FY 2017 FOCUS - Phoenix Chamber

FY 2017 FOCUS

1. Advance a regional approach.

2. Deepen business relationships within

Maricopa County.

3. Enhance workforce development strategies.

4. Improve data aggregation and analysis.

Phoenix Health Care Sector Partnership

TODD SANDERS

President and CEO

Greater Phoenix Chamber of Commerce

Phoenix Health Care Sector Partnership Agenda 1-3pm

Welcome and Introductions (5 minutes)

Todd Sanders, Greater Phoenix Chamber of Commerce

Phoenix Health Care Sector Partnership Overview (15 minutes)

Jennifer Mellor, Greater Phoenix Chamber of Commerce

Jeff Stelnik, Blue Cross Blue Shield of Arizona

Wellness AtoZ (25 minutes)

Jeff Stelnik, Blue Cross Blue Shield of Arizona

Foster Innovation through Care Coordination (25 minutes)

Melanie Mitros, Vitalyst Health Foundation

Carrie Smith, Foundation for Senior Living

Marilyn Teplitz, MGT Associates, LLC

Enhance the Talent Pipeline (25 minutes)

Marcus Johnson, Vitalyst Health Foundation


How to Engage with the Partnership and Closing (25 minutes)

John Melville, Collaborative Economics


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FY 2017 FOCUS



Maricopa County.




JEFF STELNIK

Senior Vice President of Strategy, Sales and Marketing

Blue Cross Blue Shield of Arizona

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Phoenix Health Care Sector Partnership Health Care Leadership Council

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The Phoenix Health Care Sector Partnership (PHCSP) is a collaborative

of health care leaders, educational leaders and community partners.

PHCSP is directed by the Health Care Leadership Council:

Chaired by Linda Hunt, CEO of Dignity Health of Arizona

Health Care Leadership Council members include:

Joseph G. Gaudio, CPA, President & CEO, UnitedHealthcare Community Plan of AZ

Dr. Steve Narang, CEO, Banner University Medical Center

Suzanne Pfister, President and CEO, Vitalyst Health Foundation

Teri Pipe, PhD, RN, Chief Well-Being Officer, ASU, College of Nursing & Health Innovation

Matt Sesto, Market Vice President of Store Operations, Walgreens Co.

Carrie Smith, Chief Operating Officer, Foundation for Senior Living

Brian White, President, Stryker Sustainability Solutions

Phoenix Health Care Sector Partnership Program Overview

PHCSP is comprised of three initiatives outlined by the Health Care

Leadership Council:

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Wellness AtoZ

• Sub-committee Lead: Jeff Stelnik (BCBS AZ)

Innovation through Care Coordination

• Sub-committee Lead: Marilyn Teplitz (MGT Associates)

Enhance the Talent Pipeline

• Sub-committee Lead: Marcus Johnson (Vitalyst)

Let’s see how these programs fit into the big picture…

Phoenix Health Care Sector Partnership Landscape

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Health Care Leadership Council

economic initiative of the GPCC

ROLE: Set the strategic direction and goals for the Phoenix Forward health care initiative

PHCSP

Broad coalition of health care, education and community

leaders along with the public sector working to advance the

health care industry for the greater Phoenix region.

Wellness AtoZ Care Coordination

GPCC

Talent

GPCF: program

management

GPCC: policy

GPCF: workforce

development

GPCC: policy

GPCC serves as the convening body of the PHCSP

through Phoenix Forward

Phoenix Health Care Sector Partnership Economic Impact

All progress is interdependent 8

Business

Workforce

Desirable Communities

Infrastructure Enhance

Talent

Pipeline

Innovation

through Care

Coordination

FY 2017 FOCUS



Maricopa County.



Promote the Region as a Wellness Destination: Wellness AtoZ

JEFF STELNIK

Senior Vice President of Strategy, Sales and Marketing

Blue Cross Blue Shield of Arizona

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Wellness AtoZ

Overview

Wellness AtoZ is an initiative of the Greater Phoenix

Chamber Foundation aimed at making the greater

Phoenix region known as a destination for healthy talent

and a healthy community

Enhance long-term viability of all businesses

Convening business and community leaders to put AZ on the map for

healthy quality of life

Healthy community = healthy businesses = healthy economy

Attracting and retaining talent requires more than

high-wage jobs, it is driven by quality of life 10

Wellness AtoZ

Why Wellness?

