Employee Health Literacy: Getting the Most Out of a Doctor Visit - Sept. 19, 2013

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Alexandra Moody
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1 Employee Health Literacy: Getting the Most Out of a Doctor Visit - Sept. 19, 2013

Physicians, PC Administrative Network, Inc.

2 TWO PART WEBINAR MODERATOR 1 2 Kate Kohn-Parrott CEO, Greater Detroit Area Health Council Physician Organizations & Engaged Consumers Jenifer Hughes Oakland Southfield Physicians, PC Administrative Network, Inc. Choosing Wisely: Engaging Conversation Randall Bickle DO, JD, CPE, FACPE

3 Employee Health Literacy: Getting the Most Out of a Doctor Visit - Sept. 19, 2013 Jenifer Hughes Oakland Southfield Physicians

4 Physician Organizations Many primary care and specialty physicians belong to physician organizations. Types of Physician Organizations IPA PHO Independent Practice Association Physician Hospital Organization Over 40 physician organizations throughout the State of Michigan 4

individual physician offices, health insurance companies,

5 Physician Organizations Physical Organizations Support physicians to improve and transform health care Work with individual physician offices, health insurance companies, and employer groups to improve the delivery of health care services 5

6 Health Care Landscape Affordable Care Act (ACA) reforms the private insurance marketplace, starting January 1, 2014 No longer deny coverage due to preexisting conditions or health status Expanded access to a broader set of comprehensive health benefits Expanded access to routine and preventive care services 6

Expanded benefits and greater access to care alone will not

7 Health Care Landscape Improvements to the health care delivery system through the ACA are a good first step Expanded benefits and greater access to care alone will not improve health and well-being You and I are the best advocates for our health 7

8 Be An Engaged Health Care Consumer You are at the center of your care Be an active participant in your health care Ask questions and share your feelings Be honest about your history, symptoms, and other important information about your health 8

9 Be An Engaged Health Care Consumer Tell your physician about any changes in your health and well-being Share information about any outside health services or care you have received Bring all medications you are currently taking, including any over the counter medicines 9

10 Be An Engaged Health Care Consumer Make healthy decisions about your daily habits and lifestyle Prepare for and keep scheduled visits or reschedule visits in advance whenever possible Call your primary care physician first with all problems, unless it is a medical emergency 10

11 At the End of Every Visit Do You...? Understand your physician s instructions Grasp your treatment goals Comprehend your next steps If not - ask! Health care is a team sport 11

12 Summary Added value physician organizations bring to health care in Michigan Expanded coverage inherent to the Affordable Care Act What it means to be an engaged health care consumer Let s improve our health care conversations! 12

Contact Information Oakland Southfield Physicians, PC 29200 Northwestern Hwy,

13 Contact Information Oakland Southfield Physicians, PC Northwestern Hwy, Suite 325 Southfield, MI Jenifer Hughes 13

14 Employee Facts: New Rights and Protections Under the Law - August 21, 2013 Randall Bickle DO, JD, CPE, FACPE

15 Why Choose Wisely? A collaboration started by the National Physicians Alliance, American Board of Internal Medicine Foundation and Consumer Reports This was in response to the perceived need for guidelines that would promote more informed conversations between physicians and patients 15

16 Why Choose Wisely? These guidelines needed to be: Supported by evidence Not duplicative of other tests or procedures already received Free from harm 4 Truly necessary 16

17 Who Helped to Choose Wisely? National Organizations representing many of the medical specialists have been asked and responded with the identification of 5 tests or procedures that are commonly used in their field. The necessity of these procedures were to be questioned and discussed. To date, 29 societies have submitted lists that are included on the Choosing Wisely website. www. choosewisely.org 17

18 How is Choose Wisely to Be Used? There was a recognition that patients and physicians needed some easily available, evidence based information that could be used as a starting point for conversations between them prior to or during treatment. Consumer Reports has taken this information and is developing patient friendly materials and the means to disseminate the information. 18

Some Examples of Guidelines One of the early proponents was the American Academy of Family Physicians who to date have entered 10 guidelines for discussion between physician and patient.

19 Some Examples of Guidelines One of the early proponents was the American Academy of Family Physicians who to date have entered 10 guidelines for discussion between physician and patient. The first one: Don t do imaging for Low Back Pain within the first six weeks unless red flags are present. The second one is encountered all the time and that is the prescribing of antibiotics for sinusitis at initial presentation(a real problem in America). 19

20 Specialty Examples The American College of Cardiology Issued 5 Guideline Questions. The first one states: Don t perform stress cardiac imaging or advanced non-invasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present (diabetes in those >40, PAD; or greater than 2% yearly risk for coronary heart disease). Another guideline is on cardiac artery stenting. 20

Resources for Patients 1 2 3 When bringing up the Choosing Wisely website and going to the Lists section there are a number of resource links for patients.

21 Resources for Patients When bringing up the Choosing Wisely website and going to the Lists section there are a number of resource links for patients. One example is the Antibiotics for a sore throat, cough or runny nose- When children need them- and when they don t. This can be printed and it goes over the different scenarios for the use or abstaining from use of antibiotics in children. 21

22 Where Is This Going? To date over 50 specialty societies have joined this campaign with 30+ announcing new lists for 2013 and early The biggest challenge is to get physicians to look at the guidelines for any of the specialties that are pertinent to their practice In addition it is important to disseminate this project to the public so they can have better discourse with their physicians. 22

The guidelines are asking physicians to perform less testing and procedures where indicated.

23 Obstacles to Success Physicians traditionally have had disdain for guidelines or what they consider cookbook medicine. They feel that this interferes with their physician-patient relationship. The guidelines are asking physicians to perform less testing and procedures where indicated. This will, in some cases, cut into the physician bottom line (reasons include CYA, lack of reimbursement for cognitive parts of care and sometimes just differences in judgment on an individual basis). 23

Conclusion: Choose Wisely This was in response to the perceived need for guidelines that would promote more informed conversations between physicians and patients Choosing Wisely recommendations

24 Conclusion: Choose Wisely This was in response to the perceived need for guidelines that would promote more informed conversations between physicians and patients Choosing Wisely recommendations should not be used to establish coverage decisions or exclusions. Rather, they are meant to spur conversation about what is appropriate and necessary treatment. As each patient is unique, physicians and patients should use the recommendations as guidelines to determine an appropriate treatment plan together. 24

25 Questions? 25

Provider Boot camp: Preparing For A Boom October 15,

26 Upcoming Health Facts Webinars: Employee Strategy: Picking a Plan On the Exchange October 9, Noon - 1 p.m. Provider Boot camp: Preparing For A Boom October 15, Noon - 1 p.m. Reserve your spot at crainsdetroit.com/webinars 26

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