Wyoming Care Coordination Network April 11, 2019 2 Whos in the - - PowerPoint PPT Presentation

Wyoming Care Coordination Network

April 11, 2019

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Who’s in the room?

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Wyoming Care Coordination Network

Mountain-Pacific Quality Health

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Mountain-Pacific Chronic Care Management (CCM) Support

Provide care coordinators with targeted educational tools and resources to distribute to patients

• Focus on 20-minute

monthly interventions

Engage patients and empower them for long- term continued program participation

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Mountain-Pacific CCM Support

• Disease-specific information

− Vaccines − Nutrition − Safety

• Medication safety tools

− Medication disposal − Medication bags − Pill planners − Adherence and health literacy

• Plus MORE

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Calendar of Events

April May July June

What have we learned in the first year? Specialties and CCM What they want to know and share with primary care Patient and Family Advisory Council (PFAC) Perspectives

• n CCM

Skin care for patients with chronic disease

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Medication Minute

Influenza and Antibiotic Stewardship

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A Quick Update on Influenza

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Antibiotic Stewardship in CCM

Find out when antibiotics are necessary. Visit: http://www.cdc.gov/getsmart

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Antibiotics in Chronic Care

• In 2014, 266.1 million courses of antibiotics were dispensed to
• utpatients in U.S. community pharmacies. This equates to more than

five prescriptions written each year for every six people in the U.S.

• Total inappropriate antibiotic use, inclusive of unnecessary use and

inappropriate selection, dosing and duration, may approach 50% of all outpatient antibiotic use.

• An estimated 80-90% of the volume of human antibiotic use occurs in

the outpatient setting.

14 Antibiotic Prescribing and Use in Doctor’s Offices. The Centers for Disease Control and Prevention. September 27, 2017 Available from: https://www.cdc.gov/antibiotic-use/community/programs-measurement/measuring-antibiotic-prescribing.html

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So far…

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Total Patients

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35 101 150 191 245 254 243 217 230 260 316 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19

Total Revenue Billed

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$- $20,000.00 $40,000.00 $60,000.00 $80,000.00 $100,000.00 $120,000.00 $140,000.00

Clinic Total

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20 40 60 80 100 120

Mar-19 Feb-19 Jan-19 Dec-18 Nov-18 Oct-18 Sep-18 Aug-18 Jul-18 Jun-18 May-18

Recruitment

• Arrowhead Family Medicine – Evanston
• Rocky Mountain Family Medicine – Casper
• Cheyenne Regional Medical Center – Cheyenne

− Four Clinics

• Rawhide Clinic - Lusk

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What Is Being Measured?

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• CCM usage at physician level – pre vs. post implementation
• Transitional Care Management (TCM) usage at physician level

(Fee for Service [FFS] Clinics)

• Admission, readmission and emergency department (ED)

utilization − CCM beneficiaries vs. population – pre vs. post

• On the horizon

− Medication usage − Physician surveys

Resources

https://www.mpqhf.org/QIO/quality-improvement- initiatives/chroniccaremanagementccm-home/

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OPEN DISCUSSION

• Sharing successes and overcoming barriers
• Community resource discussion

− Strong community partners

• CIGNA
• TCM
• Annual wellness visit (AWV) and Advanced Care Planning

(ACP)

• Behavioral health

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Join Us Next Month!

Date: May 9, 2019 Time: 3:00 – 4:00 PM

Questions?

Brandi Wahlen

Email: bwahlen@mpqhf.org Phone: 307-439-2369

Developed by Mountain-Pacific Quality Health, the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Montana, Wyoming, Alaska, Hawaii and the U.S. Pacific Territories of Guam and American Samoa and the Commonwealth of the Northern Mariana Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Contents presented do not necessarily reflect CMS policy. 11SOW-MPQHF-WY-C3-19-20

Stevi Sy, PharmD

Email: ssy@mpqhf.org Phone: 307-439-2375

Kevin Franke

Email: kfranke@mpqhf.org Phone: 307-439-2373