Peer-to-Peer Sessions
Thursday, September 26, 2013
10:45 a.m. - 12:00 p.m.
Engaging Physicians to Achieve High-Value Health Care
Adrienne Boissy, MD, MA, Director, Center for Excellence in
Healthcare Communication, Robert Coulton, MBA, Executive Director,
Office of Professional Staff Affairs, Brian Donley, MD, Chair,
Professional Conduct Committee, President, Lutheran Hospital, and
Director, Foot and Ankle Program, and James Merlino, MD, Chief
Experience Officer, Cleveland Clinic Health System
Physicians are a critical component in healthcare delivery and are
essential partners for successful implementation of healthcare
improvement strategies. In todayās environment, physicians have a
responsibility to drive individual improvement and accountability, and
to also participate in organizational initiatives to help drive
operational efficiency. For organizational effectiveness, chief
executive officers and other healthcare leaders must engage physicians
and get them to partner in strategic initiatives to better enhance the
value equation. These four senior leaders discussed successful
strategies and offer the participants effective tactics hospitals can
implement.
Analytics to Action: How to Stay Ahead of the Cost Curve
Wendy Oberdick, MD, Value Based Operations, Medical Director of
Patient-Centered Medical Home, and Jason Tipton, MBA, Director of
Analytics, Holston Medical Group
In this interactive presentation, Holston Medical Group will outline
the transition from a reactive āsickā modelāutilizing claims data based
on past expendituresāto a proactive wellness model that began with a
focus on gaps in care and benchmark goal-setting. The presenters
described this paradigm shift as well as questions, hurdles, and lessons
learned during the process. Topics discussed included: analytical and
clinical transformation, stratification of patient need and resource
allocation, affecting change with performance support, and facilitating
compliance to drive the effectiveness of the Triple Aim.
Best Practices Panel: Lessons from AMGAās Hypertension Learning
Collaborative
Moderator: Jerry Penso, MD, MBA, Chief
Medical and Quality Officer, American Medical Group Association
Panelists: Lori Arnoldussen, RN, Clinical Quality Coordinator, ThedaCare
Physicians; Ashok Rai, MD, President and CEO, Prevea Health; and
Elizabeth Ciemins, Research Director, Billings Clinic
High blood pressure (hypertension) is a leading risk factor for heart
disease, stroke, kidney failure, and diabetes complications. Nearly one
out of three American adults has high blood pressure and less than half
of patients have their condition under control. AMGFās national campaign
Measure Up/Pressure Down seeks to mobilize medical groups, patients, and
other stakeholders to address this health crisis. A panel of leaders
from groups involved in the campaign discussed how they established
successful processes to manage their patients with hypertension using
team-based, coordinated care.Ā
2:00 p.m. - 3:15 p.m.
Best Practices Panel: Lessons from AMGAās COPD Learning Collaborative
Chan Chuang, MD, Corporate Medical Director, and Janelle Howe,
Director, Disease Management, HealthCare Partners; and Steven J.
Bernstein, MD, MPH, Director, Quality Management Program, and DeAnn
VanSickle, Performance Improvement Coordinator, University of Michigan
Health System
Chronic Obstructive Pulmonary Disease (COPD) is a preventable and
treatable disease which is characterized by chronic airflow limitation
and a range of pathological changes in the lung, significant
extra-pulmonary effects, and important comorbidities which may
contribute to the severity of the disease in individual patients. AMGA
members have been participating in collaborative to develop best
practices to improve the care of patients with COPD. A panel of leaders
from groups involved in the learning collaborative discussed how they
established successful processes to manage their patients with COPD.Ā
Speakers examined the leadership support necessary, tools and systems
required, and how care is managed within their patient populations by
sharing an outline of their COPD chronic care models, intervention
methods, outcomes, and lessons learned.
TEAMcare at The Polyclinic:Ā Multi-Condition Collaborative Care
for Diabetes, Heart Disease, and Depression
Elise Ernst, MEd, MSW, MBA, Vice President of Practice Management,
and Oren Townsend, MD, Medical Director of the Physicians Care Network,
The Polyclinic; and Paul Ciechanowski, MD, MPH, Associate Professor,
Department of Psychiatry and Behavioral Sciences, University of
Washington School of Medicine and Director, UW Training Xchange, Center
for Commercialization
Attendees heard how, over the past year, The Polyclinic has
implemented TEAMcare as part of transforming its primary care. It is a
proven interdisciplinary approach to improving diabetes clinical
outcomes by systematically assessing and treating depression as a
comorbidity. In this innovative approach, they provided guideline-based,
collaborative care management, with the goal of improving behavior
change and controlling multiple disease risk factors. Presenters shared
data on improved outcomes and lessons learned, and help you assess your
organizationās readiness to implement TEAMcare.
