National Primary Care Extension Program in the United States: A Learning Network
|
|
- Charla Hicks
- 5 years ago
- Views:
Transcription
1 National Primary Care Extension Program in the United States: A Learning Network International Forum on Quality & Safety in Healthcare 2015, London England April 2015 Robert A. Gabbay, MD, PhD, FACP Joslin Diabetes Center, Harvard Medical School; Boston, MA Alan M. Adelman, MD, MS Penn State University College of Medicine; Hershey, PA
2 Disclosures The speakers have no disclosures.
3 Learning Objectives 1. Identify features of a national learning network that can be utilized to spread and disseminate best practices among primary care practices. 2. Identify services that a Primary Care Extension Program can offer to help improve primary care.
4 Background PA SPREAD (Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure) funded by the Agency for Healthcare Research and Quality (AHRQ) in 2012 for an IMPaCT award Infrastructure for Maintaining Primary Care Transformation Via Patient Protection and Affordable Care Act, Most significant health care overhaul since the implementation of Medicare and Medicaid in GOAL: develop infrastructure for supporting/spreading primary care transformation Create a Primary Care Extension Program (PCEP)
5 Model for National Primary Care Extension Program Based on the Agricultural Cooperative Extension Model Most successful innovation spread program in U.S Collaboration of federal, state, county governments, land grant universities Helped famers adopt best practices Network of local change agents
6 National Primary Care Extension Program Establish state hubs and local primary care extension agents (practice facilitation) Community based services but central administration Fundamentally an organized mechanism to spread new care models and innovations One size may not fit all Learning collaboratives Convener Shared resources Community health workers Tension between focus on primary care social determinant health
7 ACA: Sec Primary Care Extension Programs (PCEPs) PCEP shall provide support and assistance to primary care providers to educate providers about preventive medicine, health promotion, chronic disease management, mental and behavioral health services (including substance abuse prevention and treatment services), and evidence-based and evidence-informed therapies and techniques, in order to enable providers to incorporate such matters into their practice and to improve community health by working with community-based health connectors
8 National Primary Care Extension Program (PCEP)
9 The Chronic Care Model Community Resources and Policies Self- Management Support Health System Health Care Organization Delivery System Design Decision Support Clinical Info Systems Informed and Activated Patient Productive Interactions Prepared and Proactive Practice Team Improved Outcomes
10 The Medical Home
11 Transformation/Paradigm Shift Population Management - shift from treating one patient at a time to managing populations of patients Continuum of care - shift from defining a single medical encounter as a complete entity to viewing it as one point on a continuum of care Team-based care - shift from the physician providing care alone to coordinated, physician-led interprofessional team care.
12 Methods of Transformation Data review Practice facilitation Learning collaboratives
13 What do Providers Want from a PCEP- Survey Results Top 5 Rated Services 1. Identifying and coordinating referrals to mental health services. 2. Improving office efficiency (workflow). 3. Increasing overall revenues. 4. Strategies to help Implement evidence-based clinical guidelines. 5. Helping patients set self-management goals. Parisi LM, Gabbay RA. What Providers Want From the Primary Care Extension Service to Facilitate Practice Transformation. Fam Med (in press).
14 Provider Survey Results Bottom 5 Rated Services 1. Implementing e-prescribing. 2. Implementing an electronic medical record (EMR) system. 3. Implementing group visits. 4. Recruiting new patients (marketing). 5. Implementing open or advanced access scheduling. Parisi LM, Gabbay RA. What Providers Want From the Primary Care Extension Service to Facilitate Practice Transformation. Fam Med (in press).
15 Provider Survey Results 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Time Spend Monthly on QI Time Willing to Spend Monthly on QI Missing >10 Hours 0% Time Now Time Willing Parisi LM, Gabbay RA. What Providers Want From the Primary Care Extension Service to Facilitate Practice Transformation. Fam Med (in press). 556 responses at least 1 response from every county in the state 5 to 10 Hours 3 to 5 Hours 1 to 2 Hours None
16 General Contractor Model
17 PCEP is Not One Size Fits All Based on REGIONAL and COMMUNITY needs; tailored Social Determinants of Health QI Coordination COOPERATIVE EXTENSION Share Resources/ Best Practices/ Communication Lines Data Monitoring Patient-Centered Medical Home IMPROVING PRIMARY CARE INFRASTRUCTURE
18 Developmental Model
19 Health Extension Toolkit Created by the University of New Mexico and network of PCEP Literature, modules, videos, etc.
