EMS for the FutureWorkshop

August 25, 2011

Welcome!

EMS for the FutureWorkshop

August 25, 2011

'Change is the law of life. And those who look only to the past or present are certain to miss the future' - John F. Kennedy.

The “New Normal”

Integration of EPCR with

Hospital records

Bundling

No Money

AlternateDestination

Never Events

EMS Agenda for the Future

Alternate funding

Mental Health

Drug Addiction

Social Services

Community Health

Clinics Hospitals

HealthInsurance

Future Concepts ….

PublicSafety

PublicHealth

CommunityHealth

ME S

HealthcareInformation

Exchange

Labs

Hospitals Pharmacy

Physicians

GovtMedicaid/Pub H

Payers

Consumers

Clinics

EMS

The first call of the day was a 43 yo male that wasfound laying in the front yard of a residence. I wasable to find the pt’s medical hx of seizure, and his

last ER visit to OUMC.

SMRTNET was used to confirm pt’s information she provided to me. Pt stated she had no

allergies, however SMRTNET found allergies in hx. Upon questioning pt remembered “yes” to

allergic to…

HIE examples from EMSA

www.hitsp.org

AIMOregon.com

CMS Vision: “Patient-centered, high quality care delivered efficiently.”

Pay for Reporting

Pay for Quality

Pay for Value

Hospitals - 2007Physicians - 2009

Reporting

“Failure to submit data for FY2007 and beyond results in a 2%

decrease in Medicare reimbursement.”… (Additional

impact after Oct 1, 2012.)

17 Clinical care measures in 5 categories: (AMI, Heart failure, Pneumonia, HC assoc infection, Surg improve)

8 Consumer assessments: (doc/nurse communication, staff responsiveness Pain mgmt, Cleanliness/quietness of environ.)

“Budget Neutral”

Funding reduced by 1% in FY 2013 Funding reduced by 2% in FY2014 and beyond

“Hospitals may be able to earn back some or all of reductions through VBP (Value Based Performance).

Physicians: 3 Financial incentive plans

- Quality reporting (2011 = 199 measures)- Electronic Prescribing- Electronic Health Records

2011 2012 2013 2014 2015 2016 2017 2018 2019

Quality Reporting

1.5% 1.5% 1.5% 1.5% -1.5% - 2% - 2% - 2% - 2%

Electronic Prescribing

1% 1% 0.5% 0% 0% 0% 0% 0% 0%

E-Health Records

Spec amt

Spec amt

Spec amt

Spec amt

-1% -2% -3% -4% -5%

Next in line-

Home Health, Skilled Nursing Facilities, End stage Renal

EMS – CMS fee schedule

- Quality Measures- Accreditation/Certification- Electronic Records- Consumer Satisfaction- Efficiencies

Ambulance/EMS

http://health.oregon.gov

Oregon Health Policy Board

CCOWork grp

GlobalBudget

Work grp

MetricsOutcomeQuality

CMSIntegrationWork grp

Partnerships (CCO, ACO, Local vs Regional)

Innovation

Community Paramedics/Community Health providers

Medical assessment/alternate destination

Reimbursement

Be at the table

Choices

Be on the table

EMS for the FutureWorkshop

August 25, 2011

WorkshopAlec Jensen

Our Challenge in providing EMS in Oregon is…?

Rules for “dots”

(1) RED dot = 10 pts

(2) BLUE dots = 5 pts *Only 1 per statement allowed

(5) GREEN dots = 1 pt *Only 2 per statement allowed

*Cannot combine Red/Blue together

Small Groups

- 45 minutes

Small Group

Problem Statement

Problem Elements

Involves … (stakeholders)

Goal Statement

Plan (short & long term

Leadership (who’s point?)

Small Group Reports

Where to now?