Upload
elysia
View
27
Download
0
Tags:
Embed Size (px)
DESCRIPTION
The Michigan Primary Care Transformation (MiPCT) Project. Succeeding in 2014: What it Will Take. 16. MiPCT Team-Based Care Recap. 16. MiPCT Team-Based Care Evergreen” Themes. Care managers work in close proximity to PCP team In PCP office as much as possible - PowerPoint PPT Presentation
Citation preview
The Michigan Primary Care Transformation (MiPCT) Project
Succeeding in 2014: What it Will Take
MiPCT Team-Based Care Recap
16
MiPCT Team-Based Care Evergreen” Themes•Care managers work in close proximity to PCP team
▫In PCP office as much as possible▫Work with PCP team to meet their needs▫Regular communication via huddles, medical meetings,
etc.•Ensure Care Management coverage
▫Focus on MiPCT patients (across participating payers)▫Manage high-complexity, high-cost patients▫Patients selected based on risk score plus PCP input
•Focus on evidence-based interventions▫Medication reconciliation▫Care transitions▫In-person contact with patients whenever possible▫Comprehensive care plan for complex patients
16
Success = Improvements in Population Health + Cost + Patient Experience
4
Reduction in Unnecessary and Non-Value-Added Costs
5
5
How do we make a dent in cost?
-Preventing unnecessary ED and inpatient visits by providing care upstream before a crisis - Making sure your patients know about your extended access and how to reach you after hours - Using resources more wisely
2014 Priorities•Target the Right Patients
▫ Combine data with clinical judgment
• Introduce palliative care opportunities when appropriate
•Diabetes Management
•Expanded Access▫Make sure patients know how to contact the practice’s
24/7 access
6
MiPCT: Beyond 2014…
7
Preparing for Sustainability
•Physician Organizations have made a significant investment in care management
•Working hard for payers to support the model financially
•We need your help!
8
CMS – Looking for Solutions(desperately)•Areas of promise – what we’re doing!•Good directional signs
▫CMS Quarterly Payment Proposal (for 2015)▫Commercial Payer Sustainability Statement▫Potential for Demo Extension
•Question on the table - Can primary care redefine care delivery?▫This is our best (last?) chance to provide the
answer▫If successful, can lead to new funding models
9
How can YOU help shape the future?
10
It’s Time to Put on Your Cape!
11
Thank You!