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Partnering with States and Communities to Redesign Care Delivery: Implications for Family Medicine Departments
This document summarizes a presentation on partnering with states and communities to redesign care delivery and implications for family medicine departments. It discusses drivers of health care transformation like costs, chronic disease, data and policy. It outlines efforts by the Centers for Medicare and Medicaid Services to embed population health strategies in programs and policies to help transform systems. Examples are provided of initiatives in North Carolina that reduced emergency department visits and hospital admissions by coordinating care for Medicaid recipients. The role of family medicine departments is noted as providing leadership within the community of learning around redesigning care delivery.
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Partnering with States and Communities to Redesign Care Delivery: Implications for Family Medicine Departments
- 1. Partnering with Statesand Communities to Redesign Care Delivery: Implications for Family Medicine Departments ADFM 2016 Winter Meeting San Antonio, Texas February 18, 2016 Lloyd Michener, MD Department of Community & Family Medicine, Duke University Medical Center, Durham, NC Lauren Hughes, MD, MPH, MSc Deputy Secretary for Health Innovation, Pennsylvania Department of Health, Harrisburg, PA Kate Neuhausen, MD, MPH Associate Director, VCU Office of Health Innovation, Richmond, VA
- 2. No Disclosures While Ihave been a participant in the discussions cited, the conclusion and summaries are mine, and have not been endorsed by the sponsoring organizations.
- 3. There IS aplan… Moving Forward the National Strategic Imperative of Health
- 4. “From Health Careto Health”
- 5. Drivers: 1. Cost 2. ChronicDisease 3. Data 4. Policy What is needed: Leadership (McGinnison, The Practical Playbook, pg 11)
- 6. Signs of Change AccountableHealth Communities — Addressing Social Needs through Medicare and Medicaid Dawn E. Alley, Ph.D., Chisara N. Asomugha, M.D., Patrick H. Conway, M.D., and Darshak M. Sanghavi, M.D. Road Ends All Traffic Exit Here
- 7. “we see CMSas playing a catalytic role. By embedding population- based strategies in our programs and policies, CMS can help drive transformation that aligns health care systems with public health and social service systems and thereby accelerate progress to- ward improved health for our whole country.” Payors are paying attention – especially CMS:
- 8. Accountable Health Communities– Addressing Social Needs Through Medicare and Medicaid Dawn E. Alley, Ph.D., Chisara N. Asomugha, M.D., Patrick H. Conway, M.D., and Darshak M. Sanghavi, M.D.
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- 14. Percent Difference BetweenMedicaid Recipients Enrolled in CCNC and Those Not Enrolled in CCNC, for Rates of Asthma-Related Emergency Department Visits and Inpatient Admissions, 2008–2012 Note. CCNC, Community Care of North Carolina. NCMJ September/October 2013, Volume 74, Number 5
- 16. 460 480 500 520 540 560 580 600 InpatientAdmissionsper1,000 Beneficiaries Inpatient Admissions Per1,000 MCC Beneficiaries per Year Inpatient Admission Trends among NC Medicaid Beneficiaries with Multiple Chronic Conditions, 2008-FY2014 This means >8,000 fewer inpatient admissions in SFY2014 compared to 2008 performance
- 18. The State ofState Health Policy: Governors’ State of the State Addresses
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