June 25th Healthcare Transformation Learning Session Slides

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  • Healthcare Transformation Learning Session

    Lead Support Major Support Additional Support

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    & Staff

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    www.hcgc.org

    June 25th Webinar, 1:00 - 2:00 PM Learning Topic: Choosing Wisely - physicians, patients and other health care stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some instances can cause harm. Sharing Lessons Learned Krista Stock, Director, Healthcare Collaborative of Greater Columbus Sarah Durfee, RN, Clinical Programs Officer, Ohio Public Employees

    Retirement System Greg Sawchyn, MD, MBA, Senior Director - Clinical Guidance Councils,

    OhioHealth

  • The Healthcare Collaborative of Greater Columbus is coordinating regional activities to spread awareness and adoption of Choosing Wisely. The initiative aims to help physicians, patients, and other healthcare stakeholders think and talk about appropriate use of healthcare resources. Physician-led effort to advance evidence-based medicine and help patients make smart and effective care choices.

    www.hcgc.org

    Why?

  • Components of the National Initiative

    Messengers and Collaborators 60 specialty societies representing 500,000+ physicians;

    250+ overused tests and procedures

    Communicate Messages Specialty societies, Consumer Reports, employer and

    consumer organizations, ABIM Foundation, regional healthcare organizations

    Activate Concrete action around unnecessary tests and procedures

  • Tools and resources can be found at: www.consumerhealthchoices.org

    Do I really need this test or procedure? Medical tests help you and your doctor or other health care provider decide how to treat a problem. And medical procedures help to actually treat it.

    What are the risks? Will there be side ef ects? What are the chances of getting results that arent accurate? Could that lead to more testing or another procedure?

    Are there simpler, safer options? Sometimes all you need to do is make lifestyle changes, such as eating healthier foods or exercising more.

    What happens if I dont do anything? Ask if your condition might get worse or better if you dont have the test or procedure right away.

    How much does it cost? Ask if there are less-expensive tests, treatments or procedures, what your insurance may cover, and about generic drugs instead of brand-name drugs.

    Use the 5 questions to talk to your doctor about which tests, treatments, and procedures you need and which you dont need.

    Some medical tests, treatments, and procedures provide little benef t. And in some cases, they may even cause harm.

    Talk to your doctor to make sure you end up with the right amount of care not too much and not too little.

    5 QUESTIONS to Ask Your Doctor Before You Get Any Test, Treatment, or Procedure

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    5

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    http://consumerhealthchoices.org/campaigns/choosing-wisely/

    FOR M ORE INFORM ATION3

    Use your smar tphone to access all of the lists of tests and procedures for you and your physicians to question as part of the Choosing Wisely campaign.

  • Applying Learning from National Choosing Wisely Conference (May 2014)

    Key learning from others (WHAT) Applying learning in Greater Columbus (HOW)

    A. Focus efforts on measuring the use of at least one question to help people receive high-quality healthcare at a lower cost

    Assist people with using the right questions via Patient Engagement Education and Training reaching people through our purchaser and provider partners

    Assist patient-centered medical homes with using five Choosing Wisely questions in their exam rooms

    B. Align Choosing Wisely with current activities in your region

    Providers align with quality improvement initiatives

    Purchasers align with health/wellness initiatives

    C. Emphasize Shared Responsibility to improve healthcare with consumers, providers, and purchasers

    Shift our framing from improving value-based healthcare literacy to improving shared responsibility

    www.hcgc.org

  • www.hcgc.org

    Learning from Providers

    Physicians recognize their responsibility to be good stewards of our health care dollars

    Frequency of unnecessary tests and procedures is a very or somewhat serious problem (73%)

    Physicians have a great deal of responsibility to make sure patients avoid unnecessary care (66%)

    On average, a physician prescribes an unnecessary test or procedure 1x per week (72%)

    Source: The ABIM Foundations National Survey of Physicians, By Perry Undem Resarch/Communication, May 2014

  • www.hcgc.org

    Learning from Providers

    Support Physician-Patient conversations

    Patients ask for an unnecessary test or procedure at least once a week (47%)

    Even if they know a medical test is unnecessary, physicians order it if the patient insists (53%)

    After speak with a patient about why a test or procedure is unnecessary, the patient often avoids it (70%)

    Source: The ABIM Foundations National Survey of Physicians, By Perry Undem Resarch/Communication, May 2014

  • www.hcgc.org

    Learning from Providers

    Changing habits has both opportunities and challenges

    Providers will have to unlearn routines that have been instilled in them since medical training.

