AI/AN Long Term Care Conference. Chronic Disease Management Through. Home Telehealth Monitoring. May 2, 2010 IHS. VA US Air Force US Army US Navy
|
|
|
- Marcia Glenn
- 5 years ago
- Views:
Transcription
1 AI/AN Long Term Care Conference Chronic Disease Management Through Home Telehealth Monitoring May 2, 2010 Briefers: David T. Peters ANMC ANTHC IHS USCG VA US Air Force US Army US Navy
2 Legal Authority -- AFHCP Umbrella Agreement USCG Economy Act DoD Activities VA Indian Self-Determination Act ANTHC and Tribal Corporations Indian Health Service Alaska Native Medical Center Beneficiary Population: 276,189 (2008) - 40% of Alaska s 686,293 State Population DoD/DHS Other VA IHS/Tribal Note: Total Federal/Tribal Population includes both dual and triple beneficiaries
3 What are the Benefits? Regular monitoring helps avoid acute episodes Allows the patient to remain in the home longer Reduces outpatient visits, hospital admissions, readmissions and patient/family travel Increased patient compliance w/health advice Improved patient health and wellness Increases disease knowledge (cause and effect) Reduces costly Medevacs with early intervention Demonstrated real and substantial Cost Savings
4 Levels of Care - Alaska Tribal Health System Village-based services: Community Health Aide/Practitioners working in village clinics (180 sites in rural Alaska, majority without road access) Sub-regional services: Mid-level providers serving several villages (some regions) Regional services: Regional inpatient hospitals with physician, dental & behavioral health services (6 facilities) Statewide tertiary & specialty services: Alaska Native Medical Center (located in Anchorage) Contract Health Services: Coverage for private sector referrals beyond direct care system
5 Estimated Medevac Fixed-wing Travel Costs Medevac - Examples Costs from Rural Alaska to Anchorage $29,900 $37,600 $30,100 $24,400 $32,200 St George to Anchorage $32,700 $16,500
6 Robust and Operational Lifetime Care Chronic Disease Mgmt. Monitors placed in the home permanently Not an Episodic Care Model Partners with existing tribal systemsof-care 24/7 365 Care Center Notifications per Patient s Protocols Vital Sign Monitoring BP Pulse Glucose Weight SpO2 HTM Patients Statewide - 43 Communities
7 15 - Agreements In Place, 2 - Pending HTM Host Org Length HTM Host Org Length Bassett Army Community Hospital (US Army) 09/12 Eastern Aleutian Tribes 10/12 Aleutian Pribilof Islands Assoc 09/12 Maniilaq Health Association 10/12 ANMC Cardiology Dept 09/12 Copper River Native Assoc 10/12 Kenai - Dena'ina Health Clinic 09/12 Seldovia Village Tribal Clinic 4/13 SEARHC 09/12 3 rd Medical Group (USAF) 4/13 Metlakatla 09/12 Norton Sound Health Corp. 4/13 South Central Foundation 10/12 Bristol Bay Area Health Corp Pending Ninilchik 10/12 Tanana Tribal Council Pending Mt Sanford Tribal Consortium 10/12 What is Provided by AFHCP Equipment; ViTelCare Turtle 400 s with Peripherals 1 (800) Telephone Service for Sending Data 24/7 Call Center Services Data Analyses and Reporting Program Management Funding Advocacy Self-Sustainment Planning
