The New Healthcare Model - Collaboration is Key
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Heathcare reform is quickly changing the face of medicine. Join IVCi and Polycom for an informative webinar covering the power of collaboration in the delivery of healthcare. In this presentation you will learn: How Accountable Care Organizations (ACO) are redefining care coordination The role visual collaboration can play in EHR roll-outs Reduce unnecessary readmissions through better collaboration What grant funding sources are available to drive these initiatives
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The New Healthcare Model - Collaboration is Key
- 2. ACO’s, Care Collaboration, EHR -the role of Collaborative Video Solutions Dr. Deborah A. Jeffries, Director US Healthcare © Polycom, Inc. All rights reserved.
- 3. History: Collaborative Video for Healthcare • • • • • • • Multi Million dollar PACS Early Telemed Adopters T1 lines Expensive Equipment Spotty coverage Quality sketchy License & Reimbursement issues • • • • • • • • • • • • • Move to IP and WEB based Browser based PACS 500K Expansion of grant based telemedicine Chronic DZ monitoring pilots Economy tanks Baby Boomer Age Doc shortage Stimulus PKG Affordable Care Act 2 Billion to CHC Billions from ONC 7.2 Billion for Broadband EHR • • • • • • • • • • • PCMH • CMS Telemedicine Codes Expanded • Grant funding for collaboration • 11.5 Billion CHC • Accountable Care Peer to Peer Mobility Cloud 2-10 billion Innovation Prevention Wellness ACO RE-Admits EHR Roll out Care Coordination Payer/Provider future 1990s Large Room Based Sys 2000s 2009-2010 CMA 100k licenses 1st month 2011 2012 2013 HD, RMX, DMA POCN, Intelligent Core Polycom Tablet, CloudAxis Go to a special room for scheduled video Video where and when you need it, desk, room, home, on the go Milestone © Polycom, Inc. All rights reserved. Polycom Open, Standards Based, Scalable, Most Cost Effective, Customer focused 3
- 4. HC Reform ACO’s (Accountable Care Organization’s) − Medicare Model, Private Model, New Payment Models Care Coordination − Prevention and Wellness, Population management, Decreasing Readmits EHR: − Select/Plan/Implement/Support/Maintain across orgs and geography All Require Collaboration/Coordination © Polycom, Inc. All rights reserved. 4
- 5. ACO’s (Accountable Care Organizations) • Newly formed collaborative business model that focuses on population management, and new payment models • Comprised of Providers, Payers, Public Health, Health systems, Community members, Long Term Care, Patients, and families • Goal is to keep patients healthy and to reduce cost of care and reward practitioners for best practices and patient outcomes • Challenge is to collaborate across businesses, and geographic locations to optimize resources, including knowledge, expertise, and the power of peer to peer, face to face influence. © Polycom, Inc. All rights reserved. 5
- 6. ACO’s (Accountable Care Organizations) • Payment Models • Recent Health Innovation Grants: − 2012 Billion dollars for innovation: focused on inpatient, and heavy focus on reducing emergency room visits, and enabling models similar to Coaching model − 2013 Billion dollar innovation grant: focused on out patient, new payment models, and prevention and wellness − Future 8 billion more? Are you ready? Reach out now, line up your relationships now • Some thoughts: − Payers and providers partnering: predictive analytics and population management, outreach, transitions of care, care coordination, telehealth − Payers offering bonuses for better patient health, and outcomes − Payers and providers partnering for population management © Polycom, Inc. All rights reserved. 6
- 7. Care Coordination • Coordination/collaboration across − Specialists − Tumor Boards, Multi-disciplinary teams − Organizations − Hospitals, Primary Care Groups, Specialists Groups, Payers, Labs, Community Centers, Long Term Care, Public Health, Centers of Excellence − Communities − Schools, Community Centers, Churches, − Populations − Chronic disease, aging in place − Care Teams − Home care, Case Management, Discharge Planning, Hospice • Benefit: better outcomes, more cost effective utilization of resources, decreased unnecessary readmits © Polycom, Inc. All rights reserved. 7
- 8. Care Coordination Goals • Prevention and Wellness − − − − Target chronic disease Patient enablement Population management and outreach Avoid unnecessary costs • Decreasing Readmits − Care coordination − Regionalization of resources − Case managers − Education and safety programs − Transitional care © Polycom, Inc. All rights reserved. 8
