1. GBMC HealthCare System
GBMC Has Built a Better System of Care for Patients, Employers and the Community
October 18, 2016
John B. Chessare MD
President and CEO
GBMC HealthCare System

2. The GBMC HealthCare System
Greater Baltimore Health Alliance (GBHA)
Private practicing physicians
Greater Baltimore Medical Associates (GBMA)
GBMC Medical Center
Gilchrist Hospice Care

3. 15 GBMC Advanced Primary Care Sites6 2 3 5

4. Our Vision Statement
In order for GBMC to maintain its status as a provider of the highest quality medical care to our community, in the context of an evolving national healthcare system, we must transform our philosophy and organizational structure, and develop a model system for delivering patient- centered care.
We define patient-centered care as care that manages the patient’s health effectively and efficiently while respecting the perspective and experience of the patient and the patient’s family. Continuity of care with a focus on prevention and ease of navigation through a full array of services will be the rule. Our professional staff will be able to say with confidence that the guidance and medical care they are providing mirrors what they would want for their own family.
We will create the organizational and economic infrastructure required to deliver evidence-based, patient-centered care and for holding ourselves accountable for that care. This new organization will be defined by collaboration and continuous improvement. Physicians will lead teams that will manage patient care.
We are moving into the future with renewed energy and increasing insight. We look forward to building relationships with both community-based and employed physicians that will form the foundation of the Greater Baltimore Health Alliance. We welcome all those who share our vision of health care as it is transformed to meet the needs of our community and nation in the 21st century.

5. Vision Phrase:
To every patient, every time, we will provide the care that we would want for our own loved ones.

6. What do we want for our own loved ones
What do we want for our own loved ones? The GBMC HealthCare Quadruple Aim
The Best Health Outcomes
The Best Care Experience
Lowest Cost (Least Waste)
With the Most Joy for those providing the care

7. A Model System of Patient-Centered Care
The Patient Centered Medical Home
15 practices using advanced primary care.
It’s not about the visit. It’s about a relationship of trust and accountability.
Access is critical: we open at 7AM and close at 7PM or later; we are open Saturday, Sunday and holidays.
Physicians work with nurse care managers and care coordinators to maximize health by using disease-state registries, CRISP, and care coordination and prevention.
The opposite of fragmented- poorly coordinated care!

8. So how are we doing?

9. Better Health Breast Cancer Screening
GBMA All
Num / Den 8,590 / 11,641
2015
2016

10. Colon Cancer Screening
Better Health
Colon Cancer Screening
New Goal: 70%
GBMA All
Num / Den 13,614 / 19,835
2015
2016

11. Better Health Poor Diabetes Control- Hgb A1c
GBMA All
Num / Den 1,371/4,786
2015
2016
* Note DM2 is an inverse measure

12. Better Health Diabetic Eye Exam
GBMA All
Num / Den 1,910 / 4,786
2015
2016

13. Better Health Obesity Screening & Follow-up
GBMA All
Num / Den 42,892 / 52,043
2015
2016

14. Better Health Tobacco Screening and Intervention
GBMA All
Num / Den 49,773/ 52,566
2015
2016
* Note: Changed to 24 month numerator in July 2016

15. Better Health Depression Screening & Intervention
Working with Sheppard Pratt to embed social workers
and Psychiatrists in all the practices!
GBMA All
Num / Den 33,683/ 48,137
2015
2016

16. Overall Satisfaction Score
Better Care
Overall Satisfaction Score
Higher is Better
85th National %tile
All My Sites

17. Convenience of our Office Hours
Better Care
Convenience of our Office Hours
Higher is Better
92nd National %tile
Hunt Valley-Saturday
All Primary Care Open Saturday
Sunday Hours
Open Holidays

18. Least Waste Medicare Total Cost Per Patient
Total Expenditures
GBHA – 7.12% Decrease (Δ $901)
ACO Cohort – 0.88% Increase (Δ $87)

19. Least Waste Medicare Hospitalization Rate
Hospital Discharges
GBHA – 27.98% Decrease (Δ 108) ACO Cohort – 11.39% Decrease (Δ 39)

20. Least Waste Medicare Emergency Department Visits
ED Visits
GBHA –11.30% Decrease (Δ 75)
ACO Cohort – 0.83% Increase (Δ 6)
Greater Baltimore Health Alliance

21. With More Joy
Capnography measures CO 2 output. Early indicator airway complications. RN led initiative. Provides continuous monitoring for patients to reduce risk of respiratory failure and airway death
The GBMC Team takes pride in improving health and the care
experience while reducing cost…it’s a joyful pursuit!

22. We are building a system of care for a better future for healthcare in our region
Do not doubt that a small group of thoughtful people could change the world. Indeed, it's the only thing that ever has.
Margaret Mead

23. Thank You!
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