Part rtnerin ing g to o Im Improve e He Healt lth h Equ - - PowerPoint PPT Presentation

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Part rtnerin ing g to

• Im

Improve e He Healt lth h Equ quit ity y and d Outcomes s

An n In Information n Ses Sessio sion n for

• r Co

Community ity-Based d Organizations Presen ented d by y Mar arya Ging Gingrey, , J.D. . Di Director r of

• f Equity

quity and and Co Commun unit ity y Partne artnership hip Access the recording of this webinar here: http://bit.ly/HH-CBOinfo

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What is HealthierHere?

We are a new non-profit organization… dedicated to improving the

healt lth and well ll-being of all ll people here in King County,

through innovative, cross-sector collaborations.

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Our Organization: A Cross-Sector Regional Partnership

▪ Governed by a 26-member cross-sector,

multi-stakeholder board

▪ Supported by professional staff ▪ Initial funding through contract with

Healthier Washington / Medicaid Waiver

Medical Providers Behavioral Health Providers Hospitals Tribes Community Organizations Payers / Managed Care Organizations City & County Government Foundations Advocates Consumers

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Our Values

Equit ity Co Communit ity Part rtnership ip In Innovatio ion Resu sult lts

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The Need: Health in in Our Region is is Not Equitable

People in high-income areas of King County live ~5 years longer than people from high-poverty areas… and enjoy ~11 more years of healthy life.

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Community Based Organizations Acute Healthcare Criminal Justice Crisis Response Primary Medical Care Specialty Care Step Down Care Addiction Treatment Behavioral Health Transportation Housing

A System of Silos: Too Many Hole les to Fall ll Through

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Our Vision: A Connected System of f Whole-Person Care

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No No matter where people enter th the system… th they ge get th the righ right car are, in in th the rig right pl plac ace, at at the the rig right tim time

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Our Vision: A New Way of f Delivering Health Care

Co Computer systems that talk to each other to improve Community/Clinical connections Ca Care e tea eams th that t are rep epresentative, cu cultu lturall lly competent and res espectful l of individuals and community. Mea eanin ingful mec echanisms for com

• mmunity and con
• nsumer voic
• ice that help drive

decision-making for healthcare Payment mod

• dels

ls that compensate providers for keeping people healthy (rather than #’s of procedures) and Community-Based Organizations for contributing to better outcomes

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Community Based Organizations Medical & Behavioral Health Government Agencies & Services

Con

• nnect or
• rganiz

izatio ions that don’t usually work together.

Our Model: Collaboration + In Innovation

Innovative Solutions

In Invest in n system-wide ass assets to support connection, collaboration and improved consumer experience. En Engage com

• mmunity

ty and and con

• nsumers to
• inform an

and guid uide the process and decision-making. Hel elp the them part partner r with each

• ther to
• de

develo lop and and tes est ne new sol solutio ions to health and social problems.

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Our First Effort: Im Improve Health for People on Medicaid

HealthierHere is contracted to be the Accountable le Co Communit ity of f Heal alth for the Kin King Co County Regio ion through the Healthier Washington Medicaid Waiver Program.

▪ Multi-Year Effort ▪ Allows Medicaid funds to be used to test innovative approaches that

• therwise would not be funded

▪ Focused on improving specific target health measures

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The Aim: A System that Works Better for Everyone

Providers get support to im improve quali lity ty of

• f care

People here get better, more equitable care CBOs receive support to address Soc

• cial De

Determinants Improved Outcomes at Lower Costs

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How It Works: Two Path thways to a Healthier Community

Engage partners to develop target innovation initiatives HealthierHere earns start-up funds for planning and reporting Plan and catalyze support for system-wide innovations

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How It Works: Measure Year-over-Year Im Improvement

Engage partners to develop target innovations Measure outcomes against target metrics Earn start-up funds for planning and reporting Plan and catalyze support for system-wide innovations

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How It Works: Earn Funding by Performing as a Region

Engage partners to develop target innovations Measure outcomes against target metrics Earn start-up funds for planning and reporting Earn funding by meeting metric goals Plan and catalyze support for system-wide innovations

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How It Works: Reinvest in in System-wide Im Improvement

Engage partners to develop target innovations Measure outcomes against target metrics Invest in n on

• ngoi
• ing

g inno nnovatio ion thr through Equity & Wellness Fund Earn start-up funds for planning and reporting Implement, expand and sustain system-wide innovations

Investment incentives partially offset costs of practice change

Earn funding by meeting metric goals

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▪ Connect with other community and clinical partners ▪ Attend educational events as part of

• ur learning community

▪ Share your efforts and learn what

• thers are doing

▪ Provide input to help define priorities and processes

System-wide Investment: Building a Le Learning Community

Community

Innovation Partners

Clinical

HealthierHere invites organizations interesting in improving population health to join us as Innovation Partners:

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Focus on Target Metrics: Practice (C (Change) Partners

Community

Innovation Partners

Practice Partners

Develop / Implement Innovation Target Initiatives

Clinical A small ll subset of f Inn Innovation Partn rtners rs will ill be e in invit vited to parti rticipate in in Inn Innovation Targ rget In Initi itiativ ives based on abilit ility to aid id in in moving th the e metr trics

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INTEGRATED CARE

Physical and behavioral health integration Increased safe and successful

TRANSITIONS

for those leaving jail and hospitals Expanded access; improved prescribing practices for

OPIOID USE DISORDER

Expanded supports for those with

CHRONIC CONDITIONS

The Go Goal: l: Improve year-over-year county-wide health measures for Medicaid enrollees across four innovation targets.

Focus on Practice Change: In Innovation Targets

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INTEGRATED CARE TRANSITIONS OPIOID USE DISORDER CHRONIC CONDITIONS

Shift the focus from what works for organizations to what works for people and populations

“Did you get the care/service you need?” “Did it help you?” Improve Equity and Reduce Disparities Community Based Care Coordination Address the Social Determinants

• f Health

Focus on Practice Change: Social Equity Framework

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Innovation Target: Physical and Behavioral Health Integration

Primary Medical Care Behavioral Health

Levers Shared Care Plans Enhanced Screening Evidence-based Best Practices Interoperable Data Systems Outcome Metrics Reduced Overuse (ED visits, Re-admissions) Improved Behavioral Health Improved Physical Health

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Innovation Target: Safe and Successfu ful Transitions

Acute/ Specialty Care Step-Down Primary

Care

Behavioral

Health

Levers Community Based Care Coordinators Peer Support Specialists Linkages to Community Organizations Interoperable Data Systems Outcome Metrics Reduced ED visits Reduced Inpatient Utilization Reduced Readmissions Fewer Released to Homelessness

Jail

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Innovation Target: Prevent and Manage Chronic Conditions

Levers Self-Management Support Population Health Management (Registries) Team-Based Care Community Health Workers (CHWs) Outcome Metrics Reduced ED visits Reduced Inpatient Utilization Improvement on Clinical Measures

Cardiovascular Diabetes Asthma COPD (Lung Disease)

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Innovation Target: Reduced Opioid Use

Levers Improved Prescribing Practices Increased Access to Evidence-Based Treatment (e.g., Medication Assisted Treatment) Overdose Prevention Recovery Coaches for Long-term Stabilization Outcome Metrics Reduced Mortality / Overdoses Reduced Morbidity Treatment Penetration

Prevention Treatment and Recovery Support for People with Opioid Use Disorder

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Steps to Selecting Community Practice Partners

Identify Strategic Priorities Listen & Learn Assess Capability & Capacity

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We have launched a Sm Small l Gr Grants Program to help us engage with community and better understand: ▪ What are the greatest needs? ▪ Where are the biggest gaps? ▪ What are the biggest barriers? ▪ What strengths already exist within community? ▪ What might be most effective in achieving the target metrics?

Step 1: Engage Consumers and Community

Listen & Learn

Eng ngage tho those who ho are are clos losest to the the pro problem: Con

• nsumers

rs an and d Com

• mmunit

ity

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Step 2: Pri rioritize Based on Potential Im Impact

Consumer Input Medicaid Population

Which typ types of

• f par

artners mig ight be most effective in in im improvin ing th the tar arget metrics cou

• untywid

ide?

Services intersect with innovation targets Meets needs that consumers have identified as critical Serves substantial population who may be on Medicaid

Identify Strategic Priorities

Medicaid Enrollees

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▪ Population served (size and type) ▪ Cultural competency ▪ Digital systems (i.e., records, software) ▪ Data tracking capability ▪ Staffing levels (or the ability to staff up) ▪ Commitment to collaboration

Step 3: In Invite Organizations to Complete Assessments

Assess Capability & Capacity

Which or

• rganizations

ar are best equip ipped to

• su

successfull lly engage in in In Innovation In Init itia iatives?

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HealthierHere wants to hear from you. ▪ Community and Consumer Voice Committee – Meets the 4th Monday of every month – Visit www.HealthierHere.org for meeting schedule and location ▪ Small Grants Program – Opportunity to hear directly from community and consumers – Visit www.HealthierHere.org for grant application ▪ HealthierHere Governing Board Meeting – Visit www.HealthierHere.org for meeting schedule and location

How You Can Be Involved

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▪ Visit www.HealthierHere.org for updates and information. ▪ Always Feel Free to Contact: Mary arya Gi Gingrey Director of Equity and Community Partnerships mgingrey@healthierhere.org 206-669-1873

Want To Learn More?