20 Conclusion
21 In Conclusion Primary care practices often need technical assistance to transform A Primary Care Extension Program (PCEP) can provide a valuable role to convene local and regional resources to improve care
22 Questions? Thank You! Resources:
History of Pennsylvania s Chronic Care Initiative
History of Pennsylvania s Chronic Care Initiative Pennsylvania Chronic Care Burden In 2007, government and healthcare leaders in Pennsylvania were reaching a growing consensus that some form of action
More informationNew Models of Care: Diabetes and the Triple Aim
Robert Gabbay MD, PhD, FACP Chief Medical Officer Joslin Diabetes Center Harvard Medical School Boston, MA The Triple Aim New Models of Care: Diabetes and the Triple Aim Healthcare is changing, what does
More informationPRIMARY CARE EXTENSION PROGRAM for ILLINOIS: History and Vision. Margaret Gadon MD MPH
PRIMARY CARE EXTENSION PROGRAM for ILLINOIS: History and Vision. Margaret Gadon MD MPH Implementing system change is never easy. But with the lack of value in the current healthcare system, change is essential.
More informationPrescription for Pennsylvania The Pennsylvania Multi-Payer Statewide Medical Home Model
Prescription for Pennsylvania The Pennsylvania Multi-Payer Statewide Medical Home Model Robert Gabbay MD, PhD Director, Penn State Institute for Diabetes and Obesity Professor of Medicine Penn State College
More informationIMPACT OF NEW HEALTH LAW ON SENIORS. Sue Jensen PhD, RN, CCM
IMPACT OF NEW HEALTH LAW ON SENIORS Sue Jensen PhD, RN, CCM OBJECTIVES Identify the changes in the ACA Health Law which directly impacts senior citizens Identify specific changes in ACA related to Medicare
More informationFrom Health Literacy Evidence and Tools to Patient Understanding, and Navigation: The Imperative to Take Action to Improve Health Care Outcomes
From Health Literacy Evidence and Tools to Patient Understanding, and Navigation: The Imperative to Take Action to Improve Health Care Outcomes Cindy Brach Center for Delivery, Organization, and Markets
More informationLeveraging Shared Decision Making to Manage Population Health Partners HealthCare s Lessons Learned Gloria Stone Plottel, MS, MBA, Founder and CEO,
Leveraging Shared Decision Making to Manage Population Health Partners HealthCare s Lessons Learned Gloria Stone Plottel, MS, MBA, Founder and CEO, GSPsquared LLC Adam Licurse, MD, MHS, Associate Medical
More informationIntegrating Opiate Agonist Treatment in Primary Care and Mental Health Settings: a clinical model
Integrating Opiate Agonist Treatment in Primary Care and Mental Health Settings: a clinical model Matt Tierney, NP Director, Office based Buprenorphine Induction Clinic (OBIC) UCSF & San Francisco Department
More informationMedicaid 101: The Basics for Homeless Advocates
Medicaid 101: The Basics for Homeless Advocates July 29, 2014 The Source for Housing Solutions Peggy Bailey CSH Senior Policy Advisor Getting Started Things to Remember: Medicaid Agency 1. Medicaid is
More informationSUMMARY OF THE STATE GRANT OPPORTUNITIES IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT: H.R (May 24, 2010)
National Conference of State Legislatures 444 North Capitol Street, N.W., Suite 515 Washington, D.C. 20001 SUMMARY OF THE STATE GRANT OPPORTUNITIES IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT: H.R.
