1 / 44

The Triple Aim Journey to a Healthier South Carolina

The Triple Aim Journey to a Healthier South Carolina. SC Business Coalition on Health Annual Meeting Rick Foster, MD May 8, 2012. “I believe the IHI Triple Aim is designed to change the course of health care history. . .

corentine
Download Presentation

The Triple Aim Journey to a Healthier South Carolina

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Triple Aim Journey to a Healthier South Carolina SC Business Coalition on Health Annual Meeting Rick Foster, MD May 8, 2012

  2. “I believe the IHI Triple Aim is designed to change the course of health care history. . . and I believe South Carolina is going to be one of the first states to prove it.” Maureen Bisognano, president and CEO of the Institute for Healthcare Improvement

  3. IHI Triple Aim ModelCan We Begin with the Individual and Scale Up? Per Capita Cost Population Health Act with the Individual and Family Learn for the Population Individual Experience 3

  4. Key System Components to Accomplish the Triple Aim Individuals and families Redesign of “primary care” services and structures Population health management Cost control platform System integration

  5. National Priorities Partnership • Engage patients and families in managing their health and making decisions about their care • Improve the health of the population • Improve the safety and reliability of America’s healthcare system

  6. National Priorities Partnership • Ensure patients receive well coordinated care w/in and across settings and levels of care • Guarantee appropriate and compassionate care for patients with life-limiting illnesses • Eliminate overuse while ensuring the delivery of appropriate care

  7. HHS Quality Strategy • Better care: increase the overall quality, by making care more patient-centered, reliable, accessible and safe. • Making care safer by reducing harm • Ensuring that each person and family are engaged as active care partners • Promoting effective communication and coordination of care

  8. CMS Partnership for Patients • Reduce preventable healthcare associated conditions (HAC) by 40% • Reduce preventable readmissions by 20%

  9. CMS Hospital Engagement Ntwk Inpatient Harm Events List • adverse drug events (ADE) • catheter associated urinary tract infection (CAUTI) • central line associated blood stream infections (CLABSI) • injuries from falls • OB adverse events • pressure ulcers • surgical site infections • venous thromboembolism (VTE) • ventilator associated pneumonia (VAP) • preventable readmissions (care transitions)

  10. state performance — overall score Process Quality + Readmissions + Mortality + HCAHPS

  11. SC Average Optimal Care Scores Each quarter represents 4 rolling quarters

  12. Door to Balloon Average Time ACTION/Get with the Guidelines Registry (2007-2011) 38% improvement rate Time in minutes

  13. SC CLABSI Rates Over Time SC: 69% improvement National: 40% improvement

  14. Safe Surgery: SCProject Goal Have the checklist effectively used in every operating room for every patient undergoing surgery in South Carolina by the end of the 2013

  15. HCAHPS- Survey on Patients’ Hospital Experience

  16. HHS Quality Strategy • Healthy populations/healthy communities: improving population health by supporting proven interventions for behavioral, social and environmental determinants of health • Promoting the most effective prevention strategies for the leading causes of mortality • Working w/ communities to promote wide use of best practices to enable healthy living

  17. America’s Health Ranking 2011

  18. Beaufort 2007-2009 Asthma ED + Hospital Visit Rates Cherokee Greenville York Spartanburg Pickens Oconee Union Chester Lancaster Marlboro Chesterfield Anderson Laurens Fairfield Dillon Kershaw Darlington Newberry Abbeville Lee Marion Greenwood Florence Richland Saluda McCormick Lexington Sumter Horry Edgefield Calhoun Clarendon Williamsburg Aiken Georgetown Orangeburg Barnwell Bamberg Rate per 10,000 population Berkeley Dorchester Allendale 22 – 50 Colleton Hampton Charleston 51 – 60 61 – 70 Jasper 71 - 132 Data source: Hospital Discharge Database, ORS Generated by Office of Chronic Disease Epidemiology and Evaluation , SC DHEC

  19. Beaufort Asthma ED & IP Visit Rate/ Ratio (AA/W) 2007-2009 0-19 Year Old Cherokee Greenville York Spartanburg Pickens Oconee Union Chester Lancaster Marlboro Chesterfield Anderson Laurens Fairfield Dillon Kershaw Darlington Newberry Abbeville Lee Marion Greenwood Florence Richland Saluda McCormick Lexington Sumter Horry Edgefield Calhoun Clarendon Williamsburg Aiken Georgetown Orangeburg Barnwell Bamberg Berkeley Dorchester Rate Ratio Allendale 1 – 2 Colleton Hampton Charleston 2 - 3 3 - 4 Jasper 4+ Correlation Between 2006-08 and 2007-09 Rate Ratio is 0.83 Data source: Hospital Discharge Database, ORS Generated by Office of Chronic Disease Epidemiology and Evaluation , SC DHEC

  20. Leg Amputation Rates by State and Hospital Referral Region

  21. CDC Community Transformation Grant Program- Healthy SC Initiative • Reduce death and disability due to tobacco use by 5% • Reduce the rate of obesity through nutrition and physical activity interventions by 5% • Reduce death and disability due to heart disease and stroke by 5%

