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Health Care & Health Care Reform Implications for Nonprofits & the People They Serve 10:00am – 11:15am Facilitator: Candi Castleberry-Singleton, UPMC Speakers: Karen Feinstein, Jewish Healthcare Foundation / Dr. Donald Fischer, Highmark / Susan Rauscher, Catholic Charities
Share your thoughts! Text “Summit” to 57682 with your  feedback and thoughts on today’s  event! Share your thoughts on Twitter  by adding #GPNPSummit to your  tweets!
2011 Nonprofit Summit Health Care and Health Care Reform – Implications for Non-profits and the People They Serve Karen Wolk Feinstein,PhD President & Chief Executive Officer Pittsburgh, PA May 12, 2011 Spreading Quality,  Containing Costs.
Original Intent,  What Might We Have Missed
Where Value Derives THE PATIENT ,[object Object]
  Efficiency of Care
  Zero DefectsValue begins at the frontline
Focus on Spending Leads to Complex Patients Concentration of Health Care Spending in the U.S. Population, 2007  The 5% of the U.S. population with highest health care expenses was responsible for nearly half of total health care spending Percent of Total  Health Care Spending
Treating Chronic Illness Accounts for 75% of Expenditures Source: Luft, Harold. Total Cure. Cambridge, 2008: Harvard University Press. pg. 66
Currently: Where do the $$$ go? Hospital Care Source: Modern Healthcare January 11, 2010, pg. 7
The Complex Patient Who is frequently hospitalized? Do you know your customer? Are you meeting their need?
Let the Data Guide Work The Complex Patient Skilled Nursing Chronic Disease (COPD) Behavioral Health and Substance Abuse Multiple Conditions HIV/AIDS End of Life
Why So Many Readmissions? “Nobody integrates care for the medical condition as a whole and across the full cycle of care, including early detection, treatment, rehabilitation, and long-term management.” ,[object Object]
  Elizabeth Olmstead Teisberg, PhD,[object Object]
Reducing Preventable Hospitalizations:  Behavioral Health Comorbidities Patients with co-morbid depression  are more likely to be readmitted Patients with depression and co-morbid substance use disorders are more likely to be hospitalized for four days or longer Source:  PRHI Analysis of PHC4 Data  2005-2006, SW PA
Reducing Preventable Hospitalizations:PPC in Skilled Nursing Facilities (SNFs) ,[object Object]
  20% of hospital patients discharged to a SNF       were readmitted ,[object Object]

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Pittsburgh Nonprofit Summit - Health Care & Health Care Reform - Implications for Nonprofits and the People They Serve

  • 1. Health Care & Health Care Reform Implications for Nonprofits & the People They Serve 10:00am – 11:15am Facilitator: Candi Castleberry-Singleton, UPMC Speakers: Karen Feinstein, Jewish Healthcare Foundation / Dr. Donald Fischer, Highmark / Susan Rauscher, Catholic Charities
  • 2. Share your thoughts! Text “Summit” to 57682 with your feedback and thoughts on today’s event! Share your thoughts on Twitter by adding #GPNPSummit to your tweets!
  • 3. 2011 Nonprofit Summit Health Care and Health Care Reform – Implications for Non-profits and the People They Serve Karen Wolk Feinstein,PhD President & Chief Executive Officer Pittsburgh, PA May 12, 2011 Spreading Quality, Containing Costs.
  • 4. Original Intent, What Might We Have Missed
  • 5.
  • 6. Efficiency of Care
  • 7. Zero DefectsValue begins at the frontline
  • 8. Focus on Spending Leads to Complex Patients Concentration of Health Care Spending in the U.S. Population, 2007 The 5% of the U.S. population with highest health care expenses was responsible for nearly half of total health care spending Percent of Total Health Care Spending
  • 9. Treating Chronic Illness Accounts for 75% of Expenditures Source: Luft, Harold. Total Cure. Cambridge, 2008: Harvard University Press. pg. 66
  • 10. Currently: Where do the $$$ go? Hospital Care Source: Modern Healthcare January 11, 2010, pg. 7
  • 11. The Complex Patient Who is frequently hospitalized? Do you know your customer? Are you meeting their need?
  • 12. Let the Data Guide Work The Complex Patient Skilled Nursing Chronic Disease (COPD) Behavioral Health and Substance Abuse Multiple Conditions HIV/AIDS End of Life
  • 13.
  • 14.
  • 15. Reducing Preventable Hospitalizations: Behavioral Health Comorbidities Patients with co-morbid depression are more likely to be readmitted Patients with depression and co-morbid substance use disorders are more likely to be hospitalized for four days or longer Source: PRHI Analysis of PHC4 Data 2005-2006, SW PA
  • 16.
  • 17.
  • 18.
  • 19. Thank you from the Greater Pittsburgh Nonprofit Partnership!
  • 20. Workshop Evaluation Text “HCR” to 57682 with your answers to the following questions: Please rate the overall value of this workshop E – Excellent G – Good P – Poor F – Fair Did you learn anything that you will apply at your own organization? Y – Yes N - No Please text other comments and feedback. Submit by hitting “send!” You will receive an auto-reply from the GPNP. Sample text: “HCR E Y I’m beginning to understand the Health Care Act more.”