- 9. Prevention and Wellness: Community/Patient Education Populations Management Disease Management − − − − Diabetes CHF COPD Mental Health Nutritional Education − Childhood Obesity − BP, HTN Public Service Updates − Cardiac and Pulmonary Education − Smoking Cessation © Polycom, Inc. All rights reserved. 9
- 10. Population Outreach • Are mailers effective? • Do you change your behavior when someone sends you something in the mail? Or over email? Or just because your doctor says so? • Peer to Peer medical education … − You want to lose weight, you doctor has told you that proper diet, and exercise is the best approach… and given you a brochure.. − You meet with your friends for a card game, and several tell you that they have started walking 5 days a week and feel great, and have lost 10 pounds in the last 5 months,, without a diet change.. One mentioned getting a puppy and how much fun it is to walk, take to classes, and how she is getting out of the house more.. Another mentions that actually now that she is more active with her dog, she really isn’t eating as much and thinking about food as much… • Why not the best of both worlds??? A live multipoint video for those interested in weight loss or smoking cessation with a healthcare expert supervising the discussion? © Polycom, Inc. All rights reserved. 10
- 11. Decreasing Readmissions • Law went into effect Oct 1, 2012 • “About two-thirds of the hospitals serving Medicare patients, or some 2,200 facilities, will be hit with penalties averaging around $125,000 per facility this coming year, according to government estimates” (1). • © (1) RICARDO ALONSO-ZALDIVAR | October 1, 2012 04:27 AM EST | Associated Press Polycom, Inc. All rights reserved. 11
- 12. Re-Admits, Why are they high? • An avoidable re-admit could have been prevented by: − (1) the provision of quality care in the initial hospitalization − (2) adequate discharge planning − (3) adequate post-discharge follow up − (4) improved coordination between inpatient and outpatient health care teams. (1) • © (1)Norbert I. Goldfield et al. Identifying Potentially Preventable Readmissions, Health Care Financing Review, Fall, 2008. Polycom, Inc. All rights reserved. 12
- 13. Re-Admits, Why are they high? • Medicare Hospital Readmissions: Issues, Policy Options and PPACA (1) lists: − An inadequate relay of information by hospital discharge planners to patients, caregivers, and post-acute care providers − Poor patient compliance with care instructions − Inadequate follow-up care from post-acute and long-term care providers − Insufficient reliance on family caregivers − The deterioration of a patient’s clinical condition − Medical errors (1) Medicare Hospital Readmissions: Issues, Policy Options and PPACA Julie Stone, Specialist in Health Care Financing Geoffrey J. Hoffman, Analyst in Health Care Financing September 21, 2010 © Polycom, Inc. All rights reserved. 13
- 14. Collaboration is Key, B-to-B, B-to-C • Case Management − Bring everyone to the table • Discharge Planning − Live video discussion, written plan + video tips, video recorded supportive education • Post Acute Care − Live video to Case Manager or coach once home − Follow up with Primary Care over live video − Tablet accessible educational material on web portal • Prevention and Wellness Programs − Live multipoint, interactive peer to peer educational sessions − Stored version available − Support patient wellness programs © Polycom, Inc. All rights reserved. 14
- 15. EHR Electronic Health Record • Early: The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Eligible professionals can receive up to $44,000 through the Medicare EHR Incentive Program and up to $63,750 through the Medicaid EHR Incentive Program • Now: Medicare eligible professionals who do not meet the requirements for meaningful use by 2015 and in each subsequent year are subject to payment adjustments to their Medicare reimbursements that start at 1% per year, up to a maximum 5% annual adjustment. • Eligible hospitals and CAHs that do not successfully demonstrate meaningful use of certified EHR technology will be subject to Medicare payment adjustments beginning in FY 2015 © Polycom, Inc. All rights reserved. 15
- 16. EHR: Collaboration is Key, B-to-B, B-to-C • Project Plan and Management − Bring everyone to the table over video • Selection − Live multipoint video for discussion, demo • Implementation − Live video hand holding − Video Recorded FAQ’s and guidance • Training − − − − Live multipoint, interactive educational sessions Streamed video Stored version available Consistent, timely, avoid travel, repeatable, easily tracked • Support and Maintenance − Video interactive support, introduce changes more easily © Polycom, Inc. All rights reserved. 16
