Frontier Medicine Better Health Partnership  CMS Health Care Innovation Challenge             Kick-off Meeting            ...
Frontier Medicine Better Health Partnership           CMS Health Care Innovation Challenge                         Disclai...
Montana’s Frontier Medicine Better Health Partnership(FMBHP) was one of 80 (out of 3,000 applications ) awardedInnovation ...
Guiding principles:                              4 Rural and frontier communities need a voice in    identifying and addr...
Three strategies will guide FMBHP’s work:                               5 Establish and sustain an innovative, evidence-b...
Proposed FMBHP organizational structure andgovernance:                             6 Separate, not for profit, bylaws bei...
Partner – Mayo Clinic                                  7 Support community-engagement process in each of the  participati...
Partner – A-OPTIC                              8 Expand A-OPTIC’s current distance learning platform to support the educa...
Partner - iVantage                               9 Provide a clinical and functional baseline, monitoring, benchmarking, ...
What will each participating CAH receive?                                10 Hospital Strength Index and Rural Operations ...
iVantage’s data tools are increasingly sought outby policy makers and providers.                        11
What will each participating CAH receive?                                 12 Access to an Advanced EHR Training (based at...
What will happen in the next six months?                             13 Hire/Appoint Project Staff: Project Director, CMO...
What will happen in the next six months?                                14 Work with year 1 CAHs to recruit local BHIS.  ...
What will happen in the next six months?                                 15 Establish Community Collaboratives – likely 6...
FMBHP Results                                   16 Realizing the Triple Aim –    Better Care/Better Health    Cost Effi...
Discussion                      Questions?THE PROJECT DESCRIBED WAS SUPPORTED BY FUNDING OPPORTUNITY NUMBE R  CMS-1C1-12-0...
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Frontier Medicine Better Health Partnership

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The FMBHP is a collaboration among frontier/rural healthcare communities; Mineral Community Hospital’s Interdisciplinary Medical Education Center; iVantage, an industry leader providing comprehensive hospital evaluation tools; Mayo Clinic’s Practice-Based Research Network (PBRN); and the Appalachian Osteopathic Postgraduate Training Institute Consortium (A-OPTIC). The FMBHP will partner with CMS, IHS, Veteran Administration and other private insurers to develop a seamless and sustainable model of patient-centered and community-based healthcare that produces better outcomes cost-effectively.

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  • Conduct iVantage ROA for each site ($18,500/site). Establish CAH-cost baseline, median/mean performance and practice leaders.
  • Transcript of "Frontier Medicine Better Health Partnership"

