Meeting Information Conference Line: 1-631-992-3221 Access Code: - - PowerPoint PPT Presentation
Meeting Information Conference Line: 1-631-992-3221 Access Code: 888-605-474 # Enter your audio PIN ID # Technical difficulties? Email Michele.Hom@iphionline.org All In Project Showcase Webinar Developing Data Systems for Care
▪ Conference Line: 1-631-992-3221 ▪ Access Code: 888-605-474 # ▪ Enter your audio PIN ID # ▪ Technical difficulties? Email Michele.Hom@iphionline.org
August 30, 2017 2:00 p.m. – 3:00 p.m. ET
All In Project Showcase Webinar
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COMMUNITY HEALTH PEER LEARNING PROGRAM NPO: AcademyHealth, Washington DC Funded by the federal Office of the National Coordinator 15 former grantees BUILD HEALTH CHALLENGE Funded by 10 national & local funders (including Advisory Board, de Beaumont Foundation, the Colorado Health Foundation, The Kresge Foundation and Robert Wood Johnson Foundation) 18 implementation and planning grantees DATA ACROSS SECTORS FOR HEALTH NPO: Illinois Public Health Institute in partnership with the Michigan Public Health Institute Funded by the Robert Wood Johnson Foundation 10 grantees THE COLORADO HEALTH FOUNDATION: CONNECTING COMMUNITIES AND CARE Funded by the Colorado Health Foundation 14 grantees
1. Support a movement acknowledging the social determinants of health 2. Build an evidence base for the field of multi- sector data integration to improve health 3. Utilize the power of peer learning and collaboration
George Klauser Executive Director, Altair Accountable Care Organization Aaron Seib CEO, National Association for Trusted Exchange (NATE) Rahel Berhane, MD Medical Director, Children’s Comprehensive Care Clinic Nate Tyler Chief Strategy Officer Simply Connect
Lessons and Challenges Rahel Berhane, MD Children’s Comprehensive Care Clinic Austin, TX August 30, 2017
▪ Previous experiences of coordinating care across entities proved very expensive and inefficient ▪ Ideal design of care delivery requires moving from care coordination to care integration – across business entities in different sectors ▪ Care integration (which includes process and workflow integration) is not possible without data integration
passive recipients of care
engagement
▪ Enables participatory care ▪ Allows for integrated ‘story’ to enable workflow integration from multiple entities ▪ Avoids documentation burdens ▪ Utilizes Human Centered Design principles throughout
Project Goal: Design a patient controlled application linked to a common data platform to serve the clinic, the MCO and at least two additional community
complex medical/behavioral issues. Community Goal: Build a prototype and demonstrate a use-case for a data ecosystem that leads to a measurable increase in engagement and communication by both service providers and families.
▪ Technology Partners
▪ Theresa Neil Strategy and Design ▪ Cloud Forest Solutions
▪ Stakeholders
▪ Parents of children in CCC clinic ▪ Providers and case managers at CCC ▪ Managed care Organizations (Superior, BCBS) ▪ Community (AISD; Family Resource Center) ▪ School nurses ▪ DME/Home health/Therapy agencies
▪ Only the family knows the full story ▪ Convoluted systems &poor technology increase gaps ▪ Trust e rodes when families are not well understood ▪ Parents long for s o m e semblance of normalcy ▪ Mobility and ease of entry will aid adoption
Next three months ▪ Develop modules for DME, Home health and Therapy ▪ Integrate data from MCO databases ▪ Pilot on 200 patients Next six months (Pending funding) ▪ Integrate data from EMRs (Common Well) ▪ Larger pilot (600 patients)
providers actively seek the patient’s direct voice into the story
systems –not traditional fee for service care
delivery service reform
George Klauser, Executive Director Altair Nate Tyler, Chief Strategy Officer, Simply Connect
discuss examples
Care Team Lacks Definition Significant Gaps, Inconsistencies and Lag in Communications Patient/Person Receiving Services [Many silos of information with little access] Only Events that could lead to a fine are reported Exploitation Abuse Hospitalization ER Visit
Engagement Tactic: Add Value - Facilitate Access to Information
Event Driven Bi-Directional & Actionable Communications Patient/Person Receiving Services [With a PHR] Clearly Defined Care Team Life Events Clearly Defined Events
Med Errors
Illness Accident Hospitalizatio n ER Visit Exploitation Injury Depression Abuse Srvc Barrier Behavior Chng Aggression
Engagement Tactic: Add Value – Access to Information
Non-Emergency Medical Transportation Information on Specialists
Currently, easy upstream interventions go under utilized because people don’t:
– Know who to call. – Don’t want to bother someone. – Don’t understand that there is a problem.
Poor medication adherence results in $290 billion of avoidable costs in the health care system.
Network for Excellence in Health Innovation (2011). Bend the Curve: A Health Care Leader’s Guide to High Value Health Care. Accessed May, 2014.
Nearly one in five Medicare patients discharged from a hospital—approximately 2.6 million seniors—is readmitted within 30 days, at a cost of over $26 billion every year.
James, J (2013). Medicare Hospital Readmissions Reduction Program. Health Affairs Health Policy Brief. Accessed May, 2014
1.5 Million preventable medication-related adverse events each year
Engagement Tactic: Education & Change Management
understands the ‘why’
group required to take action
your needs and is interoperable
▪ Visit our website: allindata.org ▪ Sign up for our online community: allin.healthdoers.org ▪ Follow #AllInData4Health on Twitter ▪ Sign up for news from All In ▪ Contact information for speakers
▪ George Klauser: George.Klauser@lssmn.org ▪ Rahel Berhane: rxberhane@seton.org
▪ Share your feedback Please complete the evaluation survey following the webinar ▪ Resource list, slides, and recording will be posted Available online at allindata.org/resources