Peer to Peer Sustainability Panel for Chronic Disease Networks

1. Peer to Peer Sustainability Panel for Chronic Disease Networks 2010 Rural Health Care Services Outreach and Rural Health Network Development Program Grantee Meeting August 3, 2010 Ronald Deprez, Ph.D., MPH The Center for Community and Public Health University of New England

2. In this talk we will cover: • Overview of Hancock County Network project • Approach to Sustainability • Solutions • Lessons learned • Challenges • Questions & Answers

3. The Downeast District—Hancock and Washington Counties

4. Hancock County Project Timeline 3 YR HRSA NETWORK GRANT – At end of Year 1 Grant Year 1: May 1, 2008-April 30, 2009 Assessment & Planning Phase Grant Years 2 & 3: May 1, 2009 – April 30, 2011 Implementation and Evaluation Phase

5. Hancock County Network Partners

6. The overall goal of this project is to establish a comprehensive, evidence-based chronic disease PSM and prevention system in the Hancock County region of Maine. The Network works to increase resources and collaboration around patient self management for prevention and treatment of chronic disease. A special focus is on care integration at three levels: Patients, Providers and Community Resources/Services. Hancock County Network Project Goal

7. Objectives Overall Objective for Network: • Implement a process that systematically links community based self management resources to patients of primary care providers. Practice Level: • Identify and implement best practice strategies for supporting patient self management Patient Level: • Use action plan tool to help patients to reach specific goals based on their condition • Educate patients using up to date resources (print, web, etc.) • Assist patients with achieving medication adherence Community Level: (Healthy Maine Partnerships): • Disseminate educational materials and tools to promote PSM • Identify and implement solutions to eliminate barriers • Collaborate and coordinate local and statewide resources for patients

8. Hancock County Network Activities The Network membership meets monthly and have accomplished the following: Developed a Governance structure Hired a part time Network Director Competed Practice & Community Assessments on patient self management resources and services Developed actions plans through regional teams Funded four pilot PSM initiatives Expanding provider based care management Developed a year 3 action plan including sustainability planning

9. HMP Pilot Projects

10. Approach to Sustainability • Leadership Commitment to sustaining the existing Network • Expand the Network to include all of Downeast Public Health District (add Washington County) • Continue to focus on chronic disease issues—especially integrating PSM programs into practices • Find funding mechanism though different strategies to continue the work of network

11. Value of Network • Network members feel the Network has had a significant impact on improving community and provider communication, care integration, and their chronic disease prevention and management activities.

12. Solutions • Grants and contracts • Link to other ongoing organizational structures • Merge the Network into larger health partnership • Merge with the public health district

13. Lessons Learned • It is hard to get institutional funding • Value proposition to hospitals and other local institutions • 3rd party funding—value to Medicare and other third party players

14. Challenge • Develop interim funding as we continue to build value proposition for local and state institutional providers and third party payers.

15. Questions?

16. Contact Information Ron Deprez rdeprez@une.edu 207-221-4563 16