    1. 1. Frontier Medicine Better Health Partnership CMS Health Care Innovation Challenge Kick-off Meeting August 7, 2012 www.FMBHP.org
    2. 2. Frontier Medicine Better Health Partnership CMS Health Care Innovation Challenge Disclaimer:The project described was supported by Funding Opportunity Number CMS-1C1-12-0001from Centers for Medicare and Medicaid Services, Center for Medicare and MedicaidInnovation.Our content is solely the responsibility of the authors and does not necessarily represent theofficial views of HHS or any of its agencies.”As stated in the Programmatic Terms and Conditions; “if the Recipient plans to issue anycommunication concerning the outcome of HHS grant-supported activities, it must notifyCMMI through its CMS PO in advance to allow for coordination. One copy of eachpublication, regardless of format, resulting from work performed under an HHS cooperativeagreement -supported project must accompany the annual or final progress report submittedto CMMI through its CMS PO”.
    3. 3. Montana’s Frontier Medicine Better Health Partnership(FMBHP) was one of 80 (out of 3,000 applications ) awardedInnovation Challenge funding. 3  As described in the final awarded application:  Geographic Reach: 25 Critical Access Hospitals statewide.  Budget: $10,499,889  Estimated 3-Year Medicare Savings: $31,922,800  Serving: 100,000 beneficiaries of Medicare, Medicaid, and the Children’s Health Insurance Program (by the end of year three).  Project Goal:  To improve health outcomes for frontier and rural populations, patients, and communities while lowering total expenditures and improving patient satisfaction.
    4. 4. Guiding principles: 4 Rural and frontier communities need a voice in identifying and addressing health care needs. CAHs and RHCs are vital components in the health of their communities. Community-engagement coupled with robust data collection, monitoring, benchmarking, and evaluation is key to successfully addressing community health needs. Providing appropriate health care locally will increase access and patient satisfaction, improve quality and decrease costs. To meet future needs, the workforce must be trained and redeployed to better support patients in lower cost and community based settings.
    5. 5. Three strategies will guide FMBHP’s work: 5 Establish and sustain an innovative, evidence-based, community responsive clinical infrastructure. Ensure the “right care, at the right time, by the right provider”, such that access is improved and costs are reduced. Develop the technical resources to train and deploy providers and other workforce to meet identified needs.
    6. 6. Proposed FMBHP organizational structure andgovernance: 6 Separate, not for profit, bylaws being formed:  13 member board  3 members each from Eastern, Central, and Western portions of the State.  2 users/1 non-health care worker.  1 member from MRHC (the applicant).  1 member each from Mayo, iVantage, and A-OPTIC. MRHC is legal applicant.
    7. 7. Partner – Mayo Clinic 7 Support community-engagement process in each of the participating communities.  Drive quality monitoring and improvement systems. and  Identify health care and health workforce needs in each community. Assist in development of local Community Collaboratives to design best practice systems of health care in each local community. Training resources.  Community Engaged Practice Based Research Network.  Lean Thinking.  Continuous Education Opportunities.
    8. 8. Partner – A-OPTIC 8 Expand A-OPTIC’s current distance learning platform to support the educational needs of participating providers. Support for Tier 1 courses focused on the training of the Better Health Improvement Specialists – QI, HIT, Workforce Development, Lean Thinking, etc. Support the development of the Learning Center at MRHC and the Advanced EHR Training and Development Center.
    9. 9. Partner - iVantage 9 Provide a clinical and functional baseline, monitoring, benchmarking, and reporting resource for each of the participating sites. Conduct Rural Operational Assessment for each site Establish CAH-cost baseline, median/mean performance, and practice leaders. Provide access to the iVantage Knowledge Web for each participating site to facilitate best practice sharing.
    10. 10. What will each participating CAH receive? 10 Hospital Strength Index and Rural Operations Assessment (iVantage).  Hospital specific cost position and trends, FTE excess, and top 10 excess functions. “Better Health/Better Care Plan” and technical support to implement.  Updated annually.  Facilitated best practice sharing.  Directed quality improvement training. Assistance in recruiting a local Better Health Improvement Specialist FTE and funding for the position.
    11. 11. iVantage’s data tools are increasingly sought outby policy makers and providers. 11
    12. 12. What will each participating CAH receive? 12 Access to an Advanced EHR Training (based at Barrett Hospital).  Best practice, meaningful use support. Access to Learning Center at Mineral Community Hospital (which includes curriculum and faculty from OPTI). Opportunities for regular communication between CAHs, Regional Providers, and Partners, including best practice identification and sharing and coordination of services. An ED Transfer Communication protocol and training to lead to better care transitions, less errors, better outcomes, and reduced cost.
    13. 13. What will happen in the next six months? 13 Hire/Appoint Project Staff: Project Director, CMO, Education Director, BHIS Director, HR. Marketing and communications plan. Finalize business model, policies, and procedures for the FMBHP – including finalization of job descriptions and reporting relationships. Finalize CAHs (Year 1 and 2 – 10 annually, year 3 – 5).
    14. 14. What will happen in the next six months? 14 Work with year 1 CAHs to recruit local BHIS.  Provide training HIT, QI, and Community Engagement. Establish EHR Training and Development Center. Create baseline for participating CAHs.  Hospital Strength Index.  Provide Rural Operational Assessment, identifying cost comparison and trends on specific cost groupings (iVantage).  Conduct baseline performance evaluation for each CAH and establish benchmarks for each performance indicator.  Conduct a detailed facility assessment of each site using Lean Principles including workflows, position description/processes. ED transfer communication implementation.
    15. 15. What will happen in the next six months? 15 Establish Community Collaboratives – likely 6-10 organizations within each participating community.  Identify health priorities, needs, and desired outcomes.  A strategic operational plan (a BHBC Plan) including specific goals, tactics, and measurements for monitoring results. Develop an overall BHBC Plan for FMBHP – identify commonalities in issues between facilities, unique issues/trends and identify top priorities that that improve care/lower cost.
    16. 16. FMBHP Results 16 Realizing the Triple Aim –  Better Care/Better Health  Cost Efficiency  Higher Patient Satisfaction CAHs will have a unified data-driven voice to affect change.  Sustainable Continuous Quality Improvement.  Grow Montana’s provider base. Movement towards CCO.
    17. 17. Discussion Questions?THE PROJECT DESCRIBED WAS SUPPORTED BY FUNDING OPPORTUNITY NUMBE R CMS-1C1-12-0001 FROM CENTERS FOR MEDICARE AND MEDICAID SERVICES, CENTER FOR MEDICARE AND MEDICAID INNOVATION.THE CONTENTS ARE SOLELY THE RESPONSIBILITY OF THE AUTHORS AND DO NOT NECESSARILY REPRESENT THE OFFICIAL VIEWS OF HHS OR ANY OF ITS AGENCIES.
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