Presentation is loading. Please wait.

Presentation is loading. Please wait.

Patrick F. Luedtke, MD, MPH Senior Public Health Officer Medical Director, Community & Behavioral Health clinics Lane County Health & Human Services Public.

Similar presentations


Presentation on theme: "Patrick F. Luedtke, MD, MPH Senior Public Health Officer Medical Director, Community & Behavioral Health clinics Lane County Health & Human Services Public."— Presentation transcript:

1 Patrick F. Luedtke, MD, MPH Senior Public Health Officer Medical Director, Community & Behavioral Health clinics Lane County Health & Human Services Public Health & Healthcare Transformation

2 1) Includes 4 FQHC clinics, Public Health, the County Mental Health clinic, & the Behavioral health system payer 2) I serve as the County Public Health Officer (50%) and the Medical Director of the FQHC clinics (50%) 3) I also serve on the CCO Board, the CAP, and on two CCO subcommittees (PCMH & Quality) 4.) Other H&HS employees serve on CCO Board & committees Lane County Health & Human Services

3 Lane County: The View From Space 1.CCO: ~74,000 lives, Board of 21, Prevention funding of $1.33 per member per month 2.Public Health Clinical: MCH, WIC, Prevention, Communicable Dz Non-clinical: Environmental Health, Vital Records, Preparedness Other: PH/MH authority, soft power convening authority (e.g., STD Summit)

4 Community Health Needs Assessments Community Health Improvement Plans Health equity & Public Health equity initiatives Tracking health and process outcomes (e.g., patient safety, patient experience, care coordination, CHWs) Create & implement community-based prevention guidelines (e.g., tobacco, obesity, vaccination rates) Community initiatives based on claims data (e.g., tobacco use in pregnant women) PH-PC: Integration and Reverse Integration

5 1.) Tobacco use in pregnant women 2.) Falling immunization rates (AFIX program) 3.) The Good Behavior Game (lower drug/alcohol use disorders, smoking, antisocial PD, suicidal ideation, delinquency, incarceration) Specific Lane County Projects

6 Tobacco Cessation Incentive Program Nicotine testing & incentive $$ for pregnant smokers All my pregnant patients smoke! Primary Care Physicians (PCP) We have too many preemies and pre-term labor cases. Obstetrics/Gynecology (OB/GYN) Vital statistics birth data review. Federally qualified health centers pregnant patient chart review. Public Health (PH) PH-PCP-OB/GYN steering committee Claims data review for preemie/pre-term labor costs. (CCO)

7 Smoking in Pregnancy Data Source: Oregon Health Authority

8 Age Smoking RatePatient Number <2027%294 20–2425%860 25–2916%1,147 30–3411%843 35–399%348 >/= 4011%81 NOTE: Survey of current use rates: FQHC, PeaceHealth hospitals/clinics, Douglas county. Data Source: Lane County Vital Statistics: 2009 Lane County: Smoking in Pregnancy

9 Prenatal smoking is associated with: 30% of small for gestational age (SGA) infants 10% of preterm infants 5% of infant deaths* Expected quit rate, without incentives is ~37%** Decreased ear infections and asthma attacks in child Clinical Expectations *MMWR 58(ss04);1-29 May 26, 2009 ** PRAMS 2005

10 Preventing 1 SGA birth = $45,000 savings $1 spent on cessation = $3.50 in neonatal savings Medicaid Savings Data Source: CDC, Smoking-Attributable Mortality, Morbidity, and Economic Costs (SAMMEC)

11 Fiscal Data Monetary goal: 10% cost reduction/yr (ROI = 7.6) Lane County Medicaid Neonatology Costs (2012) Line item cost$7,643,967 # of Episodes1,773 Cost/Episode$4,311 Unique members1,715

12 Program goal: Tobacco cessation in 30% of program participants Participation goal: 80% of pregnant Medicaid patients Tobacco Cessation Incentive Program

13 Questions?


Download ppt "Patrick F. Luedtke, MD, MPH Senior Public Health Officer Medical Director, Community & Behavioral Health clinics Lane County Health & Human Services Public."

Similar presentations


Ads by Google