Gallup researchers have published the 2015

Community Well-Being Rankings

Arizona is ranked #9 up from #20! Way to go!!!

Collaboration between business leaders and groups is

propelling Arizona forward as a healthy living destination

Community initiatives are paying off

11 Source: http://www.techtimes.com/articles/181955/20161012/these-large-us-cities-lead-in-healthy-active-living-heres-

why.htm#pt0-548233

Leveraging businesses to reach the community through

Wellness AtoZ will raise local well-being

Phoenix was ranked #33

in the 2015 Community

Well-Being Rankings

THERE IS STILL

WORK TO DO!!!

EatWell focuses on improving healthy food choices through a

labeling system in vending machines and in cafeterias.

Wellness AtoZ

EatWell

Eat Regularly Eat in

Moderation Eat Sparingly

Awareness is the First Step to Change!

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Wellness AtoZ

PlayWell

Create a viable Wellness Challenge Program for Wellness AtoZ

participants that aggregates physical activity and creates

competition between organizations to become more active.

Signature Wellness Challenge – Walk to Mars (68M mile roundtrip)

Example Wellness Challenge Results

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1

2

3

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5

Bank Small

Business

Law Firm Hospital

Miles (K)

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Wellness AtoZ

LiveWell

LiveWell promotes preventative

services and screenings as a way to

improve the health of the community

According to the CDC, “chronic diseases, such as heart disease, cancer, and diabetes, are responsible for 7 of every

10 deaths among Americans each year and account for

75% of the nation’s health spending.”

Source: http://www.cdc.gov/healthcommunication/toolstemplates/entertainmented/tips/preventivehealth.html

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Wellness AtoZ

WorkWell

WorkWell provides a platform to share best practices and

innovative workplace wellness programs and recognizes

those companies that are leading the way

How can a Wellness Program boost your business's bottom line?

*Image source: https://businesshealth.kaiserpermanente.org/insights/business-case-for-workforce-health

*Annual cost of risk factors per

employee (includes medical

expenses and lost productivity)

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Wellness AtoZ

Be Part of Wellness AtoZ

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Founding businesses of Wellness AtoZ will be early adopters of the program,

enrolling no later than March 1, 2017. Final program implementation must be

completed by December 31, 2017.

Platinum partners agree to be heavily engaged in the development of Wellness AtoZ

and will implement all aspects of the program.

Gold partners agree to adopt two or more of the program principals (LiveWell,

EatWell, WorkWell, PlayWell) and promote the program to employees and outside

organizations.

Silver partners agree to adopt one or more of the program principals (LiveWell,

EatWell, WorkWell, PlayWell) and promote the program to employees and outside

organizations.

An ambassador is a community champion for Wellness AtoZ and may include

organizations and/or individuals. Ambassadors agree to promote Wellness AtoZ and

encourage companies to participate in the program.

Wellness AtoZ

Get Involved!

Wellness AtoZ is comprised of sub-committees to implement program

objectives and fulfill the goals leading to a healthy workforce and a healthy

community

A Steering committee of appointed members will oversee the alignment of

sub-committee actions to Health Care Leadership Council goals

Contact GPCC Project Manager Jocelyn McAlpin at

[email protected] to get involved

Nutrition, Restaurant

and Grocer

Marketing and

Communications

Wellness Challenge

Change Management

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mailto:[email protected]

Wellness AtoZ

Q & A

In the recent Gallup-Healthways Well-

Being Index, Phoenix was ranked #33.

What is the ONE major obstacle to

Phoenix moving up in the rankings?

What will have the most impact?

Who are the right entities to accomplish

that?

What area of Wellness AtoZ can you

contribute knowledge and experience?

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FY 2017 FOCUS



Maricopa County.