More informationHealth System Transformation Overview of Health Systems Transformation in New York State. July 23, 2015
Health System Transformation Overview of Health Systems Transformation in New York State July 23, 2015 2 The Vision Healthier New Yorkers (population health) Lower costs Engaged consumers Systems, programs,
More informationM4: Primary Care Teams: Learning from Effective Ambulatory Practices
M4: Primary Care Teams: Learning from Effective Ambulatory Practices Ed Wagner, MD, MPH, FACP, Director Emeritus, MacColl Center for Health Care Innovation Margaret Flinter, PhD, Senior Vice President
More informationOFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN
OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN ISSUE DATE EFFECTIVE DATE: NUMBER: SUBJECT: Clarification of Policies Regarding the Authorization and Delivery of Behavioral Health Rehabilitation
More informationPUTTING TOGETHER A PRESSURE ULCER PREVENTION TOOLKIT FOR AHRQ
PUTTING TOGETHER A PRESSURE ULCER PREVENTION TOOLKIT FOR AHRQ Dan Berlowitz, MD, MPH Center for Health Quality, Outcomes and Economic Research; Bedford VA. Boston University School of Public Health Knowing
More informationMassachusetts Coalition for Serious Illness Care Committee - As of December 2016
Massachusetts Coalition for Serious Illness Care Committee - As of December 2016 Alzheimer's Association, Massachusetts/New Hampshire Chapter American Cancer Society and the ACS Cancer Action Network American
More informationNicole Harmon, MBA, PCMH CCE Senior Director, PCMH Advisory Services HANYS Solutions Patient-Centered Medical
Nicole Harmon, MBA, PCMH CCE Senior Director, PCMH Advisory Services 2015 HANYS Solutions Patient-Centered Medical Home Advisory Services Objectives After today s presentation, you will Understand how
More informationPatient-Centered Medical Home (PCMH) & Patient-Centered Specialty Practice (PCSP)
Patient-Centered Medical Home (PCMH) & Patient-Centered Specialty Practice (PCSP) Foundation for a Better Health Care System Presenter Jeanette Ikan, M.D., MHAI Objectives: Definition and benefits of PCMH,
More informationSustaining a Patient Centered Medical Home Program
Sustaining a Patient Centered Medical Home Program Partners Healthcare, Center for Population Health Colleen Blanchette Keri Sperry Terry Wilson-Malam Learning Objectives After this presentation, you will
More informationPassport Advantage (HMO SNP) Model of Care Training (Providers)
Passport Advantage (HMO SNP) Model of Care Training (Providers) 2018 Passport Advantage (HMO SNP) is an HMO Special Needs plan with a Medicare contract and an agreement with the Kentucky Department for
More informationYour partner in quality and patient safety. Center for Quality. Improvement. SHM s
SHM s Center for Quality Improvement Your partner in quality and patient safety. Your People. Your Network. Your Society. Empowering hospitalists. Transforming patient care. The Society of Hospital Medicine
More informationCreating the Collaborative Care Team
Creating the Collaborative Care Team Social Innovation Fund July 10, 2013 Social Innovation Fund Corporation for National & Community Service Federal Funder The John A. Hartford Foundation Philanthropic
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 informationIntegrating Universal Precautions: Results from the Health Literacy Practice Improvement Program
Integrating Universal Precautions: Results from the Health Literacy Practice Improvement Program Stan Hudson 1 Steven Rush 2 Ioana Staiculescu 1 John Gorham 3 Karen Edison 1 1 University of Missouri 2
More informationIs the source of health coverage for: Almost one in five of Californians under age 65; One in three of the state s children; and
Medi-Cal Outlook for E-Prescribing Kimberly Ortiz Chief, Office of Medi-Cal Payment Systems California Department of HealthCare Services Medi-Cal Is the nation s largest Medicaid program in terms of the
