Provider Perspectives on Improving Health Care Grantmakers In - - PowerPoint PPT Presentation

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Provider Perspectives on Improving Health Care Grantmakers In - - PowerPoint PPT Presentation

Nov 22, 2022 45 likes •538 views

Provider Perspectives on Improving Health Care Grantmakers In Health Webinar August 13, 2015 Why This Webinar? What Needs to Change to Improve the Health of the Nation? Access to Care Delivery System Transformation Prevention and Social

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Provider Perspectives on Improving Health Care

Grantmakers In Health Webinar August 13, 2015

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Why This Webinar?

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What Needs to Change to Improve the Health of the Nation?

Access to Care Prevention and Social Determinants of Health Delivery System Transformation

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Working in Silos

Health Care Providers

  • Doctors
  • Nurses
  • Clinics
  • Hospitals

The Community

  • Schools
  • City Councils
  • Food Banks
  • Homeless Shelters

Foundations

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We can tackle problems better together!

Identify Address Evaluate

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Doctors for America

  • 16,000 doctors and medical students

across specialties in all 50 states

  • Our vision: a healthy America for everyone
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Areas for Collaboration: Access to Care

  • Reaching the remaining 10%

– Enrollment – Medicaid Expansion – Undocumented immigrants

  • Ensuring that coverage translates to care

– Availability of providers – Affordability of deductibles and copays – Health literacy

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Areas for Collaboration: Delivery System Transformation

  • Focusing on value over quality
  • Increasing coordination of care

– Within the health care system – With community-based resources

  • Empowering patients
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Areas for Collaboration: Social Determinants of Health

  • Food Security
  • Housing Quality and Security
  • Safe Communities to Walk, Run, and Play
  • Education / Literacy
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What Doctors and Other Providers Can Do

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Suggestions

  • Use us as a resource!
  • Work with us to connect health care

providers with their communities.

  • Host forums with health care providers

and the community.

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Thank you!

Alice Chen, MD Executive Director alice.chen@drsforamerica.org 202-481-7197 www.drsforamerica.org

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Provider Perspectives on Improving Health Care

Grantmakers In Health Webinar August 13, 2015

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  • R. Shawn Martin

Senior Vice President Advocacy, Practice Advancement, & Advocacy

smartin@aafp.org 202.232.9033 @rshawnm

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3

AAFP Total Membership

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About the AAFP

  • 120,900 members

– Practice in 95% of U.S. counties – 42% are female – 24% are new physicians

  • <7 years in practice

– 18% are rural

  • 11, 309 resident physicians
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5

Current State of Affairs

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6

Changing Times

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Ecology of Health Care

1,000 Persons

800 Report Symptoms 327 Consider Seeking Treatment 217 Visit a Physicians Office

113 Visit a Primary Care Physician

65 Visit a complimentary of alternative care provider 21 Visit a Hospital Outpatient Clinic 14 Receive Home Health Care 13 Visit an Emergency Department

8 are Hospitalized

1 is Hospitalized in an Academic Health Center
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The Value of Primary Care

  • Patients experience the best
  • utcomes in terms of wellness,

health maintenance and overall cost of care when two items exists:

– Health care coverage (insurance) – Continuous relationship with a physician, usually a family physician

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4 Pillars of Primary Care

Comprehensive Continuous Coordinated Connected

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Primary Care Centric Health Care

Individual Patient Care Public Health Population Health Primary Care

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Primary Care is Complex

Figure 1. Number and percentage of outpatient chronic condition visits by physician type in the past year, based on the 2008 National Ambulatory Medical Care Survey. *P<0.05 significant test done by SAS Procedure Surveyfreq Roa-Scott 2 test.

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WORKFORCE CHALLENGES

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Recognized Medical Specialties

1965 2014

10 145

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WORKFORCE DISTRIBUTION

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Graduate Medical Education Positions Distribution by State

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4 Recommendations

  • Delivery systems built on 4 C’s of

primary care

  • Intersection of primary care, public

health, & population health

  • Integration of primary care &

mental/behavioral health

  • Workforce development
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18 18

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Provider Perspectives on Improving Health Care

Janet Haebler, MSN, RN Senior Associate Director of State Government Affairs, ANA Grantmakers in Health Webinar August 13, 2015

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AMERICAN NURSES ASSOCIATION

American Nurses Association

Nurses advancing our profession to improve health for all

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AMERICAN NURSES ASSOCIATION

Tipping Point: The ACA & The Future of Nursing Report

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AMERICAN NURSES ASSOCIATION

NURSES SHOULD PRACTICE TO THE FULL EXTENT OF THEIR EDUCATION AND TRAINING

KEY MESSAGE 1

Full Scope of Practice Recognize Nurses’ Economic Value Remove Barriers to Practice

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AMERICAN NURSES ASSOCIATION

PREPARE AND ENABLE NURSES TO LEAD CHANGE TO ADVANCE HEALTH

KEY MESSAGE 2

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AMERICAN NURSES ASSOCIATION

NURSES SHOULD ACHIEVE HIGHER LEVELS OF EDUCATION AND TRAINING

KEY MESSAGE 3

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AMERICAN NURSES ASSOCIATION

Strategic Investment Areas for Nursing

Scope of practice/ full practice authority for all nurses (RNs and APRNs) Nurse leadership Education, especially academic progression (RN-to BSN-programs)

ANFonline.org

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More information is available on ANA’s website:

www.NursingWorld.org

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Pro vide rs Pe rspe c tive s o n I mpro ving He a lth Ca re Gra ntma ke rs in He a lth We b ina r

Community He a lth Ce nte rs

Ja son Pa tnosh

Asso c ia te Vic e Pre side nt, Pa rtne rship a nd Re so urc e De ve lo pme nt Na tio na l Asso c ia tio n o f Co mmunity He a lth Ce nte rs

jpatnosh@nachc.org / 301-347-0400 ext 2068

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HE AL T H CE NT E RS I N A POST

  • ACA WORL

D

Whe re do we fit? Whe re do we sta nd?

