ERICKAJOY DANIELS DR. JAKE BIDWELL Aurora pledgesto · Hypertension is a major health problem in...
Transcript of ERICKAJOY DANIELS DR. JAKE BIDWELL Aurora pledgesto · Hypertension is a major health problem in...
AURORA HEALTH CARE is an integrated, not-for-profit, and all-for-people health care provider serving communities throughout eastern WI and northern IL.
WE HELP “ALL” PEOPLE LIVE WELL
the health care
dispaRities
Aurora pledges to
JACQUELIN COBY-BEAVERERICKAJOY DANIELS
DR. JAKE BIDWELL
#123forequity
Oct - Feb 2017
PROGRESS TIMELINE
Identify health system health disparities gap
and engage clinic team in QI project to address on local level.
OUR GOAL
15 hospitals | 150+ clinics70 pharmacies in 30 communities
AURORA CURRENTLYOPERATES...
Why we chose Hypertension in African Americans:Hypertension is a major health problem in African American patients. The end-organ complications of hypertension are greater in African Americans than in other groups. Other systemic illnesses such as diabetes compound these risks. Therefore, hypertension control is particularly important in these patients. While the Aurora Health Care system ranked well above the national average for hypertension control, we discovered that African Americans both at the system level and at Aurora Sinai Medical Center had lower rates of hypertension control than whites or other ethnic groups.
Hypertension in African Americans with Diabetes
at the Aurora Sinai Medical Center – Internal Medicine Clinic
LESSONS LEARNEDBuilding a model for scale
Education for teams beyond launch teams
Setting pace of play
Service quality teams are collateral roles
Securing consumer voice
SUCCESSESNew capability and awareness
in care management teams
Gap closure
Operationalized analysis for proactive work
Cross functional collaboration
KEY LEADERSHIP SUPPORT
Chief Executive O�cer: Dr. Nick Turkal
Chief Medical O�cer: Dr. Andy Anderson
Executive Vice President and Chief Transformation O�cer: Patrick Falvey
Aurora Sinai Internal Medicine Lead Physician: Dr. Kern Reid
84%
79%
868482807876
System
2015 Gap: 5
Data: Through August 2016
3Q Gap: 5
BP
Co
ntro
l
AfricanAmericans
BP Control: AHC
80.6% 71% 72.9%
1009080706050
White
Data: Through November 2015
Goal: >84%
BP
Co
ntro
l
AfricanAmericans
BP Control: Sinai IM Clinic
All
Identify 3-5 top quality measures for analysis by race, ethnicity, and language
Identify and engage key stakeholders at the
department level
Analyze key quality measures by race, ethnicity, and language
Identify 3-5 barriers and targeted solutions for targeted demographic in zone
Exploration with external community partners for shared service model of innovative solutions (American Heart Assoc, Feeding America)
Vetting solutions with focus group framework
July 2016
October2016
August 2016
September 2016
March -Next Steps
Present to local and system leadership; optimize implementation plan; partner with Clinic to drive culture change; take model to scale
1. Pharmacy managed chronic disease clinic
2. Instituting rooming protocols for the medical assistants
3. Proactive care coordination via team delivery based on
existing care management data
4. Additional system resources (remote monitoring, healthy food
options, environment of care, consumer insights)