Rob Gaslin, Controller SAMC-Baker City Patient Centered Primary Care Home 02/18/2014.

Slides:

Advertisements

Similar presentations

The Advanced Medical Home ACP Attributes of Advanced Medical Home Evidence-based care/clinical decision support Chronic care model approach for all patients.

Advertisements

Patient Centered Medical Home

GRANTMAKERS PRESENTATION OCTOBER 2012 MEGAN HAASE, FNP CHIEF EXECUTIVE OFFICER.

Charting the Changes in the Physician-Patient Relationship Austin Regional Clinics Accountable Care and Patient Centered Medical Home Navigating the Future.

Care Coordination in the Patient-Centered Medical Home New York Academy of Medicine May 24, 2011.

Iowa Health and Wellness Plan

Oregon Health Authority Patient-Centered Primary Care Home Program Quality & Health Outcomes Committee August 2013.

1115 WAIVER Utah Department of Health Division of Medicaid and Health Financing 1Chacon.

Standard 3 Plan and Manage Care NCQA Recognition for Patient-Centered Medical Home 2011 Standards © Qualidigm.

Building the Digital Infrastructure for Vermont’s Learning Health System ONC HIT Policy Committee Testimony September 14, 2011 Hunt Blair, Deputy Commissioner.

Craig Jones, M.D. Blueprint Executive Director Burlington, VT 5/1/2015 Vermont Blueprint for Health.

Department of Vermont Health Access Vermont Blueprint for Health: Using APCD to Evaluate Health Care Reform Pat Jones, MS Blueprint Assistant Director.

Standard 1 Enhance Access and Continuity NCQA Recognition for Patient-Centered Medical Home 2011 Standards © Qualidigm.

David Garr, MD Executive Director South Carolina Area Health Education Consortium Associate Dean for Community Medicine Medical University of South Carolina.

Collaboration Between a Health Plan and a Community Health System to Improve Care Coordination for a Medicaid Population Karen Michael, RN, MSN, MBA Vice.

THE HEALTH COUNCIL MODEL MANAGING HOSPITALS & HEALTH SYSTEMS THROUGH REFORM.

What Happens after You Sign with Missouri Health Information Technology Assistance Center?

RCCO and the Medical Home Concept Molly Markert, Colorado Access RCCO Region 3 Contract Manager Devra Fregin, Director of Practice Management Kids First.

Christi Lundeen, Chief Innovation Officer June 18, 2015

CCC Team Assessment of Care Coordination Capacity February 26, 2014 Care Coordination Collaborative California Institute for Mental Health Care Coordination.

Aligning Incentives: Anthem’s Accountable Care Model  Anthem Quality In-sights ®  Patient Centered Primary Care John Syer RVP Provider Engagement and.

Care Integration A Case Study at WVCH By Ruth Rogers Bauman Chairperson, WVCH CEO, ATRIO Health Plans.

Foundations for a Successful Patient-Centered ACO: Federal Law Background Jim Dearing, D.O., FACOFP, FAAFP Chief Medical Officer, Physician Network John.

PA 574: Health Systems Organization Session 5 – May 1, 2013.

Patient-Centered Medical Home.

Missouri’s Primary Care and CMHC Health Home Initiative

Patient Centered Medical Home What it means for Duffy Health Center Board Presentation September 10 th 2012.

American Association of Colleges of Pharmacy

Foundations for a Successful Patient-Centered ACO: First Steps Frank E. Belsito, DO, MMM and James J. Dearing, DO, FAAFP, FACOFP.

Health Care Reform: Where are the Pharmacists? Opportunities and Challenges for Pharmacists in Health Care Reform Anthony D. Rodgers CMS Deputy Administrator.

Delaware Health and Social Services NAMI Delaware Conference: January 24, 2013 Rita Landgraf, Secretary, Department of Health and Social Services ACA and.

Primary Care and Behavioral Health 2/4/2011 CIBHA.

Strategic Planning 2013 CMHSAS-SJC Board Description of a Good and Modern Addictions and Mental Health Services System Affordable Care Act  Patient.

Healthcare Reform The “Affordable Care Act” How Will It Affect Substance Abuse Care?

The Medical Home and Quality Improvement A. Chris Olson, MD, MHPA President Washington Chapter of Pediatrics Medical Director Sacred Heart Children’s Hospital.

Integrating Behavioral Health and Medical Health Care.

© Copyright, The Joint Commission Integration: Behavioral and Primary Physical Health Care FAADA/FCMHC August, 2013 Diana Murray, RN, MSN Regional Account.

Alaska’s Behavioral Health System Presentation to the Idaho Behavioral Health Transformation Workgroup March 24 th 2010 Bill Hogan Commissioner Commissioner.

The Center for Health Systems Transformation

Applying Science to Transform Lives TREATMENT RESEARCH INSTITUTE TRI science addiction Mady Chalk, Ph.D Treatment Research Institute CADPAAC Conference.

Bill Hogan, Commissioner Alaska Department of Health and Social Services.

Richard H. Dougherty, Ph.D. DMA Health Strategies Recovery Homes: Recovery and Health Homes under Health Care Reform 4/27/11.

Blueprint Integrated Pilot Programs A community system of health supported by HIT Craig Jones MD Director, Vermont Blueprint for Health

Blueprint Integrated Pilot Programs Building an Integrated System of Health Craig Jones, MD Blueprint Executive Director 10/30/20151.

Final Webinar: Reviewing the NCQA Submission Process NCQA Recognition for Patient-Centered Medical Home 2011 Standards © Qualidigm.

