EMS for the Future Workshop August 25, 2011
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Transcript of EMS for the Future Workshop August 25, 2011
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?