Choosing Wisely in Washington Randal Moseley, MD, FACP, FHM 2/10/16.

Slides:

Advertisements

Similar presentations

Johnson County, Indiana thru Partnership for a Healthier Johnson County Esperanza Ministries Windrose Health Care introducing the new Health Care Team.

Advertisements

An Invitation to Kanawha County Medical, Nursing, and Health Care Organizations and Providers.

An initiative of the ABIM Foundation Overview of the MiHIA Regional Campaign.

The Patient Protection and Affordable Care Act Young Adult Outreach and Education.

813 Wake County Lessons Learned and What’s to Come.

Changes to Medicaid Because of the Affordable Care Act, many more people will be eligible for Medicaid after January 1, Medicaid will be expanded.

Pharmacist and Pharmacy Partnership Opportunities with CMS Thomas Dudley, MS, RN Acting Director – Division of Provider Affairs Centers for Medicare &

INSTRUCTIONS – READ FIRST Welcome to the Choosing Wisely PowerPoint presentation template. Please read before proceeding:  Because of the company logos.

April 15, 2015 HCAW Pre-conference Using Information to Drive Improvement in Health Care Value: Trends in Quality and Cost Reporting Susie Dade, Deputy.

WA ACEP November Disclaimers Introduction – Choosing Wisely Campaign II 2014 ACEP Recommendations – Avoid: CT scan of the head for asymptomatic.

2012 State of Reform Health Policy Conference January 4, 2012.

Pathway Model: A Tool to Measure Outcomes Target Population Engage those at greatest risk Assure connection to evidence-based intervention Measureable.

Presented by Company Name Human Resources Adapted from the Communications Toolkit 1 Getting Smarter about Health Care −

Statewide campaign to educate patients and physicians on important health topics: Choosing Wisely® ER is for Emergencies campaign Palliative care and end.

Health Care We must address the crushing cost of health care. This is a cost that now causes a bankruptcy in America every thirty seconds. By the end of.

A Report from the Alliance Clinical Practice Improvement Network January 30, 2013.

SustiNet Health Partnership Overview December 2010 Anya Rader Wallack Katharine London Linda Green Stan Dorn.

Washington State Best Practices Update Fall 2012 Dr. Stephen H. Anderson, MD, FACEP Dr. Nathan Schlicher, MD, JD, FACEP Dr. Darin Nevin, MD Presented at.

KING COUNTY’S EMPLOYEE HEALTH AND WELL-BEING PROGRAM Plexus Healthcare PlexusCall.

Trusts and ResourcesHealthy Communities 1 August 2010.

1 Puget Sound Health Alliance: a private regional multi-payer database APCD Financing, Governance and Legislative Language Session Natasha Rosenblatt Data.

Excess cost growth in Medicare, Medicaid, and all other health care spending Source: CBO, A Federal Perspective on Health Care Policy and Costs, 2008.

INSURANCE & COSTS HEALTH CARE SERVICES. MEDICAL CARE (INSURANCE) HEALTH MAINTANCE ORGANIZATION (HMO) – A TYPE OF GROUP HEALTH INSURANCE PLAN – MEDICAL.

TA Partnership SUSTAINABILITY: MEDICAID AND OTHER HEALTH INSURANCE MARY B. TIERNEY, M.D. September 25, 2003 MARY B. TIERNEY, M.D. September 25, 2003.

S U S T A I N A B I L I T Y T R A I N I N G Not-for-profit membership-based organization committed to educate, motivate, and engage healthcare professionals.

Copyright © 2008 Delmar Learning. All rights reserved. Unit 34 The Organization of Home Care: Trends in Health Care.

1 Driving Health System Change at the Regional Level AHRQ September 2007 Margaret Stanley Executive Director.

July State Coverage Initiatives August 2, 2007 Washington State Health Reform Efforts Richard K. Onizuka, PhD Health Policy Director.

Botswana Experience on Public- Private Partnerships Joconiah Chirenda, MD, MPH, MBA Global Business Coalition on.

Adequate Health Care Task Force April, 2006 ®®. 2 A Plan for Illinois’ Working Uninsured Issue is Multi-Faceted –We need to address the working uninsured.

Trusts and ResourcesHealthy Communities 1 Outreach, Health Education and Case Management for Colorado Medical Assistance Programs.

Financing Health Care United States Healthcare. PRIVATE INSURANCE Pays for all or part of a person’s health care Pays for all or part of a person’s health.

Health Care Reform Primary Care and Behavioral Health Integration John O’Brien Senior Advisor on Health Financing SAMHSA.

Health Insurance Delivery What are the different types of insurance and how do they work?

Problems in Health Care Rising Costs –Malpractice Insurance –Overhead Managed Health Care (HMO) –Reduced reimbursement Reduced Income –Cuts in Health Care.

Ready for Reform! Port Gamble S’Klallam Tribe Washington State on the pleasant side of the Puget Sound on the Kitsap Peninsula with treaty rights stretching.

Jacobi Ambulatory Care Service The next steps…. Jacobi Ambulatory Care Service Doing More by doing less Tips.

Health Care For All Governor Doyle’s Roadmap to Universal Access to Health Insurance for all Wisconsinites July, 2009.

