april 2016 regional learning session welcome & keynote slides

Regional Learning SessionApril 8, 2016 Agenda

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Learning Objectives: Sharing best practices and lessons learned from quality improvement initiatives taking place at a national, state, and regional level

8:30am Update on the Work ofHCGC’s Partners

• Jeff Biehl, Healthcare Collaborative of Greater Columbus (HCGC)

8:45amKeynote Address

Best Practices and Trends in the Management of Diabetes and Depression

Diabetes management• Brenda Rendelman, RD, CDE, Central Ohio Diabetes

Association

Depression management• Staci Swenson, MA, MSW, LISW-S, PrimaryOne Health

9:50amLearningRound A

10:40amLearning Round B

State Innovation Model (SIM) UpdatesLocation: Bob Evans Auditorium

Aligning payment innovation in Ohio• Greg Moody, Governor’s Office of Health Transformation

Accountable Health Communities ModelLocation: Board Room

A national initiative to enhance clinical-community linkages to improve health outcomes• Naomi Makni, MHA, Nationwide Children’s Hospital• Michelle Missler, LSW, HCGC

Franklin County Pathways Community HUBLocation: Eastman Room

An emerging regional infrastructure that aligns payment with results-based health and social services.• David Ciccone, United Way of Central Ohio• Isi Ikharebha, Physicians CareConnection

• OhioHealth

• 100% of our Board of Directors & Staff

• Individual & Corporate Donations

Lead Supporter Major Supporters

Supporters

Our Public-Private Funding Partners

Clarity Consultancy our social enterprise

subsidiary

Additional Supporters

www.hcgc.org

Collaborative Learning …hosting safe space with regional partnersto explore results-based practices and apply learning

Patient-Centered Medical Homes …advancing high-value primary care to improve access, care coordination, and patient engagement

Medical Neighborhood Impact on Chronic Conditions…advancing the adoption of results-based practices to reduce variation

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improve health and the quality

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www.hcgc.org

alignment

Evolution of Regional Healthcare Improvement Activities

Quality Transparency…advancing the measurement and sharing of data to improve quality.

Our Public-Private Board of Directors

• Mike Stull (Board Chair) Employers Health,Business Representative

• Dianne Radigan (Board Vice Chair) CardinalHealth, Franklin County Representative

• Bill Wulf, M.D. (Board Treasurer) Central Ohio Primary Care, Columbus Medical AssociationRepresentative

• Doug Anderson (Board Secretary) BaileyCavalieri, City of Columbus Representative

• Jeff Biehl (President) non-voting, ex-officio• Dianne Biggs Labor Representative• Tara Britton The Center for Community Solutions,

United Way of Central Ohio Representative• Sarah Durfee, RN Ohio Public Employees

Retirement System, Purchaser Representative • Jerry Friedman The Ohio State University Wexner

Medical Center, Hospital Representative• Jeff Geppert Battelle, Health Care Representative • Thomas Hadley Wells Fargo Insurance Services,

Chamber of Commerce Representative • Kevin Hinkle Anthem Blue Cross & Blue Shield,

Health Plan Representative• Isi Ikharebha Physicians CareConnection,

Consumer Representative

• Karen King, M.D. Northwest Ob/Gyn, ColumbusMedical Association Foundation Representative• Teresa Long, M.D. Columbus Public Health,

Health Department Representative• Tani Mann The Dispatch Printing Company,

Employer Representative• Julie Erwin Rinaldi Syntero,

Behavioral Health Representative• Valerie Ruddock Nationwide Children’s Hospital,

Hospital Representative•Greg Sawchyn, M.D. OhioHealth,

Hospital Representative• Benjamin Shaker Mount Carmel Health System,

Hospital Representative•Dana Vallangeon, M.D. Lower Lights Christian

Health Center, Community Health Center Representative• Bruce Wall, M.D. Aetna,

Columbus Medical Association Representative• Todd Weihl, D.O. OhioHealth,

Columbus Osteopathic AssociationRepresentative

www.hcgc.org

Build collaborations with providers,

purchasers, social services

~trust~

Catalyze best practices

~awareness~

Convene diverse stakeholders

~exploration~

Coordinate activities that

transform healthcare delivery and value

~commitment~

Measure actionable results

~collective impact~

Apply collaborative learning

~spread knowledge~

Our Collaborative Process

improve health and the quality

of healthcare

www.hcgc.org

Thanks for participating in regional healthcare quality improvement!

