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 • Ambulatory Sites • Com. Mental Health • Agencies Health Departments • FQHCs • LTPAC • Health Plans • Social & Community • Agencies Jails • Others • Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 3 The Most Complete + Real Time Record of Patient History in MI 10,390,802 Total patients Patients with 6,120,869 information from >1 source 3,080,393,928 Clinical records 1,232,700 CCDs ~200 Contributing orgs Patient lookups in 1.4 million the next year Patients looked up ~4,000 Source Organizations for VIPR every day Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 4 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 Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 5 Common AD Documents Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 6 Why Does It Matter? • Healthcare Quality • Managing Cost • Patient-Centeredness • Generational Family Impact • Clinician Distress Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 7 Challenges & Obstacles • Conflict Avoidance • Clinical Misperception • Participant Bias • Broad Access Expanding Access to ACP Creating Care Connected Communities
Making Choices Michigan 12/5/2018 | 8 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 Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 9 MCM & GLHC - Better Together • Formal Integration • Announced – Sept. 2017 • Like Minded Mission • Collaborative relationship • Operational Economies • Support Growth • Expand Impact Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 10 Electronic Storage & Retrieval V irtual I ntegrated P atient R ecord Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 11 Patient Care Documents in VIPR Overall Accepted Documents through September 2018 In VIPR Advance Care Directive 3,636 Advance Care Directive - Card Only 14 Guardianship 399 Advance Care Directive - Other State 112 Living Will – Treatment Preferences 1,743 Authorization to Visit 1 Mental Health Power of Attorney 1 Certificate of Disability 18 Michigan Physician Orders for Scope of Treatment (MI-POST) 26 Code Status/Orders 91 Military Advance Care Directive 6 Code Status/Orders with Organ Donation 14 Physician Orders for Life-Sustaining Treatment (POLST) 116 Designation of Patient Advocate 5,970 Post Death Request 5 Designation of Patient Advocate – NO BLOOD 385 Release of Information 342 Do Not Resuscitate 2,638 Revoked Document 8 Durable Power of Attorney – Finance Only 2,056 Statement of Incapacity 16 Durable Power of Attorney for Healthcare 24,679 Statement of Treatment Preferences (SOTP) 1,492 Grand Total 43,768 Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 12 Patient Care Documents in VIPR County Total Barry 806 Genesee 7,967 Organization Type Total Grand Traverse 12 Attorney 1,426 Gratiot 11 Community Organization 501 Ingham 99 HIE 161 Kalamazoo 9 Home Health 970 Kent 10,118 Hospice 1,284 Macomb 166 Hospital 32,623 Mason 20 Mecosta 278 Individual 3 Montcalm 66 Outpatient Clinic 8,785 Muskegon 4,371 PHO 1,542 Newago 50 Senior Living Center 21 Oakland 901 SNF/LTC 437 Osceola 489 Telemedicine 1,161 Ottawa 885 Total 48,914 State-Wide 266 Washtenaw 22,400 Total 48,914 Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 13 HIE Opportunity • Fragmented • Very important • Consumer contributed • Potential for huge impact • Integrated with clinical data • Increasing industry focus • Funding not a slam dunk Expanding Access to ACP Creating Care Connected Communities
12/5/2018 | 14 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 Expanding Access to ACP Creating Care Connected Communities
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