Transcript
Page 1: June 25th Healthcare Transformation Learning Session Slides

Healthcare Transformation Learning Session

Lead Support Major Support Additional Support

100% of our Board of Directors

& Staff

Individual & Corporate Donations

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

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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?

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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

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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 aren’t 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 don’t do anything? Ask if your condition might get worse — or better — if you don’t 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 don’t 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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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.

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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

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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 Foundation’s National Survey of Physicians, By Perry Undem Resarch/Communication, May 2014

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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 Foundation’s National Survey of Physicians, By Perry Undem Resarch/Communication, May 2014

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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

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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

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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

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Regional Activity

www.hcgc.org

Aligning Choosing Wisely with local initiatives: Featured purchaser

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

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Regional Activity

www.hcgc.org

Aligning Choosing Wisely with local initiatives: Featured provider

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

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Choosing Wisely at OhioHealth

Greg Sawchyn, MD, MBA

June 25, 2014

Sr. Director – Clinical Guidance Councils

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Clinical Guidance Councils

• HCGC support - Educating physician leaders from around the system

• Reinforcing what we are already doing – Eliminating <39 week elective inductions

– CT utilization in ED for headaches

– Transfusion thresholds

– Back pain imaging

• Source of new opportunities

• Use of consumer materials and resources

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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

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Next Steps

• Integration with Epic EMR

• Aligning data analysis efforts with recommendations

• Diving deeper into the recommendations

• Implementing consumer education strategy

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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 ([email protected])

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Healthcare Transformation Learning Session

www.hcgc.org

Text your questions

via webinar option

or to 614-906-2440

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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


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