Bringing patient centered health care to the patient by integrating retail pharmacy v2

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Bringing patient centered health care to the patient by integrating retail pharmacy v2

  1. 1. Bringing Patient-Centered Health Care to the Patient by Integrating Retail Pharmacy Wayne Pan, MD, MBA, Chief Medical Officer The Individual Practice Association Medical Group of Santa Clara County Inc. (SCCIPA)The National Medical Home Summit West • September 20-22, 2011 • San Francisco
  2. 2. ourjourney
  3. 3. MIND THE GAP
  4. 4. because of these
  5. 5. too many of these
  6. 6. carecoordination andtransitions
  7. 7. direction• focus on the patient• fix processes first• empower providers and the care team• clinical must lead technology initiatives• focus on the patient
  8. 8. source: SF Jencks et al., Rehospitalizations among Patients in the Medicare Fee-for-Service Program, New England Journal of Medicine, 2009;360:1418-28.
  9. 9. $17Bsource: SF Jencks et al., Rehospitalizations among Patients in the Medicare Fee-for-Service Program, New England Journal of Medicine, 2009;360:1418-28.
  10. 10. from: Dan Roam, American Healthcare - a 4 napkin explanation (2009)
  11. 11. from: Dan Roam, American Healthcare - a 4 napkin explanation (2009)
  12. 12. ?from: Dan Roam, American Healthcare - a 4 napkin explanation (2009)
  13. 13. peopleprocessesplatform
  14. 14. 3P’speopleprocessesplatform
  15. 15. big Cpeopleprocessesplatform
  16. 16. culturepeopleprocessesplatform
  17. 17. changingthewaywedothings
  18. 18. n ew Va waywedothings
  19. 19. why?
  20. 20. what got you here marshall goldsmith
  21. 21. wont get you there marshall goldsmith
  22. 22. how?
  23. 23. insanity: doing the samething over and over andexpecting different results
  24. 24. get out of the rut?
  25. 25. patientcentereddesign
  26. 26. from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
  27. 27. behaviordesign
  28. 28. put hot triggers in the path ofmotivated people BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  29. 29. work withhumannature BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  30. 30. lazysocialhabits BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  31. 31. theproblem:readmissions
  32. 32. physicianfollow-up
  33. 33. medicationreconciliation
  34. 34. Santa Clara County 1,304.01 sq. miles 1,781,642 (2010) $74,335
  35. 35. 5 PCP 80 Specialists 173 PCP 343 Specialists 57 PCP 104 Specialists 11 PCP 30 SpecialistsSCCIPA founded in 1986 physician-owned, physician-governed 800+ physicians - 240+ PCPs, 550+ specialists all 9 hospitals - including a tertiary care center 9 health plans (Commercial and Medicare Advantage)
  36. 36. from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
  37. 37. hosspitaldischarge IPA onsite hospitalist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
  38. 38. hosspitaldischarge IPA onsite hospitalist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
  39. 39. hosspitaldischarge IPA onsite hospitalist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
  40. 40. from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
  41. 41. brainstorm
  42. 42. hosspitaldischarge IPA onsite hospitalist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
  43. 43. hosspitaldischarge IPA onsite pharmacist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
  44. 44. put hot triggers in the path ofmotivated people BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
  45. 45. Santa Clara County IPA (SCCIPA)Medication Reconciliation Pilot Project How to find the medication list for patients using AccessExpress1. Go to the PPMSI AccessExpress provider portal (http://ppmsi.com/accessexpress.html):2. Select Santa Clara County IPA:3. Enter USER NAME and PASSWORD, click on “SUBMIT”:
  46. 46. Your SCCIPA doctor wants to help you withyour medications, after you leave the hospital. Michael Lam, RPh pharmacist Samaritan Medical Center Pharmacy 2505 Samaritan Drive San Jose, CA (408) 356-7111Please visit the Samaritan Medical Center Pharmacy to pick upyour new prescriptions and have a pharmacist review yourmedications with you. SCCIPA A Pacific Partners Medical Group
  47. 47. from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
  48. 48. it’saboutthepatient
  49. 49. thankyouwpan@ppmsi.com

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