welcome and opening remarks - laura zaichkin
TRANSCRIPT
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Working Together for a Healthier Washington
Laura Kate ZaichkinAdministrator, Office of Health Innovation and ReformWashington State Health Care Authority
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Why do we need health systems transformation?
• Separates the “head” from the “body” —no integration between services for physical health, mental health and chemical dependency.
• Focuses on volume of services provided, not quality of outcomes.
• Is expensive, and getting more so, without producing better results.
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A better system…
• Tom, 54, is covered by Medicaid and homeless.
• He has used the ER more than 50 times in 15 months.
• He needs help connecting to housing, health care, and other services.
• ER doctors routinely repeat tests because they don’t have access to health histories.
• Tom has an outreach worker who connects him with housing, health care, and other services.
• Data systems give Tom’s providers immediate access to health histories, enabling coordinated care without duplicated services.
• Effective services reduce costs.
• Tom is healthier because he gets the services he needs.
The current system… A better system…
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Improve how we pay for services
• Measure, improve and report common statewide performance measures.
• As purchaser for Apple Health and state employees, drive market toward value-based models.
Ensure health care focuses on
the whole person
• Integrate physical and behavioral health care in regions as early as 2016, with statewide integration by 2020.
• Spread and sustain effective clinical models of integration.
• Make clinical and claims data available to securely share patient health information.
Build healthier communities
through a collaborative
regional approach
• Fund and support Accountable Communities of Health.
• Use data to drive community decisions and identify community health disparities.
Implementation tools: State Innovation Models grant, state funding, potential federal waiver, philanthropic support
Legislative support: HB 2572, SB 6312
Healthier Washington builds the better system
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Measurement
Financing & Administration
Information
Technology
Public Health
Nutritious Food
Transportation
Employment
Education Crisis
Intervention Family
Support
Criminal Justice
Consumer Engagement
Practice Transformat
ion
Workforce Developmen
t
Substance Abuse
Physical Health
Long-Term Care
Mental Health
Oral Health
Health & Recovery
System Supports
Housing
Built Environment
Whole Person
Community
Better health, better care, lower costs
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Good health depends on high-quality health care and more…
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Adapted from: Magnun et al. (2010). Achieving Accountability for Health and Health Care: A White Paper, State Quality Improvement Institute. Minnesota.
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Healthier Washington is structured to leverage all sectors...
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…and recognizes the best way to improve people’s health is in the community where they live, work, and play
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Equity is far reaching and key to achieving state goals
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Learn more about Healthier WashingtonWeb:www.hca.wa.gov/hw
Email and to join our feedback network:
360-725-1980
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