Transcript Health IT - Metro Solutions

SOUTH EAST MICHIGAN BEACON
COMMUNITY COLLABORATIVE
Advancing Quality Healthcare Through National, State and
Local Community Collaboration
Robert Jackson MD, MMM
Board Chair and President,
Southeastern Michigan Health Information Exchange
(SEMHIE)
“THE ONLY PEOPLE WHO CAN
CHANGE THE WORLD ARE PEOPLE
WHO WANT TO.
AND NOT EVERYBODY DOES.”
Hugh Macleod
The Concept of the Beacon Community
Improved
Quality &
Efficiency
Care
Delivery
Innovations
Provider
Feedback &
Measurement
Payment
Reform
HIT Foundation:
Meaningful Use of EHRs and HIE
3
The Ultimate Goal is Improved Health
Sustainable Health Outcomes:
Quality, Efficiency, Population
Health
Innovative Care Delivery
Processes and Payment Reform
Health IT: Electronic Health
Records and Information
Exchange
4
Achieving the National Beacon
Vision:
ONC Focuses on Five Domains
 Leadership & Stewardship
 HIT & Meaningful Use
 Clinical Transformation
 Data & Performance Measurement
 Sustainability and Payment Reform
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Achieving the National Beacon Vision:
31 Month Roadmap
Phase 1:
Program Launch
(September 2010-October
2010)
Phase 2:
Implementation
& Refinement
(October 2010Dec 2012)
Phase 3:
Evaluation &
Dissemination
(Jan 2013Mar 2013)
6
Dr. David Blumenthal Presents
Beacon Award To ‘Team Detroit’
“THE MOST DECISIVE ACTIONS OF
OUR LIFE - I MEAN THOSE THAT
ARE MOST LIKELY TO DECIDE THE
WHOLE COURSE OF OUR FUTURE ARE, MORE OFTEN THAN NOT,
UNCONSIDERED.”
Andre Gide
Team Detroit $16.2M Beacon Award
 Grant Awardee:
 SEMHA, the Southeast Michigan Health Association,
is the fiduciary for SEMHIE, the Southeast Michigan
Health Information Exchange
 Beacon Implementation:
 SEMHIE will implement Beacon through the
Southeast Michigan Beacon Community
Collaborative (SEMBCC)
 Beacon Funding:
 $16.2 Million from HITECH Act
 $27.8 Million non-federal funds (stakeholder in-kind
& cash)
Vision
 The Detroit area has a patient-centric
electronically connected system of care that
that emphasizes holistic care management,
where there are no barriers to the flow of
patient health information to the appropriate
care providers, are well-informed and actively
engaged in managing their health
Project Mission:
 The overarching purpose of our project is to
improve Diabetes Mellitus (DM) care and
associated outcomes while reducing costs. at the
place and time needed.
Strategy
 Guided by culturally oriented behavior
change models, we will do this by:
 Expanding interoperability and health information
exchange
 In our underserved and disadvantaged community
 To bring comprehensive and actionable clinical
information to providers.
Beacon Team Detroit:
Project Objectives
 Improve continuity, quality and safety of care
for underserved patients with chronic
diabetes in
 Detroit, Hamtramck, Highland Park, Dearborn
and Dearborn Heights, Michigan
 Diabetes has a very high prevalence among the
target population: 12.8 percent of adults, or
93,000 people.
Project Objectives
 Improve the quality and efficiency of diabetes
care and reduce cost
 Redesign patient care work processes
 Develop community-wide patient care
coordination
 Apply quality improvement and other change
management strategies
Team Detroit’s Technical Goals
 Make comprehensive patient information
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available at point of care
Leverage existing advanced technologies
Extend SEMHIE’s SSA architecture for Beacon
Increase technical interoperability among
providers
Include a broad spectrum of community health
care settings (health systems, emergency
departments, primary care physicians, FQHCs,
free-clinics)
The Beacon Community Project
Will Address
 Outcomes of healthcare in the U.S. are poor
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compared to most developed countries
Care process quality is sub-par; impacting
health outcomes
Care cost is very high and rising
Patient satisfaction is low
Clearly healthcare can perform better
Causes of Quality Issues
 Quality data is scattered and not in easily
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usable formats
Providers are paid for service utilization, not
quality results
Shortage of Primary care physicians
Costs of chronic care are prohibitive to many
patients
High number of un-/under-insured
Provider Incentives are
Misaligned
 Health payment is heavily weighted to volume
rather than quality of services.