8 Big Difference 24/7 Care Center (CST-LTL) Extremely valuable That which gets monitored, gets managed Health Organizations Benefit 24/7 Care Center pushes data to providers on per patient basis 24/7 Care Center -- 1st level of Triage for out-of parameter readings Less time spent on tracking Patient data and more time in managing patient performance actual and predictive analysis Filtered escalation -- Hierarchal notification trees work best The Patients benefit Regular feedback and interaction with education Cause and effect reinforcement Confidence knowing that vitals are monitored 100% of the time Huge Advantage - 24/7-365 Monitoring Monitors data/ health assessments 100% of time Checks on patients / encourages sending of data Tracks patient trends / sends reports to providers Culturally sensitive and appropriate contacts Empowers patient self-management Immediate Feedback Provides patient education - Cause and Effect Enhances program satisfaction and simplifies relationships Troubleshoots equipment / Creates Service Tickets
9 Communications Flow Diagram VitelCare Turtle 400
10 ViTelCare Turtle 400: Home Messaging Unit 8 Color touch screen with ICONS Voice and visual prompts Supports 4 medical devices simultaneously Optional manual entry screen Weighs 2.3 lbs Health assessment questions Integrated educational prompts Operates on Wired Phone & Broadbandand Documented Actual Return on Investment Category ANMC Patient A (CHF) ANMC Patient B (CHF) ANMC Patient C (Diabetic-CHF+) Pre-HTM Post-HTM Pre-HTM Post-HTM Pre-HTM Post-HTM # Medevacs Hospitalization (53days) 0 Emergency Room Clinic Visits Appointment No-Shows UKN 0 ANMC Costs $249,420 $15,826 $119,804 $7,258 $307,558 $433 HTM (1x) + 24/7/yr $0 $2,380 $0 $2,380 $0 $2,380 Total Costs $249,420 $18,206 $119,804 $9,638 $307,558 $2,813 Cost before HTM Cost after HTM Costs Avoided ROI $676,782 $30,657 $646,125 2,107%
11 Patient Population Outcomes Patient Centered Self-Care : Compliance with Provider Instructions Increased Disease Knowledge and Self-Care Positive Reinforcement Improved Laboratory Results: HgbA1C: Sustain levels within Parameters Improved Vital Signs Obtained Patient Specific Provider Set Parameters Actual Patient Outcomes -- Pulse Down = Good
12 230 Actual Patient Outcomes -- Weight Down = Good Weight Linear (Weight) 300 Actual Patient Outcomes -- Glucose Down = Better Axis Title Good 50 0 Jul-08 Aug- 08 Sep-08 Oct-08 Nov- 08 Dec-08 Jan-09 Feb-09Mar-09 Apr-09 May- 09 Jun-09 Jul-09 Aug- 09 Sep-09 Oct-09 Nov- 09 Glucose Linear (Glucose)
13 160 Actual Patient Outcomes - Blood Pressure Diastolic Systolic Medication is working Systolic Diastolic Linear (Systolic ) Linear (Diastolic) Kenai Population Daily Glucose Average 400 Average Down = Good Linear (Average) 15 PN Group Ave - 8 pts over last 480 days
14 Glucose and HbgA1C Down 0.7pts Down 15 pts Glucose 11/3/ /23/ /13/2009 1/2/2010 1/22/2010 2/11/2010 3/3/2010 3/23/2010 A1C Glucose A1C Linear (Glucose) Linear (A1C) Actual Patient Outcomes -- Glucose 8/1/2009 9/1/ /1/ /1/ /1/2009 1/1/2010 Down = Good -79 Points Glucose Linear
15 Actual Patient Outcomes -- Weight Down = Good Down 18 Lbs over 6 months (3lbs/mo. ave.) 8/1/2009 9/1/ /1/ /1/ /1/2009 1/1/2010 Weight Linear (Weight) Actual Patient Outcomes -- Blood Pressure Systolic Diastolic 8/1/2009 9/1/ /1/ /1/ /1/2009 1/1/2010 Systolic Diastolic Linear (Systolic) Linear (Diastolic)
16 Weight Within 3 months from starting the HTM program patient s weight was within set parameters Weight Linear (Weight) Why Use HTM? Better Patient Data more Often Enables Trend Based Analysis & Preventative Intervention Helps Prevent Chronic Conditions from becoming Acute Avoids Medevac Situations, ER Visits Helps Avoid Hospitalizations and Readmissions Avoids Routine Clinic Visits just to take Vital Signs Improves Patient Outcomes; Improves Self Care Enables Patient Education & Lifestyle Changes Better Patient Compliance with Provider Instructions Reduced Provider Burden; Call Ctr Monitors Patients 24/7 Reduced Patient Burden; Fewer Medical Appointments Better Quality of Life; Feel Better and More in Control