More informationPCMH to ACO: Carilion Clinic s Journey
PCMH to ACO: Carilion Clinic s Journey Michael P. Jeremiah, MD, FAAFP Chair, Department of Family and Community Medicine Carilion Clinic and the Virginia Tech-Carilion School of Medicine Patient-Centered
More informationINTEGRATING CHRONIC CARE MANAGEMENT INTO COMMUNITY PHARMACY PRACTICE
INTEGRATING CHRONIC CARE MANAGEMENT INTO COMMUNITY PHARMACY PRACTICE ACPE UAN: 0107-9999-17-101-L04-P 0.1 CEU/1.0 hr Activity Type: Knowledge-Based Learning Objectives for Pharmacists: Upon completion
More informationImplementing Integrated, Interdisciplinary Clinical Care Management in the Patient-Centered Medical Home
University of Massachusetts Medical School escholarship@umms Commonwealth Medicine Publications Commonwealth Medicine 11-23-2013 Implementing Integrated, Interdisciplinary Clinical Care Management in the
More informationI-Pass in the NICU: Operationalizing and Sustaining Improved Handoffs
I-Pass in the NICU: Operationalizing and Sustaining Improved Handoffs Research Director Boston Children's Hospital Inpatient Pediatrics Service Director, Sleep and Patient Safety Program Brigham and Women's
More informationA M.A.P. for improving blood pressure: Application within the QIN-QIO community
A M.A.P. for improving blood pressure: Application within the QIN-QIO community Donna Daniel, PhD Director, Improving Health Outcomes Strategies American Medical Association Michael Rakotz, MD Director,
More informationSpecial Needs Plan Model of Care Chinese Community Health Plan
Special Needs Plan Model of Care 2017 2017 Chinese Community Health Plan Elements of CCHP SNP Model of Care Special Needs Plan (SNP) Goals CCHP Dual Eligible SNP Enrollment & Eligibility Vulnerable Beneficiaries
More informationPractice Facilitators - Catalyst for Medical Home Transformation
March 27, 2012 Practice Facilitators - Catalyst for Medical Home Transformation Lyndee Knox, PhD, Vanessa Nguyen, MPH, & Diana Traje, MPH Who we are 2 LA Net a Primary Care Practice Based Research & Resource
More informationUtilizing EMRs for Cancer Screening ZABIN DHANJI, AARON RANDALL APRIL 7 TH, 2016
Utilizing EMRs for Cancer Screening ZABIN DHANJI, AARON RANDALL APRIL 7 TH, 2016 Presenter Disclosure Zabin Dhanji, MBA, PMP Project Manager Cancer Care Ontario Relationships with commercial interests
More informationRN Behavioral Health Care Manager in Primary Care Settings
RN Behavioral Health Care Manager in Primary Care Settings Integrated Care and the Expanding Role of Nurses Seattle Airport Marriott, SeaTac, WA Tuesday, January 9, 2018 The Healthier Washington Practice
More informationTrends in Health Information Exchange (HIE) and Links to Medicaid Led Quality Improvement
Trends in Health Information Exchange (HIE) and Links to Medicaid Led Quality Improvement July 25, 2007 Regional Quality Improvement Initiative Shannah Koss Avalere Health LLC Avalere Health LLC The intersection
More informationWhat s New with PCPCH? October 3, 2016
What s New with PCPCH? October 3, 2016 We Want To Hear From You! Type questions into the Questions Pane at any time during this presentation Introducing Chris Carrera Improvement & Implementation Manager
More information21 st Century Health Care: The Promise and Potential of a Learning Health System
21 st Century Health Care: The Promise and Potential of a Learning Health System Carolyn M. Clancy, MD Director Agency for Healthcare Research and Quality National Science Foundation Learning Health System
More informationCommunity Health Centers (CHCs)
Health Policy Brief May 2014 Ready for ACA? How Community Health Centers Are Preparing for Health Care Reform Nadereh Pourat, Max W. Hadler Two in five CHCs have made significant progress toward ACA readiness.
