Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Working Together to Strengthen Ohio’s Safety Net The HealthPath Foundation of Ohio  April 28, 2011 Ted Wymyslo, M.D., Dire...
<ul><li>What efforts are underway to ensure protection of the health care safety net? </li></ul><ul><li>Office of Health T...
Public Health Partnerships  Health Path Foundation of Ohio Hospitals Dental Safety Net Clinics Community Action    Agencie...
 
 
<ul><li>Ohio Patient-Centered Medical Home Education Pilot Project </li></ul><ul><li>44 total practices, 4 medical schools...
<ul><li>For Medicaid, this model of care is called the  Health Home  and its core principles are from Section 2703 of the ...
<ul><li>Recent workforce trends: </li></ul><ul><ul><li>Decrease in availability of primary care providers </li></ul></ul><...
<ul><li>What we think we know… </li></ul><ul><li>34,000 active physicians (MD & DO) </li></ul><ul><ul><li>12,000 report a ...
Source: March 2011, Primary Care Office, Ohio Department of Health  *Includes “Proposed for Withdrawal” and “No New Data” ...
Source: March 2011, Primary Care Office, Ohio Department of Health  *Includes “Proposed for Withdrawal” and “No New Data” ...
<ul><li>Federal designations of underservice </li></ul><ul><li>Development programs </li></ul><ul><ul><li>Student/Resident...
<ul><li>Goal :  To create a strategic primary care workforce plan that builds upon existing efforts and identifies further...
<ul><li>Reimbursement barriers for primary care </li></ul><ul><li>Increased demand on current supply of primary care provi...
<ul><li>Grouped recommendations into 3 main categories: </li></ul><ul><li>Develop a Statewide Primary Health Care Workforc...
<ul><li>I. Develop a Statewide Primary Health Care Workforce Data System </li></ul><ul><li>Establish a centralized health ...
<ul><li>II. Ensure Adequate Supply, Distribution and Diversity of Ohio’s Primary Care Workforce </li></ul><ul><li>School-a...
Recommendations: <ul><li>II. Ensure Adequate Supply, Distribution and Diversity of Ohio’s Primary Care Workforce ( continu...
Recommendations: <ul><li>II. Ensure Adequate Supply, Distribution and Diversity of Ohio’s Primary Care Workforce ( continu...
<ul><li>III. Promote Widespread Adoption of Patient-Centered Medical Home Practice Model in Ohio </li></ul><ul><li>Increas...
<ul><li>Include a broader array of health care professions into health workforce planning </li></ul><ul><li>Initiative cur...
<ul><li>The strength of Ohio’s safety net is in your hands… </li></ul><ul><li>Integrate recommendations provided in the Oh...
Contact Information  <ul><li>Ted Wymyslo, M.D.  </li></ul><ul><li>Director, Ohio Department of Health </li></ul><ul><li>61...
Upcoming SlideShare
Loading in …5
×

Working Together to Strengthen Ohio's Safety Net - Dr Wymyslo, Ohio Department of Health

1,284 views

Published on

Working Together to Strengthen Ohio's Safety Net - Dr Wymyslo, Ohio Department of Health, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/

  • Be the first to comment

Working Together to Strengthen Ohio's Safety Net - Dr Wymyslo, Ohio Department of Health

