2. Extracting Value
Patient Centered Medical Home
Hillcrest 2015 Winter CME Update
Paul Grundy MD, MPH - IBM Director, Healthcare Transformation
@Paul_PCPCC
https://twitter.com/Paul_PCPCC

3. “Godfather” of the Patient Centered Medical Home
IBM Global Director Healthcare Transformation
President of PCPCC
Ambassador for Denmark Healthcare
Member Institute of Medicine
Member Board ACGME
Professor Univ. of Utah Department Family Medicine
Winner NCQA national Quality Award
A Leader of MOH level taskforce primary care transformation 8
nations: USA, Canada, New Zealand, Australia, Holland, Denmark, UK,
Belgium,
Univ. of California MD, John Hopkins Trained
Paul Grundy MD MPH Bio

5. The System Integrator
Creates a partnership across the
medical neighborhood
Drives PCMH primary care redesign
Offers a utility for population health
and financial management
Away from Episode of Care to Management of Population
WITH DATA
Community Health
Population
Health
System Integrator
Patient
Experience
Per
Capita
Cost
Public
Health
@Paul_PCPCC
https://twitter.com/Paul_PCPCC

7. Hillcrest HealthCare System: Changing lives for the better, together
“First Follower: Leadership Lessons from Dancing Guy”

8. – BUT -where the delivery system works
– a Patient in a trusting relation with a
healer who is a comprehensivist where
the patients data is in charge”
In much of the world, no one is in charge.
And the result is the most wasteful and Unsustainable

9. 36.3% Drop in hospital days
32.2% Drop in ER use
12.8% Increase Chronic Medication use
-15.6% Total cost
10.5% Drop Inpatient specialty care costs
18.9% Ancillary costs down
15.0% Outpatient specialty down
Outcomes of Implementing Patient Centered Medical
Home Interventions: A Review of the Evidence from
Prospective Evaluation Studies in the US - PCPCC Oct 2012
Smarter Healthcare

10. •9.9 percent lower rate of adult ER visits
•27.5 percent lower rate of adult ambulatory care sensitive
inpatient stays
•11.8 percent lower rate of adult primary care sensitive ER
visits
•8.7 percent lower rate of adult high-tech radiology usage
•14.9 percent lower rate of pediatric ER visits
•21.3 percent lower rate of pediatric primary-care sensitive ER
visits
24 July 2014 Michigan Blues’ patient-centered medical home program
shows statewide transformation of care YEAR 6
4,022 primary care doctors at 1,422 practices around the state
in its sixth year of operation. These practices care for more
than 1.2 million BCBSM members.

11. 17 found
improvements in
cost
24 improvements in
quality
10 found
improvements in
access
8 found
improvements in
satisfaction
24 found
improvements in
utilization

12. Beyond Flexner --- Driven by
Actionable - Personalized Data

13. USA 2012
Ogden UT

17. Watson is ushering in a new
era of computing
Tabulating
Systems Era
Programmable
Systems Era
Cognitive
Systems Era
1900
1950
2011

19. MobileFirst Patient Consumer

20. Preventive
Medicine
Medication
Refills Acute Care
Nursing
Test Results
Master Builder
DOCTOR
Source: Southcentral Foundation, Anchorage AK
Behavioral
Health
Case
Manager
Medical
Assistants
Chronic Disease
Monitoring
Practice transformation away from episode of care

21. Source: Southcentral Foundation, Anchorage AK
PCMH Parallel Team Flow Design: the glue is real data, not a doctor’s brain
Medication
Refills
Chronic
Disease
Monitoring
Test
Results
Acute
Care
Preventive
Medicine
Point of
Care Testing
Acute
Mental
Health
Complaint
Chronic
Disease
Compliance
Barriers
Healthcare
Support
Team Behavioral
Health
Medical
Assistants
Case
Manager Clinician

22. Healthcare Will Transform --- Family Medicine for America’s Health
Data Driven
Every person has a plan
Team based
Managing a population
down to the person
.

