pay for Performance in a Medicaid Program

Money and Members: Pay for Performance in a Medicaid Program Money and Members: Pay for Performance in a Medicaid Program IHA National Pay for Performance Summit March 9, 2010 Greg Buchert, MD, MPH Chief Operating Officer 1 AGENDA CalOptima Overview CalOptima P4P

More information

Improving Patient Experience, Safety and Progression through Care Model Redesign & Lean Management

Improving Patient Experience, Safety and Progression through Care Model Redesign & Lean Management Improving Patient Experience, Safety and Progression through Care Model Redesign & Lean Management Michelle Cline, RN, MSN, Care Model Redesign Manager Donna Litwinski, PT, Master Lean Fellow April 2018

More information

Improving Clinical Outcomes

Improving Clinical Outcomes Improving clinical outcomes and reducing health care costs under the Affordable Care Act - are enhanced medication management strategies part of the solution? Sandra L. Baldinger, Pharm.D., M.S. Kenneth

More information

Best Care Always Initiative Powerful Leadership & Management. Dr Sharon Vasuthevan Forum for Professional Nurse Leaders Conference 8 May 2012

Best Care Always Initiative Powerful Leadership & Management. Dr Sharon Vasuthevan Forum for Professional Nurse Leaders Conference 8 May 2012 Best Care Always Initiative Powerful Leadership & Management Dr Sharon Vasuthevan Forum for Professional Nurse Leaders Conference 8 May 2012 100 000 Lives Campaign The Best Care Always (BCA) initiative

More information

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)

More information

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836

More information

SAN MATEO MEDICAL CENTER

SAN MATEO MEDICAL CENTER ADMINISTRATIVE AND QUALITY MANAGEMENT - Accounting/Payroll - Finance and Decision Support - Patient Financial Services - Revenue and Reimbursement - Compliance/HIPAA - Materials Management - Community

More information

PPS Performance and Outcome Measures: Additional Resources

PPS Performance and Outcome Measures: Additional Resources PPS Performance and Outcome Measures: PPS Performance and Outcome Measures: This document includes supplemental resources to the content on PPS Performance and Outcome Measures presented at the December

More information

Rural-Relevant Quality Measures for Critical Access Hospitals

Rural-Relevant Quality Measures for Critical Access Hospitals Rural-Relevant Quality Measures for Critical Access Hospitals Ira Moscovice PhD Michelle Casey MS University of Minnesota Rural Health Research Center Minnesota Rural Health Conference Duluth, Minnesota

More information

MAKING PROGRESS, SEEING RESULTS

MAKING PROGRESS, SEEING RESULTS MAKING PROGRESS, SEEING RESULTS VALUE-BASED CARE REPORT HUMANA.COM/VALUEBASEDCARE Y0040_GCHK4DYEN 1117 Accepted 2 Americans are sick and getting sicker, with millions of us living with chronic conditions

More information

Scoring Methodology FALL 2016

Scoring Methodology FALL 2016 Scoring Methodology FALL 2016 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 7 Process/Structural Measures... 7 Computerized Physician Order

More information

Measure Applications Partnership (MAP)

Measure Applications Partnership (MAP) Measure Applications Partnership (MAP) Uniform Data System for Medical Rehabilitation Annual Conference Aisha Pittman, MPH Senior Program Director National Quality Forum August 9, 2012 Overview MAP Background

More information

Bundled Payments to Align Providers and Increase Value to Patients

Bundled Payments to Align Providers and Increase Value to Patients Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is

More information

group practice journal

group practice journal group practice journal PUBLICATION OF THE AMERICAN MEDICAL G R O U P A S S O C I A T I O N The Sharp Experience: A Journey to Healthcare Excellence 2009 Acclaim Award Honoree Sharp Rees-Stealy Medical

More information

Creating a Culture of Quality and Safety Gordon C. Hunt, MD, MBA Sr. Vice President & Chief Medical Officer, Sutter Health

Creating a Culture of Quality and Safety Gordon C. Hunt, MD, MBA Sr. Vice President & Chief Medical Officer, Sutter Health Creating a Culture of Quality and Safety Gordon C. Hunt, MD, MBA Sr. Vice President & Chief Medical Officer, Sutter Health M2 This presenter has nothing to disclose December 2012 Blue Ribbon I & II In

