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Mini Session 1A
Presenters:
Kellie Goodson, Senem Guney, Patrick Kneeland
Engaging Patients and Families in Healthcare Transformation through Centers for Medicare and Medicaid Services National Initiatives
Kellie Goodson, MS
Director, HIIN & TCPI Delivery
April 16, 2018
Who is Vizient?
Nation’s largest member-owned health care services company
Clinical, operational and supply chain performance improvement
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Largest health reform programs in the US since CMS began in 1965
CMS definition of Person & Family Engagement (PFE)
Patients and families are partners in defining, designing, participating in
and assessing the care practices and systems that serve them to assure
they are respectful of and responsive to individual patient preferences,
needs, and values. This collaborative engagement allows patient values
to guide all clinical decisions and drives genuine transformation in
attitudes, behavior, and practice.
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Person Family Provider
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Person-
and-Family-Engagement.html
Vizient
Presen
tation
│
Februa
ry 28,
2018 │
Confid
ential
Informa
tion5
Questions to Run On
What investments have been made by CMS to ensure PFE in their large-
scale national initiatives?
Is my organization participating in these CMS initiatives?
How can my organization meet the PFE metrics developed for CMS'
national initiatives?
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Partnership for Patients (PfP)
Public-private partnership working to improve
the quality, safety and affordability of health
care for all Americans
• Funded by Affordable Care Act (ACA),
“Obamacare”
• Started December 2011
• Reduce Hospital Acquired Conditions and
30-day Readmissions
• Engaging over 4,000 hospitals in the US
through 16 Hospital Improvement
Innovation Networks (HIINs)
• Invested nearly $330 million in first 4 years
(2011 – 2015)
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https://partnershipforpatients.cms.gov/
87,000 lives saved
2.1 million fewer Hospital
Acquired Conditions
$19.8 billion savings in
healthcare costs
PfP PFE Investments
PFE National Affinity Group
PFE Contractor
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PfP PFE Metrics
9
Point of Care
Planning document/checklist with patients who have a scheduled admission
Shift change huddles at the bedside or bedside rounding
Organizational Policy & Protocol
Dedicated patient engagement staff
Patient and Family Engagement Council
Organizational Governance
Patients and families serving on Governing Boards or Board Committees
For more detail on these metrics, please read the American Institutes for Research Addendum to the
PfP PFE Strategic Vision and Roadmap:
https://www.healthcarecommunities.org/DesktopModules/Bring2mind/DMX/Download.aspx?Downloa
dMethod=inline&portalid=3&EntryId=116336
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Transforming Clinical Practices Initiative (TCPi)
Designed to help clinicians achieve large-
scale health transformation, strengthen
quality of patient care and lower spending
• Funded by Affordable Care Act (ACA),
“Obamacare”
• Started October 2015
• Designed to support 140,000 clinicians
through 29 Practice Transformation
Networks (PTNs)
• 12 Support & Alignment Network (SANs)
• $685 million initiative
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https://innovation.cms.gov/initiatives/Transforming-Clinical-Practices/
TCPi PFE
PFE National Affinity Group
Development, Management and Improvement (DMI) Team
Support and Alignment Networks
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TCPi PFE Metrics
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Point of Care
Use of an e-tool (patient portal or other e-connectivity technology)
Promote shared decision making to authentically engage patients as part of
the care team
Organizational Policy & Protocol
Assess and measure patient activation
Systematically addressing health literacy issues
Evaluate and support patients and caregivers in medication self-management
Organizational Governance
Patient and family participation in governance or operational decision-making
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For more detail on these metrics, please read the “intentionality” document and refer to the
Compendium of Person and Family Engagement (PFE) Tools & Resources:
https://www.pcpcc.org/resource/compendium-patient-and-family-engagement-pfe-tools-resources
Requests and Offers
Request
Share this information with at least one other person in your organization
Offer
Share resources, provide networking connections to help you understand
CMS’ goals for PFE
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This information is proprietary and highly confidential. Any unauthorized dissemination,
distribution or copying is strictly prohibited. Any violation of this prohibition may be subject
to penalties and recourse under the law. Copyright 2016 Vizient, Inc. All rights reserved.
Contact Kellie Goodson at [email protected] or 972-830-0609.