MONTEFIORE EINSTEIN: Vertical Consolidation in the Health Care - - PowerPoint PPT Presentation

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MONTEFIORE EINSTEIN: Vertical Consolidation in the Health Care - - PowerPoint PPT Presentation

MONTEFIORE EINSTEIN: Vertical Consolidation in the Health Care Industry Steven M. Safyer, MD NATIONAL ACADEMY OF MEDICINE Leadership Consortium for A Value & Science-Driven Health System September 13, 2018 INTEGRATED ACADEMIC HEALTH


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SLIDE 1

MONTEFIORE EINSTEIN:

Vertical Consolidation in the Health Care Industry

NATIONAL ACADEMY OF MEDICINE Leadership Consortium for A Value & Science-Driven Health System September 13, 2018 Steven M. Safyer, MD

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SLIDE 2

INTEGRATED ACADEMIC HEALTH SYSTEM

  • Children’s Hospital at Montefiore
  • Montefiore Einstein Center for Cancer Care
  • Montefiore Einstein Center for Heart and Vascular Care
  • Montefiore Einstein Center for Transplantation
  • Clinical
  • Translational
  • Health

Services

  • Medical students
  • Residents &

Fellows

  • Montefiore

School of Nursing

  • Allied Health

Students

  • PAs, PharmDs,

Social Work

  • Home Health

Aides

  • Home Health

Programs

  • Primary Care
  • House Call Program
  • Telehealth
  • Short- and long-term

care

  • Hospitals: 11
  • Certified (total) Beds:

3,111 (including 166 rehab)

  • Skilled Nursing Beds:

150

  • Hutchinson Campus –

hospital without beds

  • Freestanding ED
  • Burke Rehabilitation

Hospital Home Care Hospitals

  • Health Education
  • Community Advocacy
  • Wellness
  • Disease Mgmt.
  • Nutrition
  • Obesity Prevention
  • Physical Activity
  • Reduce Teen Pregnancy
  • Lead Poisoning Prevention

Community Academic Health Care

Montefiore Einstein Centers of Excellence Primary & Specialty Care

  • Advanced Primary

Care

  • Mental Health
  • Substance Abuse
  • Sub-specialty Care
  • Dental
  • School-Based

Health Centers

  • Mobile Health
  • Faculty
  • Students (MD, PhD,

Combined)

  • Postdoctoral

Fellows Science Education Community Health

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SLIDE 3

MONTEFIORE MOVES UP THE PREMIUM STREAM

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SLIDE 4

POPULATION HEALTH REQUIRES AN INVESTMENT

  • Montefiore IPA and Hudson Valley IPA
  • The entity that assumes the financial risk

through contractual agreement with insurance companies

  • Montefiore Care Management Organization
  • Performs care management delegated by

health plans as well as other administrative functions like claims payment

  • Develops innovative population health

management tools – Data – Risk Stratification, Predictive Analytics, Clinical Looking Glass and more

MEDICAID INNOVATOR

Health First Blue Cross Blue Shield

Next Gen ACO Pioneer ACO Medicare Advantage

Aetna

ESTABLISHED IN 1995

MEDICARE COMMERCIAL

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SLIDE 5

VERTICAL INTEGRATION IN CONTIGUOUS GEOGRAPHY

2008 2018

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SLIDE 6

HISTORY OF PHYSICIAN INTEGRATION CONTINUES

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SLIDE 7

AMBULATORY CARE EMBEDDED IN THE COMMUNITY

MONTEFIORE URGENT CARE MONTEFIORE WELLNESS CENTER HUTCHINSON CAMPUS MONTEFIORE SCHOOL HEALTH PROGRAM MONTEFIORE MEDICAL GROUP

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SLIDE 8

AFFILIATIONS AND INNOVATIVE PARTNERSHIPS EXPAND REACH

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SLIDE 9

SYSTEM CONNECTIVITY SUPPORTS OUR GROWTH

ERP

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SLIDE 10

EDUCATION AND TRAINING

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SLIDE 11

MANAGING THE SUPPLY CHAIN THROUGH BULK AND GROUP PURCHASING

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SLIDE 12

ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH

MONTEFIORE SCHOOL HEALTH PROGRAM MONTEFIORE HEALTHY STORE INITIATIVE HEALTHY STEPS BEHAVIORAL HEALTH INTEGRATION PROGRAM (BHIP)

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SLIDE 13

OUR MISSION: CARE FOR ALL