Population Management Executive Development Program: April 2016 - - PDF document

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Population Management Executive Development Program: April 2016 - - PDF document

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2/2/2016 February 2, 2016 These presenters have nothing to disclose Population Management Executive Development Program: April 2016 Informational Call Molly Bogan, MA Saranya Loehrer, MD, MPH 2 WebEx Quick Reference Please use chat to

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Population Management Executive Development Program: April 2016

Informational Call February 2, 2016

These presenters have nothing to disclose

Molly Bogan, MA Saranya Loehrer, MD, MPH

WebEx Quick Reference

  • Please use chat to

“All Participants” for questions

  • For technology

issues only, please chat to “Host”

2

Enter Text Select Chat recipient Raise your hand

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Agenda

Welcome and introductions Why population management and why now? Accelerators of progress Faculty highlights: factors of success in population management Program overview Questions

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Welcome & Introductions

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Saranya Loehrer, MD, MPH

Executive Director Institute for Healthcare Improvement

Molly Bogan, MA

Project Director Institute for Healthcare Improvement

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Welcome & Introductions

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Richard Gitomer, MD

President & CQO Emory Healthcare Network

George Kerwin, FACHE

President & CEO Bellin Health

Meryl Moss, MPA, EHML

Chief Operating Officer Coastal Medical

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Context Setting: Why population management and why now?

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Healthcare in the US is changing…

Bring Down Health Care Premiums (1/1/11) President Obama signs the Affordable Care

  • Act. (3/23/2010)

Prohibit Denying Coverage of Children Based on Pre-Existing Conditions (9/23/2010) Provide Free Preventative Care (9/23/2010) Increase Access to Services at Home and in the Community (10/1/1/11) Encouraging Integrated Health Systems &Launch

  • f ACO Pioneer

Program (1/1/12)

2010 2011 2012 2013 2014

Understanding and Fighting Health Disparities (3/1/12) Improving Preventative Health Coverage & Launch

  • f SSP ACO model

(1/1/13) Open Enrollment in the Health Insurance Marketplace Begins (10/1/13) Prohibiting Discrimination Due to Pre-Existing Conditions or Gender (1/1/14) Establishing the Health Insurance Marketplace (2014)

HHS to tie 90%

  • f all

traditional Medicare payments to quality or value by 2018

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2015

Fee for Service

Pay for Performance Shared Savings Shared Risk Global Payment

Changing Healthcare Context

Focus on Individuals Individuals and Populations Individuals, Populations and Communities

Care Care and Cost The Triple Aim Do to Do for Do WITH

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Triple Aim

We define the Triple Aim as system designs that simultaneously improve three dimensions:

  • Improving the health of the

populations;

  • Improving the patient experience
  • f care (including quality and

satisfaction); and

  • Reducing the per capita cost of

health care.

​Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, health, and cost. Health Affairs. 2008 May/June;27(3):759-769 9

Population Health

10 http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd- 4e9e-89d9-14d88ec59e8d&ID=50

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Population Management

We define population management as the design, delivery, coordination, and payment of services for a defined group

  • f people to achieve specified cost, quality and health
  • utcomes for that group of people.

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http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4 a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=50

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Framework: Accelerators to Successful Population Management

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Our Framework: Five Accelerators

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  • Demonstrating effective leadership
  • Creating data systems for performance improvement
  • Building robust improvement infrastructure
  • Engaging stakeholders and communities
  • Leveraging payment models

Population Management

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Poll:

Which accelerator represents the greatest challenge in your organization?

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Chat Question:

What would success in population management look like in your

  • rganization?

Faculty Highlights

What did success look like for our faculty at their

  • rganizations?

What challenges did they overcome?

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Faculty Highlights

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Meryl Moss, MPA, EHML

Chief Operating Officer Coastal Medical

Faculty Highlights: Meryl Moss

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  • Physicians and staff alike have a shared vision and

commitment to managing Coastal Medical’s primary care patients for optimal population health.

  • Physicians feel that we are providing a differentiated

level of care to our sickest high-risk patients in a way we were unable to in the past.

  • Coastal has achieved outstanding results in quality

metrics, including being in the top 1% for quality of all MSSP ACOs in the country.

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Faculty Highlights

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George Kerwin, FACHE

President & CEO Bellin Health

Faculty Highlights: George Kerwin

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  • Developed the ability to manage the overall health
  • f populations when Bellin faced a crisis with the health
  • f a critical population segment–our employees.
  • 640,000 people make up the population Bellin serves.

Segmenting this population is important to improving the health of so many people

  • Data systems and payment models support the shift

from insuring health to managing the health of populations

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Faculty Highlights

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Richard Gitomer, MD

President & CQO Emory Healthcare Network

Faculty Highlights: Richard Gitomer

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  • Developed a productive collaboration between the non

Emory-employed physicians and the Emory Healthcare Network.

  • Transitioned from a successful academic medical center

in the fee-for-service world with little clinical integration to a clinically integrated network with a value-based contract in 17 months.

  • Improved quality and earned shared savings in the

first year of a value-based contract.

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Faculty: Navigating Challenges

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  • Negotiating tensions and trying to keep the lights on

while maintaining fee-for-service models and implementing the new activities of value-based models.

  • Achieving productive electronic data integration

across a widely variable network in the context of the currently available technologies.

  • Having to rely on payers analytics infrastructure for

data and support.

Orlando, FL

ihi.org/PopulationManagement

Population Management Executive Development Program

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Program Highlights

2.5 day program for executives and other leaders accountable for population management Learn from a team of expert faculty with deep experience in a variety of settings Network with other executives navigating similar challenges Dedicated retreat time and action planning: leave with a plan for how to immediately apply the concepts and promising practices learned about in the program in your

  • wn organization

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Questions?

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Orlando, FL

ihi.org/PopulationManagement

Population Management Executive Development Program

Please contact us with any questions

  • r you would like to speak to a member of the team

about joining the April 2016 program!

Thank You!

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Molly Bogan mbogan@IHI.org Kristen Kennedy kekennedy@IHI.org