17 Challenges Keeping up with Service Tickets Commitments to grow to over 280 Turtles by summer 120 units w/15% inop. 18 units (includes 4 new) Ave downtime; days, oldest 259 Sand Point Solution is: Near-term: Recall Out of Service Units and Replace with new Long-term: Need man-hours to make connection with clients after hours (6 pm - 9 pm) Challenges Coding and Billing Provider Involvement 24/7 Call Center Program Management Clinical Analyses Equipment Travel Data Hosting
18 Challenges Data Analyses Baseline Data required to assess HTM benefit Baseline data is being received on all patients Data up-load in progress then we ll analyze it Solution is: Near-term: Recruit temporary help from Partners Long-term: Need man-hours to keep up with the need for data loading, analyses and reporting Conclusions Operational Now Positive Results Massive ROI Improved Outcomes Benefits Providers Patients Questions Dave or dtpeters@anthc.org
19 AFHCP Recognitions National Indian Health Board Award for Regional Impact (2009) Disease Management Association Award for Outstanding Government Program (2008) Published in Journal of Native Aging and Health (2008) Best Practices Awd: National Indian Council on Aging (2007) AstraZenca Partnerships In Government Award (2003) Published in Veterans Health Journal (1999) US Dept of HHS Secretary s Award (1998) Published twice in US Medicine (1997) VP Gore s Hammer Award - Reinventing Government (1997) Dr. Kizer s Strategic Alliance Award (1997) Federal Employee Team of the Year Award (1997) David T. Peters, Senior PM Program (907) , dtpeters@anthc.org Alaska Federal Heath Care Partnership 1919 Bragaw St Anchorage AK (907) fax
Alaska Native Tribal Health Consortium Rural Aftercare Program
Alaska Native Tribal Health Consortium Rural Aftercare Program Expanding Aftercare Services in Rural Alaska Presented by: Cory Magro, LCSW, ANTHC Rural Aftercare Coordinator at ANMC and Lindsay Henkelman,
Alaska Psychiatric Institute. Admissions & Demographic Annual Report
Alaska Psychiatric Institute Admissions & Demographic Annual Report (As of 8/2/27) 1 Total Admissions FY, FY4, FY, FY, FY7 18 1 Number Of 14 12 1 8 FY FY4 FY FY FY7 4 2 FY Admissions - 1,227 FY Admisions
CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.
PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected
Overcoming Psycho-Social Hurdles to Transitional Care
Overcoming Psycho-Social Hurdles to Transitional Care Matt Eisenhower Director, Community Health Development Peter Rice, M.D. Medical Director Overcoming Psycho-Social Hurdles to Transitional Care This
Improving Patient Care through Remote Patient Monitoring
Improving Patient Care through Remote Patient Monitoring A Collaborative Approach Between Olmsted Medical Center Rochester, MN and The Evangelical Lutheran Good Samaritan Society LivingWell@Home Sioux
Quality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
Advancing Popula/on Health and Consumerism
Advancing Popula/on Health and Consumerism 44,954 Senior Enrollees 274,345 Commercial Enrollees 66,070 Commercial ACO Members Popula/on Health Risk Stra/fica/on: Keep Pa/ents Healthy, Happy & at Home Tier
Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc.
Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc. October 13-15, 15, 2010 Scottsdale, AZ Kaiser Permanente of the Mid-Atlantic States (KPMAS) 1 KPMAS Medical Group Profile
Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
Managing Risk Through Population Health Initiatives
Managing Risk Through Health Initiatives Vicki DeBaca, DNS, RN Vice President, Health & Provider Services Sharp Rees-Stealy Medical Centers 1 Sharp Rees-Stealy Medical Centers San Diego s Multi-Specialty
Instructions and Background on Using the Telehealth ROI Estimator
Instructions and Background on Using the Telehealth ROI Estimator Introduction: Costs and Benefits How do investments in remote patient monitoring (RPM) devices affect the bottom line? The telehealth ROI
HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017
HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 Nebraska Medicine $1.2 billion academic health system 8,000 employees More than 1,000 affiliated physicians Primary
Overview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy
Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital
Heart Failure Order Sets. Standardizing Care for the Heart Failure Patient 2012
Heart Failure Order Sets Standardizing Care for the Heart Failure Patient 2012 Objectives: Standardize care for all heart failure patients in Legacy Base Practice on American Heart Association Guidelines
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
CMS State Health Official Letter # Federal Medicaid Funding Received Through IHS and Tribally-operated health programs
CMS State Health Official Letter #16-002 Federal Medicaid Funding Received Through IHS and Tribally-operated health programs Jim Roberts, Senior Executive Inter-Governmental Affairs Alaska Native Tribal
CHF Readmission Initiative. Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana
CHF Readmission Initiative Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana St. Vincent 86 th Street Campus Heart Failure Program History
Aurora will expand its geographic coverage within Wisconsin to achieve its mission to: Aurora Health Care 1991 Strategic Plan
Objectives To describe the 20-year evolution of Aurora Medical Group within Aurora Health Care To identify the cultural characteristics necessary to improve patient access from the patient s perspective
Implementing Medicaid Behavioral Health Reform in New York
Redesign Medicaid in New York State Implementing Medicaid Behavioral Health Reform in New York HIV Health and Human Services Planning Council of New York March 19, 2014 Agenda Goals Timeline BH Benefit
LOW INCOME HEALTH PROGRAM EVALUATION CONVENING MEETING: HEALTHPAC QI INITIATIVES KATHLEEN CLANON, MD HEALTH PAC MEDICAL DIRECTOR
LOW INCOME HEALTH PROGRAM EVALUATION CONVENING MEETING: HEALTHPAC QI INITIATIVES KATHLEEN CLANON, MD HEALTH PAC MEDICAL DIRECTOR May 9, 2013 HealthPAC Provider Network Approximately 90,000 enrollees: includes
Opportunities to Leverage Telehealth Within Your ACO Strategy
Opportunities to Leverage Telehealth Within Your ACO Strategy Shawn Valenta RRT, MHA Administrator of Telehealth Center for Telehealth Phillip Warr, MD Interim Chief Medical Officer Case Management and
Tunstall telehealth solutions
solutions sheet Tunstall telehealth solutions The combination of Tunstall RTX3370 and RTX3371 telehealth monitors and CSO/Telehealth TM software provides an extremely well designed and flexible solution
Case Study: Cass Regional Medical Center
Case Study: Cass Regional Medical Center CASS REGIONAL MEDICAL CENTER, A COUNTY HOSPITAL SERVING BOTH SUBURBAN AND RURAL COMMUNITIES, PURCHASED A NEW NURSE CALL PLATFORM TO SUPPORT THEIR GOALS TO IMPROVE
Improve the Efficiency and Service of the Emergency Room at North Side Hospital
Improve the Efficiency and Service of the Emergency Room at North Side Hospital John Melton, VP and CEO Washington County Operations meltonjw@msha.com Kerry Vermillion, CFO Washington County Operations
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
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department
Combining Nursing Power and Quality Metrics to Influence Policy Development
Combining Nursing Power and Quality Metrics to Influence Policy Development Patricia Nevins, MSN/Ed, RN, FANAI Baylor Scott and White Hospital Patient Advisory Nursing Department Objectives Analyze financial
Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):
Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
PSYCHIATRY SERVICES UPDATE
PSYCHIATRY SERVICES UPDATE Mark Leary MD, Interim Chief Kathy Ballou RN, Director of Nursing Anton Nigusse Bland MD, PES Medical Director Emily Lee MD, Inpatient Psychiatry Medical Director TRUE NORTH
