a framework for engagement or perhaps inclusion? · ahrq data 2010-2014 advancing high reliability...
TRANSCRIPT
![Page 1: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/1.jpg)
A Framework for Engagement or Perhaps Inclusion?
Jay Bhatt, DO, MPH, MPAPresident of Health Research & Educational Trust of the AHAChief Medical Officer, American Hospital Association
August 10, 2017
![Page 2: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/2.jpg)
THE REDWOODS
![Page 3: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/3.jpg)
Consumers: Americans are spending more money on healthcare today than ten years ago
2,664 2,766 2,8532,976
3,126 3,1573,313
3,556 3,631
4,290
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
U.S. healthcare spending by household
Mean expenditure ($)
Source: Bureau of Labor Statistics Annual Consumer Expenditure Survey
Draft
![Page 4: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/4.jpg)
Government: …but has worse health outcomes
Source: OECD
Draft
![Page 5: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/5.jpg)
Executive summary
The AHA Path Forward advocates for “access to affordable, equitable health, behavioral, and social services”
Affordability can be measured in many different ways
– Different stakeholders care about different metrics
Ultimately, stakeholders must work together to tackle this challenge
– Systemic, societal, and operational drivers must all be addressed
– Consumers, government, employers, payers, health & hospital systems, pharma companies, and community partners all roles to play
Health & hospital systems are pursuing value-based strategies that make care more affordable
– These include redesigning the delivery system; improving quality & outcomes of care; reforming payment & managing risk; and implementing operational solutions
Draft
![Page 6: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/6.jpg)
Consumers
Government
Payers
Employers
• Spending on premiums, deductibles, co-pays (% change)
• Per capita spending on healthcare ($, % change over time)• Return on investment (life expectancy vs. $ spent)
• Healthcare expenditures ($, % change over time)
• Health care premiums per worker ($, % change over time)
Hospitals & health systems
• Hospital prices (% change over time)
Pharmaceutical companies
• Per capita spending on drugs ($, % change over time)
Community partners
• Spending on social services, e.g. housing, food, etc. ($, % change over time)
Views of affordability vary by stakeholder
Draft
![Page 7: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/7.jpg)
Societal
• Determinants of health
• Prevalence of chronic conditions
• Aging population & related end-of-life care
• Consumer behaviors & preferences
Operational
• Workforce shortages
• Drug & device innovation
• IT systems
• Regulatory & compliance burden
• Inefficiency
Systemic
• Access/coverage
• Plan design
• Payment & reimbursement models
• Prevention & wellbeing
• Quality & safety
• Variation in quality, cost, & care delivery
Drivers of affordability
1 2 3
Draft
![Page 8: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/8.jpg)
The Path Forward
![Page 9: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/9.jpg)
Clinical care is only one component of health
Source: University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps 2016. www.countyhealthrankings.org.
20% 20% 60%
Health care Genetics Social, Environmental and Behavioral Factors
What Makes People Healthy?
![Page 10: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/10.jpg)
Determinants of Health
Source: HRET 2017
![Page 11: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/11.jpg)
Source: Institute for Health Metrics and Evaluation, University of Washington, 2014
Place Matters
![Page 12: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/12.jpg)
Source: Institute for Health Metrics and Evaluation, University of Washington, 2014
Place Matters: ND
![Page 13: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/13.jpg)
![Page 14: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/14.jpg)
Hospital Engagement
Network
Advancing higher reliability
1500 hospitals –reduce harm in 11 areas (HEN
2.0)
HIIN has 1630 hospitals
Reduce early elective deliveries by 44%
Post-Op Thrombosis reduced by 34%
Reduced surgical site infections by 21%
Prevent more than 34,000 incidents
Cost Savings of nearly 300 million
Reduce Hospital Acquired conditions by 40% and readmissions
by 20%
![Page 15: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/15.jpg)
AHRQ National Scorecard Data
Advancing High Reliability
Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring System, National Healthcare Safety Network, and Healthcare Cost and Utilization Project.
