Transcript Vision for southeast Michigan

Partnering with Affordable Care
Organizations
Vernice Davis Anthony
Greater Detroit Area Health Council
President and CEO
October 13, 2011
Vision for southeast Michigan
• Healthy people, healthy economy
GDAHC Mission
• Uniting and leveraging stakeholders to drive
collaborative improvements in healthcare quality, cost
effectiveness and access to care across southeast
Michigan
GDAHC Accomplishments
• myCareCompare.org, publicly reports the quality of care provided by area
hospitals more than 80 percent of the area’s general practitioners—in areas
like diabetes care, cancer screenings, pediatric care, asthma care and use of
generic medications.
• significant improvements in the areas of diabetes management, cancer
screenings and appropriate use of antibiotics in children have resulted.
• Early results from our Emergency Department Utilization pilot show reduced
emergency room visits for patients who could be treated in a primary care
setting.
• Early results from our worksite diabetes self-management program show
success in blood sugar control, weight management and lifestyle changes.
• Our Cardiac Initiatives Team is working to reduce hospital readmissions and
emergency department use related to heart disease, reducing the risk of
inappropriate or unnecessary services and prevention of heart disease.
Detroit at a Glimpse
• 1,7 million Michigan residents lack access to primary
care
• 1.2 million (12.3%) Michigan residents are age 65 or
older
• 8.7% are near seniors (age 55-64)
• By 2014, health reform will add almost 4 million
physician office visits, 800,000 new medical enrollee
and 635,000 newly insured in Michigan
Network for Regional Healthcare
Improvement (NHRI)
• National membership organization for
Regional Health Improvement
Collaboratives
• Many NHRI members are also Chartered
Value Exchanges designated by HHS and
AHRQ
Prime Time for Collaboration
CMS
ACO
RHIC
NHRI
Partnerships with Community
Stakeholders
• Endorse requiring partnerships with
community stakeholders to advance triple
aim
• RHICs are already engaged in
• Performance Measurement
• Payment & Delivery System Reform
• Training & Assistance in Performance
Measurement
• Consumer Engagement & Education
NHRI Recommendations to CMS
(highlights)
• Require collaboration with RHICs
• Fund RHICs to educate Medicare
beneficiaries
• Encourage community-wide patient
experiences surveys conducted by RHICs
NHRI Recommendations to CMS
(highlights)
• Draw on expertise of RHICs in collecting and
reporting patient experience
• Expand quality measures to include all
patients
• Provide Medicare claims data for
beneficiaries within the community
Don’t re-invent the wheel…
Don’t re-invent the wheel….
enhance what already exists!