September 24 Healthcare Transformation Learning Session Slides
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Transcript of September 24 Healthcare Transformation Learning Session Slides
Healthcare Transformation Learning Session
Lead Support Major Support Additional Support
100% of our Board of Directors
& Staff
Individual & Corporate Donations
www.hcgc.org
September 24th Webinar, 1:00 - 2:00 PM Learning Topic: Better Health Care: Changes to Learn About Now: A new consumer/patient resource published by Consumer Reports to help people understand the changes taking place NOW to make health care better. Featured speakers:
Steven Findlay, Contributing Editor, Consumer Reports Chuck Bell, Director, Special Projects, Consumer Reports
Regional update:
Krista Stock, Director, Healthcare Collaborative of Greater Columbus
Consumer Reports – Getting
Healthcare Right Project
Steven Findlay, MPH
Contributing Editor
Project’s Purpose
• Funded by Atlantic Philanthropies
• Explain changes in care delivery to consumers
• Help people navigate fast-changing system
• Just-the-facts education on ACA implementation and
impact
• Research, CR articles, briefs, events, outreach
• Upcoming: Articles in CR – Wasted health care $$,
End-of-life care; brief on “Big Data” and what it
means for consumers; research and report on
consumers and costs
Project Publications
• A Doctor’s Office That’s All About You
(Medical Homes)
• Dr Who? The Nurse Practitioner Will See
You Now
• The Doctor Will E-Mail You Now
• How to Live Well Into Your 80s and Beyond
• Healthy Gadgets
• Glossary of Health Care Terms
www.ConsumerHealthChoices.org/GettingHealthcareRight
Other Consumer Reports
Initiatives
• Began to expand healthcare coverage, content,
advocacy and ratings in 2004-05; big commitment!
• Provider ratings – insurers, hospitals, doctors in four
states including heart surgeons
• Care/treatments – prescription drugs, preventive
care, and Choosing Wisely campaign
• More than a dozen organizations as partners
• www.consumerhealthchoices.org
• Our advocacy wing: www.ConsumersUnion.org
• Our main content site: www.consumerreports.org
The 16-Page Guide
• Broad overview
• Written for consumer – minimal jargon
• Focus on 3 areas of positive change
with most direct consumer impact:
- payment changes
- info/data on quality and
performance
- HIT/EHRs, digital health
• Practical advice, resources, links,
glossary (more on web)
Our Hope for Guide Use
• As a supplement to other materials distributed to
consumers
• PDF and written
• As tool to explain changing system and ACA
initiatives other than insurance
• To expand awareness of websites with info and tools
to help consumers choose providers and treatments
• To expand awareness of resources at
ConsumerHealthChoices.org and Consumer
Reports.org
Major Trends
• Emerging from intense political acrimony over ACA
• Coverage – acceptance growing
• Broad agreement on wasteful spending,
unnecessary care, inefficient system
• New models of care taking hold - if not exactly
catching fire
• Shift of costs to consumers – deductibles, out-of-
pocket, % premium
• Consumers accessing info online – engagement!
Consumer Engagement –
of One Kind
• U.S. News got a million hits in one day after August
release of “best hospital” ratings
• Two recent surveys probe use of physician ratings
• Findings: 65% aware of online reviews and rankings;
40% have “seen” or “used” them; 5% have rated a
doc.
• Healthgrades – largest provider ratings site: close to
1 million/day access it; 4 million posted reviews;
95,000 added each month over last 12 months
“Engagement” Shifts
• Passive patient ——————› Active patient
• Price/cost naïve ——————› Price savvy and sensitive
• Patient as patient —————› Patient as partner
• Hard-to-understand
info/data on quality&price —› 5 star ratings, composite scores
• Doc group level reporting ——› Individual doc reporting
• Process measures —————› Outcome and functional status
measures, and condition/
procedure specific
• “Raw” patient reviews ————› Validated reviews, CAHPS
Shifts Needed….continued
• Separate info/data on
cost and quality ——————› Integrated cost + quality
• Registries for QI ——————› Registry data for choice
and payment initiatives
• “Some” access to EHRs ———› Universal access
and notes
• Doc data entry ———————› Automated data entry
and patient-entered data
with outcomes!
• Large employer cost
+ quality data (e.g. Castlight) —› More $$$ for initiatives
that reach all consumers
1. Check medical bills and EOB forms
2. Compare prices for medical services
3. Bargain with hospitals and doctors for
reduced fees
4. Get a surgical safety checklist and a
hospital safety checklist
5. Compare treatment options with your
doctor or other clinicians.
6. Check out doctor and hospital ratings
and report cards online.
7. Track your medical history in a notebook,
computer document, or file. Or create a
PHR.
8. Create an advance directive
The Future
Thank You!
• We’d be glad to help in any way
• Chuck Bell – Director, Special Projects,
Consumer Reports
• Steve Findlay – if any questions
Collaborative Transformational Activities (we are coordinating in the region)
www.hcgc.org
…exploring and catalyzing best practices to strengthen engagement between consumers, providers, and purchasers
SHARED RESPONSIBILITY HEALTHCARE DELIVERY
COLLABORATIVE LEARNING HEALTHCARE TRANSPARENCY
emerging active
Choosing Wisely®
Patient Engagement Education & Training
Open Notes®
emerging active
emerging active
emerging active
Patient-Centered Medical Home (PCMH)
Medical Neighborhood Pilot
Physical-Behavioral Integration Pilot
Primary Care Quality Reporting Pilot
Public-Private Board of Directors
Healthcare Improvement Collaboratives
Transformation Learning Sessions
Speaking Engagements
Learning Groups
Doctor Project (public reporting)
Patient Engagement Education & Training
www.hcgc.org
…helping people learn how to use the right questions to receive high-quality healthcare at a lower cost
Participating Partners
Bailey Cavalieri Charitable Pharmacy of Central Ohio Columbus Medical Association Medical Mutual of Ohio State Employee Retirement Systems The Medical Group of Ohio
Participating organizations:
• Invite employees, retirees,
patients, covered lives to
participate in 90 minute
session(s)
• Provide training space to host
at preferred location
• Provide us with feedback
Please contact Krista Stock if interested in hosting a session
Healthcare Transformation Learning Session
www.hcgc.org
Send your questions
or reflections
via webinar option
THANK YOU!
www.hcgc.org
Lead Support Major Support Additional Support
100% of our Board of Directors
& Staff
Individual & Corporate Donations
• Thank you for joining us today!
• Thanks to our speakers!
• Thanks to our funding partners!
• Please respond to the evaluation question via poll
Please save the dates for these scheduled learning sessions
• Webinar: 10/22, 1-2PM
Expanding role of pharmacists in value-based healthcare
• In-person: 12/5, 8:00-11:30AM
Learning from regional partners