1 NEW MEXICO ACTION COALITION OUR MISSION: The New Mexico Action Coalition strives to provide strategic direction through community collaboration and grassroots efforts with key stakeholders to transform the health of New Mexico. OUR GOAL: To cultivate the overall health of New Mexicans by convening interested parties and facilitating discussion and collaborations that bridge statewide efforts. OUR PILLARS OF FOCUS: 1) Promoting healthy living and health careers for children and youth 2) Organizing and evolving community health opportunities 3) Advancing resources to address the social determinants of health and physiological needs 4) Developing nurse management/leadership trainings that will prepare nurses for leadership roles in both in their organizations and in their communities Tuesday, March, 2017 Bank of Albuquerque Administrative Offices In attendance: Heather Black, Mary Blessing, Karen Brown, Suzanne Canfield, Jennifer Ellis, Diane Evans-Prior, Joie Glenn, Melissa Johnson, Allison Kozeliski, Judy Liesveld, Kim McKinley, Pat Montoya, Cynthia Olivas, Van Roper, Liz Sellers, Teresa Turietta, Deborah Walker, Sharon Wehner, Joseph Sanchez (staff), Sandy Stewart (staff) Meeting Summary Joseph Sanchez opened the meeting with introductions. Community Updates - none Joseph updated the group on the Culture of Health regional meeting to be hosted by New Mexico. It will take place April 19-20, at Hotel Albuquerque and will be hosted jointly by the NM Action Coalition, the NM Center for Nursing Excellence and the UNM College of Nursing. The Robert Wood Johnson Foundation (RWJF) and the AARP Foundation will be bringing in 2 participants each from 14 other state Action Coalitions o NM Reception, April 19: All NMAC members are invited to a reception from 6:00-8:00 at the Albuquerque Museum where they can meet other AC participants and network. A formal invitation will be sent. Joseph discussed our grant received from the NM Board of Nursing s Nurse Excellence Fund to support Leader Management class modules. Three modules and content expert lead developing each: o Policy/Advocacy (Joseph Sanchez) o Finance/Budget (Ellen Interlandi) o Project Management (Kim McKinley) The leads will be reaching out to NMAC members for their review and input ad all three will present overview at the next NMAC meeting in May.
2 NEW MEXICO ACTION COALITION Van Roper, PhD, FNP-C, Medical Director, NP/CNM Primary Care TeleECHO Clinic, and Cynthia Olivas, MSN, Nurse Manger/Senior Advisor for New Mexico TeleECHO Clinics, presented an overview of UNM s Project ECHO, and details about the TeleECHO Clinic. (slides and handouts attached) There was great interest in their program for nurse practitioners and nurse midwifes. They hope to open clinics to RNs one day, and good discussion followed as to how the NMAC might aid in this. Patricia Montoya, MPA, BSN, Executive Director, shared the story of the New Mexico Coalition for Healthcare Value. This employer-led coalition allows their stakeholders a forum to meet and discuss common issues relating to the value of healthcare in our state. (slides follow) The next meeting in May will have presentations on Leadership Management modules as well as report on the April 19-20 meeting from those NMAC attending. Next steps Post links to Project ECHO and NM Coalition for Healthcare Value to NMAC page on NMCNE website. NEXT MEETING: Tuesday, May 23, 2017, 3:00 4:30 Bank of Albuquerque Administrative Offices, 100 Sun Avenue NE, Ste. 500 Future meeting dates for 2017 all Tuesdays from 3:00-4:30: May 23, July 25, September 26, and November 28
E-MENTORING: NP CNM PRIMARY CARE TELE-ECHO CLINIC VAN ROPER, PHD, FNP-C
E-MENTORING NP S & CNM S WITH TELE-ECHO WHAT IS E-MENTORING?
1915 GRADUATING CLASS UNIVERSITY OF VIRGINIA, RICHMOND, VA
THE CHALLENGE NM state legislature wants more primary care in rural areas Enormous challenges delivering healthcare to rural communities Rural provider retention and recruitment significant issues Professional support common theme in literature
YOU VE GRADUATED AND HAVE YOUR LICENSE! NOW WHAT? Options: Tough it out solo Residency programs Personal mentoring e-mentoring
De-centralized knowledge distribution from an academic center at the provider level with an exchange of knowledge between all participants. https://www.youtube.com/watch?v=vamahp-tewk
NURSE PRACTITIONER/CERTIFIED NURSE MIDWIFE PRIMARY CARE TELE-ECHO CLINIC Pilot project turned ongoing virtual clinic with family nurse practitioner students, graduates, & practicing clinicians Inter-professional team of experts HIPAA-secure environment for PHI exchange Continuing education units offered
FROM INITIATION TO TODAY Initially started with 3-6 participants per week Over the past 2+ years, we are now embedded in 7 CoN APN courses Currently averaging 12 with up to 28 participants June 2016-March 2017: 124 individual attendees 343 total attendees 24 patient case presentations 30 presentations
CONCLUSIONS Professional support Develop characteristics confidence lifelong learning critical skills development
Being in the same room with people and creating something together is a good thing. Robin Williams
QUESTIONS?