- 17. Healthcare Collaboration ONE-TO-ONE • Case Mgr to Patient • Peer to peer • Patient to family member • IT to End User © Polycom, Inc. All rights reserved. ONE-TO-MANY MANY-TO-MANY • ACO meetings • Community center to commuinty center • Hospital to hospital group meetings • Community health education • Specialist to many patients IT to Many for EHR 17 AD-HOC • Virtual HC teams • Discharge Planning • Follow up calls • Transition support • IT to End User
- 18. Making Collaboration Available to Everyone Diabetes Exercise All participants experience a All have a secure, high secure quality experience high quality experience © Polycom, Inc. All rights reserved. 18 Content sharing with just a click and can be initiated by anyone in the meeting
- 19. Requirements ACO’s, Care Coordination, EHR All require collaboration across physical boundaries © Polycom, Inc. All rights reserved. 19
- 20. Solution: Collaborative Video for Healthcare Home Clinic Hospital Video Care Coordination Family Video Support One-to-one Video Practitioner Consultation Multipoint Video Video Health Coaching Recorded Video Education Patient Education © Polycom, Inc. All rights reserved. Long Term Care 20
- 21. Collaborative Video for Healthcare Remote Medical Specialists RealPresence CloudAXIS EHR IT PACS Hospital Center of Excellence Polycom® RealPresence™ Platform Mobile Telepresence Rural Treatment Center Physicians Office Community Health Center Desktop Room based Practitioner Cart © Polycom, Inc. All rights reserved. 21
- 22. Summary: • ACO Operation and prevention and wellness programs can be enabled with collaborative video. • Collaborative ubiquitous video can support continuum of care, case management, and discharge planning to extend care to the patient as they transition back to long term care or home and reduce Readmits • EHR can be rolled out with focus on user satisfaction and better utilizations using collaborative video • Collaborative video solutions enable continuous patient centered care, and assist in reducing the cost of healthcare © Polycom, Inc. All rights reserved. 22
- 23. Polycom Grants Assistance Program (PGAP) Grants for Healthcare © Polycom, Inc. All rights reserved.
- 24. Who? What? When? Why? How? Who? Team of experienced grant managers What? Providing grant support to customers and grant projects When? Now! Grants pop up every day! Why? • Why not? • Grants can fund major initiatives that would be otherwise unaffordable! How? Contact us to get started! © Polycom, Inc. All rights reserved.
- 25. Spanning the Gamut of Telehealth Rural Healthcare Healthcare Innovations & Research Health Professions RUS-DLT Healthcare Innovation (HCI) HRSA - NEPQR MIECHV Rural Health Network Development PCORI DOL/ED H-1B Eliminating Youth Disparities in Career/Connect Perinatal Health Delta State Rural Network & Delta Health NIH – Health Disparities grants HRSA – Advanced Nursing Education © Polycom, Inc. All rights reserved. Home Health & Health Outreach School Based Health Centers
- 26. New Grant Announcements • New grants pop up constantly! © Polycom, Inc. All rights reserved.
- 27. Grant dollars often follow reform trends…. • HCI focuses on healthcare transformation – • Keeping patients well • Reducing readmissions • Including the Continuum of Care • Creating a new payment model with incentives for wellness/prevention • Rural Healthcare grants focus on equalizing access to all types of healthcare resources • Healthcare patient wellness and prevention education • Access to specialty and sub-specialty care • Delivery of behavioral health services • Health Professions grants focus on the need for a skilled workforce • Providing HC professions training to all areas (rural, suburban and urban) all socio-economic groups and all ethnicities • Address the lack of qualified HC workers, and focus on collaborative opportunities that take a “grow your own” workforce approach (H-1B YCC, H-1B and TAACCCT) © Polycom, Inc. All rights reserved.
- 28. It’s not about the grant, or the technology…. It’s all about the application! • • • • • Identify your specifics need Quantify your needs Design a Project to address those needs Articulate general benefits Project specific outcomes Most importantly… find a grant that’s the right fit for you! © Polycom, Inc. All rights reserved.
- 29. Adam Kaiser AVP, Corporate Marketing 631-707-7428 akaiser@ivci.com www.ivci.com