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READY BY 2014: CLINICIAN CAPACITY SURVEY HIGHLIGHTS

READY BY 2014: CLINICIAN CAPACITY SURVEY HIGHLIGHTS. Presentation for CSRHA Annual Conference November 16, 2011 . Charla Parker, M.P.A. Presenter, CEO, WCN. Co-facilitators: Casie Parrish, M.P.A., Administrative Coordinator, WCN Lyman Dennis, MBA, PhD, CPHIMS, HIMSS

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READY BY 2014: CLINICIAN CAPACITY SURVEY HIGHLIGHTS

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  1. READY BY 2014:CLINICIAN CAPACITY SURVEY HIGHLIGHTS Presentation for CSRHA Annual Conference November 16, 2011

  2. Charla Parker, M.P.A.Presenter, CEO, WCN • Co-facilitators: • Casie Parrish, M.P.A., • Administrative Coordinator, WCN • Lyman Dennis, MBA, PhD, CPHIMS, HIMSS • Principal, Eldorado Consulting

  3. Participation Map • Survey Objectives • Survey Highlights • “Think Tank” Solutions – Attendees • Physician Recruitment & Retention • Preparing for P4P • Improving PCP/Specialty Care Communications • Summary and Next Steps

  4. Study Goal: To identify the capacity of safety-net providers to take on newly insured patients according to standards set under the Affordable Care Act and to utilize that information to develop technical, educational and funding assistance programs.

  5. Study Sponsor • Kaiser Permanente Southern California Community Benefit • Kaiser Permanente National Community Benefit

  6. Survey Partners in CA

  7. Survey Partners in AZ and NV • Arizona Association of Community Health Centers • Great Basin Primary Care Association

  8. What did we learn?

  9. Clinicians Are Eager to Express Their Opinions

  10. Clinicians Hate to Complete Surveys

  11. Survey Responses: 57 total • Nevada • 17 started and all completed survey • Arizona • 11 started and 7 completed survey • California • 29 started survey and 13 completed • Nearly all were from rural communities

  12. What do you think they said? • Ability to take new patients into panel? • Yes responses: • 50-60% • 60-70% • 70-80% • 90-100%

  13. Clinicians’ Perspective on “Ready by 2014”? Provider Ability to Increase Patient Load • AZ 85.7% • NV 93.8% • CA 93.3% Physical Office Capacity to Increase • AZ 100% • NV 87.5% • CA 100%

  14. Clinician Perception of Ability to Add 25% More Patients 26.83% Not Ready 23.08% Not Ready

  15. Perception of PCMH Readiness Not Ready 9.76% Not Ready 0%

  16. Perception of Ability to Enter into ACO Contracting Relationship Not Ready 26.83% Not Ready 23.08%

  17. Top Critical Issues • Recruitment and Retention of Clinicians • Improving Communications Between PCP’s, Specialists, Hospitals, etc. • Participating in Pay-for-Performance Programs

  18. #1Critical Issue • Provider Recruitment & Retention Degree of Challenge: Extreme 33.33% Considerable 41.67% Moderate 16.67% Low 2.78% None 5.56%

  19. More Pts. – Not Enough PCP’s

  20. #2:Participating in Pay-for-Performance Programs • How to see more patients with reduced$’s?

  21. The 3-PART AIM: • *Better Care • *Better Health • *Lower Costs

  22. Workflows before implementing EHR are different from those after EHR adoption Practice Manager Practice Manager

  23. Practice Management Coaching • Workflow Redesign for Increased Efficiency • Reduces Cost • Panel Management for Patient Centered Access • Provides Better Care • Population Care Management for Improved Health Outcomes • Provides Better Health for the Community

  24. No. 3 Optimizing EHR Critical Issue • Improving Communications Between PCP, Specialists, Hospitals & Ancillary Providers

  25. The Past Information System

  26. Potential for Real Time Health Information Exchange

  27. Shared Decision Making • Real time data creates opportunity for shared decision making between provider and patient • According to an IOM report, uninformed patients spend 40cents per dollar more on unnecessary care and less-involved patients often demand unwarranted tests and treatment because they don’t know about varying risks and benefit

  28. How do we move from past to present to the future integrating all of the new Ready by 2014 “guidelines”?

  29. Assignment for “Power Dating” Break-outs • Convene in small groups – 5minutes • Assign a discussion leader • Assign a recorder • Assign a reporter • Identify challenges faced with your topic – 5 minutes • Identify innovations that are overcoming those challenges – 30 minutes • Chose one innovative practice to share with larger group – 10 minutes • Report back out at the end of 50 minutes

  30. Attendee’s ShowcaseInnovations

  31. Conclusion • Summary of Break-out Reports • Next Steps

  32. Opportunities for the Future of Improved Financial & Clinical Performance

  33. WCN Current Program Offerings: • UCSF Practice Management Facilitation • 2 scholarships available: No. and So. CA • Practice Based Research Opportunities • Application of Predictive Analytics in PCP Office • Colorectal FLU-FIT Best Practices Project • Other topics being developed • Ongoing Peer Support and Networking • New CMO Boot Camp • April 22, 2012 Las Vegas

  34. Resources and References • Survey Summary & Best Practices Resources Will be posted on WCN website • www.westerncliniciansnetwork.net • or contact • Charla Parker, MPA at (530) 383-5030 charla_parker@msn.com • Casie Parrish, MPA at (916) 993-7770 x3670 • westernclinciansnetwork@gmail.com • Lyman Dennis, MBA, PhD, CPHIMS, FHIMSS • Ldennis@eldoradohc.com

  35. With Special Thanks toThomas Bodenheimer, M.D. Associate Professor, UCSF Center for Excellence in Primary Care

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