![Page 16: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/16.jpg)
AHRQ Data 2010-2014
Advancing High Reliability
Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring System, National Healthcare Safety Network, and Healthcare Cost and Utilization Project.
![Page 17: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/17.jpg)
Reductions in Hospital Acquired
Conditions (2011-2015)
Advancing Higher Reliability
Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring System, National Healthcare Safety Network, and Healthcare Cost and Utilization Project.
![Page 18: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/18.jpg)
Total Annual and Cumulative Deaths Avoided
Advancing Higher Reliability
Cumulative deaths averted from 2010 through 2015 are estimated at nearly 125,000. As shown in Exhibit B2, there is variation across types of HACs in the cost savings per HAC averted and in the level of increased mortality associated with the HAC. Due to this variation, costs associated and deaths averted by HAC type are not directly proportional to the HAC reductions shown in Exhibit 4.
![Page 19: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/19.jpg)
Total Annual and Cumulative Cost
Savings
Advancing Higher Reliability
Preliminary 2015 estimates indicate that the decline in HACs resulted in estimated cost savings of approximately $8.3 billion in 2015. Estimated cumulative savings for 2011, 2012, 2013, 2014, and 2015 are approximately $28.2 billion (Exhibit 6).
![Page 20: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/20.jpg)
Including Stakeholders
Patients & Families
PayersHealth Care
Delivery
Communities
![Page 21: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/21.jpg)
Visioning Activity
![Page 22: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/22.jpg)
An adaptive challenge has no known
solution and no available expert for the
current context
![Page 23: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/23.jpg)
ADAPTIVE CHARACTERISTICS
EmotionalMessy Risky
A B
C
![Page 25: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/25.jpg)
![Page 26: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/26.jpg)
How Do Hospitals Partner?
Not involvedNo current partnerships with this type of organization
NetworkingExchange ideas and information
Alliance Formalized partnership (i.e., binding agreement) among multiple organizations with merged initiatives, common goals and metrics
CollaborationExchange information and share resources to alter activities and enhance the capacity of the other partner
FundingGrant-making capacity only
Source: Health Research & Educational Trust, 2015.
![Page 27: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/27.jpg)
Partnerships
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Other hospitals
Public health department
Public safety
Housing/community development
Transportation
Not involved Funding Networking Collaboration Alliance
Source: Health Research & Educational Trust, 2015.
![Page 28: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/28.jpg)
Patient-Level Health Care Organization Population-Level
General Population-Level
PrimaryPrevention
Financial literacy, support, & nutrition programs for low-income families with strong family history of DM
Provide on-site Farmers’ Market, gym, walking trails or financial counseling for families at risk for DM
Advocate for local increase in minimum wage and supports for low-income families, particularly those at risk of DM
SecondaryPrevention
Poverty screening & financial assistance for DM patients at-risk of end-of-month hypoglycemia
Subsidize vouchers to local Farmer’s Market or hire a financial counselor for low-income DM patients
Change timing and content WIC & school food programs to avoid food insecurity among DM
Tertiary Prevention Reduce ED use among high-utilizer severe diabetics using food and income support referrals
Coordinate with local banks, collectors, lenders, to reduce debt burden for utilizer diabetics
Support legislation/ regulations to provide financial and “hotspotter” services to severe diabetics
![Page 29: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/29.jpg)
From Engagement to Inclusion
Engagement = involving others
Inclusion = valuing others
Collaboration = working with others
![Page 30: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/30.jpg)
From Engagement to Inclusion
ParticipantsParticipants have one-time involvement.
AdvisorsOngoing participants act as sources for feedback or community liaisons.
