Advance Care Planning & Health Information Exchange Doug - - PowerPoint PPT Presentation

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Advance Care Planning & Health Information Exchange Doug - - PowerPoint PPT Presentation

Advance Care Planning & Health Information Exchange Doug Dietzman, BS Chief Executive Officer, Great Lakes Health Connect Executive Director, Making Choices Michigan Creating Care Connected Communities 12/5/2018 | 2 The Network Hospitals


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Creating Care Connected Communities

Advance Care Planning & Health Information Exchange

Doug Dietzman, BS Chief Executive Officer, Great Lakes Health Connect Executive Director, Making Choices Michigan

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Creating Care Connected Communities Expanding Access to ACP

The Network

  • Hospitals
  • Ambulatory Sites
  • Com. Mental Health

Agencies

  • Health Departments
  • FQHCs
  • LTPAC
  • Health Plans
  • Social & Community

Agencies

  • Jails
  • Others
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The Most Complete + Real Time Record of Patient History in MI

Source Organizations for VIPR

10,390,802 Total patients 6,120,869 Patients with information from >1 source 3,080,393,928 Clinical records 1,232,700 CCDs ~200 Contributing orgs 1.4 million Patient lookups in the next year ~4,000 Patients looked up every day

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Defining Advance Care Planning

  • A process that enables

individuals to make plans & express wishes about their future health care

  • Provides direction to their

advocate, family & providers when a person is unable to speak for themselves

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Common AD Documents

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Why Does It Matter?

  • Healthcare Quality
  • Managing Cost
  • Patient-Centeredness
  • Generational Family

Impact

  • Clinician Distress
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Challenges & Obstacles

  • Conflict Avoidance
  • Clinical Misperception
  • Participant Bias
  • Broad Access
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Making Choices Michigan

  • Goal: Focus ACP in the

community-at-large

  • Vision: A community culture

where it is acceptable to talk about health care choices, including end of life, and to respect and honor those choices

  • Mission: Encourage and

facilitate advance care planning for the people of Michigan

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MCM & GLHC - Better Together

  • Formal Integration
  • Announced – Sept. 2017
  • Like Minded Mission
  • Collaborative relationship
  • Operational Economies
  • Support Growth
  • Expand Impact
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Electronic Storage & Retrieval

Virtual Integrated Patient Record

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Patient Care Documents in VIPR

Overall Accepted Documents through September 2018 In VIPR Advance Care Directive 3,636 Advance Care Directive - Card Only 14 Advance Care Directive - Other State 112 Authorization to Visit 1 Certificate of Disability 18 Code Status/Orders 91 Code Status/Orders with Organ Donation 14 Designation of Patient Advocate 5,970 Designation of Patient Advocate – NO BLOOD 385 Do Not Resuscitate 2,638 Durable Power of Attorney – Finance Only 2,056 Durable Power of Attorney for Healthcare 24,679 Guardianship 399 Living Will – Treatment Preferences 1,743 Mental Health Power of Attorney 1 Michigan Physician Orders for Scope of Treatment (MI-POST) 26 Military Advance Care Directive 6 Physician Orders for Life-Sustaining Treatment (POLST) 116 Post Death Request 5 Release of Information 342 Revoked Document 8 Statement of Incapacity 16 Statement of Treatment Preferences (SOTP) 1,492 Grand Total 43,768

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Patient Care Documents in VIPR

Organization Type Total

Attorney 1,426 Community Organization 501 HIE 161 Home Health 970 Hospice 1,284 Hospital 32,623 Individual 3 Outpatient Clinic 8,785 PHO 1,542 Senior Living Center 21 SNF/LTC 437 Telemedicine 1,161

Total 48,914 County Total

Barry 806 Genesee 7,967 Grand Traverse 12 Gratiot 11 Ingham 99 Kalamazoo 9 Kent 10,118 Macomb 166 Mason 20 Mecosta 278 Montcalm 66 Muskegon 4,371 Newago 50 Oakland 901 Osceola 489 Ottawa 885 State-Wide 266 Washtenaw 22,400

Total 48,914

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HIE Opportunity

  • Fragmented
  • Very important
  • Consumer contributed
  • Potential for huge impact
  • Integrated with clinical data
  • Increasing industry focus
  • Funding not a slam dunk
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Contact

Douglas Dietzman, BS Chief Executive Officer, Great Lakes Health Connect Executive Director, Making Choices Michigan Email: ddietzman@gl-hc.org Twitter: @DougDietzman Web: www.gl-hc.org