 Each health plan is different.
 Different metrics
 Different weights
 Patients don’t have the information to judge
quality of care
“YESTERDAY IS GONE.
TOMORROW HAS NOT YET COME.
WE HAVE ONLY TODAY. LET US
BEGIN.”
Mother Teresa
How Will Beacon Impact Care?
 To help patients negotiate the transitions of
care smoothly
 An ER visit will trigger the navigator to help
the patient follow up with their PCP “home”.
 Patients will be assisted in these transitions
by these patient navigators.
 VODI has already used this model effectively;
we will expand and hope to enhance it.
Beacon Will Provide Care
Coordinators
 More clinical, a nurse; will facilitate the PCP
 For instance they will help the patient achieve
the care quality landmarks needed.
 Encourage compliance by educating and
actively engaging the patient on an ongoing
basis.
 Reducing perceived or actual barriers that
prevent a patient from optimal care.
Beacon Will Experiment
 With methods to more fully engage the
patient will messaging back and forth
 Likely will use cell phone technology as it is
somewhat ubiquitous
 We need to work with them on their terms to
engage.
 We will learn from the other 17 Beacon
communities and continually transform
“YOU MUST LEARN FROM THE
MISTAKES OF OTHERS. YOU
CAN'T POSSIBLY LIVE LONG
ENOUGH TO MAKE THEM ALL
YOURSELF.”
Sam Levenson
Next Steps for Beacon Team
Detroit
 Complete data evaluation baseline – Nov
2010
 Continue roll-out of SEMHIE’s SSA
architecture for Beacon
 Initiate provider assessments
 Engage additional core team participants
from key stakeholder groups for balance –
Join us!!
Summary
 Team Detroit will enhance the care of patients
with Diabetes Mellitus in these 5 cities
 Activate providers of healthcare and patients
 Support them with Patient Navigators for care
transitions
 Engage and Educate patients with Care
Coordinators
 Measure quality and improve it
 Support these efforts with Information
Technology.
Beacon Team Detroit Contacts
 Gary Petroni, SEMHA, Center for Population
Health Director; Fiduciary, Beacon Grant
[email protected]
 Robert Jackson, M.D., Chairman, SEMHIE;
Initial Beacon Executive Medical Director
[email protected]
 Helen Hill, Program Manager, Public-Private
Initiatives, SEMHIE; Initial Beacon Program
Director [email protected]
Major Stakeholders in SE
Michigan
Beacon Community Collaborative
 AFL-CIO Employer
Purchasing Coalition
 Ascension Health
 Beaumont Hospitals
 Blue Cross Blue Shield
of Michigan
 CareEvolution, Inc.
 CSC
 Detroit Medical Center
 Detroit Wayne County
Health Authority
 General Motors
 Greater Detroit Area
Health Council
 Health Alliance Plan
 Henry Ford Health
System
 HIMSS
 HIMSS IHE
 Joint Venture Hospital
Laboratories
Major Stakeholders in SE
Michigan
Beacon Community Collaborative
 Juvenile Diabetes
Research Foundation
 Internet2
 M-CEITA
 my1HIE
 Michigan Academy of
Family Practice
 Michigan Coalition of
HIT
 Michigan Department
of Community Health
 Michigan Department
of Technology,
Management and
Budget
 Michigan Health and
Hospitals Association
 Michigan Health
Information
Management
Association
Major Stakeholders in the SE Michigan
Beacon Community Collaborative
 MI-HIMSS
 Michigan Organization
of Diabetes Educators
 Michigan Primary Care
Association
 Michigan State Medical
Society/MSMS Connect
 Michigan State
University Institute for
Health Care Studies
 Molina Healthcare
 MPRO
 Oakland County Medical
Society
 Oakwood Healthcare
System
 Oakwood Primary Care
Physicians PC
 Object Management
Group
 Picis
 PRISM
Major Stakeholders in the SE Michigan
Beacon Community Collaborative
 Promia
 Southeastern Michigan
Health Association
 Southeast Michigan
Health Information
Exchange
 St. John Providence
Health System
 Summit Health Institute
for Research and
Education
 Thomson Reuters
 Trinity Health
 University Bank
 Visiting Nurse
Association of Southeast
Michigan
 Wayne County Medical
Society of Southeast
Michigan
 Wyandotte Independent
Physicians Association
 Voices of Detroit
Initiative
“LET US LIVE SO THAT WHEN
WE COME TO DIE EVEN THE
UNDERTAKER WILL BE SORRY.”
