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Cincinnati USA Regional Health Transformation Initiative South Carolina Business Coalition on Health May 2012 www.TransformCincyHealth.org.

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Presentation on theme: "Cincinnati USA Regional Health Transformation Initiative South Carolina Business Coalition on Health May 2012 www.TransformCincyHealth.org."— Presentation transcript:

1 Cincinnati USA Regional Health Transformation Initiative South Carolina Business Coalition on Health May 2012

2 Play video Cincinnati USA Regional Health Transformation Initiatives 2

3 Cincinnati landscape Fertile ground for change Extensive health systems – 30+ hospitals – 5,000 physicians – Active collaborations Strong experience with innovative pilots National healthcare IT leader Engaged employer base (GE, P&G, Kroger, Fifth Third, etc.)

4 Greater Cincinnati Health Care Project Health Leader Kickoff 3/26 Call to ActionVOC Host by Collaborative GE Facilitate Cross Industry Representation Develop Strawman & Guiding Principles for Project VOC Verify Strawman Revise Strawman Broaden Audience Cross Functional Membership - Chamber - Academy of Medicine - Health Council - Health Collaborative - Health Bridge Develop Strategy Develop Plan Conduit for Improvements/ Efforts Specific Project Implementation Immelt Chamber Presentation Community Health Care Summit May Steering Committee Existing Initiatives/ Venues GMT Community Guidance Team Keep Project on Course Vision Mission Scope Business Case Define Old Process Map Baseline QFD Pareto Defect Definition Target Measure Variation Drivers Performance Objectives Key performance Indicators Critical to Process Factors Analyze Tools Incentives Funding Accelerators Enablers Improve Contract Language Payment Reform Control Process: Inclusive, Open, Transparent 2010

5 Cincinnati Regional Health Transformation Aims 1.Better health 2.Better care 3.Lower cost Estimated impact through 2014 (not all inclusive): 20% improvement in diabetic outcomes 10% fewer Emergency Department visits Cost reduction = $500MM+ Cincinnati USA Regional Health Transformation Initiatives 5

6 How we operate… Regional Health Transformation Sustainability Model Cincinnati USA Regional Health Transformation Initiatives 6

7 Social Innovation meets Healthcare Innovation in Cincinnati: Collective Impact for Health 1.Common Agenda 2.Shared Measurement 3.Mutually Reinforcing Activities 4.Continuous Communication 5.Backbone Support

8 Cincinnati USA Regional Health Transformation Initiatives 8 Common Agenda: 3 Aims 5 Strategic Priorities Foundational Goals Healthymagination 3 Aims Community Leaders Voice of Customer Population Health Experience of Care Per Capita Cost Strategic Priorities Primary Care – specifically Patient- Centered Medical Home Health Information Exchange that is interoperable across the community and informs the Quality Improvement and Payment Innovations work. Quality Improvement support for primary care and transitions in care. Public Reporting that makes quality, price and patient satisfaction transparent and enables consumer engagement. Payment Innovations that rewards value, using shared savings components Access Quality Cost

9 Shared Measurement: Progress Report AimFocus AreaMeasure BaselineCurrentGoalTimelineMeasure Steward Better Care Optimal Diabetes Care Diabetes Composite Measure: percent of patients in control of their Diabetes 28%29%35%05/2013 M. Kennedy Optimal Asthma Care Percent of high-risk pediatric asthma population rated well- controlled by physician and parent 28.6%75.6%80%12/2012 K. Mandel Patient Experience Patient rating of understanding post-hospital instructions (indicator of care coordination) 82% TBD N. Strassel Disparity in Care Percent of acute care CES hospitals submitting all three Race, Ethnicity and Language fields accurately and consistently 56%94%90%6/2013N. Strassel Access to Primary Care Percent of the community reporting that they have a usual source of medical care 84% 95%2020 United Way Bold Goal Patient Safety Percent reduction in regional rate of Patient Falls (with Injury) and Pressure Ulcers in local hospitals..115 falls /1,000; 2.0 pressure ulcers/10, falls /1,000; 2.8 pressure ulcers / 10, falls /1,000; 1.2 pressure ulcers/10,000 12/2012N. Strassel Electronic Health Records Use Percent of primary care providers that are meaningful users (M3) of electronic health record technology M 1 – 0% M 2 – 0% M 3 – 0% M1 – 75% M2 – 58% M3 – 0.4% Meaningful Use (M3) - 60% 2013 D. Groves Better Health Body Mass Index Percent of adults whose BMI is 30 (BMI is a healthy weight estimate based on height and weight) 30.9% 30.6%2020J. Chubinski TobaccoCurrent smokers 29% 12%2020 J. Chubinski Mental HealthPercent of adults who report good mental health 60% N/A J. Chubinski Self-reported Health Status Percent of adults who report being in excellent or very good health 50% 70%2020J. Chubinski Percent of primary caregivers who report their childs health status to be excellent or very good 87% N/A J. Chubinski Colon Cancer Screen Percent of patients aged 50 – 75 who have received the appropriate colorectal cancer screening TBD05/2013M. Kennedy Infant Mortality Number of infant deaths within the first year of life per 1,000 live births (14 county service area) Ted Folger Number of infant deaths within the first year of life per 1,000 live births (Hamilton County) /2012 Ted Folger Substance Abuse Percent of adults who report binge drinking in the last month (in a single sitting, 5+ drinks for men; 4+ drinks for women) 19% 24%2020 J. Chubinski Lower Cost Total Cost of Care Total annual per capita cost of patients with diabetes TBD05/2013 M. Kennedy Total annual per capita cost (14 county service area) TBD05/2013 M. Kennedy 30-day Readmissions Percent reduction in heart failure all-cause readmission rates %23.46%21.27%01/2012 N. Strassel Emergency Department Visits ED visits per 1000 population TBD05/2013M. Kennedy

10 Mutually Reinforcing Activities

11 Continuous Communication: TransformCincyHealth.org Cincinnati USA Regional Health Transformation Initiatives11

12 Cincinnati USA Regional Health Transformation Initiatives 12

13 Resulting in better care… Cincinnati USA Regional Health Transformation Initiatives 13 % high-risk pediatric asthma patients rated well-controlled by MD and parent % diabetes patients meeting following goals: 1)A1C < 8 2)BP < 140/90 3)LDL < 100 4)Tobacco free

14 Resulting in lower cost… Cincinnati USA Regional Health Transformation Initiatives 14 Actual ED visits in 10 were 185k less than projected; 100k less than 09 *Projected at historical trend of 7%; Estimated cost per ED visit = $1,100 1,252,436* $200M saved vs. projected


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