Foster Innovation through Care Coordination

Melanie Mitros, Vitalyst Health Foundation

Carrie Smith, Foundation for Senior Living

Marilyn Teplitz, MGT Associates


Innovation and Care Coordination Action Team

Focused on scaling existing care coordination initiatives underway in the Greater Phoenix region by:

• Systematically analyzing lessons learned,

• Tracking and quantifying impact, and

• Developing and scaling technology solutions.

The Action Team collaborates with stakeholders involved in care coordination efforts and technology providers to support increased innovation through care coordination.

Care Coordination Survey

Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. www.ahrq.gov

• Created in WuFoo

• Distributed to organizations participating in the Health Care Sector Partnership

• Completed by 12 organizations in Arizona

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Staffing Models Most Inclusive Model Includes:

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Reported Results

• Better prepared healthcare graduates due to technical and soft-skills training

received with project.

• Medical residents see patient needs differently – shift from non-compliance to

social determinants of health needs.

• Reduced readmission rates (average of 50% reduction).

• Increased patient reported quality of life (as much as 30%).

• Decreased recidivism.

• Improved chronic disease management (15% reduction in HbA1c).

• Improved cancer screening rates.

• Prevent evictions and utility shut-offs.

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Lessons Learned • Addressing the social determinants of health is critical to improving health.

• Community-based model utilizing CHWs are effective.

• Non-profit organizations can provide a safety net for patients and fill temporary

gaps in care.

• Focusing on making sure individuals with Serious Mental Illness (SMI) have

primary care is vital and reduces ED visits.

• Primary care is a relationship based on communication and trust.

• Communication is critical across providers as well as a willingness to adapt is

crucial for success (rapid cycle QI).

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Unmet Needs, Beyond Funding • Skilled workforce – training and retention

• Marketing and outreach capacity

• Clinical space

• Capability and willingness of organizations to share utilization data

• Technology (EHR and refreshable reports that are not automated)

• Transportation assistance

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Workforce Solutions National push to promote CHW to help with increased demands

AZ providers and payers have not yet fully embraced the model

AZ Community Colleges & Universities offering CHW and Care Coordination

Specialist programs

What is the take away?

Organizations should look at the ROI between highly skilled medical staff vs.

CHW in care coordination roles

What are the needs (complex patients vs. connecting to care/resources)

Is there a mix that works (traditional vs. nontraditional roles)

What are the outcomes/are they different based on skills

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Technology Solutions Need for sharing utilization data

The Network – Arizona’s Health Information Exchange (HIE) Ability to access data by all connected providers/partners with bidirectional

exchange, alerts & notifications as well as direct secure email

October 1, 2015 – fees for community providers were eliminated.

AzHeC operates the HIE (www.azhec.org)

Providers should mine the data from their own EHR/EMRs

Understand data from standard reports

Work with vendor to develop custom, automated reports, if needed

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Transportation Solutions

• AHCCCS and some Medicare Advantage plans reimburse

• Rural Arizona not served

• Uber/Lyft/taxis do not use NEMT-trained drivers (yet)

Approaches for travel request and payment:

• Consumer/patient requests and pays (e.g., Quality Transport Services, select

taxi services, Uber, Lyft)

• Provider contracts, requests and pays directly

• behavioral health agencies, schools, hospitals, State agencies, etc. (e.g., ComTrans)

• Health Plans contract, request and pay directly (e.g., Veyo/Total Transit)

• Successful year-long pilot with Banner University Medical Center. Tucson and Phoenix

only right now.

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Next Steps:

Complete the Interest Form to join The Network (AZ’s HIE) through AzHeC (https://azhec.org/the-network/interest-form/)

Join the Health Care Talent Team: fill out cards after their presentation.