REFERENCES Academy Medicine. 2014;89(1):30-2 Daniels, AM, VanLelt, JF, Skipper, BJ, Sanders, ML, and Rhyne, RL. Factors in Recruiting and Retaining Health Professional for Rural Practice, The Journal of Rural Health. 2007;3:62-71. Health Affairs 2011 Jun;30(6):1176-84 Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention. Global Policy Recommendations. Geneva: World Health Organization; 2010. Mueller, KJ, MacKinney, AC, Slifkin, RT, Coburn, AF, McBride, TD, and Wakefield, M. The Institute of Medicine Rural Health Report: Next Steps in Legislation and Programs. Rural Policy Research Institute. (P2006-1) February 2006. New England Journal of Medicine 2011 Jun;364:23.
New Mexico Action Coalition Presentation March 28, 2017
New Mexico Coalition for Healthcare Value Articles of Incorporation filed with State of New Mexico December 1, 2014 Formally launched May 1, 2015 after RWJF Aligning Forces for Quality funding ended IRS 1023 filing submitted end of June 2015 and designation of the organization as a formal independent 501c3 received December 28, 2015
Founding Members Albuquerque Public Schools Bernalillo County City of Albuquerque HealthInsight New Mexico New Mexico Health Connections New Mexico Retiree Healthcare Authority PNM Resources Presbyterian Health Plan Presbyterian Medical Services Sandia National Laboratories
New Members Blue Cross/Blue Shield of New Mexico Delta Dental Santa Fe County New Mexico Public Schools Insurance Authority United Health Plan New Mexico Hospital Association New Mexico Medical Society NovoNordisk
Vision and Mission The vision of the Coalition is to have New Mexico as a national leader in healthy lifestyles and quality care The mission is to be an innovative force for increasing the value of healthcare in New Mexico
Values of the Organization The organization s core values are: a)integrity b)quality c)innovation d)transparency e)cultural sensitivity
Organizational Structure and Purpose Multi-stakeholder, employer-led coalition working to improve health and maximize the value of health care services by focusing on value-based purchasing, transparency, quality and cost. The Coalition is a neutral forum of both private and public partners collaborating to identify opportunities and aligning efforts to drive meaningful change in healthcare value for All New Mexicans
Focus in a Neutral Setting Value and transparency in healthcare. Working on delivering cross sector solutions and health improvement pilots in the State across Employers, Provider Groups, Health Systems, and Health Plans Advocating for adoption of evidence-based best practices and the sharing of those across the State, as well as the reduction of unnecessary often harmful treatments and procedures
Member-led Organization is Structure for Sustainability Member value is that they are part of the conversation: Receive information to make decisions on quality services Part of the exchange on payment reform Receive tools to assess health plans/employer Guide to Managed Care Share in roundtable discussions (NCQA Roundtable what are employers needing from health plans)
Coalition s Value Obtain invites to value-based purchasing seminars and other educational events Provides members a position on the front-end and a voice in policy development for the State
Coalition s Value Provides members with access and exposure to national industry experts and thought leaders in health benefits, healthcare and health policy Assists members in staying current and aware of healthcare news, issues in innovative health care delivery and benefit plan designs
Accomplishments and Actions Secured 10 founding members Proclamation from Albuquerque Mayor Richard Berry Meeting and recruiting major NM public employers Communicating about the new organization through meetings such as with the Governor s Chief of Staff, Legislative Finance Director and Staff, Counties, and the media
Accomplishments and Actions Meeting with business groups and trade associations Hosted several statewide community educational events, see topics below : Impact of ACA on employers, Depression in the work place, CMS-Hip and Knee Replacement Initiatives, Diabetes, and upcoming session on pharmacy costs
Additional Accomplishments Partnered with Consumer Reports on their Choosing Wisely Campaign Completed two major projects this past year for the membership: 1. Employer Guide for Managed Care 2. Partnered with Aon to conduct a Statewide Employer Survey on Healthcare Coverage and Benefits
Current Focus Rolling into Year 3 Build and expand membership across all sectors, particularly in the employer market and become more representative statewide
Questions? For more information contact Pat Montoya pmontoya@nmhealthcarevalue.org (505)998-9735