  1. 1. Working Together to Strengthen Ohio’s Safety Net The HealthPath Foundation of Ohio April 28, 2011 Ted Wymyslo, M.D., Director Ohio Department of Health
  2. 2. <ul><li>What efforts are underway to ensure protection of the health care safety net? </li></ul><ul><li>Office of Health Transformation </li></ul><ul><li>Patient-Centered Medical Home initiative </li></ul><ul><li>Ohio Primary Care Workforce Plan </li></ul><ul><li>Health care workforce planning </li></ul>Agenda:
  3. 3. Public Health Partnerships Health Path Foundation of Ohio Hospitals Dental Safety Net Clinics Community Action Agencies FQHCs Office of Health Transformation Ohio Department of Health Local Health Departments Medicaid
  4. 6. <ul><li>Ohio Patient-Centered Medical Home Education Pilot Project </li></ul><ul><li>44 total practices, 4 medical schools & 5 nursing schools </li></ul><ul><li>Charge from HB 198 </li></ul><ul><ul><li>Implement curriculum reform </li></ul></ul><ul><ul><ul><li>Inter-professional, collaborative education for physicians and APNs </li></ul></ul></ul><ul><ul><ul><li>Focus on Primary Care </li></ul></ul></ul><ul><ul><ul><li>Use existing national standards </li></ul></ul></ul><ul><ul><li>Design primary care scholarship </li></ul></ul>House Bill 198
  5. 7. <ul><li>For Medicaid, this model of care is called the Health Home and its core principles are from Section 2703 of the Affordable Care Act (ACA). </li></ul><ul><li>Comprehensive care management; </li></ul><ul><li>Care coordination and health promotion; </li></ul><ul><li>Comprehensive transitional care, including appropriate follow-up, from inpatient to other settings; </li></ul><ul><li>Patient and family support (including authorized representatives); </li></ul><ul><li>Referral to community and social support services, if relevant; and </li></ul><ul><li>Use of health information technology to link services, as feasible and appropriate. </li></ul>Medicaid Health Home
  6. 8. <ul><li>Recent workforce trends: </li></ul><ul><ul><li>Decrease in availability of primary care providers </li></ul></ul><ul><ul><li>Maldistribution of providers </li></ul></ul><ul><li>Factors driving need for primary care: </li></ul><ul><ul><li>Aging population </li></ul></ul><ul><ul><li>Rising prevalence of chronic conditions </li></ul></ul><ul><ul><li>Coverage expansion (ACA) </li></ul></ul><ul><ul><li>↓ supply + ↑ demand = not enough primary care providers to sustain an adequate workforce </li></ul></ul>Primary Care Workforce
  7. 9. <ul><li>What we think we know… </li></ul><ul><li>34,000 active physicians (MD & DO) </li></ul><ul><ul><li>12,000 report a primary care specialty </li></ul></ul><ul><li>9,000 APNs and 2,000 PAs </li></ul><ul><ul><li>Unsure how many are primary care providers </li></ul></ul><ul><li>What we do know… </li></ul><ul><li>There is no available data set to provide a complete picture of Ohio’s primary care workforce. </li></ul>Ohio’s Primary Care Workforce
  8. 10. Source: March 2011, Primary Care Office, Ohio Department of Health *Includes “Proposed for Withdrawal” and “No New Data” *Satellite sites of Comprehensive Health Centers are not listed as separate Facility HPSAs Ohio Primary Care Health Professional Shortage Areas * Geographic HPSA Special Population HPSA Correctional Facility HPSA Facility HPSA C
  9. 11. Source: March 2011, Primary Care Office, Ohio Department of Health *Includes “Proposed for Withdrawal” and “No New Data” *Satellite sites of Comprehensive Health Centers are not listed as separate Facility HPSAs Geographic HPSA Special Population HPSA Correctional Facility HPSA Facility HPSA C
  10. 12. <ul><li>Federal designations of underservice </li></ul><ul><li>Development programs </li></ul><ul><ul><li>Student/Resident Experiences and Rotations in Community Health (SEARCH) </li></ul></ul><ul><li>Recruitment & Retention programs </li></ul><ul><li>Health care workforce planning efforts </li></ul>ODH Initiatives that Address the Health Care Provider Shortage
  11. 13. <ul><li>Goal : To create a strategic primary care workforce plan that builds upon existing efforts and identifies further actions that can be taken to address Ohio’s primary care workforce needs. </li></ul><ul><li>Plan development process : Public input process that included a one-day statewide meeting, 4 half-day Regional Forums, and open public comment period </li></ul><ul><li>Final Product : Ohio Primary Care Workforce Plan </li></ul>Ohio Primary Care Workforce Plan
