Population Management Executive Development Program: April 2016 - PDF document

2/2/2016 February 2, 2016 These presenters have nothing to disclose Population Management Executive Development Program: April 2016 Informational Call Molly Bogan, MA Saranya Loehrer, MD, MPH 2 WebEx Quick Reference • Please use chat to “ All Participants ” for questions Raise your hand • For technology issues only, please chat to “ Host ” Select Chat recipient Enter Text 1

2/2/2016 3 Agenda Welcome and introductions Why population management and why now? Accelerators of progress Faculty highlights: factors of success in population management Program overview Questions 4 Welcome & Introductions Saranya Loehrer, MD, MPH Molly Bogan, MA Executive Director Project Director Institute for Healthcare Improvement Institute for Healthcare Improvement 2

2/2/2016 5 Welcome & Introductions Richard Gitomer, MD Meryl Moss, MPA, EHML President & CQO Chief Operating Officer Emory Healthcare Network Coastal Medical George Kerwin, FACHE President & CEO Bellin Health 6 Context Setting: Why population management and why now? 3

2/2/2016 7 Healthcare in the US is changing… HHS to tie 90% of all Encouraging Improving Prohibiting traditional President Obama Integrated Health Preventative Health Discrimination Due Medicare Bring Down Health signs the Systems &Launch Coverage & Launch to Pre-Existing payments to Care Premiums Affordable Care of ACO Pioneer of SSP ACO model Conditions or quality or (1/1/11) Act. (3/23/2010) Program (1/1/12) (1/1/13) Gender (1/1/14) value by 2018 2010 2011 2012 2013 2014 2015 Prohibit Denying Coverage of Children Based on Increase Access to Understanding and Open Enrollment in Establishing the Pre-Existing Services at Home Fighting Health the Health Health Insurance Conditions and in the Disparities Insurance Marketplace (9/23/2010) Community (3/1/12) Marketplace Begins (2014) (10/1/1/11) (10/1/13) Provide Free Preventative Care (9/23/2010) Changing Healthcare Context 8 Pay for Shared Global Shared Risk Fee for Service Performance Savings Payment Individuals and Individuals, Populations Focus on Individuals Populations and Communities Care Care and Cost The Triple Aim Do to Do for Do WITH 4

2/2/2016 9 Triple Aim We define the Triple Aim as system designs that simultaneously improve three dimensions: o Improving the health of the populations; o Improving the patient experience of care (including quality and satisfaction); and o Reducing the per capita cost of health care. ​Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, health, and cost. Health Affairs. 2008 May/June;27(3):759-769 10 Population Health http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd- 4e9e-89d9-14d88ec59e8d&ID=50 5

2/2/2016 11 Population Management We define population management as the design, delivery, coordination, and payment of services for a defined group of people to achieve specified cost, quality and health outcomes for that group of people. http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4 a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=50 12 Framework: Accelerators to Successful Population Management 6

2/2/2016 13 Our Framework: Five Accelerators • Demonstrating effective leadership • Creating data systems for performance improvement • Engaging stakeholders and communities • Building robust improvement infrastructure Population Management • Leveraging payment models 14 Poll: Which accelerator represents the greatest challenge in your organization? 7

2/2/2016 15 Chat Question: What would success in population management look like in your organization? 16 Faculty Highlights What did success look like for our faculty at their organizations? What challenges did they overcome? 8

2/2/2016 17 Faculty Highlights Meryl Moss, MPA, EHML Chief Operating Officer Coastal Medical 18 Faculty Highlights: Meryl Moss • Physicians and staff alike have a shared vision and commitment to managing Coastal Medical’s primary care patients for optimal population health. • Physicians feel that we are providing a differentiated level of care to our sickest high-risk patients in a way we were unable to in the past. • Coastal has achieved outstanding results in quality metrics, including being in the top 1% for quality of all MSSP ACOs in the country. 9

2/2/2016 19 Faculty Highlights George Kerwin, FACHE President & CEO Bellin Health 20 Faculty Highlights: George Kerwin • Developed the ability to manage the overall health of populations when Bellin faced a crisis with the health of a critical population segment – our employees . • 640,000 people make up the population Bellin serves. Segmenting this population is important to improving the health of so many people • Data systems and payment models support the shift from insuring health to managing the health of populations 10

2/2/2016 21 Faculty Highlights Richard Gitomer, MD President & CQO Emory Healthcare Network 22 Faculty Highlights: Richard Gitomer • Developed a productive collaboration between the non Emory-employed physicians and the Emory Healthcare Network. • Transitioned from a successful academic medical center in the fee-for-service world with little clinical integration to a clinically integrated network with a value-based contract in 17 months. • Improved quality and earned shared savings in the first year of a value-based contract. 11

2/2/2016 23 Faculty: Navigating Challenges • Negotiating tensions and trying to keep the lights on while maintaining fee-for-service models and implementing the new activities of value-based models. • Achieving productive electronic data integration across a widely variable network in the context of the currently available technologies. • Having to rely on payers analytics infrastructure for data and support. Population Management Executive Development Program ihi.org/PopulationManagement Orlando, FL 12

2/2/2016 25 Program Highlights 2.5 day program for executives and other leaders accountable for population management Learn from a team of expert faculty with deep experience in a variety of settings Network with other executives navigating similar challenges Dedicated retreat time and action planning: leave with a plan for how to immediately apply the concepts and promising practices learned about in the program in your own organization 26 Questions? 13

2/2/2016 Population Management Executive Development Program ihi.org/PopulationManagement Orlando, FL Thank You! 28 Please contact us with any questions or you would like to speak to a member of the team about joining the April 2016 program! Kristen Kennedy Molly Bogan kekennedy@IHI.org mbogan@IHI.org 14