Mark Twain
Core Team Participants
Name
Organization
Title
Gary Petroni
SEMHA and Center for
Population Health
Executive Director
Rob Jackson, MD
Medical Director
Oakwood Primary
Care Physicians
Helen Hill
Henry Ford Health
System
Director IT
Consulting & HIE
Verniece Anthony
GDAHC
Executive Director
Leland Babitch, MD
Detroit Medical Center
VP and CMIO
Elizabeth Briody
PRISM
VP Cultural
Improvement
Lee Castiglioni
Trinity Health System
Senior Enterprise
Architect
Core Team Participants
Name
Organization
Title
Jean Chenoweth
Thomson Reuters
SVP Performance
Improvement and
Top 100 Hospitals
Terrisca Des Jardins
my1HIE
VP Strategic
Partnerships and
Initiatives
John Dodd
CSC
HHS Fellow
Mark Eisner
CTO
James Fisher
Object Management
Group (OMG)
CSC
Joe Fortuna, MD
PRISM
CEO
Partner
Core Team Participants
Name
Organization
Title
David Foster
Thomson Reuters
Chief Scientist,
Center for
Healthcare
Improvement
John Frownfelter, MD
Henry Ford Health
System
CMIO Inpatient
Services
Denise Holmes
Michigan State
University
Associate Dean;
Institute for Health
Care Studies
Adam Jablonowski
Wayne County Medical
Society
Executive Director
Vik Kheterpal
CareEvolution
Principal
Core Team Participants
Name
Organization
Title
Jeanette Klanow
St. John Providence
Health System
Director Application
Services
Laura Kolkman
Mosaica Partners
President
Steven Korzeniewski
MPRO
Director of Statistical
Analysis Resource
Group and Chief
Scientific Officer
Mike Kramer, MD
Trinity Health System
VP and CMIO
Donna LaGosh
Oakland County Medical
Society
Executive Director
Ken Lord
Object Management
Group (OMG)
Board Member
Core Team Participants
Name
Organization
Ben Louagie
MSMS CONNECT
Title
Executive Director
Rebecca Molesworth
ThomsonReuters
Program Manager
Charles Mundt
Michigan State University
IHCS Outreach
Specialist
Julie Moran
Trinity Health System
Trinity Information
Systems Division
Director of SE Mich
Katherine Oberst
Michigan State University
IHCS Research
Core Team Participants
Name
Organization
Title
Charlie O’Neill
Object Management
Group (OMG)
VP Engineering
Carole Pritchard
HFHS
OneIT Corporate
Director
Stephen Ranzini
University Bank
President and CEO
Devorah Rich
Greater Detroit Area
Health Council
Senior Program
Manager
Jackie Rosenblatt
MPRO
Director Quality
Improvement
Jack Shaw
Joint Venture Hospital
Laboratories
Executive Director
Core Team Participants
Name
Organization
Title
Lucille Smith
Voices of Detroit Initiative
Executive Director
Paula Smith
SVP and CIO
Oakwood Health
System
Mick Talley
University Bancorp
Independent
Director; Chair Audit
Committee
Nancy Walker
William Beaumont Hospital
Director Revenue
Cycle, Maternal Child
Health
Larry Yuhasz
Thomson Reuters
Director Strategy
and Business
Development
THANK YOU!
THE PEOPLE OF SEMHIE AND
TEAM DETROIT ARE EXCITED TO
SERVE THIS COMMUNITY