  22. HHS Quality Strategy • Affordable care: Reduce the cost of quality healthcare for individuals, families, employers and government • Makingquality care more affordable by developing and spreading new health care delivery models

  23. Total Medicare Reimbursement- HRR

  24. Percent of Cancer Patients Dying in Hospital

  25. Enhancing Health and the Patient Experience Team-Based HealthcareDelivery Population Health Access to Care Patient is the centerof theMedical Home Advanced IT Systems Patient-Centered Care Decision Support Tools Refocused Medical Training Patient & Physician Feedback Medical Home Model Model adapted from theNNMC Medical Home 11

  26. BCBSSC Patient CenteredMedical Home Pilots 2010 pilots

  27. Re-engineering 1.0: The Triple Aim Journey Begins • SCHA Board establishes a “reengineering healthcare” task force- 3rd QTR 2010 • Task force unanimously agrees on using the IHI Triple Aim platform and inviting other key public and private sector health leaders and organizations to join- 4th QTR 2010 • Expanded task force begins work on a triple aim plan for SC- 1st and 2nd QTR 2011

  28. Re-engineering 2.0: The Triple Aim Journey Continues • Task force agrees on initial vision, strategic aims and general governance structure for statewide triple aim coalition- 3rd and 4th QTR 2011 • The SC Health Coordinating Council is formally established and HSSC, SCHA and SCORH pursue CMS innovation grant as triple aim convener on behalf of Council - 1st and 2nd QTR 2012

  29. SC Triple Aim Strategic Partners • HealthSciences SC- research and innovation • SC Institute of Medicine & Public Health- health policy research • BCBSSC- new reimbursement design/models • State Chamber- alignment of resources/incentives • AARP/MAME/SCVPS- patient/consumer perspective and engagement • SCPHCA- primary care access/PCMH focus • SCORH- dissemination to rural providers/networks • ORS- health information exchange/data atlas

  30. SC Triple Aim Strategic Partners • SCMA- physician alignment and education • DHEC- community health and prevention • DHHS- access and coverage redesign/data stream • AHEC- statewide educational platform/engine • Carolinas Center for Hospice Care- palliative and EOL care • CCME- QIO for SC (10th Scope of Work) • SC Office on Aging- community care transition and coordination • LifePoint/Donate Life- organ donation/donor mgt.

  31. Healthy SC Strategic Alliances • The Duke Endowment- major funding partner • HRET- AHA quality and research division • IHI- regional Triple Aim project and quality innovation center network initiative • Harvard- Gawande (Safe Surgery), Ganz (OFH) • TJC Center for Transforming HC- highly reliable systems of care focus • CMS Innovation Center- multiple grants and demonstration projects; Partnership for Patients • AHRQ- QPS research grants & improvement tools • Premier- Quest and Hospital Engagement Contract • The Rippel Foundation- ReThink Health initiative

  32. Healthy South Carolina Vision Statement Thatevery SC citizen will have the opportunity to maximize their personal health status while having direct access to highly reliable, evidence-based care delivered in a safe environment across all care settings and stages of life

  33. Healthy South Carolina Visionary Goals SC will be able to document the highest rates of improvement from current 2010 status in these three triple aim pillars: 1) Improvements in health status of defined populations within our state 2) Improvements in patient access, care processes, and clinical outcomes 3) Reductions in the healthcare cost burden on our state and its citizens

  34. Keys to a Healthy South Carolina Health care must become highly reliable. Patients must be more engaged. We must deliver compassionate and patient-centered care at the end of life. We must improve health status and reduce health disparities. We must improve efficiency and reduce waste. We must improve coordination of care. Payment models must be reformed and aligned.

  35. key sc triple aim strategic aims • Establish highly-reliable health systems that continuously provide evidence-based, patient-centered care in a safe and efficient environment. • Effectively improve the health status and outcomes of our state’s population while reducing the major areas of health disparity.

  36. key sc triple aim strategic aims 3. Ensure access for every patient to well coordinated care across all care settings and all stages of life, including compassionate care at the end of life. 4. Develop and implement reimbursement models and performance incentives that effectively align with and actively promote innovations and specific improvement efforts under the other strategic aims.

  37. Patient Engagement Leadership Data Education Innovations in Practice

  38. Specific SC Triple Aim Initiatives • SC Health Coordinating Council • Access Health SC- medical home access • SC Birth Outcomes Initiative • Healthy Columbia campaign- community organizing model under ReThink Health • Healthy SC- community transformation grant • Working Well- worksite wellness program • Every Patient Counts Partnership • SC CARES- comprehensive adverse event response & evaluation system (just culture)

  39. Specific SC Triple Aim Initiatives • SC Heart and Stroke Care Alliance • SC Healthcare Alliance for Infection Prevention • Safe Surgery SC • SC Ideal Care Transitions program • SC Coalition for Care of the Seriously Ill (CSI) • SCHIEx- SC health information exchange • Palmetto Care Connections- state telehealth network • MySCHospital.org public reporting website and Hospital Performance Dashboard

  40. Patient-Centered Care Continuum

  41. The Triple Aim Journey to a Healthier South Carolina SC Business Coalition on Health Annual Meeting Rick Foster, MD May 8, 2012

More Related