Innovations in Rural and Community Health: Lessons From the Front - - PowerPoint PPT Presentation

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Innovations in Rural and Community Health: Lessons From the Front - - PowerPoint PPT Presentation

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Innovations in Rural and Community Health: Lessons From the Front Line Aaron George, DO May 9, 2017 Family Physician Summit Primary Care Innovations in Rural Primary Care Local Context State Context Global Perspective Chambersburg, PA

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Innovations in Rural and Community Health:

Lessons From the Front Line

May 9, 2017

Aaron George, DO Family Physician Summit Primary Care

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Innovations in Rural Primary Care

Local Context State Context Global Perspective

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Chambersburg, PA

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Value Doesn’t Come from a Value Meal

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Health Maintenance

Shifting Roles and Trust

Vaccinations, annual & screening labs DEXA & mammograms Colonoscopy

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Shifting – Increased Clinical Role

Insulin Teaching Smoking Cessation Diabetic Foot Exams Wound Care Vitals Warfarin Adjustment Depression Screening

*Healthy lifestyle counseling

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Tool #1: Finding Value in Your Work Build Your Personal Game Plan

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Pennsylvania Hospital Systems

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Health Innovation in Pennsylvania (HIP)

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Statewide Approach to HIP

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Health Innovation in Pennsylvania (HIP)

1) Accelerate transition from volume to value 2) Achieve price and quality transparency 3) Redesign rural health care delivery

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Global Hospital Budgeting

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Global Context

  • Comprehensive approach to payment and delivery
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Comprehensive Primary Care Payment Calculator

Step 1: Design or clarify services Step 2: Identify the population Step 3: Risk adjust Step 4: Measure quality and utilization Step 5: Define a comprehensive payment

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AAFP Proposal for Advanced Primary Care Payment Model (APC- APM)

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AAFP Proposal for Advanced Primary Care Payment Model (APC- APM)

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Trends in Rural Care Delivery

  • Focus on comprehensive delivery
  • Funding through comprehensive payment

mechanisms

  • Health care is local
  • Many paths to the same goal
  • All involve increased primary care investment
  • Enhancing health care teams and resources
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Tool #2:Finding Value in Community Health Landscapes

http://www.countyhealthrankings.org/ Healthlandscapes.org

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Tool#2: Finding Value in Community Health Landscapes

countyhealthrankings.org healthlandscapes.org

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Tool #3: Finding Value in Community Practical Playbook

practicalplaybook.org

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Tool #4: Connecting the Dots Healthdoers Network

healthdoers.org

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Aaron George, DO

Contact Info: Email: aaronegeorge@gmail.com Phone: (717) 658-3958