EMS for the Future Workshop August 25, 2011

1. Welcome! EMS for the Future Workshop August 25, 2011

2. EMS for the Future Workshop August 25, 2011

3. 'Change is the law of life. And those who look only to the past or present are certain to miss the future' - John F. Kennedy.

4. Bundling Healthcare Information Exchange Performance Dependent Reimbursement Alternate funding The “New Normal” No Money EMS Agenda for the Future Integration of EPCR with Hospital records Never Events Accountable Care Organization Coordinated Care Organization Alternate Destination

5. Mental Health Drug Addiction EMS Social Services Health Insurance Community Health Hospitals Clinics

6. Future Concepts …. Public Safety Community Health Public Health E S M

7. Hospitals Pharmacy Labs Consumers Healthcare Information Exchange Physicians Clinics Govt Medicaid/Pub H EMS Payers

8. The first call of the day was a 43 yo male that was found laying in the front yard of a residence. I was able to find the pt’s medical hx of seizure, and his last ER visit to OUMC. SMRTNET was used to confirm pt’s information she provided to me. Pt stated she had no allergies, however SMRTNET found allergies in hx. Upon questioning pt remembered “yes” to allergic to… HIE examples from EMSA www.hitsp.org AIMOregon.com

9. CMS Vision: “Patient-centered, high quality care delivered efficiently.” Pay for Reporting Pay for Quality Pay for Value

10. Reporting Hospitals - 2007 Physicians - 2009 “Failure to submit data for FY 2007 and beyond results in a 2% decrease in Medicare reimbursement.”… (Additional impact after Oct 1, 2012.) 17 Clinical care measures in 5 categories: (AMI, Heart failure, Pneumonia, HC assoc infection, Surg improve) 8 Consumer assessments: (doc/nurse communication, staff responsiveness Pain mgmt, Cleanliness/quietness of environ.)

11. “Budget Neutral” Funding reduced by 1% in FY 2013 Funding reduced by 2% in FY2014 and beyond “Hospitals may be able to earn back some or all of reductions through VBP (Value Based Performance).

12. Physicians: 3 Financial incentive plans • Quality reporting (2011 = 199 measures) • Electronic Prescribing • Electronic Health Records

13. Next in line- Home Health, Skilled Nursing Facilities, End stage Renal EMS – CMS fee schedule

14. Ambulance/EMS • Quality Measures • Accreditation/Certification • Electronic Records • Consumer Satisfaction • Efficiencies

16. http://health.oregon.gov

17. Oregon Health Policy Board CMS Integration Work grp CCO Work grp Global Budget Work grp Metrics Outcome Quality

18. Partnerships (CCO, ACO, Local vs Regional) Innovation Community Paramedics/Community Health providers Medical assessment/alternate destination Reimbursement

19. Choices Be at the table Be on the table

20. EMS for the Future Workshop August 25, 2011

21. Workshop Alec Jensen

22. Our Challenge in providing EMS in Oregon is…?

23. Rules for “dots” (1) RED dot = 10 pts (2) BLUE dots = 5 pts *Only 1 per statement allowed (5) GREEN dots = 1 pt *Only 2 per statement allowed *Cannot combine Red/Blue together

24. Small Groups • 45 minutes

25. Small Group Problem Statement Problem Elements Involves … (stakeholders) Goal Statement Plan (short & long term Leadership (who’s point?)

26. Small Group Reports

27. Where to now?