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The Health Collaborative: Current Activities and Capabilities July 13, 2012

The Health Collaborative: Current Activities and Capabilities July 13, 2012 Greg Ebel, Executive Director Melissa Kennedy, Director of Operations. The Health Collaborative.

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The Health Collaborative: Current Activities and Capabilities July 13, 2012

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  1. The Health Collaborative: Current Activities and Capabilities July 13, 2012 Greg Ebel, Executive Director Melissa Kennedy, Director of Operations

  2. The Health Collaborative Mission: To employ collaborative leadership in issue identification, program development, outcomes measurement and reporting, with the goal of stimulating meaningful improvement in the health of the people of Greater Cincinnati.

  3. Three legged stool of systemic improvement: • Measure and report what is important • Help people learn how to improve • Pay for what is important

  4. Current Clinical Data Reporting Capabilities in Greater Cincinnati

  5. Data Collection and Reporting Initiatives: initial development based upon AF4Q requirements • Your Health Matters public report: • Content: clinical outcomes data from providers • Outpatient clinical outcomes data: • diabetes, vascular disease, colon cancer screening, CHF • Hospital Quality Data: July, 2012 • Consumer Experience, ACO measures (in discussion): 2013 • Health Care Stakeholder reporting: • Content: Data from multi-payer claims database • Patient Center Medical Home evaluation • Potentially avoidable complications PACs

  6. Current Data Aggregation & Measurement Process Practice Data Push from EHR Paper Extract (Not Optimal) Health Plan Recognition Programs Electronic Data Extraction Practice Dashboard

  7. Challenges to Scaling: Policy Implication

  8. Group/Clinic Results

  9. QI Optional Results: Monthly PDSA Rapid-Cycle Reporting

  10. 43% of Primary Care Physicians in the 14 county Area Report on YHM Consists of ~150 Practices & 1.15 Million Patients 310% 2009 2010 2011

  11. Current Claims Reporting & Plan for Expansion

  12. PCMH Performance Report – Current Report

  13. Reporting Expansion Requests from Practices and Health Plans • 33 ACO measures • All patients, not just chronically ill • Measures available for all PCMH-recognized sites • Risk-adjustment of data • Readmission rates • Cost of care measures • Use of Generic Prescription Drugs • Percent of care that remains in a single system and correlations with utilization measures • High cost radiology • ED:OV use ratio

  14. Successful Implementation of Quality Improvement Programming

  15. Our Model for Practice Transformation Measureable Quality Improvement Organizational Effectiveness Information Technology for Population Health Patient Centered Medical Home

  16. 53 Primary Care Practices May 2011 170 Measurement Begins Physicians JAN. 2011 346,600+ Program Begins Patients Practice Transformation Success 15% points ↑ in D5 Score from 2010-2011 75% Practices will Achieve PCMH Level 3 Certification Practices will Achieve PCMH Certification 100%

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