Idaho Association of District Boards of Health May 29, 2014 The Future of Health Care and Public Health Integration in Idaho

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Idaho Association of District Boards of Health May 29, 2014 The Future of Health Care and Public Health Integration in Idaho Slide 2 P RESENTERS Tammy Perkins | Senior Policy Advisor for the Governor of Idaho, Health & Social Services Ted Epperly, MD | Chair, Idaho SHIP Steering Committee | President/CEO, Family Medicine Residency of Idaho Denise Chuckovich | Deputy Director, Idaho Department of Health & Welfare Senator Dean Cameron | Idaho State Senate Senator Lee Heider | Idaho State Senate Lisa Hettinger | Medicaid, Idaho Department of Health & Welfare David Pate, MD | President/CEO, St. Lukes Health System Bill Deal | Director, Idaho Department of Insurance Elke Shaw-Tulloch |Bureau Chief, Idaho Division of Public Health Dan Chadwick | Executive Director, Idaho Association of Counties Commissioner Tom Faulkner | Gooding County Commissioner | Trustee, South Central Public Health District Board CAPT Kathryn Porter, MD | (Director, National Center for Health Statistics (NCHS), Division of Health and Nutrition Examination Surveys (DHANES) Guest member Slide 3 I DAHO S TATE H EALTH I NNOVATION P LAN H OW DID WE GET HERE ? Idaho has been engaged in efforts to redesign our healthcare system for a number of years: 2007 Governor Otter Convened a Healthcare Summit 2008 Governor Otter Tasked a Select Committee on Health Care 2008 Idaho Health Data Exchange Established 2010 Governor Otter Established the Health Care Council 2010 Idaho Multi-Payer Medical Home Collaborative Established 2012 Public/Private Team Traveled to North Carolina to Study the NC Community Care Model Slide 4 I DAHO H EALTHCARE P RIORITIES 2007-2014 Cover Idahos Children Expand Insurance Access and Affordability for Adults Expand Residency Opportunities Address the Health Professions Workforce Shortage Develop Patient Centered Medical Homes Continue to Improve Idahos Behavioral Health System Encourage Prevention and Personal Responsibility for Health Address Undergraduate Medical Education Expand the Use of Electronic Medical Record Technology Statewide Support the State Healthcare Innovation Plan (SHIP) Slide 5 W HAT IS THE SHIP? The State Healthcare Innovation Plan (SHIP) is a statewide plan to redesign our healthcare delivery system, evolving from a volume-driven, fee for service system to a outcome-based system that achieves the triple aim of improved health, improved healthcare and lower costs for all Idahoans. Slide 6 I DAHO SHIP M ODEL E LEMENTS Strong Primary Care System Patient Centered Medical Homes (PCMH) Foundational Medical Neighborhood Regional Cooperatives (RC) Support Local Primary Care Providers and Medical Neighborhood Statewide Idaho Healthcare Coalition (IHC) Slide 7 I DAHO SHIP M ODEL E LEMENTS Health Information is Linked Electronically by EHR and HIT Data Analytics Payment Systems are Aligned Across Major Payers Patient Engagement/Accountability Slide 8 SHIP M ODEL D ESIGN O VERVIEW Idaho Healthcare Coalition RCs PCMH and Medical Neighborhood Care Team Patients Slide 9 Regional Collaborative Patient Centered Medical Home (PCMH) Patient Centered Medical Home Neighborhood Idaho Healthcare Coalition (IHC) / SHIP Slide 10 Q UALITY I MPROVEMENT AND P OPULATION H EALTH Core Quality Measures Identified for All PCMHs All Participating PCMHs will Report on Quality Measure for All Patient in Their Practice In Year 1, Three Selected Quality Measures will be Tracked Statewide to Establish a Baseline Tobacco Use and Cessation Activities Comprehensive Diabetes Care Weight Assessment for Children and Adolescents Slide 11 P OPULATION H EALTH M ETRICS Tobacco Use Assessment and Intervention Weight Assessment and Counseling for Children and Adolescents Comprehensive Diabetes Care Screening for Clinical Depression Adherence to Antipsychotics for Schizophrenia Non-Malignant Opioid Use Acute Care Hospitalization Readmission Rates within 30 Days Emergency Care without Hospitalization Elective Delivery Low Birth Weight Rate Asthma Emergency Department Visits Childhood Immunization Status Adult Body Mass Index Assessment Slide 12 A SCLEPIUS AND H YGIEIA Slide 13 I DAHO H EALTHCARE C OALITION (SHIP) S UMMARY Vehicle and Model for Healthcare Transformation for Idaho Built on Foundation of Primary Care and the Patient Centered Medical Home (PMCH) Integrates and Coordinates the PCMH with Secondary Providers, Hospitals, and Other Members of Healthcare Team Connects Public Health to Population Health Quality Metrics Slide 14 F OR M ORE I NFORMATION http://idahoshipproject.dhw.idaho.gov Denise Chuckovich Deputy Director Idaho Department of Health and Welfare [email protected] Ted Epperly, MD Chairman, Idaho SHIP Steering Committee President & CEO, Family Medicine Residency of Idaho [email protected] Slide 15 Q UESTIONS