Moving from Volume to Value: Building an Organizational Framework for
Transformation
Ballroom G
Kari Bunkers, MD, Mayo Clinic Health System CMIO and Medical
Director, Office of Population Health Management, Robert Stroebel, MD,
Medical Director, Midwest Office of Population Health Management, and
James Yolch, Administrator, Office of Population Health Management, Mayo
Clinic
āBusiness as usualā is unacceptable in the age of healthcare reform.
Beginning with the launch of CMS Accountable Care pilot projects,
organizations have been scrambling to respond to new requirements,
future state ground rules, and uncertain payment models. In response to
this enormous change, Mayo Clinic created a new coordinating office to
respond to uncertain times, develop a framework for population health
management, and implement a value-based model of care. This presentation
provided an overview of Mayo Clinicās approach including their
organizational framework, operational strategy, and lessons learned.
When It Comes to Value, Variety Is NOT the Spice of Life: Using the
Process of Variation Reduction to Engage Physicians in the Pursuit of
Value
Scott Hines, MD, Co-Chief Clinical Transformation Officer, Division
Leader Medical Subspecialties, Crystal Run Healthcare
The process of variation reduction aims to standardize care and
eliminate waste in an organization through the development of best
practice guidelines and engaging physicians in sharing their personal
practice patterns. This presentation outlined the evolution of Crystal
Run Healthcareās variation reduction program, from the diabetes pilot to
the current program consisting of quarterly variation reduction meetings
with every department in the practice. Presenter shared outcomes data
illustrating cost savings and displayed the internally developed
automated tool that creates the necessary data for these exercises.
Friday, September 27, 2013
8:30 a.m. - 9:45 a.m.
Determination of Primary Care Panel Size in a Value-Based
Compensation Healthcare Delivery Environment
Dale Eric Green, MD MHA, Chief Medical Information Officer,
Cornerstone Health Care
With the advent of new payment models, new panel configurations have
arisen. This presentation will examine physician panel size definitions
and panel size calculations, and a variety of potentially deterministic
variables including patient panel risk profiles, physician training and
experience, practice style, advanced practice practitioners, team-based
care models, and the availability of specialists. Presenters shared an
algorithm developed at Cornerstone to calculate primary care panel
sizes, including calculated panel sizes in comparison to actual
Cornerstone physician panels. They also discussed the potential pros and
cons of using panel size as elements of compensation formulas as well as
the use of balancing measures.
Decoding Healthcare Babel: How to Evaluate Data Aggregation and
Analytic Vendors and Solutions
Robert E. Matthews, Vice President, PriMed Physicians
As groups prepare for and enter value-based contracts, the need for
improved data integration and analytics becomes more urgent. Health data
is notoriously difficult to aggregate and analyze. Over 40 vendors have
entered this space, but many impose significant limitations to what the
customer can expect based upon the technologies they use or their
approaches to solve the problem. This presentation is designed to help
medical groups to better evaluate their needsāand the vendorās
solutions. The presenter created definitions and descriptions for the
essential elements of an aggregation and analytic product and provide a
framework that can be used for future product evaluations.
Best Practices Panel: Provider Satisfaction and Engagement
Kevin McCune MD, Chief Medical Officer, Advocate Medical Group;
Cheryl Magnuson-Giese, MSW, MPH, SPHR, Senior Director of
Physician/Clinician Services, HealthPartners; and Craig Best, MD, MPH,
Chair of OB/GYN, Reliant Medical Group
One of your biggest challenges is creating a culture where providers
feel appreciated and are engaged in improving the quality patient care
and the success of the organization. By targeting provider satisfaction
and engagement, medical group leaders can create a roadmap to
organizational excellence. In this panel presentation, participants
heard best practices from AMGA member groups who described how they use
the data and reports from the AMGA Patient Satisfaction Benchmarking
Survey to evaluate areas for improvement, promote successful changes
within identified problem areas, and design processes and strategies to
continually improve provider satisfaction and engagement. Ā Ā
Best Practices Panel: Shared Decision Making
Richard Wexler, MD, Director of Patient Support Strategies, Informed
Medical Decisions Foundation; David McCulloch, MD, Medical Director,
Clinical Improvement, Group Health Cooperative; and Karen Sepucha,
Health Decision Sciences Center, Massachusetts General Physicians
Organization
Practice variation can have an enormous impact on quality,
efficiency, and financial stability. This panel discussion examined how
shared decision making (SDM) can address this problem. The session
explored benefits to patients, providers, and systems of care;
differences between patient education and decision aids; and strategies
for successful implementation. Presenters focused on SDM implementation
as a tool for addressing practice variation and share strategies for
successfully implementing SDM, supported by decision aids.