The TeleHealth Model THE TELEHEALTH SOLUTION
The Model 1 CareCycle Solutions The Solution Calendar Year 2011 Data Company Overview CareCycle Solutions (CCS) specializes in managing the needs of chronically ill patients through the use of Interventional
MEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN INDIANS & ALASKA NATIVES
American Indian & Alaska Native Data Project of the Centers for Medicare and Medicaid Services Tribal Technical Advisory Group MEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN
Maimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology
Maimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology Healthcare Information and Management Systems Society Electronic Poster Session CPR System Planning The
4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional
Alaska Tribal Health System. Tribal Long Term Care Service Development Plan
Alaska Tribal Health System Tribal Long Term Care Service Development Plan Report produced and published by ANTHC under the guidance of the Alaska Tribal Health System s: Alaska Native Health Board Association
Readmission Reduction: Patient Interviews. KHA Quality Conference March, 2018
Readmission Reduction: Patient Interviews KHA Quality Conference March, 2018 Initial Driver Diagram Use Data and Root Cause Analysis to drive Continuous Improvement Analyze data to inform targeting approach
Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT)
Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT) Dr. Jose Cadena Dr. Amruta Parekh University of Texas Health Science Center at San Antonio San Antonio,
Key Performance Indicators
Regional Nephrology System (RNS) Chronic Disease Prevention and Management Key Performance Indicators 8/9 Fiscal Year End Report Version: 1. Date published: April 7th, 9 Created by: Ethel Doyle: RNS Interim
Tina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN
Establishing a Conservative Approach to the Prevention of Pressure Ulcers with the Utilization of Data Analytics to Monitor Effectiveness of Quality Efforts and Best Practice Models Tina Nelson, MBA, BSN
Integrating Community and Primary Care: the eyes and ears of general practice
re Integrating Community and Primary Care: the eyes and ears of general practice Context and Evidence Increasing numbers of people over 65 with chronic conditions being managed in primary care. Acute exacerbations
meaningful reality Katie Coleman, MSPH
Patient-centered care - from buzz word to meaningful reality Katie Coleman, MSPH David K. McCulloch MD Current Health Care System T diti ll thi i th l Traditionally, this is the only part of the health
Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ. A Catholic healthcare ministry serving Ohio and Kentucky
Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ A Catholic healthcare ministry serving Ohio and Kentucky 1 Mission, Values and Promise Our Mission We extend the healing ministry of Jesus by improving
A Bridge Back Home: Care Transition Coaching for the Post-Acute Heart Failure Patient. February 8, 2018
A Bridge Back Home: Care Transition Coaching for the Post-Acute Heart Failure Patient February 8, 2018 3 Partners in Care (Partners) A Mission-Driven Organization Our Mission Partners shapes the evolving
Henry Ford Medical Group
Henry Ford Medical Group Radical Convenience: A New Wave of Patient Care Presented by: Diane George, DO HFMG Associate Chief Medical Officer Thomas S. Nantais HFMG Chief Operating Officer The Henry Ford
Transforming Care Delivery: Redesigning Case Management and Primary Care Roles in Population Health Management
Transforming Care Delivery: Redesigning Case Management and Primary Care Roles in Population Health Management PCPCC June 26, 2014 Karen Jones MD FACP VP, Chief Medical Officer, WMG Laurie Brown BSN, MBA
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE
IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE GTA Rehab Network Charissa Levy, Sharon Ocampo-Chan, Donna Renzetti October 2016
Data Worksheet: Tele Behavioral Health Utilization / Veterans Services
Department of Health and Social Services DIVISION OF BEHAVIORAL HEALTH Director s Office 3601 C Street, Suite 878 Anchorage, Alaska 99503-5924 Main: 907.269.3600 Toll Free: 800.770.3930 Fax: 907.269.3623
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Morgan Pendleton, PharmD, BCOP Hematology/Oncology Clinical Pharmacist Wake Forest Baptist Health Objectives Evaluate the need
Journey in managing practice variation in Diabetes and Hypertension (Part 2/2)
