welcome! howard epstein, md, fhm chief health systems officer institute for clinical systems...
TRANSCRIPT
Welcome!
Howard Epstein, MD, FHMChief Health Systems Officer
Institute for Clinical Systems Improvement
* The Triple Aim: Care, Health, And Cost. Berwick DM, Nolan TW and Whittington J., Health Affairs, May 2008, Vol. 27, No. 3, 759-769.
A Better State of Health Through the Triple Aim*
https://www.icsi.org/_asset/hkt4a4/Accountable-Health-Communities-White-Paper.pdf
https://www.icsi.org/health_initiatives/accountable_health/videos/
A 2011 Institute of Medicine report
estimated 30% of healthcare spending is
non-value added
www.IOM.edu/vsrt
$2.5 Trillion
Wedge Model for US Health Care With Theoretical Spending Reduction Targets for 6 Categories of Waste
Source: Eliminating Waste in US Health Care, Berwick, D., Hackbarth, A. JAMA. 2012;307(14):1513-1516
1. Failures of Care Delivery
2. Failures of Care Coordination
3. Overtreatment4. Administrative
Complexity5. Pricing Failures6. Fraud & Abuse
Jencks S, Williams MV, Coleman EA. N Engl J Med 2009;360:1418-1428
Rehospitalization 30 Days after Discharge
20%
Range:13-23%
$17B
50% no PCP f/u
Hospital Discharge
“Random events connected to highly variable actions with only a remote possibility of meeting implied expectations.”
Roger Resar, MD Senior FellowInstitute for Healthcare Improvement
Brief History of RARE
• CMS announces penalties
• RARE Planning Committee
• RARE Campaign – Operating Partners
– 83 hospitals– Supporting Partners: MMA, MNCM, VHA– > 100 Community Partners
main contributors to avoidable hospital readmissions
1. Comprehensive discharge planning
2. Medication management
3. Patient and family engagement
4. Transition care support
5. Transition communications
Preventable Services: Readmissions
www.RAREreadmissions.org
7030
7030
> 28,000
> $60,000,000.00
> 78 years!
Agenda Getting Out and Staying Out: A Patient's Perspective on Reducing Mental Health
Re-Admissions - Melissa Hensley, PhD. Family Perspective - Tracey Daniels Family Perspective – Sue Hanson Recommended Actions for Improved Care Transitions Document – Michael Trangle,
MD, Associate Medical Director, Behavioral Health for HealthPartners Medical Group Patient and Family Engagement – Sue Abderholden, Executive Director, National
Alliance on Mental Illness, Minnesota Medication Management – Craig Harvey, Director Pharmaceutical Services, Regions
Hospital and Daniel Rehrauer, Clinical Pharmacy Program Manager, HealthPartners Comprehensive Transition Planning – Paul Goering, MD, Vice President Allina Mental
Health Transition Support - Chris Walker, MSN, RN, MHA DirectorInpatient Mental Health
Units & Behavioral Access Nurses Transition Communication - Nystrom and Associates PPR Data - Mark Sonneborn, MS, FACHE, Vice President, Information Services,
Minnesota Hospital Association Team Action Plan Wrap Up & Next Steps
Recommended Actions Work Group
• Paul Goering, MD Allina Health• Chris Walker, MSN, RN, MHA CentraCare Health System• Cathy Brouwer, RN Chippewa County Montevideo• Kathy Knight, RN, MA Fairview Health Services• Karen Lloyd, PhD HealthPartners• Terry W. Crowson, MD HealthPartners• Michael A. Trangle, MD HealthPartners• Paul Davis, PhD, LP Lakewood Health System• Jennifer McNertney, MPP Minnesota Hospital Association• Sue Abderholden, MPH National Alliance on Mental Illness• Nancy Houlton, LICSW UCare• Kathy Cummings, BSN, MA ICSI • Joann Foreman, RN, BAN ICSI
RARE Mental Health CollaborativePlanning Committee
– Annie Walsh University of MN Medical Center, Fairview– Jennifer McNertney, Minnesota Hospital Association– Jill Kemper, ICSI– Joann Foreman, ICSI– Kathy Cummings, ICSI– Martha J Aby, DHS– Michael A Trangle, HealthPartners– Nancy Houlton, Ucare– Chris Walker CentraCare– Sue Abderholden, NAMI MN– Terry Crowson, HealthPartners– Janelle Shearer, Stratis Health– Niki Gjeri, UMMC, Fairview– Paul Goering, Allina– Greg Clancy, Allina– Carol LaBine, DHS