More informationAdopting a Care Coordination Strategy
Adopting a Care Coordination Strategy Authors: Henna Zaidi, Manager, and Catherine Castillo, Senior Consultant Current state of health care The traditional approach to health care delivery is quickly becoming
More informationReducing Medicaid Readmissions
Reducing Medicaid Readmissions Webinar 3: High Impact Medicaid-Specific Strategies Amy E. Boutwell, MD MPP Co-Principal Investigator AHRQ Reducing Medicaid Readmissions Project March 25, 2015 Overview:
More informationPCMH 2014 Record Review Workbook (RRWB)
PCMH 2014 Record Review Workbook (RRWB) Purpose of the Record Review Workbook (RRWB) There are three elements in PCMH 2014 that require an accurate estimate of the percentage of patients for whom practices
More informationChapter 4 Health Care Management Unit 5: Quality Management
Chapter 4 Health Care Management Unit 5: Quality Management In This Unit Topic See Page Unit 5: Quality Management Quality Management Program 2 Prevention and Wellness 4 Clinical Quality 5 Network Quality
More informationPharmacists Improve Care Through Team Collaboration
Pharmacists Improve Care Through Team Collaboration Trista Pfeiffenberger, PharmD, MS Director, Network Pharmacy Programs Community Care of North Carolina Disclosure and Conflict of Interest I am an employee
More informationPrimary Care Renewal. Building Successful Practices In The Era Of Accountability Creating Contagious Change
Primary Care Renewal Building Successful Practices In The Era Of Accountability Creating Contagious Change David Labby, MD PhD Director of Clinical Support and Innovation May 27, 2011 CareOregon Our Vision:
More informationCampaign for Meds Management (CMM) April 26, 2016
Campaign for Meds Management (CMM) April 26, 2016 Housekeeping You will need to access your registration confirmation email and registration ID to login to WebEx Thank you for joining us in the WebEx Event
More informationRe: 42 CFR Part 485; Medicare Program; Conditions of Participation (CoPs) for Community Mental Health Centers
August 12, 2011 Centers for Medicare & Medicaid Services Department of Health and Human Services P.O. Box 8013 Baltimore, MD 21244-8013 Re: 42 CFR Part 485; Medicare Program; Conditions of Participation
More informationOFFICE OF DEVELOPMENTAL PROGRAMS BULLETIN
ISSUE DATE XX-XX-XXXX SUBJECT EFFECTIVE DATE XX-XX-XXXX OFFICE OF DEVELOPMENTAL PROGRAMS BULLETIN NUMBER 00-XX-17 BY Office of Developmental Programs Claim and Service Documentation Requirements for Providers
More informationENHANCING PRESCRIBER RELATIONSHIPS: MAKING IT A WIN-WIN JULY 12, :00 5:00 PM
ENHANCING PRESCRIBER RELATIONSHIPS: MAKING IT A WIN-WIN JULY 12, 2017 3:00 5:00 PM ACPE UAN: 0107-9999-17-105-L04-P 0.2 CEU/2.0 hr Activity Type: Knowledge-Based Learning Objectives for Pharmacists: Upon
More informationMeasuring Value and Outcomes for Continuous Quality Improvement. Noelle Flaherty MS, MBA, RN, CCM, CPHQ 1. Jodi Cichetti, MS, RN, BS, CCM, CPHQ
Noelle Flaherty MS, MBA, RN, CCM, CPHQ 1 Jodi Cichetti, MS, RN, BS, CCM, CPHQ Leslie Beck, MS 1 Amanda Abraham MS 1 Maria Uriyo, PhD, MHSA, PMP 1 1. Johns Hopkins Healthcare LLC, Baltimore Maryland Corresponding
More informationPartner with Health Services Advisory Group
Partner with Health Services Advisory Group Bonnie Hollopeter, LPN, CPHQ, CPEHR Health Services Advisory Group (HSAG) Quality Improvement Lead Rosalie McGinnis, MS, RN HSAG Quality Improvement Lead November
More informationOregon Health Authority Patient-Centered Primary Care Home Program. May 2013
Oregon Health Authority Patient-Centered Primary Care Home Program May 2013 Presentation Objectives Provide a brief background on Oregon s Patient-Centered Primary Care Home Program and vision for practice
More informationThe Affordable Care Act and Its Potential to Reduce Health Disparities Cara V. James, Ph.D.
