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Workgroup Ideas

Workgroup Ideas. Areas of Focus. Engaging the Public. Recognition Education & recognizing community culture Menu of services & transparency of who is PCMH Patient choice. Engaging the Public. Action steps Development of message content: must include the voice of the public

phillip-whitfield
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Workgroup Ideas

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  1. Workgroup Ideas Areas of Focus

  2. Engaging the Public • Recognition • Education & recognizing community culture • Menu of services & transparency of who is PCMH • Patient choice

  3. Engaging the Public • Action steps • Development of message content: must include the voice of the public • Available data from NCQA, RCCOs, others • Focus groups, public polls/survey • How do we deliver the message? • Utilization of available data/ask the people

  4. Engaging the Public • Action steps continued • Addition of others to the planning process (including previously mentioned) • Chronic care community • OB/GYN • Faith-based organizations • PATIENTS! (with supports) • Pharmacists • Etc.

  5. Buying Health Services for Employees • Decrease employee absenteeism & increase employee production by offering PCMH programs on top of current/existing health insurance programs to decrease lost time from work • Educate employers on value of primary care & medical homes

  6. Buying Health Services for Employees • Drivers of health care decisions • Cost of health care • Employee productivity • Health (what is health in eyes of the employer?) • Direct & immediate access to all needed healthcare

  7. Buying Health Services for Employees • Parallel a company work-comp/safety program with a work-health health program • Pathways/contracts for both acute & chronic health care • Safety: loss ratio linked to premium reduction • Employer demand for medical homes ( contract with medical homes, similar to work-comp)

  8. Buying Health Services for Employees • Build a business case for, and explain a clear ROI for the PCMH • Engage in a local conversation with businesses & organizations • Infiltrate, integrate, & educate employers at business events • Chamber of Commerce • Colorado HR Association • CO Restaurant Association • Etc. • Involve & engage health insurers & brokers

  9. Payment Reform • Convening all stakeholders • Transparency/alignment of metrics (risk adjustment, benchmarks) • Understanding real cost of PCMH transformation & sustainability • Financial incentives for all stakeholders – aligned across payers

  10. Payment Reform • Transparency – know the cost! Across the public & private plans • Incentivize with goal in mind allocate more funds to primary care • Cover all services needed: • Primary care • Behavioral health • Dental

  11. Payment Reform • Standardize the standards • Insurance reform • Must offer same plans & benefits • Base member on service rather than cost • Publicly funded – privately serviced

  12. Delivery Reform • Set medical home as standard of care • Share the vision • Build the infrastructure tools/resources extension service model

  13. Delivery Reform • Action steps • Support facilitation • Standard quality measures • Cost • Experience • Partnership (culture) • Community • Equitable

  14. Delivery Reform • Transform with hospitals • Build facilitator systems • Equitable • Culture • Language • Patient • Measures

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