Journey in managing practice variation in Diabetes and Hypertension (Part 2/2) For Part 1 of this presentation, go to http://rightcare.berkeley.edu/sacramento-university-of-best-practices Parag Agnihotri,
Tell Your Story with a Well- Designed Data Plan. Jackie McFarlin, RN, MPH,MSN, CIC VA North Texas Health Care System
Tell Your Story with a Well- Designed Data Plan Jackie McFarlin, RN, MPH,MSN, CIC VA North Texas Health Care System Purposes of Presentation Describe the elements of a well designed data plan Guidelines
Colorado Medical-Dental Integration Project (CO MDI)
Colorado Medical-Dental Integration Project (CO MDI) Allison Cusick, MPA, CHES National Oral Health Conference April 2016 Colorado Medical-Dental Integration CO MDI Five-Year Initiative Launched in 2014
Three C s of Change in the Value-Based Economy: Competency, Culture and Compensation. April 4, :45 5:00 pm
Three C s of Change in the Value-Based Economy: Competency, Culture and Compensation April 4, 2014 3:45 5:00 pm 1 Introduction Kevin McCune, MD Chief Medical Officer Advocate Medical Group Peg Stone Vice
Julie Kelley, MSW, MPH Program Chief, Mental Heath/Psychiatry Contra Costa Regional Medical Center Martinez, CA
Julie Kelley, MSW, MPH Program Chief, Mental Heath/Psychiatry Contra Costa Regional Medical Center Martinez, CA Patients and Families as Care Partners April 20, 2011 Little about us Contra Costa Regional
Improving Care, Delivering Quality Reducing mortality & harm in Welsh Ambulance Services NHS Trust
National Learning Session - 10 th June 2011 Improving Care, Delivering Quality Reducing mortality & harm in Insert name of presentation on Master Slide Reducing Mortality & Harm in the Welsh Ambulance
kaiser medicaid and the uninsured commission on O L I C Y
P O L I C Y B R I E F kaiser commission on medicaid and the uninsured 1330 G S T R E E T NW, W A S H I N G T O N, DC 20005 P H O N E: (202) 347-5270, F A X: ( 202) 347-5274 W E B S I T E: W W W. K F F.
Peraproposal for EWG Task
Peraproposal for EWG Task Attracting Hi Growth SMEs to National Programmes Andy Jones, Pera July 2014 Contents 1. Proposal to Taftie EWG 2. Hypothesis to research 3. Stakeholder benefits 4. Draft project
1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN
Better Health and Lower Costs for Patients With Complex Needs
Better Health and Lower Costs for Patients With Complex Needs An IHI Triple Aim Collaborative Informational Call May 12, 2015 Faculty on Informational Call Today Cory Sevin IHI Director Catherine Craig
Improving Clinical Outcomes The Case for Electronic ED Door to EKG Time Monitoring
Improving Clinical Outcomes The Case for Electronic ED Door to EKG Time Monitoring 2014 Distinguished Achievement Award for Clinical Excellence TM Competition October 22, 2014 St. Dominic-Jackson Memorial
Association of Alaska Community Health Aide Program Directors Meeting Minutes December 18-19, 2008 Anchorage, AK
Association of Alaska Community Health Aide Program Directors Meeting Minutes December 18-19, 2008 Anchorage, AK A A C H A P D A p p r o v e d 5 / 1 4 / 2 0 0 9 Guests/Organization Torie Heart ANTHC- Director
Reaching Mississippians Through Telehealth
Office of the Governor Mississippi Division of Medicaid Spotlight on Specialty Populations: Reaching Mississippians Through Telehealth Fall 2014 National Association of Medicaid Directors (NAMD) Conference
PELOTON SCREENING SERVICES
Hearing Screening PELOTON SCREENING SERVICES PROVEN. COST-EFFECTIVE. BABY-CENTRIC. www.natus.com WHY WE SCREEN Since early detection of hearing loss is essential for achieving optimal language, learning,
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
Laguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017
Laguna Honda Lean Transformation Laguna Honda Strategic Performance Management November 2017 Background MAKE IT BETTER 4. 1. Performance Improvement FIX IT Do the work and make it happen 3. Create best
Medicaid HCBS/FE Home Telehealth Pilot Final Report for Study Years 1-3 (September 2007 June 2010)
Medicaid HCBS/FE Home Telehealth Pilot Final Report for Study Years 1-3 (September 2007 June 2010) Completed November 30, 2010 Ryan Spaulding, PhD Director Gordon Alloway Research Associate Center for
Behavioral Health Division JPS Health Network
Behavioral Health Division JPS Health Network Macro Trends 1 in 5 Adults in America experience a mental illness Diversion of Behavioral Health patients from jail Federal Prisons Mental Illness State Prison
C.O.R.E. MISSION STATEMENT