  • Ac c e ss to prima ry c a re is vita l fo r c o st sa ving s

a nd impro ve d o utc o me s

  • Unme t ne e d fo r o ur se rvic e s re ma ins e no rmo us

– 62 millio n witho ut prima ry c a re

  • We e xpe c t inc re a se d de ma nd, a mo ng ne wly

insure d a nd uninsure d (MA e xpe rie nc e )

  • F

e de ra l support, thro ug h 330 g ra nt a nd

Me dic a id pa yme nt, c ruc ia l to mo de l o f c a re

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http://journals.lww.com/jaapa/Fulltext/2015/04000/Community_health_centers_at_the_crossroads__.9.aspx

“E ve ry Community He a lth Ce nte r is moving to a c hie ve the

tr iple a im—impro ve the he a lth o f the po pula tio ns se rve d,

impro ve the pa tie nt e xpe rie nc e , a nd b e nd the c o st c urve . T

  • a c c o mplish this, CHCs a re tra nsforming into pa tie nt-

c e nte re d me dic a l home s (PCMH), whic h inc lude s the

inte g ra tio n o f b e ha vio ra l a nd o ra l he a lth. K e y te ne ts o f the PCMH inc lude e ve ryo ne wo rking a t the to p o f the ir tra ining , lic e nsure , o r c e rtific a tio n; wo rking in c a re te a ms; a nd b e ing re spo nsib le fo r a pa ne l o f pa tie nts.”

HE AL T H CE NT E RS I N A POST

  • ACA WORL

D

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HE AL T H CE NT E R F UNDI NG ST RE AMS

DISCRE T IONARY

  • Annua l, up to Co ng re ss to

de te rmine a mo unt

  • Prio r to ACA, the o nly

funding fo r CHC pro g ra m

  • Cut in 2011, b a c kfille d with

ma nda to ry funds

  • Curre ntly $1.5 b illio n (F

Y14)

  • FY15 – T

BA?

MANDAT ORY

  • Re q uire d spe nding , unle ss

Co ng re ss c ha ng e s the la w

  • Spe c ia l F

und c re a te d in ACA to b o o st He a lth Ce nte r Ca pa c ity

  • Curre ntly $2.2 b illio n (F

Y14)

  • Exte nsio n fo r 2 ye a rs
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HE AL T H CE NT E RS F UNDI NG CL I F F …2 Ye a r De la y

  • Ma nda to ry funding

wa s se t to e xpire a t the e nd o f F Y15

  • Witho ut a c tio n b y

Co ng re ss, up to 70% c o uld ha ve b e e n c ut to He a lth Ce nte r g ra nts

  • NHSC, T

HCs in sa me po sitio n (tho ug h AL L ma nda to ry)

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F I XI NG T HE CL I F F

  • E

xte nds, g ro ws ma nda to ry funding

  • $20b o ve r 5 ye a rs
  • Gro w fro m

c urre nt 22m pa tie nts to 35m

  • Co ntinue funding

fo r NHSC, T e a c hing He a lth Ce nte rs

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WORK F ORCE POL I CY CONCE RNS

  • Na tio na l He a lth Se rvic e Co rps a nd T

e a c hing He a lth Ce nte rs GME pro g ra ms c urre ntly 100% funde d with ACA funds

  • F

unding fo r NHSC e xpire s in 2017; T e a c hing He a lth Ce nte rs so o ne r

  • Pre side nt pro po se d e xte nding , e xpa nding

NHSC, a nd b uilding o n T HCGME

  • Wo rking a lo ng side c o a litio n pa rtne rs (AAF

P, AAMC, ACU, AAT HC) to e xte nd

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WORK F ORCE DE VE L OPME NT

  • Gro wing o ur o wn – A.T

. Stills Unive rsity (de nta l, me dic a l, b e yo nd)

  • Co mmunity He a lthCo rps
  • L

e a de rship tra ining a c ro ss the C-Suite

  • Utiliza tio n o f CHWs a nd E

ntry le ve l sta ff

  • Gro wth o f NPs, CNMs a nd PAs
  • Be twe e n 2007 a nd 2012, the numb e r o f PAs, NPs, a nd CNMs

a t CHCs inc re a se d b y 61%, c o mpa re d with 31% fo r physic ia ns. Ho we ve r, se ve ra l po lic y a nd pa yme nt issue s je o pa rdize CHCs' a b ility to e xpa nd the ir wo rkfo rc e a nd me e t the c urre nt a nd rising de ma nd fo r c a re .

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MAK E YOUR VOI CE HE ARD!

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NACHC We bsite: www.na c hc .org NACHC Blog s (He a lth Ce nte rs o n the Hill, the Po lic y Sho p,

He a lth Ce nte r Ne ws a nd Ha ppe ning s, e tc .):

blog s.na c hc .c om

@ NACHC o n twitte r RE SOURCE S