More information

K-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2

K-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2 Outcome Measure for Any One of the Following: Outcome Measures Meeting Either A or B: Adverse Drug Events (ADE) All measures are surveillance data Hospital Collected Anticoagulant (ADE-12) Opioid (ADE-111)

More information

Delivering Great Care with High Reliability The Orlando Health Journey

Delivering Great Care with High Reliability The Orlando Health Journey FE5 These presenters have nothing to disclose Delivering Great Care with High Reliability The Orlando Health Journey December 11, 2017 Frank Federico, RPh Vice President Patricia McGaffigan, RN, MS, CPPS

More information

Building a Multi-System Clinically Integrated Network

Building a Multi-System Clinically Integrated Network Building a Multi-System Clinically Integrated Network 22 nd Annual AHA Leadership Summit July 2014 Valence Health Has Been Helping Provider Organizations Progress Toward Value-Based Care Since 1996 Technology-enabled

More information

New Models in Payment: Joint Replacements. Sharon Eloranta, MD February 18, 2016

New Models in Payment: Joint Replacements. Sharon Eloranta, MD February 18, 2016 New Models in Payment: Joint Replacements Sharon Eloranta, MD February 18, 2016 Qualis Health A leading national population health management organization The Medicare Quality Innovation Network - Quality

More information

A legacy of primary care support underscores Priority Health s leadership in accountable care

A legacy of primary care support underscores Priority Health s leadership in accountable care Priority Health has been at the forefront of supporting primary care, driving accountability, improving quality and improving care for patients. A legacy of primary care support underscores Priority Health

More information

Additional Considerations for SQRMS 2018 Measure Recommendations

Additional Considerations for SQRMS 2018 Measure Recommendations Additional Considerations for SQRMS 2018 Measure Recommendations HCAHPS The Hospital Consumer Assessments of Healthcare Providers and Systems (HCAHPS) is a requirement of MBQIP for CAHs and therefore a

More information

Eligible Hours ( ) Achieving HIMSS Stage 7 and Gaining Physician Adoption of a Paperless Record CHC

Eligible Hours ( ) Achieving HIMSS Stage 7 and Gaining Physician Adoption of a Paperless Record CHC Below are the sessions that qualify for CPHIMS or CAHIMS continuing education (CE) hours. Check the column for all sessions attended and total the number of hours earned each day. At the end of the form,

More information

Coastal Medical, Inc.

Coastal Medical, Inc. A Culture of Collaboration The Organization Physician-owned group Currently 19 offices across the state of Rhode Island and growing 85 physicians, 101 care providers The Challenge Implement a single, unified

More information

Delivering Standardized Evidencebased Practice to Improve Quality and Contain Costs

Delivering Standardized Evidencebased Practice to Improve Quality and Contain Costs Delivering Standardized Evidencebased Practice to Improve Quality and Contain Costs Robert E Murphy, MD Chief Medical Informatics Officer Memorial Hermann Healthcare System HIMSS Webinar November 21, 2013

More information

Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention

Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention Frederick J. Bloom, Jr. MD MMM President, Guthrie Medical Group 1/23/15 Where We Want to Be 1. Affordable coverage for

More information

Ontario s Digital Health Assets CCO Response. October 2016

Ontario s Digital Health Assets CCO Response. October 2016 Ontario s Digital Health Assets CCO Response October 2016 EXECUTIVE SUMMARY Since 2004, CCO has played an expanding role in Ontario s healthcare system, using digital assets (data, information and technology)

More information

Why Shepherd? Shepherd Center Patients. Here s How We Measure Up: Shepherd Patient Population

Why Shepherd? Shepherd Center Patients. Here s How We Measure Up: Shepherd Patient Population Center Patients Total Patients ABI Patients SCI Patients Other Patients Center specializes in medical treatment, research and rehabilitation for people with spinal cord and brain injury. In CY, had 911

More information

AmSECT Quality and Outcomes Conference

AmSECT Quality and Outcomes Conference AmSECT Quality and Outcomes Conference Patient Blood Management: A Wise Investment for the Patient and the Health System Miriam A. Markowitz, CEO October 2, 2014, 1:45pm 2:10pm AABB Introduction 2 Emerging

More information

A strategy for building a value-based care program

A strategy for building a value-based care program 3M Health Information Systems A strategy for building a value-based care program How data can help you shift to value from fee-for-service payment What is value-based care? Value-based care is any structure

More information