The Affordable Care Act and Its Potential to Reduce Health Disparities Cara V. James, Ph.D. Director, Office of Minority Health Centers for Medicare & Medicaid Services April 22, 2013 The Affordable Care
More informationMaine PCMH Pilot & Community Care Teams: A Targeted Strategy to Improve Care & Control Costs for High Needs Patients
Maine PCMH Pilot & Community Care Teams: A Targeted Strategy to Improve Care & Control Costs for High Needs Patients Lisa M. Letourneau MD, MPH May 2013 Maine PCMH Pilot & CCT Leadership DHA s Maine Quality
More informationI. OPERATIONAL CHARACTERISTIC: PATIENT-CENTEREDNESS
I. OPERATIONAL CHARACTERISTIC: PATIENT-CENTEREDNESS A. FOCUS AREA: INFORMATION TO PATIENTS ABOUT PCMH 1. The organization provides information to the patient about: (indicate Yes or No to each item) Yes
More informationHealth Homes in KanCare
Health Homes in KanCare INTRODUCTION The term health home is unique to Medicaid Health homes are an option which states can choose to provide within their Medicaid programs A health home is not a building,
More informationRevised for SIM Cohort 2, 2017
Colorado State Innovation Model (SIM) Implementation and Milestone Reporting Summary Guide for Primary Care and Bi-directional Health Home Milestone Activities Revised for SIM Cohort 2, 2017 1 Table of
More informationExpanding PCMH: Beyond the Practice to the Community
Expanding PCMH: Beyond the Practice to the Community Project Leader Tracy Callahan, RN, MSN, CDE Email: callat@mmc.org Phone: 207.482.7053 The MMC Physician-Hospital Organization is located at 110 Free
More informationCharting the Course for Change
Charting the Course for Change An Interim Report of the Healthier Washington Practice Transformation Support Hub September 2017 It s incredible how much engagement there is, how much structure there is
More informationChanging the primary care landscape in Jackson County, Oregon
Changing the primary care landscape in Jackson County, Oregon Health system transformation in Oregon Coordinated Care Organizations Coordinated Care Organizations (First 5 years) LOWER COSTS: Federal and
More informationExecutive Summary 1. Better Health. Better Care. Lower Cost
Executive Summary 1 To build a stronger Michigan, we must build a healthier Michigan. My vision is for Michiganders to be healthy, productive individuals, living in communities that support health and
More informationCCBHC CARE COORDINATION AGREEMENTS: OVERVIEW OF LEGAL REQUIREMENTS AND CHECKLIST OF RECOMMENDED TERMS
CCBHC CARE COORDINATION AGREEMENTS: OVERVIEW OF LEGAL REQUIREMENTS AND CHECKLIST OF RECOMMENDED TERMS Coordinating care across a spectrum of services, 29 including physical health, behavioral health, social
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 informationImplementing and Improving: Behavioral Health Quality
Implementing and Improving: Behavioral Health Quality National Collaborative for Innovation in Quality Measurement Sarah Hudson Scholle, MPH, DrPH March 21, 2017 Agenda Alignment of measures and accountability
More informationAdministrative 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
More informationThought Leadership Series White Paper The Journey to Population Health and Risk
AMGA Consulting Thought Leadership Series White Paper The Journey to Population Health and Risk The Journey to Population Health and Risk Howard B. Graman, M.D., FACP White Paper, January 2016 While the
More informationThe Integration of Behavioral Health and Primary Care: A Leadership Perspective
The Integration of Behavioral Health and Primary Care: A Leadership Perspective Eboni Winford, Ph.D. Behavioral Health Consultant Cherokee Health Systems Our Mission To improve the quality of life for
More informationPatient Centered Medical Home: Transforming Primary Care in Massachusetts
Patient Centered Medical Home: Transforming Primary Care in Massachusetts Judith Steinberg, MD, MPH Deputy Chief Medical Officer Commonwealth Medicine UMass Medical School Agenda Overview of Patient Centered
More informationHoward Shiffman, Senior Associate, OPEN MINDS The 2014 OPEN MINDS Planning & Innovation Institute June 3, :00pm 3:15pm
Howard Shiffman, Senior Associate, OPEN MINDS The 2014 OPEN MINDS Planning & Innovation Institute June 3, 2014 2:00pm 3:15pm I. What Drives Current Trends In Financing Models II. Emerging Value Based Contracting
More informationPrinciples of Interprofessional Practice & Education
Principles of Interprofessional Practice & Education Mary Grantner, MA, CHCP director Rush University Office of Interprofessional Continuing Education The course director, planners, and faculty of this
More informationSee Protecting Access to Medicare Act (PAMA) 223(a)(2)(C), Pub. L. No (Apr. 1, 2014).
