Health Care & Health Care Reform<br />Implications for Nonprofits & the People They Serve<br />10:00am – 11:15am<br />Faci...
Share your thoughts!<br />Text “Summit” to 57682 with your <br />feedback and thoughts on today’s <br />event!<br />Share ...
2011 Nonprofit Summit<br />Health Care and Health Care Reform – Implications for Non-profits and the People They Serve<br ...
Original Intent, <br />What Might We Have Missed<br />
Where Value Derives<br />THE PATIENT<br /><ul><li>  Outcomes of Care
  Efficiency of Care
  Zero Defects</li></ul>Value begins at the frontline<br />
Focus on Spending Leads to Complex Patients<br />Concentration of Health Care Spending in the U.S. Population, 2007 <br />...
Treating Chronic Illness Accounts for 75% of Expenditures<br />Source: Luft, Harold. Total Cure. Cambridge, 2008: Harvard ...
Currently: Where do the $$$ go? Hospital Care<br />Source: Modern Healthcare<br />January 11, 2010, pg. 7<br />
The Complex Patient<br />Who is frequently hospitalized?<br />Do you know your customer?<br />Are you meeting their need?<...
Let the Data Guide Work<br />The Complex Patient<br />Skilled Nursing<br />Chronic Disease<br />(COPD)<br />Behavioral Hea...
Why So Many Readmissions?<br />“Nobody integrates care for the medical condition as a whole and across the full cycle of c...
  Elizabeth Olmstead Teisberg, PhD</li></li></ul><li>The Second Systems Vision:  Transforming the Care of Complex Patients...
Reducing Preventable Hospitalizations:  Behavioral Health Comorbidities<br />Patients with co-morbid depression <br />are ...
Reducing Preventable Hospitalizations:PPC in Skilled Nursing Facilities (SNFs)<br /><ul><li>  6% of seniors in SNFs = 17+%...
  20% of hospital patients discharged to a SNF </li></ul>      were readmitted<br /><ul><li>  51% of residents have one or...
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Pittsburgh Nonprofit Summit - Health Care & Health Care Reform - Implications for Nonprofits and the People They Serve

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The health care act is difficult to navigate and nonprofits were written into the act under the auspices of small businesses, making it even more confusing to understand. Gain insights from experts about the intent of the act and the act in its current draft, how it will impact nonprofits as small businesses, the impact on staff, those we serve, and on society at large. Additionally, portions of the act are still being debated and amended; learn of the potential changes and points where the nonprofit sector can influence the outcome.

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  • Thanks, Katherine! We're glad your enjoyed the workshops. Thanks again for attending the Nonprofit Summit. - GPNP
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  • This was an excellent, authoritative presentation on the current status of Health Care Reform. Karen Feinstein's comments on how nonprofits can be better positioned for funding was very specific and helpful.
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Pittsburgh Nonprofit Summit - Health Care & Health Care Reform - Implications for Nonprofits and the People They Serve