• Aetna• AIDS Resource Center Ohio• Alliance Healthcare Partners• American Cancer Society• Anthem Blue Cross and Blue Shield• Arthur J. Gallagher & Co.• Asian American Community Services• Bailey Cavalieri, LLC• Battelle• Buckeye Health Plan• Caliber Patient Care• Cardinal Health • CareSource• Cbiz, Inc.• Central Ohio Area Agency on Aging• Central Ohio Diabetes Association• Central Ohio Primary Care• Central Ohio Transit Authority• Charitable Pharmacy of Central Ohio• City of Columbus• CliniSync• Clintonville-Beechwold Community

Resource Center• Cognosante• Columbus Area Integrated Health Services• Columbus Public Health• Community Refugee and Immigrant Services• Community Shelter Board• CompDrug • Concord Counseling Services• County Employee Benefits Consortium of

Ohio• Directions For Youth and Families• Duet Health• Employers Health• Enroll America• Ethiopian Tewahedo Social Services• Evi-Base

• Fairfield Community Health Center• Findley Davies• Franklin County Board of Commissioners• Franklin County Cooperative Health Benefits

Program• Franklin County Department of Job & Family

Services• Franklin County Pathways Community HUB• Franklin County Public Health• Godman Guild Association• HandsOn Central Ohio• Health Action Council• Health Policy Institute of Ohio• Heart of Ohio Family Health Centers• Helping Hands Health and Wellness Center• House of Hope• InHealth Mutual• Legal Aid Society of Columbus• LifeCare Alliance• Lower Lights Christian Health Center• Maryhaven• Medical Group of Ohio• Medical Mutual of Ohio• Mental Health America of Franklin County• Mercer • Mid-Ohio Foodbank• Milestone Benefits• Molina Healthcare• Mount Carmel Health Partners• Mount Carmel Health System • Mount Carmel Medical Group• Muskingum Valley Health Center• National Alliance on Mental Illness• National Church Residences• Nationwide Children’s Hospital• Nationwide Insurance • Netcare Access

• North Central Mental Health Services• North Community Counseling Centers• Northwest Ob/Gyn• Ohio Aids Coalition• Ohio Asian American Health Coalition • Ohio Association of Community Health

Centers• Ohio Association of Foodbanks• Ohio Bureau of Workers' Compensation• Ohio Department of Health• Ohio Department of Medicaid• Ohio Public Employees Retirement System • OhioHealth• OhioHealth Physicians Group• OSU Health Plan• Physicians CareConnection• Pickaway Health Services• Preferred Benefits• PrimaryOne Health• Ripple Life Care Planning• School Employees Retirement System of

Ohio• Small Business Majority• Southeast, Inc.• State Teachers Retirement System of Ohio• Syntero• The Breathing Association• The Center for Community Solutions• The Dispatch Printing Company• The Ohio State University • The Ohio State University Wexner Medical

Center• UHCAN Ohio• United Way of Central Ohio• UnitedHealthcare• Wells Fargo Insurance Services• Willis• YMCA of Central Ohio

Aligning regional, state and national quality improvement activity

www.hcgc.org

Quality LeversCoordinated by the Healthcare

Collaborative of Greater ColumbusParticipating in activities

coordinated by others

PAYMENT State Innovation Model (SIM):

aligning public-private payments in Ohio

PUBLIC REPORTING

OurHealthcareQuality.org

LEARNING & TECHNICAL

ASSISTANCE

Behavioral Health Learning Group

Medical Neighborhood Learning Group

Navigator & Certified Application Counselor Learning Group

Purchaser Learning Group Quality Improvement

Learning Group Regional Learning Sessions

Health Policy Institute of Ohio Network for Regional Healthcare

Improvement Ohio Patient-Centered Primary

Care Collaborative Patient-Centered Primary Care

Collaborative

CERTIFICATION, ACCREDITATION,

REGULATION

Patient-Centered Medical Homes (PCMH) Recognition Programs

Improving health and the quality of healthcare

www.hcgc.org

Quality LeversCoordinated by the Healthcare

Collaborative of Greater Columbus

Participating in activities coordinated by others

CONSUMER INCENTIVES &

BENEFIT DESIGNS

Choosing Wisely

MEASUREMENT & FEEDBACK

Quality Measurement for Improvement Project

HEALTH INFORMATION TECHNOLOGY

CliniSync

WORKFORCE DEVELOPMENT

Franklin County Pathways Community HUB

INNOVATION & DIFFUSION

Medical Neighborhood Referral Infrastructure Project

Medical Neighborhood Impact on Chronic Conditions

Accountable Health Communities (AHC) Model

www.hcgc.org

Improving health and the quality of healthcare

Regional Quality Improvement

www.hcgc.org

105 practices reporting119,296 patients




www.hcgc.org





www.hcgc.org

Providers Sharing Quality Data

Central Ohio Primary Care Physicians

Heart of Ohio Family Health Centers

Lower Lights Christian Health Center

Mount Carmel Medical Group

OhioHealth Physician Group

The Ohio State University Wexner Medical Center - Primary Care

Pickaway Health Services

PrimaryOne Health

Southeast, Inc.