CCBHC CARE COORDINATION AGREEMENTS: OVERVIEW OF LEGAL REQUIREMENTS AND CHECKLIST OF RECOMMENDED TERMS Coordinating care across a spectrum of services, 1 including physical health, behavioral health, social
More informationMedical Home Renovations: A Patient-centered Medical Home Case Study
Medical Home Renovations: A Patient-centered Medical Home Case Study Robert Reid MD PhD, Group Health Research Institute Annual Snively Lecture, University of California Davis January 18, 2011 Medical
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 informationINTERNATIONAL MEETING: HEALTH OF PERSONS WITH ID SPONSORED BY THE CDC AND AUCD
INTERNATIONAL MEETING: HEALTH OF PERSONS WITH ID SPONSORED BY THE CDC AND AUCD Anita Yuskauskas, Ph.D. Centers for Medicare & Medicaid Services CMSO Disabled & Elderly Health Programs Group February 24,
More informationPROCEDURES MANUAL Commonwealth of Pennsylvania Department of Corrections
PROCEDURES MANUAL Commonwealth of Pennsylvania Department of Corrections Policy Subject: Policy Number: Co-Payment for Medical Services DC-ADM 820 Date of Issue: Authority: Effective Date: April 29, 2008
More informationKeeping Your Diabetes Education Program Stable In the Era Of Health Care Reform and Accountable Care Organizations
Keeping Your Diabetes Education Program Stable In the Era Of Health Care Reform and Accountable Care Organizations Nicole Downey, MBA, RD, CDE Program Director Diabetes Services The Polyclinic Seattle,
More informationSucceeding in a New Era of Health Care Delivery
March 14, 2012 Succeeding in a New Era of Health Care Delivery Building Value-Based Partnerships LeadingAge Pennsylvania Kathleen Griffin, PhD, National Director Post-Acute and Senior Services 1 Your Presenter
More informationCommunity Health Needs Assessment Three Year Summary
Community Health Needs Assessment Three Year Summary 2013 2016 Community Health Needs Assessment Three Year Summary 2014 2016 Key needs were identified by community stakeholders which included the following:
More informationA Hear from Your Peers Webinar Effective Coordination between Hospitals and CoC Homeless Assistance Providers Results in Improved Residential
A Hear from Your Peers Webinar Effective Coordination between Hospitals and CoC Homeless Assistance Providers Results in Improved Residential Stability and Reduced Costs Webinar Format Our Webinar Format:
More informationTreating sinusitis? Managing obesity? Preventing heart disease? Preventing lung cancer? Managing individuals with multiple chronic diseases?
Treating sinusitis? Managing obesity? Preventing heart disease? Preventing lung cancer? Managing individuals with multiple chronic diseases? Providing care for long-term cancer survivors? Managing depression?
More informationNDNQI Rhythms in Quality 2010 Data Use Conference
NDNQI Rhythms in Quality 2010 Data Use Conference National Priority Partners Goals and Opportunities for Nurses Care Coordination Spotlight Gerri Lamb, PhD, RN, FAAN Arizona State University January 21-22,
More informationINTEGRATING EMR SOLUTIONS FOR ENHANCED CARE COORDINATION A PATIENT S JOURNEY
INTEGRATING EMR SOLUTIONS FOR ENHANCED CARE COORDINATION A PATIENT S JOURNEY Dr. Chris Hobson, Chief Medical Officer September 28th, 2017 Faculty/Presenter Disclosure Faculty: Dr. Chris Hobson, Chief Medical
More informationDisclosures. Objectives for Armchair Discussion 3/11/2014
Mary Weber, PhD, PMHNP-BC, FAANP Diane Snow, PhD, RN, PMHNP-BC, CARN, FAANP Kathleen R. Delaney, PhD, PMH-NP, FAAN Holly Vause, DNP, PMHNP-BC Disclosures Mary Weber and Holly Vause, University of Colorado:
More informationProviding and Billing Medicare for Transitional Care Management
PYALeadership Briefing Providing and Billing Medicare for Transitional Care Management Updated November 2014 2014 Pershing Yoakley & Associates, PC (PYA). No portion of this white paper may be used or
More informationAlternative Payment Models- Recipes For Success
Alternative Payment Models- Recipes For Success Elizabeth Lange, MD, PCMH-Kids Michael Magill, MD, Department of Family and Preventative Medicine-University of Utah Kevin Schendel, MD Timothy Willox, MD,
More informationCalifornia Academy of Family Physicians Diabetes Initiative Care Model Change Package
California Academy of Family Physicians Diabetes Initiative Care Model Change Package Introduction The Care Model (CM) is a unique and proven approach for implementing proactive strategies that are responsive
More informationPediatric Integration of Behavioral Health Grant Opportunity 2015 Request for Proposal