Performance Measurement & Public Reporting: Consumer Perspective and Principles To schedule a presentation of “Performance Measurement & Public Reporting”

Municipal Health Plans: Gilded Benefits from a Bygone Era Bob Carey RLCarey Consulting.

VIRGINIA HEALTH INNOVATION PLAN AND ITS FIT WITH BLUEPRINT VIRGINIA BETH A. BORTZ AUGUST 12, 2013.

QCare: Minnesota’s Quality Care and Rewarding Excellence Initiative August 2, 2007 Scott Leitz, Assistant Commissioner Minnesota Department of Health.

Emanuel Medical Center Case Management By: Deadre Hadden, RN.

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.

Access, Quality and Cost in Emergency Benefits Jeffery Thompson, MD MPH Chief Medical Officer Washington State Health Care Authority September 24, 2012.

0 Improving The Quality of Health Care in Washington State August 2006 The Quality Colloquium Harvard University Senator Karen Keiser August 22, 2006.

CHALLENGES Dr. Abdi Mohamed CEO Ladnan Hospital.

HOUSTON METHODIST POPULATION HEALTH MANAGEMENT

STRATEGIC DIRECTION: SUPPORTING RURAL MEMBERS Katie Holmes, RN Senior Vice President, Operations and Membership WSHA.

VIVA Health, Inc. Health Plan & Medical Home Benefit Information Session.

Health Insurance Plans Intro to Health Science Unit One Lesson 5 Diversified Health Occupations pages.

Addressing Health Disparities: A Local Solution to a National Problem Presentation to Academy Health 2008 Disparity Workshop By: Rachel A. Gonzales-Hanson.

Health Datapalooza Mini Summits IV: Payer – How States and Others Are Using Medicare Data to Manage Populations May 10, 2016 Mylia Christensen, Executive.

Emergency Physician Attitudes and Knowledge of ACEP’s Choosing Wisely Recommendations Thomas Nguyen, MD 1, Lynne D. Richardson, MD 2, Jeremiah D. Schuur,

The Roadmap for Successfully Developing a Physician Led ACO: The Journey from Volume to Value based healthcare Amit Rastogi, MD President/CEO PriMed.

MARK LANE GARITYADVANTAGE AGENCIES Seniors Choice Group Retiree.

Financial Issues Chapter 14. Financial Issues Financial issues have a substantial influence on health care and pharmacy practice. In 1985 the average.

Draft, Washington Prediabetes Advocacy Plan.

Your Health Matters Health Reform Initiative. 2 Today’s objectives ► Present facts regarding the health care cost and quality crisis ► Explain how King.

An Introduction to: rscan.org. What is R-SCAN? 2 A clinical practice improvement activity for radiologists and referring practitioners to:  Improve imaging.

Understanding Health Systems: The Organization of

Choosing Wisely : Radiology Perspective

Intermountain Healthcare Hospital System

When Profits are low (In the red)

THE ECONOMICS OF EMPLOYEE BENEFITS

Advancing Choosing Wisely®

Advancing Choosing Wisely®

26a. Percentage of employees covered and source of employment-based health insurance, by industry, 2005 (Wage-and-salary workers) 96%

Surgical Infection Prevention, 2006

York Teaching Hospitals NHS Trust

Presentation transcript:

Choosing Wisely in Washington Randal Moseley, MD, FACP, FHM 2/10/16

Washington Health Alliance Formed 2004 as Puget Sound Health Alliance – Original motivation was to stem the rising cost of health coverage for King County employees – Now with >175 county/state/private employers, union trusts, health plans, hospitals, physician groups, government agencies, community based organizations, educational institutions, pharmaceutical companies, individual members

Washington State Choosing Wisely Task Force Washington Health Alliance partnership with WSHA & WSMA formed 2013 – “Ensure safe, high-quality health care for patients in Washington state through reducing health care overuse and waste” – Members = providers from major health delivery systems in Washington – websites/choosing-wisely/ websites/choosing-wisely/

WHA Choosing Wisely Targets Imaging for uncomplicated headaches Antibiotics for sinus infections CT scans for sinus infections Imaging for uncomplicated low back pain Imaging for simple syncope CT scans for appendicitis Too frequent Pap tests (“overpapulation”) Pap tests for patients with previous hysterectomy Pap tests for women under 21 years old Follow-up testing for adnexal cysts Diagnosis/managing asthma without spirometry

Biggest Opportunities 25% of patients statewide receiving imaging for uncomplicated headaches – Chelan-Douglas 16-17% 37% of patients statewide receiving antibiotics for sinus infections – Chelan-Douglas 39-44%

Biggest Successes 1% of patients statewide receiving CT scanning for sinus infections 4% of women under 21 receiving Pap tests

Chelan/Douglas County (9/14 report) Better, Average, Worse compared to state average Imaging for uncomplicated headaches Antibiotics for sinus infections CT scans for sinus infections Imaging for uncomplicated low back pain Imaging for simple syncope CT scans for appendicitis (too few cases to judge) Too frequent Pap tests (67% insured, 44% Medicaid) – Yet, only 69% of women had a Pap in past 3 years! Pap tests for patients with previous hysterectomy Pap tests for women under 21 years old Follow-up testing for adnexal cysts Diagnosis/managing asthma without spirometry

QUESTIONS?