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King County Care Partners

King County Care Partners. A Strategic Partnership Case Study. King County Care Partners: Mission.

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King County Care Partners

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  1. King County Care Partners A Strategic Partnership Case Study

  2. King County Care Partners: Mission KCCP brings together organizations that serve medically vulnerable Medicaid clients to improve clinical outcomes and decrease unnecessary utilization by providing community-based RN care management that empowers patients and enhances coordination, communication and integration of services across safety-net providers.

  3. King County Care Partners(Est. March 2007)

  4. Lessons Learned • Environment: Political and Social Climate • State Medicaid agency (which funds KCCP) searching for better strategies to reduce costs and improve outcomes • Previous disease management efforts yielded mixed results • High level of readiness to engage and collaborate with local community partners • Shared knowledge/experience among partners of Chronic Care Model

  5. Lessons Learned • Environment: Political and Social Climate is Dynamic • Identify and engage external stakeholders • Potential to build operational strength and political support • Support and insight can be gleaned from other communities pursuing similar work • For KCCP these have included • Locally • Community Mental Health Centers • Healthcare for the Homeless • State agencies • Nationally • Medicaid chronic care management programs in Indiana and North Carolina • AHRQ and the Center for Healthcare Strategies

  6. Lessons Learned • Leadership and Process/Structure • Identifying a lead agency has been advantageous • Criteria for which agency best serves as lead depends on the nature of the partnership • KCCP: Decision that ADS would be lead agency • Perceived as neutral by other partners • Experienced agent of State services • Internal strengths/capabilities • Contracting • IT/working with data • Adept at providing community-based services • Skilled leadership

  7. Lessons Learned • Process and Structure: When there are many partners, multiple layers of participation by all partners is difficult to achieve • Variable resources and capabilities within each partnering organization • Some partners will require additional time/assistance • Tension between “cutting slack” and accountability

  8. Lessons Learned • Availability of some flexible resourcesis key to overcoming barriers to success • ADS able to provide bridge one-timefunding when financial model is challenged by unexpectedly low enrollment

  9. Lessons Learned • Resources: Identify and leverage resources and relationships that partnering organizations possess • Harborview, part of the Academic Medical Center, provides access to valuable expertise, e.g. Motivational Interviewing workshops • ADS connection to State agencies on aging enables extension of eligible long term carepopulation

  10. Lessons Learned • Flexibility and adaptability are invaluable attributes • KCCP care model has evolved • Iterative process of learning how best to provide community-based disease management • Model different from that initially envisioned • Model modified because funding more constrained than initially anticipated • Modifications actually appear to have led to a better overall model

  11. Lessons Learned • Questions?

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