Executive Webcast Series: Population Health: Creating a...
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Executive Webcast Series: Population Health: Creating a Culture of Wellness Presented by: David B. Nash, MD, MBA, Dean, Jefferson School of Population Health Moderated by: Richard Hodach, MD, PhD, MPH, CMO and VP, Clinical Product Strategy Q&A facilitated by: Karen Handmaker, MPP, PCMH CCE, VP, Population Health Strategies
Transcript of Executive Webcast Series: Population Health: Creating a...
Executive Webcast Series:
Population Health:
Creating a Culture of Wellness
Presented by: David B. Nash, MD, MBA, Dean, Jefferson School of Population Health
Moderated by: Richard Hodach, MD, PhD, MPH, CMO and VP, Clinical Product Strategy
Q&A facilitated by: Karen Handmaker, MPP, PCMH CCE, VP, Population Health Strategies
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Phytel Executive Webinar Series
“Population Health:Creating a Culture of Wellness ”
November 19, 2014
David B. Nash, MD, MBA
DeanJefferson School of Population Health
901 Walnut Street – 10th Floor
Philadelphia, PA 19107
215-955-6969-Office 215-923-7583-Fax
[email protected] http://jefferson.edu/population_health/
http://blogs.jefferson.edu/nashhealthpolicy/
www.facebook.com/jeffersonjsph https://twitter.com/JeffersonJSPH
Value-Based Payment and
Population Health
Management
Historical and Current
Fee-For-Service
Updated September 21, 2012, 10:56 p.m. ET
Outlines Key Dimensions of the Healthcare Delivery System
• Safe: avoiding injuries to patients from the care that is intended to help them.
• Effective: providing services based on scientific knowledge to all who couldbenefit and refraining from providing services to those not likely to benefit(avoiding underuse and overuse, respectively).
• Patient-centered: providing care that is respectful of and responsive toindividual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
• Timely: reducing waits and sometimes harmful delays for both those who receive and those who give care.
• Equitable: providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.
• Efficient: avoiding waste, including waste of equipment, supplies, ideas, and energy.
Source: Institute of Medicine 2001; 5-6
Institute of Medicine Report 2001
Is Population Health the Answer?
1. What’s the question?
2. Where are we now?
3. Where are we going in the future?
Population Health: Conceptual Framework
Health outcomes
and their distribution
within a population
Health determinants
that influence distribution
Policies and interventions
that impact these determinants
Morbidity
Mortality
Quality of Life
Medical care
Socioeconomic status
Genetics
Social
Environmental
Individual
Source: Bipartisan Policy Center,
“F” as in Fat: How Obesity Threatens
America’s Future (TFAH/RWJF, Aug.
2013)
Better Health
…He’s back!
What percentage of adult Americans do the following?
1. Exercise 20 minutes 3 x week
2. Don’t smoke
3. Eat fruits and vegetables regularly
4. Wear seatbelts regularly
5. Are at appropriate BMI
Annals Int MedApril 2006
Determinants of Health
1. Smoking
2. Unhealthy diet
3. Physical inactivity
4. Alcohol use
Together, these account for 40% of all deaths.
Reforming Health Care orReforming Health?
1. US spends under 2% of its health dollars
on population health.
2. Chronic diseases, which comprise 80% of
total disease burden, have no dedicated
federal funding stream.
Tying payment to evidence and
outcomes rather than per unit of service
“Bundling” payments for physician and hospital services by episode or
condition
Reimbursement for the coordination of care in
a medical home
Accountability for results Patient management across care settings
The Four Underlying Concepts of Cost Containment Through Payment Reform…
Incremental
FFS
payments
for value
Bundled
payments
for acute
episode
Bundled
payments
for chronic
care/
disease
carve-outs
Accountability
for Population
Health
Current State:
Payments for
Reporting
Range of Models in Existence or Development
Accountable Care Organizations
Lucky 7
Population Health TO DO LIST
1. What about your own associates?
(HRAs, Wellness & Prevention)
2. Keep the well, well
3. PCMH’s (who will lead?)
4. Registries
5. Retail clinics (Walgreens, CVS)
6. Managed Care Partners
7. Leadership Training
What Does This All Mean?
Major Themes Moving Forward
1. Transparency
2. Accountability
3. No outcome, No income
How Might We Get There?
Change the Culture
1. Practice based on evidence
2. Reduce unexplained clinical variation
3. Reduce slavish adherence to professional autonomy
4. Continuously measure and close feedback loop
5. Engage with patients across the continuum of care
John P. Kotter, Harvard Business School
“The institutionalization of leadership training is one of the key attributes of good leadership.”
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Thank you!
Contacts:
Next Executive Series Webinar:
Communicating Within the HIPAA Rules:
Texting and E-mail with Patients
Adam McCoy, Product Owner, Phytel
December 16, 2014
12:30 – 1:30pm ET
Click here to register.
