Transcript The Future of School-based Health Centers: Are we prepared?

Larry Wolk, MD MSPH
Executive Director
Colorado Department of Public Health and Environment
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State of Colorado/CDPHE strategy
ACA
Delivery System Reform
Payment System Reform
Technology advancement
Colorado-specific opportunities
Affordable Care
Act
Winnable Battles
Medicaid
Accountable
Care
Collaborative
The State of
Health
Foundation
Initiatives &
Collective
Impact
Safe and Clean
Food, Water, Air
Full report:
www.colorado.gov/stateofhealth
Integrated Care
(State
Innovation
Models Funding
Initiative)
And many
more…
Full report: www.colorado.gov/stateofhealth
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State of Colorado/CDPHE strategy
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Elegant, Efficient, Effective
Public Health in the context of the ACA
Promote technology
Evidence-based education and information
“Simply Health”
 State of Health
 Foundations
 Winnable Battles
CDPHE funds 15 primary contractors with 47
centers operating statewide.
In FY2012-13, nearly 22,000 children and
youth were served by our school-based
health centers partners.
Thank you and congratulations on job well
done!
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SBHC Legislative Intent:
To provide access to primary,
behavioral and dental health care for low-income, uninsured
or under-insured, high-risk children and youth through
school-based health centers.
SBHC Program Priorities: Quality through the Standards and
Clinical Outcomes; Quantity by increasing the number SBHCs,
the number of persons served and the services offered;
Sustainability through local infrastructure development such
as data and records systems, billing systems, and clinic
build-outs; and Partnerships through active involvement by
local SBHC staff and stakeholders such as through advisory
committee participation and application reviews.
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Quality of care by providing funds for highly qualified primary care,
behavioral health and dental care providers; by funding training and
technical assistance to help SBHC sites meet the SBHC Quality Standards.
Quantity by investing in existing SBHC centers to continue or expand their
services and to serve more children and youth, and by providing funds for
emerging and newly operational sites.
Sustainability by investing in the infrastructure of SBHCs, including patient
enrollment in Medicaid and CHP+, enhancements to physical space, and
data and billing systems to capture health service information and to
generate program revenue through Medicaid and private insurance billing.
Partnerships by funding key partners, such as CASBHC for events such as
this annual conference, and others to provide quality training on important
topics related to SBHC care.
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ACA (life after capital)
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Similar to LPHAs providing direct services
Insurance eligibility
Insurance enrollment
Provider enrollment
Billing and encounter submission
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Delivery System Reform
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Medical home
Integrated primary/behavioral healthcare (SIM)
Dental
Relevant metrics (HEDIS, “stars”)
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Payment system reform
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Medicare “bump”
Care management, care navigation
Episodes of care
Medicare pilots (inclusive, outcomes, severity)
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Technology advancement
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EHRs/Meaningful Use
HIE/Meaningful Use
APCD
Public Health and disease-specific registries
Telehealth
Project ECHO
Measurement
2011
2012
2013
2014 YTD
# Hospitals Live
# EHR Practices Live*
# LTPAC Facilities Live
# Behavioral Health
Facilities Live
# Office-Based Providers
Live
# Hospital/ED Providers
Live
# Users Live
# Messages in to the HIE
# Messages out to Providers
# Unique Patients in the
HIE
# Queries
3
1
0
27
13
23
31
65
117
33
83
123
0
2
17
24
4
291
1102
1416
0
0
82
244
11
2,399,531
1,606
880
2758
4076
37,437,951 102,416,456 133,819,480
100,522
1,054,960 1,687,295
129,096
1,321,416
2,651,384
3,449,784
26,100
294,987
1,541,045
1,985,688
*23 Integrated EHRs: Athena, Allscripts MyWay, Allscripts Pro, Amazing Charts, Aprima, eMDs, eCW, GE Centricity, Greenway,
HealthFusion, HealthTronics, McKesson Lytec/Axession, McKesson MediSoft, McKesson Practice Partner,
ModuleMD, NetSmart, NextGen, QHMS, Red Planet, Sevocity, SRS, Vitera, CoCentrix (UNI/CARE)
© 2010 Colorado Regional Health Information Organization
(CORHIO) - All Rights Reserved
CORHIO Proprietary - Not For Redistribution
Live
# Office Providers Live: 1416
# Hospital Providers Live: 244
83 EHR practices representing
763
providers
Behavior Health:
24 facilities/118 providers
48 LTPAC orgs/123 facilities
3 Labs: CLS, LabCorp, Quest
33 Hospitals/Systems:
BCH, SLVRMC, Centura, LUH,
PVHS, Parkview, Memorial,
Banner, Children’s, UCH, Craig,
HCA (Rose), Evans, Rio Grande
CDPHE NB Screening Results
Delivery, ELR, Immunizations
QHN Integration
Interstate/HISP: KHIN, Surescripts
9Health Fair
3,449,784 Unique Patients
133,819,480 Messages
In Development
In Queue
#Providers in Development: 543
EHR Practices:
22 practices/359
providers
LTPAC: 2 organizations/2
facilities
7 Hospitals/Systems:
Denver Health, Pagosa Springs,
HealthONE, Exempla, Estes Park,
Evans, Rio Grande
1 Regional Lab: Schryver
Behavioral Health: 2
Organizations
CDPHE: Immunizations, ELR
CDC: Syndromic Surveillance
Payer: Colorado Access
ACO: PHP
HISP: Montana
Other: Kaiser Permanente
Providers:
Ready: 34 practices/56
providers
Other: 39 practices/252
providers
4 Hospitals/Systems: Southwest
Memorial, Animas Surgical, Mt.
San Rafael, Conejos
1 Regional Lab:
Cedar Diagnostics
Behavioral Health: 1
Organization
LTPAC: 8 organization/11
facilities
Public Health:
Cancer Registry
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Marijuana (medical, retail, minors)
10 Winnable Battles
General Fund
Environmental Health
◦ Fracking
◦ Radon
◦ Water
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Contact:
Larry Wolk, MD MSPH
◦ [email protected]
◦ 303-692-2012