Attend the Health Care Workforce Solutions Conference on Nov. 18th (http://vitalysthealth.org/workforce-solutions-workshop/)

Join the Maricopa County Care Coordination Coalitions

Staffed by Health Services Advisory Group (https://hsag.com/en/medicare-

providers/states-of-service/arizona/care-coordination-no-place-like-home/)

Regional coalitions that provide Tools, Resources and Skills

Development around Care Coordination

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Alexandria Drake, MPH

Epidemiologist, ADHS, Bureau of Health

Systems Development

[email protected]

Melanie Mitros, PhD

Director, Strategic Community

Partnerships

Vitalyst Health Foundation

[email protected]

Carrie A. Smith, MBA

Chief Operating Officer, Foundation for

Senior Living

[email protected]

Patricia Tarango, MS

Bureau Chief, Health Systems

Development, ADHS

[email protected]

Marilyn Teplitz, MBA

Principal, MGT Associates, LLC

[email protected]

Jennifer Mellor, CPA

Vice President of Economic Development

Greater Phoenix Chamber of Commerce

[email protected]







FY 2017 FOCUS



Maricopa County.



Enhance the Talent Pipeline

MARCUS JOHNSON

Director, State Health Policy and Advocacy

Vitalyst Health Foundation

Health Care Talent Pipeline

Overview

Enhancing the Talent Pipeline is a top priority

of the PHCSP with the primary goals of

cultivating a talent community and connecting

employers with those necessary skill sets.

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Progress

• Vitalyst Health Care Talent surveys (published July 2016)

• Interstate Medical Licensure Compact

Strategic Priorities

• High priority occupations

• GME

• Loan Repayment


Vitalyst Health Care Workforce Report

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Key findings: Hospitals

High demand for:

Registered nurses (RNs) in direct patient care

RNs in managerial roles and care coordination



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The greatest needs in health care talent are currently:

POSITION HOSPITALS LONG TERM

CARE

HOME HEALTH

CARE CLINICS

Registered nurses in direct patient care

RNs in managerial roles and care coordination

Nurse practitioners

Licensed practical nurses

Occupational therapists

Physical therapists

Occupational therapy assistants

RNs in staff roles & other roles

Home health aides

Certified nursing assistants

Physicians (except pediatrics)

Psychologists

Pharmacists

Pharmacy technicians

Coders

Laboratory techs

Radiology techs

High Demand Moderate to High



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Interview Revelations

Wellness and prevention

Satellite facilities, more health

Remote monitoring & telehealth

Emphasis on patient self-management

Customer service & critical thinking skills

Cultural competence

Patient-centered care

Health care is shifting to the community setting


Interstate Medical Licensure Compact

Doctors without State Borders

Qualified physicians can now practice in multiple states, including

Arizona

Increases access to health care for patients in underserved or

rural areas

Facilitates telemedicine

Physicians can move to AZ and

begin work immediately using

credentials from another

participating state’s Board of Medicine

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Image source: http://www.licenseportability.org/


Graduate Medical Education

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Funding for Residencies Funding GME through Medicaid yields a $2

match for every state dollar contributed

More than 40 states fund GME through their

General Fund – Arizona has not since 2010

A law allowed intergovernmental transfers

Has dramatically increased funding

This transfers are not equally disbursed so

residents are not equally disbursed


Graduate Medical Education

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Potential Actions for GME

1. Analyze how Graduate Medical Education (GME)

is currently disbursed and how other partnerships

might further leverage federal dollars

2. Support additional medical residencies for new

physicians


State Loan Repayment Program

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Types of primary care (family practice, internal medicine

OB/GYN, Pediatrics or Geriatrics) health professionals

who can benefit from loan repayment include:

Physicians

Nurse Practitioners

Certified Nurse Midwives

Physician Assistants

Dentists

Behavioral Health Providers

Pharmacists


Identifying Talent Gaps

High Priority Occupations

How do we address the market gap?

How do we create more jobs

to engage existing students?

Other efforts in progress to

support the talent pipeline?

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Entry Level Positions

Nursing


Get Involved!

Workforce Solutions Conference

November 18th

vitalysthealth.org/workforce-solutions-workshop/

To join the Health Care Talent Team:

Fill in your Get Involved cards

and check the Talent box

Attend quarterly meetings

Contribute to enhancing

the talent pipeline 44


THANK YOU!

To get involved in the


Sub-committees please contact:

Project Manager, Economic Development

Jocelyn McAlpin

at [email protected]

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FY 2017 FOCUS - Phoenix Chamber

Documents

Transcript of FY 2017 FOCUS - Phoenix Chamber