    Organizations will need to take a hard look at process that contribute to unnecessary care.

    Explore ways to automatically provide clinical decision support tools

  • www.hcgc.org

    Learning from Providers

    Emerging non-physician role in contributing to the body of evidence-based recommendations

    Coming Fall 2014:

    American Academy of Nursing

    American Dental Association

    American Physical Therapy Association

  • A number of no-cost resources are available for our partners in Greater Columbus that wish to incorporate Choosing Wisely into their own communication campaigns. Communications tools such as campaign

    messages, talking points, digital communication tips, and social media resources.

    Clinical Decision Support incorporating evidence-based guidelines into clinical pathways

    Participating Central Ohio Primary Care Franklin County Medical Mutual of Ohio Ohio Public Employees

    Retirement System The Ohio State University

    Health Plan School Employees Retirement

    System of Ohio

    Emerging Participants Berger Health System Columbus Public Health InHealth Mutual Medical Group of Ohio Mt. Carmel Health System National Church Residences Nationwide Insurance OhioHealth Syntero

    www.hcgc.org

  • Regional Activity

    www.hcgc.org

    Aligning Choosing Wisely with local initiatives: Featured purchaser

    Ohio Public Employees Retirement System Sarah Durfee, RN, Clinical Programs Officer

  • Regional Activity

    www.hcgc.org

    Aligning Choosing Wisely with local initiatives: Featured provider

    OhioHealth Greg Sawchyn, MD, MBA, Senior Director - Clinical Guidance Councils

  • Choosing Wisely at OhioHealth

    Greg Sawchyn, MD, MBA

    June 25, 2014

    Sr. Director Clinical Guidance Councils

  • 15 15

    Clinical Guidance Councils

    HCGC support - Educating physician leaders from around the system

    Reinforcing what we are already doing Eliminating

  • 16 16

    Aligning Value

    Setting up CW micro site for our Health4 Network in conjunction with the Medical Group of Ohio Consumer focus

    Aligning ongoing value transformation and measures with Choosing Wisely recommendations Provider focus

  • 17 17

    Next Steps

    Integration with Epic EMR Aligning data analysis efforts with

    recommendations

    Diving deeper into the recommendations Implementing consumer education strategy

  • Healthcare Transformation Learning Session

    www.hcgc.org

    What assistance is available to advance Choosing Wisely in Greater Columbus?

    A number of no-cost resources are available for our partners in Greater Columbus that

    wish to incorporate Choosing Wisely into their own communication campaigns.

    Customized, co-branded microsites offering tools for consumers that will be maintained and regularly updated by Consumer Reports Health.

    Co-branded poster for use in wellness communications. This poster offers five questions that patients should ask their doctor about any medical test or procedure.

    Communication tools such as campaign messages, talking points, digital communication tips, and social media resources.

    If your organization is interested in exploring any of these resources,

    please contact John Leite (john@hcgc.org)

  • Healthcare Transformation Learning Session

    www.hcgc.org

    Text your questions

    via webinar option

    or to 614-906-2440

  • THANK YOU!

    www.hcgc.org

    Lead Support Major Support Additional Support

    100% of our Board of Directors

    & Staff

    Individual & Corporate Donations

    Thank you for joining us today!

    Thanks to our speakers!

    Thanks to our funding partners!

    Please respond to the evaluation question via poll

    Please save the dates for

    scheduled learning sessions

    Webinar: 7/23, 1-2PM Open Notes

    In-person: 8/22 & 12/5 8:30-11:30AM