  12. 14. <ul><li>Reimbursement barriers for primary care </li></ul><ul><li>Increased demand on current supply of primary care providers </li></ul><ul><li>Declining interest in and increased discouragement in primary care careers </li></ul><ul><li>Poor recruitment of and preparation for ideal or “target” students more likely to pursue primary care </li></ul><ul><li>Lack of exposure to primary care and underserved settings in training programs </li></ul><ul><li>Lack of integration/coordination of all aspects of the workforce pipeline: education, training and practice </li></ul>Conversation highlights from Plan Contributors
  13. 15. <ul><li>Grouped recommendations into 3 main categories: </li></ul><ul><li>Develop a Statewide Primary Health Care Workforce Data System </li></ul><ul><li>Ensure Adequate Supply, Distribution and Diversity of Ohio’s Primary Care Workforce </li></ul><ul><li>Promote Widespread Adoption of Patient-Centered Medical Home Practice Model in Ohio </li></ul>Recommendations:
  14. 16. <ul><li>I. Develop a Statewide Primary Health Care Workforce Data System </li></ul><ul><li>Establish a centralized health care workforce data repository. </li></ul><ul><li>Establish a common core data set for health professional licensure. </li></ul><ul><li>Establish a system to track health professions students into practice. </li></ul>Recommendations:
  15. 17. <ul><li>II. Ensure Adequate Supply, Distribution and Diversity of Ohio’s Primary Care Workforce </li></ul><ul><li>School-age children </li></ul><ul><ul><li>Identify and expand existing programs for school-age children to prepare for and provide exposure to health care careers. </li></ul></ul><ul><li>Undergraduate college education </li></ul><ul><ul><li>Identify and expand existing programs for undergraduate students to provide exposure to health care careers and, specifically, primary care. </li></ul></ul>Recommendations:
  16. 18. Recommendations: <ul><li>II. Ensure Adequate Supply, Distribution and Diversity of Ohio’s Primary Care Workforce ( continued) </li></ul><ul><li>Health care professionals in training </li></ul><ul><ul><li>Institute additional strategies to recruit and retain health professional students in primary care careers. </li></ul></ul><ul><ul><li>Increase training experiences in community-based primary care settings. </li></ul></ul><ul><ul><li>Simplify training advancement within and between health care professions. </li></ul></ul>
  17. 19. Recommendations: <ul><li>II. Ensure Adequate Supply, Distribution and Diversity of Ohio’s Primary Care Workforce ( continued) </li></ul><ul><li>Practicing health care professionals </li></ul><ul><ul><li>Create incentives that encourage primary care providers, especially Ohio-trained providers, to choose to practice in Ohio. </li></ul></ul>
  18. 20. <ul><li>III. Promote Widespread Adoption of Patient-Centered Medical Home Practice Model in Ohio </li></ul><ul><li>Increase funding support for implementation of House Bill 198. </li></ul><ul><li>Create financial incentives for practitioners and facilities to adopt the PCMH model. </li></ul><ul><li>Promote interdisciplinary training and practice within all primary health care related professions. </li></ul>Recommendations:
  19. 21. <ul><li>Include a broader array of health care professions into health workforce planning </li></ul><ul><li>Initiative currently underway: </li></ul><ul><li>State Health Care Workforce Development Grant </li></ul><ul><ul><li>Planning Grant: 150K of ACA dollars funded by HRSA to Primary Care Office </li></ul></ul><ul><ul><li>Potential to gain additional funding from the ACA for implementation grant </li></ul></ul>A broader scope: Health Workforce Development
  20. 22. <ul><li>The strength of Ohio’s safety net is in your hands… </li></ul><ul><li>Integrate recommendations provided in the Ohio Primary Care Workforce Plan into the Foundation’s safety net mission. </li></ul><ul><li>Build on to current state programs, like state loan repayment programs and the SEARCH program. </li></ul>A Call to Action
  21. 23. Contact Information <ul><li>Ted Wymyslo, M.D. </li></ul><ul><li>Director, Ohio Department of Health </li></ul><ul><li>614-466-2253   </li></ul><ul><li>[email_address] </li></ul><ul><li>Ohio Primary Care Workforce Plan </li></ul>Heather Reed Acting Chief, Bureau of Community Health Services 614-752-8935 [email_address] Coleen Schwartz Administrator, Primary Care Office 614-728-3700 [email_address]

×