C.O.R.E. MISSION STATEMENT Comprehensive Opiate Recovery Experience RECOVERY WITH RESPECT Improving the lives of individuals through comprehensive opiate replacement services C.O.R.E. MEDICAL CLINIC IS
Monthly and Quarterly Activity Returns Statistics Consultation
Monthly and Quarterly Activity Returns Statistics Consultation Monthly and Quarterly Activity Returns Statistics Consultation Version number: 1 First published: 08/02/2018 Prepared by: Classification:
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings
Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings May 11, 2009 Avalere Health LLC Avalere Health LLC The intersection
2ab and 3cd. BTS Topic Selection:
2ab and 3cd. BTS Topic Selection: Meet Your Colleagues PG Pg. 3 Topic Selection Objectives By the end of this session you should be able to: List the reasons that topic selection is a critical factor in
Compliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
Washington State LTSS System, History and Vision
Washington State LTSS System, History and Vision Bea Rector, Director, Home and Services Aging and Long Term Support Administration Washington State Department of Social and Health Services For Northwest
Transforming Healthcare Delivery, the Challenges for Behavioral Health
Transforming Healthcare Delivery, the Challenges for Behavioral Health Presented by: M.T.M. Services, LLC P. O. Box 1027, Holly Springs, NC 27540 Phone: 919-434-3709 Fax: 919-773-8141 E-mail: mtmserve@aol.com
HIDD 101 HOSPITAL INPATIENT AND DISCHARGE DATA IN NEW MEXICO
HIDD 101 HOSPITAL INPATIENT AND DISCHARGE DATA IN NEW MEXICO Health Information System Act (24-14A-1, et seq. NMSA 1978) Provides authority for the Department of Health to collect health data. NMDOH had
diabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
SENTARA HEALTHCARE. Norfolk, VA
SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding
Executive Director s Report
Executive Director s Report Peter V. Lee Executive Director California Health Benefit Exchange Board Meeting December 18, 2012 Covered California Board Calendar 2013 Month / Date January 17 February 21
From Big Data to Big Knowledge Optimizing Medication Management
From Big Data to Big Knowledge Optimizing Medication Management Session 157, March 7, 2018 Dave Webster, RPh MSBA, Associate Director of Pharmacy Operations, URMC Strong Maria Schutt, EdD, Director Education
Discharge and Follow-Up Planning. Presented by the Clinical and Quality Team
Discharge and Follow-Up Planning Presented by the Clinical and Quality Team After today s training you will be able to: Identify and summarize important information about discharge planning Have adequate
Integrated Care Collaboration between Somerset Care Yeovil District Hospital. Oct 2015-present
Integrated Care Collaboration between Somerset Care Yeovil District Hospital Oct 2015-present Outline Introduction YDH/Somerset Care collaboration Care Hotels in NL Outline Introduction YDH/Somerset Care
Change Management at Orbost Regional Health
Change Management at Orbost Regional Health Our change management journey 1 Medication Change System Meds at Beds 2 The slightly exaggerated before process 3 Project Goals The purpose of the Meds at Beds
Patient-centered care - from buzz word to meaningful reality. Current Health Care System
Patient-centered care - from buzz word to meaningful reality Katie Coleman, MSPH David K. McCulloch MD Current Health Care System Traditionally, this is the only part of the health care system that is
Presbyterian Healthcare Services Care Management
Presbyterian Healthcare Services Care Management Kathy M. Garcia RN, BSN Director of Nursing, Primary Care Service Line November 2012 Future Healthcare Challenges Increasing number of patients Decreasing
Status of Implementing Legislation Regarding the Eastern Band of Cherokee Indians
Status of Implementing Legislation Regarding the Eastern Band of Cherokee Indians Session Law 2015 241, Section 12C.10.(h) Report to The Joint Legislative Oversight Committee on Health and Human Services
Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral)
Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral) Eileen Sacco MSN, RN, CNRN, ONC
Identifying Errors: A Case for Medication Reconciliation Technicians
Organization: Solution Title: Calvert Memorial Hospital Identifying Errors: A Case for Medication Reconciliation Technicians Program/Project Description and Goals: What was the problem to be solved? To
Webinar Control Panel
Clear Communications Through Dashboard Reports 1 2012 Community Action Program Legal Services, Inc. Webinar Control Panel Raise your hand to ask a question Only enabled if you have entered your Audio Pin!
