Innovations in Rural and Community Health: Lessons From the Front Line Aaron George, DO May 9, 2017 Family Physician Summit Primary Care
Innovations in Rural Primary Care Local Context State Context Global Perspective
Chambersburg, PA
Value Doesn’t Come from a Value Meal
Health Maintenance Colonoscopy DEXA & mammograms Vaccinations, annual & screening labs Shifting Roles and Trust
Shifting – Increased Clinical Role Vitals Wound Diabetic Foot Exams Care Smoking Cessation Insulin Warfarin Teaching Adjustment Depression Screening *Healthy lifestyle counseling
Tool #1: Finding Value in Your Work Build Your Personal Game Plan
Pennsylvania Hospital Systems
Health Innovation in Pennsylvania (HIP)
Statewide Approach to HIP
Health Innovation in Pennsylvania (HIP) 1) Accelerate transition from volume to value 2) Achieve price and quality transparency 3) Redesign rural health care delivery
Global Hospital Budgeting
Global Context • Comprehensive approach to payment and delivery
Comprehensive Primary Care Payment Calculator Step 1: Design or clarify services Step 2: Identify the population Step 3: Risk adjust Step 4: Measure quality and utilization Step 5: Define a comprehensive payment
AAFP Proposal for Advanced Primary Care Payment Model (APC- APM)
AAFP Proposal for Advanced Primary Care Payment Model (APC- APM)
Trends in Rural Care Delivery • Focus on comprehensive delivery • Funding through comprehensive payment mechanisms • Health care is local • Many paths to the same goal • All involve increased primary care investment • Enhancing health care teams and resources
Tool #2:Finding Value in Community Health Landscapes http://www.countyhealthrankings.org/ Healthlandscapes.org
Tool#2: Finding Value in Community Health Landscapes countyhealthrankings.org healthlandscapes.org
Tool #3: Finding Value in Community Practical Playbook practicalplaybook.org
Tool #4: Connecting the Dots Healthdoers Network healthdoers.org
Aaron George, DO Contact Info: Email: aaronegeorge@gmail.com Phone: (717) 658-3958
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