Right Care Initiative University of Best Practices

Jerry Penso, MD, MBA

February 7, 2011

Jerry’s Two Goals for Today

1. Provide value so you want to come back

2. Enlist volunteers for UBP Committee

What is the Right Care Initiative?

Goal: Reduce morbidity and mortality among California’s 15 million commercial managed care enrollees

Focus Areas:1. Cardiovascular disease2. Diabetes3. Hospital acquired infections

Right Care Goals for San Diego • 70% of hypertensive

patients with blood pressure <140/90 mmHg

• 70% of patients with cardiovascular conditions with LDL-C<100 mg/dL

• 81% of diabetic patients with HbA1c < 9

• 52% of diabetic patients with LDL-C<100 mg/dL

Who is the Right Care Initiative? Technical Expert Steering Committee Chair and

Vice Chair• Stephen Shortell, PhD, MPH, Professor and

Dean, University of California, Berkeley, School of Public Health

• Carol Mangione, MD, MSPH, Professor of Medicine and Public Health, University of California, Los Angeles, Schools of Medicine and Public Health

Cardiovascular Disease and Diabetes Principal Investigators

• Carol Mangione, MD, MSPH, Professor of Medicine and Public Health, University of California, Los Angeles, Schools of Medicine and Public Health

• Allen Fremont, MD, PhD, RAND, Director, Action Consortium to Accelerate Change, Practicing Physician, Department of Veterans Affairs

CA Dept. of Managed Health Care • Hattie Rees Hanley, MPP, Right Care Initiative

Project Director and UC Berkeley School of Public Health, Dean’s Office

Funding

Over 4 million dollars have been raised from the following funders: Johnson & Johnson, Blue Shield of California Foundation (HAI), Novartis, The California Health Care Foundation ,the National Heart, Lung and Blood Institute (National Institutes of Health), the California Office of the Patient Advocate.

Diabetes LDL-C<100 mg/dL

California Health Plan Result

Kaiser Foundation Health Plan – No CA 66.42

Kaiser Foundation Health Plan – So CA 62.57

Health Net 54.50

PacifiCare of CA 50.94

Blue Shield of CA 49.64

CIGNA Health Care of CA 49.64

Western Helath Advnatage 47.81

Anthem Blue Cross 47.81

Aetna of CA 45.95

HEDIS 90th Percentile

54.95HEDIS 90th Percentile

54.95

San Diego Medical Groups

Heart Disease LDL-C<100mg/dL San Diego Medical Groups

Heart Disease LDL-C<100mg/dL

Today’s Agenda 12:30-12:50 – Welcome

Jerry PensoAnthony DeMaria

12:50-1:20 - Jim Dunford "How Can San Diego EMS the AHA

Help You Save Lives and Money” 1:20-1:50 - Ted Chan, Anapum Goel

“Beacon Grant Context” 1:50-2:20 – Table Exercise

(What is your organization’s top challenge in meeting the heart and stroke goals of RCI?)

2:20-2:30 – Summarize and next stepsJerry Penso