Regional Quality Transparency

www.hcgc.org

www.ourhealthcarequality.org

• OhioHealth

• 100% of our Board of Directors & Staff

• Individual & Corporate Donations

Lead Supporter Major Supporters

Supporters

Our Public-Private Funding Partners

Clarity Consultancy our social enterprise

subsidiary

Additional Supporters

www.hcgc.org

Quality Improvement

Objectives

Areas of Alignment

Advancing the adoption of

results-based practices to

reduce variation

starting with Diabetes and/or

Depression

Self Management

Continuity of Care

Medical Neighborhood Impact on Chronic Conditions Roadmap

www.hcgc.org

Explore and Adopt Results-Based

Practices

Strengthen Clinical-Community Based

Relationships

Purpose

Diabetes Management

Brenda Rendelman, RD, CDE

Central Ohio Diabetes Association

1100 Dennison Ave

Columbus

43201

www.diabetesohio.org

614-884-4400

http://www.diabetesohio.org/

Q: What Works? A: Education & Support

• Individualized Comprehensive education, sooner than later

• Addresses Meets the needs of the whole person

• Empowers: Person with diabetes moves into driver’s seat

• Help the person build the tool kit that works for them

• Most people are hungry for education & support >> help them feel better and improve their health and life

Patient Karen…

Education & Support…

• Lifestyle Therapy including:

• Nutrition Education

• Grocery shopping & Cooking Skills: Cooking Matters classes!

• Emotional/Psychosocial: support; professional counseling, meds if needed

• Physical Activity

• Weight loss, if overweight, key to managing type 2

• Support at Organization & Community level: Programs that

provide connection beyond the education

• Support at Individual level: encouraging relative or friend to participate with client

• Smart Technology for many/most clients: apps to inform, track, communicate with health team, and more

• People need and want complete, accurate, and clear information.

Equally, they want and need connection, respect, encouragement in all interactions.

Central Ohio Diabetes Association provides many education and support programs and services…

but no one organization in our area provides the complete and needed array.

A Vision and Goal:

A cutting-edge Diabetes Center in which ALL services and programs previously described are:

• Provided by skilled, highly-trained professionals

• Efficiently, effectively provided year-round to those who live with diabetes, pre-diabetes, or are at high risk of developing diabetes.

Staci Swenson, MA, MSW, LISW-S

Integrated Care Manager

PrimaryOne Health

Starting assumptions about

DEPRESSION

It is common, underdiagnosed, and undertreated

It is frequently RECURRENT or CHRONIC

Most patients will receive depression care through PCP

Most patients present with somatic complaints

What’s the big deal about

depression?

Children with depression

Children of parents with depression

Depression complicates treatment of other chronic

conditions

Suicide rates increasing

US Preventative Services Task Force

recommendation

1. Screen

2. Evaluate when screening is positive

3. Diagnose and treat

Cultural shift

Stigma

Patient preference: Engagement is key

“Watchful waiting”

Medication

BH at PCP

Outside counseling

No counseling

Quality Improvement

Objectives

Areas of Alignment

Advancing the adoption of

results-based practices to

reduce variation

starting with Diabetes and/or

Depression

Self Management

Continuity of Care

Medical Neighborhood Impact on Chronic Conditions Roadmap

www.hcgc.org

Explore and Adopt Results-Based

Practices

Strengthen Clinical-Community Based

Relationships

Purpose

Regional Learning SessionApril 8, 2016 Break Out Sessions

... c

atal

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thca

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imp

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me

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Learning Objectives: Sharing best practices and lessons learned from quality improvement initiatives taking place at a national, state, and regional level

9:50amLearningRound A

10:40amLearning Round B

State Innovation Model (SIM) UpdatesLocation: Bob Evans Auditorium

Aligning payment innovation in Ohio• Greg Moody, Governor’s Office of Health Transformation

Accountable Health Communities ModelLocation: Board Room

A national initiative to enhance clinical-community linkages to improve health outcomes• Naomi Makni, MHA, Nationwide Children’s Hospital• Michelle Missler, LSW, HCGC

Franklin County Pathways Community HUBLocation: Eastman Room

An emerging regional infrastructure that aligns payment with results-based health and social services.• David Ciccone, United Way of Central Ohio• Isi Ikharebha, Physicians CareConnection

april 2016 regional learning session welcome & keynote slides

Documents