PartnersParticipants serve as co-leaders and are involved in all planning and decision-making
Source: HRET, 2016
![Page 31: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/31.jpg)
So
urc
e:
Inte
ract
ion
In
stit
ute
/An
dre
w W
eiz
ma
n,
20
16
Equity is necessary for a healthy population
Equality vs. Equity
![Page 32: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/32.jpg)
Inclusion
Sour
ce:
Cent
er f
or S
tory
-bas
ed S
trat
egy
, 20
16
![Page 33: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/33.jpg)
Health, Equity and Quality
![Page 34: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/34.jpg)
AHA Task Force on Ensuring Access for Vulnerable Communities in Vulnerable Communities
Characteristics of vulnerable communities are similar for rural and urban areas
Source: AHA 2017
![Page 35: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/35.jpg)
Emerging Strategies for Vulnerable Communities
Virtual Care Strategies
Social Determinants
Inpatient/Outpatient Transformation
Urgent Care Center
Rural Hospital-Health Clinic
Emergency Medical Center
Global Budgets
Frontier Health System
Indian Health Services
Source: AHA 2017
![Page 36: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/36.jpg)
Inclusion in Practice
![Page 37: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/37.jpg)
Patients and Families
![Page 38: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/38.jpg)
Patients and Families: Examples
![Page 39: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/39.jpg)
Communities
Source: ACHI, 2016
![Page 40: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/40.jpg)
Communities: Example
![Page 41: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/41.jpg)
Common language for leadership and decision-making
Nurses and other clinicians
CFOs
CEOs
Physicians
Trustees
Health Care Stakeholders and a Common Language
![Page 42: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/42.jpg)
Payers
Example: Multisector Innovative Care Measures for Desired Health Outcomes
![Page 43: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/43.jpg)
July 24, 2017 I 21
![Page 44: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/44.jpg)
July24,2017
I44
![Page 45: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/45.jpg)
July24,2017
I45
![Page 46: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/46.jpg)
July 24, 2017 I 24
![Page 47: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/47.jpg)
July24,2017
I
25
![Page 48: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/48.jpg)
July 24, 2017 I 26
![Page 49: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/49.jpg)
Finding Short Term Wins…July24,2017
I
27
![Page 50: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/50.jpg)
July 24, 2017 I 28
![Page 51: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/51.jpg)
July24,2017
I51
![Page 52: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/52.jpg)
NEW RESOURCES
![Page 53: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/53.jpg)
What’s your story?
Sour
ce: F
ocus
for
Hea
lth,
2015
![Page 54: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/54.jpg)
Bringing Inclusion Home
![Page 55: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/55.jpg)
Bringing Inclusion Home
![Page 56: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/56.jpg)
Bringing Inclusion Home
![Page 57: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/57.jpg)
Bringing Inclusion Home
![Page 58: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/58.jpg)
The Journey to Population Health Health: health care
Level 1: Patient physical and mental health
Level 2: Patient social and spiritual wellbeing
Level 3: Community health and wellbeing
Level 4: Communities of solution
Optimizing the physical and behavioral health ofyour patients; reducing cost
Addressing socialand spiritual drivers ofhealth and wellbeing
Being active partners in improving health,wellbeing and equityof the community
Leaders across sectors work together to createsustainable and dynamic change
The capacity of peopleis unlocked to improve their health and the wellbeing of their communities
![Page 59: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/59.jpg)
Debrief
• Which groups were the most challenging and why?
• What are some lessons learned?
• Can some engagement strategies be replicated for other stakeholder groups?
![Page 60: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/60.jpg)
Breakthrough Idea
![Page 61: A Framework for Engagement or Perhaps Inclusion? · AHRQ Data 2010-2014 Advancing High Reliability Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring](https://reader035.vdocuments.us/reader035/viewer/2022070810/5f0927f17e708231d4257e19/html5/thumbnails/61.jpg)
Thank You
Jay Bhatt, DO, MPHPresident of Health Research & Educational Trust
Chief Medical Officer, American Hospital Association
@bhangrajay