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Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
Session 6D - MHS Vision
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Session 6D - MHS Vision

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Transcript

  • 1. Healthcare to Health - Afuture worth creating• Health, the ultimate team sport 6-1
  • 2. Population Health –Three Sub-Aims • Health determinants • Health promotion and primary prevention • Environmental “adjustments” • Individual health risk • Behavioral risk • Physiological risk • Resilience • Illness and disease burden • Tertiary prevention – reducing the impact of chronic illness • Improved pathways of care for common conditions (eg PTSD and Depression) Success – We will empty our hospitals 6-2
  • 3. Defining Population Health Behavioral Risk Factors Genetic Endowment Health and Medical Care Function Prevention andDisparities Health Physiological Disease and Promotion Well-Being Risk Factors Injury Socioeconomic Factors Death Physical Environment Resilience Determinants/ Individual Intermediate States of Quality of Life Factors Risk Factors Outcomes Health Source: Dr. Matt Stiefl , Institute for Healthcare Improvement 6-3
  • 4. Delivering the Quadruple Aim 1) To whom and where do we deliver the Quadruple Aim? 2) Where can we deliver the Triple Aim? 3) Where is it feasible to Job deliver “only” health care Specific Skills, Attitudes, Knowledge Genetic Behavioral Ready Endowment Risk Factors Medical Force Medical Health Prevention CareDisparities and Health and Function Medically Promotion Physiological Well-Being Ready Risk Factors Disease Force Socioeconomic and Factors Injury Death Readiness Physical of Families Environment Resilience Determinants/ Individual Intermediate States of Quality of Readiness 6-4 Factors Risk Outcomes Health Life Factors
  • 5. The Challenge • Build the measures • Change our mindset • Change incentives • Change beneficiary behaviors 6-5
  • 6. The “Total Package”: MTHA  PPP“HRA Plus Process”(Taken from Final Rule released week of 12/12/11) • HRA completed – not effective by itself – needs the following – called health risk assessment plus • Feedback received • Shared decision Making to develop goals and prevention plan • Referrals provided • Progress monitored • Follow-up Regularly 6-6 6
  • 7. KP Colorado Pilot Flow- Start-Date: Jan. 3, 2012 In Clinic Provider reviews HRA Prior to office visit results and PPP letter- Contact with member to plan for office content can be amended visit, and discuss completion of HRA if indicated Collaboration and Communication: Provider hands member the printed PPP letter; Prior to office visit Health support team HRA responses reviewed and PPP In Clinic addresses ongoing letter created and pended in Staff in clinic aware that HRA wellness issues from Electronic Medical Record completed and PPP letter in EMR positive findings waiting to be printed Proactive encounter work 6-77 Confidential and Proprietary- Kaiser Permanente 7
  • 8. 6-8
  • 9. Support for Population HealthInitiative: DoD’s Focus Tobacco and Alcohol Infant Mortality Low Birth Weight Very Low Birth Weight Cancer Screening Obesity Mental Health Screening 6-9
  • 10. Delivering the Quadruple Aim 1) To whom and where do we deliver the Quadruple Aim? 2) Where can we deliver the Triple Aim? 3) Where is it feasible to Job deliver “only” health care Specific Skills, Attitudes, Knowledge Genetic Behavioral Ready Endowment Risk Factors Medical Force Medical Health Prevention CareDisparities and Health and Function Medically Promotion Physiological Well-Being Ready Risk Factors Disease Force Socioeconomic and Factors Injury Death Readiness Physical of Families Environment Resilience Determinants/ Individual Intermediate States of Quality of Readiness 6-10 Factors Risk Outcomes Health Life Factors

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