Pediatric Integration of Behavioral Health Grant Opportunity 2015 Request for Proposal Introduction Community First Foundation is pleased to announce a grant opportunity to build strong community by promoting
More informationCare Transition Toolkit for Persons with Mental Health & Co-Occurring Conditions
November 30, 2015 Care Transition Toolkit for Persons with Mental Health & Co-Occurring Conditions What It Is and How You Can Use It Care Transition Toolkit for Persons with Mental Health & Co-Occurring
More informationRoundtable on Health Literacy Institute of Medicine 17 March 2014
Project RED: Reengineering the Discharge Process Roundtable on Health Literacy Institute of Medicine 17 March 2014 Michael Paasche-Orlow MD, MA, MPH Associate Professor of Medicine Boston University School
More informationThe Impact of Health Care Reform on Long- Term Care
The Impact of Health Care Reform on Long- Term Care AMY RUNGE, CPA Moss Adams LLP Partner & National Practice Leader, Long-Term Care MARCY BOYD, CPA Moss Adams LLP Partner September 22, 2014 1 The material
More informationCenters for Medicare & Medicaid Pay for Performance Updates Jeff Flick Regional Administrator CMS, Region IX February 7, 2006
Centers for Medicare & Medicaid Pay for Performance Updates Jeff Flick Regional Administrator CMS, Region IX February 7, 2006 Slide -1 Big Changes in Medicare New orientation toward prevention Personalized
More informationSection 2703: State Option to Provide Health Homes for Enrollees with Chronic Conditions
Section 2703: State Option to Provide Health Homes for Enrollees with Chronic Conditions Center for Medicaid, CHIP, and Survey & Certification Centers for Medicare & Medicaid Services Background. A goal
More informationPatient Centered Medical Home The Road To MDH Health Care Home Certification
Patient Centered Medical Home The Road To MDH Health Care Home Certification Determinants of Health and Their Contribution to Premature Death. Schroeder SA. N Engl J Med 2007;357:1221-1228. Practical
More informationHospice Program Integrity Recommendations
Hospice Program Integrity Recommendations Projected increases in the elderly population and the number of Medicare beneficiaries will likely result in continued growth in utilization of hospice services.
More informationINVESTING IN INTEGRATED CARE
INVESTING IN INTEGRATED CARE The Maine Health Access Foundation s 12 year journey (2005 2016) to improve patient centered care in Maine through the Integrated Care Initiative. Table of Contents The MeHAF
More informationHealth Information Exchange 101. Your Introduction to HIE and It s Relevance to Senior Living
Health Information Exchange 101 Your Introduction to HIE and It s Relevance to Senior Living Objectives for Today Provide an introduction to Health Information Exchange Define a Health Information Exchange
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 informationAccountable Care in Infusion Nursing. Hudson Health Plan. Mission Statement. for all people. INS National Academy of Infusion Therapy
Accountable Care in Infusion Nursing INS National Academy of Infusion Therapy November 14 16, 2014 Atlanta, GA Margaret (Peggy) Leonard, MS, RN-BC, FNP Senior Vice President Clinical Services Hudson Health
More informationFinancing Integrated Healthcare in Texas : Presented by: Kathleen Reynolds, LMSW, ACSW
Financing Integrated Healthcare in Texas : Presented by: Kathleen Reynolds, LMSW, ACSW kathyr@thenationalcouncil.org The Concept of Community Health Money Organizations are stewards of public funding the
More informationImproving the Continuum of Care: Progress on Selected Provisions of the Affordable Care Act One Year Post-Passage
Improving the Continuum of Care: Progress on Selected Provisions of the Affordable Care Act One Year Post-Passage March 23, 2011 marks the oneyear anniversary of the signing of the Patient Protection and
More informationQuality Standards and Practice Principles for Senior Care Pharmacists
Quality Standards and for Senior Care Pharmacists Preamble The purpose of this document is to complement the current practice and professional standards of the American Society of Consultant Pharmacists
More informationBeyond Implementation: Capturing the Value of Care Coordination
2015 Webinar Series Pediatric Care Coordination: Beyond Policy, Practice, and Implementation A webinar series brought to you by the National Center for Medical Home Implementation Beyond Implementation:
More information