Section 1115 Waiver Implementation Plan Stakeholder Advisory Committee May 13, 2010.

Department of Vermont Health Access The Vermont Approach to Building an Integrated Health System Creating “Accountable Care Partners” Based on Shared Interests.

Integration of Hospitals and Primary Care. 2 About Providence Health Care Core Strategy: Creating healthier communities, together Achieving the Triple.

CCO OREGON ROUND TABLE HEALTH METRICS AND OUTCOMES AMIT SHAH, MD.

1115 Waiver Proposals California Children’s Services Program.

Los Angles LGBT Center Noah Kaplan MSW Alex Adame MSW.

By: Rebecca Cameron Amie Dennis Amy Everson Debborah Stokes.

1 Center Mission Statements SAMHSA ? CSAT Improving the Health of the Nation by Bringing Effective Alcohol and Drug Treatment to Every Community CMHS Caring.

Readmissions Driver Diagram OHA HEN 2.0. Readmissions AIMPrimary Drivers Secondary DriversChange Ideas Reduce Readmissions Identify patients at high-risk.

PATIENT CARE NETWORK OF OKLAHOMA (PCNOK) Oklahoma Healthcare Authority ABD Care Coordination RFI Response August 17, 2015.

General Assistance – Unemployable Experience in WA state July 2010.

Health Homes: SPA Application Process August 17, :00AM 1.

Central Valley Care Transitions Collaborative

Care Coordination Collaborative Change Package Visual February 21, 2014.

Welcome to Learning 2: Care Management October 2011 Connie Sixta, RN, PhD, MBA.

The Patient Centered Medical Home. Learning Objectives Identify the attributes of a patient centered medical home Describe some processes that facilitate.

Care Transitions in COPD and beyond

San Diego Housing Federation Conference

THIS NEW HOUSE HOW NORTHERN HEALTH STAFF AND PHYSICIANS ARE BUILDING PRIMARY CARE HOMES TO IMPROVE CARE BC QUALITY FORUM February 25, 2016 Dr. Garry.

A Foundation for Paul Grundy MD, MPH IBM Chief Medical Officer Director, Healthcare Transformation Healthcare Industry A Foundation.

Substance Abuse Treatment

Patient Centered Medical Home

BUILDING INTEGRATED HEALTH SERVICE DELIVERY NETWORKS

Geriatrics Curriculum to Model Characteristics of the

Alliance for Health Reform Briefing

Presentation transcript:

Rob Gaslin, Controller SAMC-Baker City Patient Centered Primary Care Home 02/18/2014

Baker City, Oregon SAHS Strategic Plan  Location – Frontier Designated  County Population – 16,210  Size – 3,068 sq miles  Interesting fact: Home to the largest pure gold nugget ever found

Saint Alphonsus Medical Center – Baker City SAHS Strategic Plan  Member of CHE/Trinity Health  Critical Access Hospital/RHC’s/Nursing Home  Owned Clinics EMR installed 7/2011 PCPCH certified 10/2012 and 6/2013  Under 2011 criteria  Reapplied for tier 3 status 2/14 under 2014 criteria

2011 to 2014 Application  Baker Clinic certified as PCPCH tier 2 under 2011 criteria  Baker Clinic reapplied as PCPCH tier 3 under 2014 criteria  Valley Medical Clinic certified as PCPCH tier 3 under 2011 criteria  2014 criteria add significant number of standards Longer application More opportunities

Scoring  Tier 1: points and all 10 must-pass measures  Tier 2: points and all 10 must-pass measures  Tier 3: 130 or more points and all 10 must-pass measures

PCPCH Core Attributes SAHS Strategic Plan  #1 Access to Care A. In-Person Access B. After Hours Access C. Telephone & Electronic Access D. Same Day Access E. Electronic Access F. Prescription Refills

PCPCH Core Attributes, cont. SAHS Strategic Plan  #2 Accountability A. Performance & Clinical Quality B. Public Reporting C. Patient and Family Involvement in Quality Improvement D. Quality Improvement E. Ambulatory Sensitive Utilization

PCPCH Core Attributes, cont. SAHS Strategic Plan  #3 Comprehensive Whole Person Care A. Preventative Services B. Medical Services C. Mental Health, Substance Abuse, & Developmental Services D. Comprehensive Health Assessment & Intervention E. Preventive Services Reminders

PCPCH Core Attributes, cont. SAHS Strategic Plan  #4 Continuity A. Personal Clinician Assigned B. Personal Clinician Continuity C. Organization of Clinical Information D. Clinical Information Exchange E. Specialized Care Setting Transitions F. Planning for Continuity G. Medication Reconciliation

PCPCH Core Attributes, cont. SAHS Strategic Plan  #5 Coordination & Integration A. Population Data Management B. Electronic Health Record C. Complex Care Coordination D. Test & Result Tracking E. Referral & Specialty Care Coordination F. End of Life Planning

PCPCH Core Attributes, cont. SAHS Strategic Plan  #6 Person & Family Centered Care A. Language/Cultural Interpretation B. Education & Self-Management Support C. Experience of Care D. Communication of Rights, Roles and Responsibilities

External Resources  The EOCCO has fully embraced the PCPCH as the foundation or cornerstone of frontier health transformation. EOCCO has been very quick to remove barriers to proper, cost-effective care  Baker County Complex Care Continuum Hospital, Clinics, Sherriff, Police, Mental Health Next step – expand model for Medicaid

Incentive Payment  PCPCH Tier 2  PCPCH Tier 3  EOCCO & Providence Health Plan

Effects

Questions? Thank you!