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8. Economics of Population-based Access Strategies
- 1. . Economics of Population-based Access Strategies Patient Access Executive Summit James Demopoulos, MHA Senior Vice President Lehigh Valley Physician Group 1
- 2. New Care Delivery Models PCMH Illustration Access is defined broadly as every touch point between the patient and our health network, bi-directional and relentless in nature, in the pursuit of true and meaningful patient partnerships in their health, care, and experience 2
- 3. Building Blocks of Primary Care Source: UCSF Center for Excellence in Primary Care – 2014 https://cepc.ucsf.edu/sites/cepc.ucsf.edu/files/Building_Blocks_14-0603.pdf 3
- 4. Care Team Impact on Patient Experience ▪ How does the Care Team affect overall patient experience? • New CAHPS questions deliberately point patients to focus on care team and quality – During this visit, did this provider seem to know the important information about your medical history? – When this provider ordered a test, how often did someone follow up to give you the results? – Did this provider’s office contact you to remind you to make an appointment for tests or treatment? Care Team Pre-Visit Planning Outstanding orders Chronic Disease Management Process Indirect Work Review Health maintenance Referral Tracking CAHPS Domains: • Care Coordination • Between Visit Communication • Health Promotion and Education 4
- 5. LVPG Internal Medicine – West Broad PCMH Work Plan Implementation Baseline7/2015 Progressasof6/30/2016 Triad Leadership Training DPS - Implement Visibility Wall DPS - Identify/Implement Daily Metrics DPS - Define Standard Format of Practice Huddle DPS - Implement Practice Huddle with Problem Solving Provider: MA Teams/Aligned Schedules Throughput Function Clinical Skills Matrix Collect/Implement Bi-directional Communication Implement Clinical Huddles Education and Implement Pre-Visit Planning Education and Implement Diabetes Protocol Implement Empanelment Education and Implement TOC Education and Implement AWV Education and Implement Baseline7/2015 Progressasof 6/30/2016 Imaging Tracking Education and Implement Agenda Setting Education Standard Process Check-in Patient - Education Standard Process Rooming Patient - Education Depression Screening Implement 6S Rooms and Supply Closet(s) Implement Flow Station – modified approach 5
- 6. LVPG Internal Med – West Broad Quality Metrics 6 25 52 51 38 29 48 21 67 89 67 66 64 40 100 77 100 57 20 89 47 75 99 77 79 100 0 10 20 30 40 50 60 70 80 90 100 Jul-15 Jun-16 6
- 7. What are the economic benefits of this population health based approach? Economic Illustration PCMH and Medicare Advantage 7
- 8. Access within the Population Health Model Population Care Team 8
- 9. Driving Economics ▪ Proper Empanelment ▪ Capture the Burden of Illness/Complexity ▪ Risk Scoring and Predictive Analytics ▪ Justify Cost and Utilization associated with the care provided and outcomes (quality and patient experience) ▪ Focus on preventive care (going beyond acute and chronic visits) ▪ Focus on key subset of quality measures 9
- 10. Roundtable ▪ Where are we on the population health journey? ▪ How and where does access play a role? ▪ What economic benefits have we realized and how was this accomplished specific to access? 10