Presentation on theme: "WV SUMMER INSTITUTE ON AGING JUNE 8, 2011 CABIN CREEK HEALTH SYSTEMS PAULETTE BURDETTE KAREN GLAZIER AMBER CRIST So We Have Health Care Reform – Now What."— Presentation transcript:
WV SUMMER INSTITUTE ON AGING JUNE 8, 2011 CABIN CREEK HEALTH SYSTEMS PAULETTE BURDETTE KAREN GLAZIER AMBER CRIST So We Have Health Care Reform – Now What ?
Cabin Creek Health Systems An FQHC with 4 centers in Kanawha County, WV 2,500 patients 65 and over 100 staff members Implemented Senior Medical Home in 2008 – funded by the Claude Worthington Benedum Foundation Medical Homes = really good primary care
Why Focus on Elderly Patients? Multiple chronic conditions Big variation in home/family support Social issues aren’t being addressed Many, many medicines – opportunities for harm Fat complicated medical records – error prone Multiple medical providers Lack of coordination between hospital/ER and primary care providers
Senior Medical Home More than a provider of medications and procedures……….. REQUIRES CARE COORDINATION
Senior Medical Home – Numbers Currently 630 patients enrolled Avg age 82, 74% female 87% Diabetic 90% Hypertension 68% Heart Disease 42% Chronic Pain 56% Psychiatric Diagnosis 263 home visits 3,000 care coordinator contacts 6 ramps built, 3 ready for installation 84 grab bars installed 30 trips to visit patients in the hospital Linking patients with outside resources Educating all about health care reform
Health Care Law Health care reform bill passed by congress on 3/23/2010
Medicare Changes All of the traditional Medicare benefits are maintained Closes the doughnut hole in Medicare Part D, completely closed by 2020 Improved preventive benefits No cost sharing for US Preventive Serves Task Force recommended services Free annual wellness visits, including health risk assessment and personalized prevention plan
Senior Medical Home and Reform Center for Medicare and Medicaid Innovation (CMI) to pilot Advance Primary Care Demonstration Project Primary care centers are paid a monthly care management fee for each Medicare patient enrolled Reducing costs and improving quality!!