1 / 20

Hennepin Health

Hennepin Health. People.Care.Respect Jennifer DeCubellis. A social disparities approach to healthcare reform. The Crisis. Depressed economy + Increased demand for safety net services +Decreased revenues =System Crisis. Focused Problem. Problem: High need population Crisis driven care

erzsebet
Download Presentation

Hennepin Health

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. HennepinHealth People.Care.Respect Jennifer DeCubellis

  2. A social disparities approach to healthcare reform

  3. The Crisis Depressed economy + Increased demand for safety net services +Decreased revenues =System Crisis

  4. Focused Problem Problem: • High need population • Crisis driven care • System fragmentation Need: • Address social disparities • Improve patient outcomes • Increase system efficiencies

  5. What is Hennepin Health? Minnesota Department of Human Services (DHS) & Hennepin County Collaborative for Healthcare Innovation Hennepin County Partners- Hennepin County Medical Center (HCMC) NorthPoint Health & Wellness Human Services and Public Health Dept (HSPHD) Metropolitan Health Plan (MHP)

  6. Premise • Need to meet individuals basic needs before you can impact health • Social disparities often result in poor health management and costly revolving door care • By coordinating systems and services, we can improve health outcomes and reduce costs

  7. Population Served • MA expansion in Hennepin County (previous GAMC population) • 21-64 year old Adults, without dependent children in the home • At or below 75% federal poverty level ($677/mo for one person) • Targeting ~10,000 members/mo

  8. Population Characteristics • ~68% Minority status • ~45% Chemical Use • ~42% Mental health needs • ~30% Chronic Pain Mgmt • ~32% Unstable housing • ~30% 1+ Chronic diseases

  9. Objectives • Improve quality of life and patient experience • Improve quality of care • Improve provider/staff experience • Reduce costs (County, State, and Federal) • Reduces health/social disparities • Is sustainable/replicable

  10. Core Elements • Patient-centered care • Health care home model • Integration of providers across systems • One core patient record • Primary care partnered with behavioral health and social services • Value vs. volume driven system

  11. Implementation • Live-January 1, 2012 • 4800 Enrollees • 13 clinics • ~20% of build completed

  12. Goals- Yr 1 & 2 • Decrease admissions by >10% • Reduce ED visits by >10% • Increase primary care “touches” by ~5%

  13. Finance model • 100% at risk contract • Partners share risk/gains • Tiering approach • fee for service pmpm • with outcome contracts

  14. Phase 2Initiate once primary build complete and outcomes realized

  15. Run Charts

  16. Early lessons learned Care Enhancements • Engagement/Contacts • Dental in ED • Pharmacy Consults

  17. Early lessons learned System Enhancements • Health plan outreach, in care system • In reach –corrections, shelters • Nurse line at the hospital • Continuum of care links

  18. Sample-Initiatives Going Forward • Health Care for the Homeless • Prescription delivery • Housing • Set aside units • MH/CD • Community partners on site

  19. Future Initiatives to consider • Virtual visits • Home or site specific monitoring • Peer driven education and activation • Alternative contacts (email/text command centers)

  20. Hennepin Health Bringing systems & people together Video and more information: www.hennepin.us/healthcare

More Related