23. Today’s Care PCMH Care
My patients are those who make appointments to see
me
Our patients are the population community
Care is determined by today’s problem and time
available today
Care is determined by a proactive plan to
meet patient needs with or without visits
Care varies by scheduled time and memory or skill of
the doctor
Care is standardized according to evidence-based
guidelines
Patients are responsible for coordinating their own
care
A prepared team of professionals coordinates all
patients’ care
I know I deliver high quality care because I’m well
trained
We measure our quality and make rapid changes to
improve it
It’s up to the patient to tell us what happened to them
We track tests & consultations, and follow-up after
ED & hospital
Clinic operations center on meeting the doctor’s
needs
A multidisciplinary team works at the top of our
licenses to serve patients
Slide from Daniel Duffy MD School of Community Medicine Tulsa Oklahoma

24. Superb Access to
Care
Patient Engagement in
Care
Clinical Information
Systems, Registry
Care Coordination
Team Care
Communication
Patient Feedback
Mobile easy to use and
Available Information
Defining the Care Centered on Patient

25. HIT
Infrastructure:
EHRs and
Connectivity
Primary Care
Capacity:
Patient
Centered
Medical Home
Operational
Care
Coordination:
Embedded RN
Coordinator and
Health Plan Care
Coordination $
Value/ Outcome
Measurement:
Reporting of Quality,
Utilization and Patient
Satisfaction Measures
Value-Based
Purchasing:
Reimbursement
Tied to
Performance on
Value (quality,
appropriate
utilization and
patient satisfaction)
Achieve Supportive
Base for ACOs and
Bundled Payments
with Outcome
Measurement and
Health Plan
Involvement
Trajectory to Value Based Purchasing:
Achieving Real Care Coordination and
Outcome Measurement
Source: Hudson Valley Initiative

26. Payment reform requires more than one method, you
have dials, adjust them!!!
“fee for health”
“fee for value”
“fee for outcome”
“fee for process”
“fee for belonging
“fee for service”
“fee for satisfaction”

27. Nearly 1/3 traditional Medicare tied to alternative reimbursement models—such as Patient
Centered Medical home (PCMH)/ accountable care organizations (ACOs) or bundled
payments—by the end of 2016 50% by end 2018
And end of 2018 90% of traditional Medicare payments to quality or value through programs
such as the Partnership for Patients Hospital, Value Based Purchasing and the Hospital
Readmissions

29. Businesses are no longer accepting cost-shifting.
40% of commercial in-network payments are value-based up from 11% -- 2012
Government and private insurers increasingly are paying for value and outcomes, not
volume; they are also employing new payment models for hospitals and clinicians.
Half of these payments are “at risk” and
half are upside only.

30. Transformation is Here
• HHS to spend $840 million on readying practices for value-based pay. -- Part of the 10 Billion
• The Transforming Clinical Practice Initiative will invest $840 million over four years to support
150,000 clinicians.
• It will provide a combination of incentives, tools and information to encourage doctors to team
with peers and others to transition to value-based services.
• Momentum building toward value-based payment methods, this initiative hopes to leverage the
success of leading practices, health systems and professional orgs to coach others in how to best
move to value-based reimbursement. It fits well into the broader federal strategy.
• Transforming Clinical Practice
• Group practices health systems and Medical Societies
• Impact 150,000 clinicians
• AND You ARE READY!!!!!!!

31. Benefit Redesign - Patient Engagement
Different Strategies for Different Healthcare Spend Segments
% Total
Healthcare
Spend
% of Members
Those who
are well or
think they
are well
Those with
chronic
illness
Those with
severe, acute
illness or
injuries

32. Public Health
Prevention
Specialists
PCMH 2.0 in Action
Community Care Team
Nurse Coordinator
Social Workers
Dieticians
Community Health Workers
Care Coordinators
Public Health Prevention
HEALTH WELLNESS
Hospitals
PCMH
PCMH
Health IT
Framework
Global Information
Framework
Evaluation
Framework
Operations
A Coordinated
Health System

36. Thank you

37. Apply new insights from
interactions and outcomes
to enable continuous
transformation
LEARNING
Identify and influence individuals
and populations, and recognize
intervention opportunities
INTERVENTION
COORDINATION
Deliver care and monitor progress across
clinical and social requirements
COLLABORATION
Assess and engage
individuals and
stakeholders to drive
individualized care plans
Drive evidence-based and
standardized care planning
KNOWLEDGE
WELLNESS
A comprehensive approach helps reduce costs while improving care

38. need to move from traditional care provider to health partner
if your do not choose innovation (play a better game) you will
be forced into disruption ( game Changed for you). Honest you
can see it coming and some places is already there
Millennials are already finding the convenience, economics and
technology in powerful virtual engagement compelling so you
can chose innovation or disruption.
Virtual access become a required defensive strategy Primary
Care team engaged in virtual augmented relationship – or your
history loss the relationship.

39. How many patients can you see?
How many patients’ problems can you solve?
How can we encourage and convince patients to get required prevention?
How can we create systems that significantly increase that patients get
required prevention?
How often should a physician see a patient to optimally monitor a condition?
What is the best way to optimally monitor a condition?
Asking New Questions
From
To
From
To
From
To
*Source: 2014 Kaiser Permanente Jack Cochran