  1. 1. Health Care & Health Care Reform<br />Implications for Nonprofits & the People They Serve<br />10:00am – 11:15am<br />Facilitator: Candi Castleberry-Singleton, UPMC<br />Speakers: Karen Feinstein, Jewish Healthcare Foundation / Dr. Donald Fischer, Highmark / Susan Rauscher, Catholic Charities<br />
  2. 2. Share your thoughts!<br />Text “Summit” to 57682 with your <br />feedback and thoughts on today’s <br />event!<br />Share your thoughts on Twitter <br />by adding #GPNPSummit to your <br />tweets!<br />
  3. 3. 2011 Nonprofit Summit<br />Health Care and Health Care Reform – Implications for Non-profits and the People They Serve<br />Karen Wolk Feinstein,PhD<br />President & Chief Executive Officer<br />Pittsburgh, PA<br />May 12, 2011<br />Spreading Quality, <br />Containing Costs.<br />
  4. 4. Original Intent, <br />What Might We Have Missed<br />
  5. 5. Where Value Derives<br />THE PATIENT<br /><ul><li> Outcomes of Care
  6. 6. Efficiency of Care
  7. 7. Zero Defects</li></ul>Value begins at the frontline<br />
  8. 8. Focus on Spending Leads to Complex Patients<br />Concentration of Health Care Spending in the U.S. Population, 2007 <br />The 5% of the U.S. population with highest health care expenses was responsible for nearly half of total health care spending<br />Percent of Total <br />Health Care Spending<br />
  9. 9. Treating Chronic Illness Accounts for 75% of Expenditures<br />Source: Luft, Harold. Total Cure. Cambridge, 2008: Harvard University Press. pg. 66<br />
  10. 10. Currently: Where do the $$$ go? Hospital Care<br />Source: Modern Healthcare<br />January 11, 2010, pg. 7<br />
  11. 11. The Complex Patient<br />Who is frequently hospitalized?<br />Do you know your customer?<br />Are you meeting their need?<br />
  12. 12. Let the Data Guide Work<br />The Complex Patient<br />Skilled Nursing<br />Chronic Disease<br />(COPD)<br />Behavioral Health and Substance Abuse<br />Multiple Conditions<br />HIV/AIDS<br />End of Life<br />
  13. 13. Why So Many Readmissions?<br />“Nobody integrates care for the medical condition as a whole and across the full cycle of care, including early detection, treatment, rehabilitation, and long-term management.”<br /><ul><li>- Michael E. Porter &
  14. 14. Elizabeth Olmstead Teisberg, PhD</li></li></ul><li>The Second Systems Vision: Transforming the Care of Complex Patients<br />Informed Activated Discerning Consumers<br />Data to Treat,Measure,Evaluate<br />Collaboration and Integration<br />Perfect PatientCare<br />Across Care Settings<br />Medication Reconciliation<br />Rewards<br />For Quality<br />Screening and Tx<br /> Essential Services System Requirements<br />Hospice/Palliative<br />Long Term Care <br />Rehab<br />Hospital<br />Emergency Services<br />Specialty Care<br />Primary Care<br />Care Mgt<br />Patient Engagement<br />Health IT<br />QI Training<br />Financial Incentives<br />Clinical Pharmacy<br />Behavioral Health<br />
  15. 15. Reducing Preventable Hospitalizations: Behavioral Health Comorbidities<br />Patients with co-morbid depression <br />are more likely to be readmitted<br />Patients with depression and co-morbid substance use disorders are more likely to be hospitalized for four days or longer<br />Source: PRHI Analysis of PHC4 Data 2005-2006, SW PA<br />
  16. 16. Reducing Preventable Hospitalizations:PPC in Skilled Nursing Facilities (SNFs)<br /><ul><li> 6% of seniors in SNFs = 17+% of healthcare costs
  17. 17. 20% of hospital patients discharged to a SNF </li></ul> were readmitted<br /><ul><li> 51% of residents have one or more ER visits
  18. 18. 38% have a hospitalizations: 41% are readmitted</li></li></ul><li>PRHI Research on HIV-positive Patients<br />562 patients / 1,072 admissions (FFY 2007-2008)<br />One in four patients readmitted within 30 days<br />Nearly half of admissions have co-morbid depression and/or substance abuse, which can compromise self-care<br />High readmission rates may be attributed to flawed transitions in care — just like other chronic medical problems<br />
  19. 19. Thank you from the Greater Pittsburgh Nonprofit Partnership!<br />
  20. 20. Workshop Evaluation<br />Text “HCR” to 57682 with your answers to the following questions:<br />Please rate the overall value of this workshop<br /> E – Excellent G – Good P – Poor F – Fair <br />Did you learn anything that you will apply at your own organization?<br /> Y – Yes N - No<br />Please text other comments and feedback.<br />Submit by hitting “send!” You will receive an auto-reply from the GPNP.<br />Sample text: “HCR E Y I’m beginning to understand the Health Care Act more.”<br />

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