The Minnesota Statewide Quality Reporting and Measurement System (SQRMS)
The Minnesota Statewide Quality Reporting and Measurement System (SQRMS) Denise McCabe Quality Reform Implementation Supervisor Health Economics Program June 22, 2015 Overview Context Objectives and goals
The SOMC Employee Wellness Program
The SOMC Employee Wellness Program A Focus on Results Not Participation Pike County Health Coalition Julie Thornsberry, RN, BSN Manager Employee Health & Wellness What are today s objectives? Identify
Innovative Ways of Achieving The Triple Aim: Lessons from a Rural Community Health System
Innovative Ways of Achieving The Triple Aim: Lessons from a Rural Community Health System Roxanne Elliott, MS Policy Director FirstHealth of the Carolinas Goals For Today Review scope of project Integrate
60 Minutes for Docs: Preparing Psychiatrists for Health Reform
60 Minutes for Docs: Preparing Psychiatrists for Health Reform John S. Kern MD Senior Medical Consultant, MTM Services Chief Medical Officer Regional Mental Health Center Merrillville, IN June 19, 2013
Heartland Security 2007 Conference & Exhibition SBIR/STTR Betsy Lulfs Program Director
Heartland Security 2007 Conference & Exhibition SBIR/STTR Betsy Lulfs Program Director Know the Process Know the People Dr. Bill Coggin Participating Agencies SBIR/STTR SBIR DOD HHS NASA DOE NSF USDA DOC
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
Managing Patients with Multiple Chronic Conditions
Managing Patients with Multiple Chronic Conditions Sponsored by AMGA and Merck & Co., Inc. 1 Group Pre-work Affinity Medical Group Heart, Lung & Vascular Center COURAGE Clinic 2 Medical Group Profile Affinity
Christi McCarren, SVP, Retail Health & Community Based Care Lynnell Hornbeck, Manager, Home Health
Christi McCarren, SVP, Retail Health & Community Based Care Lynnell Hornbeck, Manager, Home Health Webinar: Northwest Regional Telehealth Resource Center October 27, 2016 1 MultiCare Health System MultiCare
THE BRIDGE MODEL. Walter Rosenberg, MSW, LCSW Manager of Transitional Care Rush University Medical Center Health and Aging
THE BRIDGE MODEL Walter Rosenberg, MSW, LCSW Manager of Transitional Care Rush University Medical Center Health and Aging "If patient engagement were a drug, it would be the blockbuster drug of the century,
Expanding Access to Financing & Telehealth for Rural Health Care Providers: Washington State
Expanding Access to Financing & Telehealth for Rural Health Care Providers: Washington State September 13, 2016 in Olympia, Washington September 15, 2016 in Cheney, Washington Leila Samy, MPH Rural Health
Strategic Plan Key Strategies FY 2015 FY 2019
Strategic Plan Key Strategies FY 2015 FY 2019 South Peninsula Hospital Homer, Alaska SPH Strategic Plan Key Strategies FY 2015 2019 Page 1 of 13 TABLE OF ABBREVIATION ACA ACO ADC ALOS ANMC ANTHC ASHNHA