Lou Diamond, MB, ChB, FACP Moderator President, Quality Healthcare Consultants Member, Forum Board of Directors

National Quality Forum Projects Presents a 5-part Webinar Series National Quality Forum Projects and how they align with ESRD Activities Friday, September 15, 2017

Webinar Objective The National Forum of ESRD Networks presents this 5-part webinar series providing members with the opportunity to learn more about past, current, and future NQF projects and how they may align with our ESRD activities. Nine (9) of the NQF projects will be highlighted in this webinar series. For a complete listing of the NQF projects visit: http://www.qualityforum.org/projectListing.aspx

5-Part Webinar Series July 21, 2017 Attributions: Principles and Approaches Project 2015-2016 Disparities Project August 4, 2017 Improving Diagnostic Quality & Safety All Cause Admissions and Re-Admissions August 18, 2017 Care Coordination Endorsement Maintenance Renal Measures Standing Committee September 1, 2017 Decision Aids Palliative & End-of-Life Care September 15, 2017 Population Health *Webinars convene at 12:00 pm ET

Population Health Presented by: Stephanie Hutchinson, MBA Victoria L. Cash, MBA, BSN, RN

Stephanie Hutchinson, MBA Victoria L. Cash, MBA, BSN, RN Today’s Presenters Stephanie Hutchinson, MBA Board Member, Forum of ESRD Networks Executive Director, HealthInsight Northwest Renal Network (#16) and HealthInsight ESRD Network 18 Seattle, WA Victoria L. Cash, MBA, BSN, RN Executive Director, IPRO ESRD Network of the Ohio River Valley (#9) Beachwood, OH

Population Health Population health has been defined as "health outcomes of a group of individuals, including the distribution of such outcomes within the group". It is an approach to health that aims to improve the health of an entire human population.

NQF Drivers Foster Healthier People and Communities Better Healthcare More Affordable Care

Background Population Health not limited to Healthcare Other contributors can include: Business Parents/Family Schools Consider financial Impact Population Health as it relates to ESRD

Project Outline Multi-stakeholder Committee 10 regional and community groups Created the “Action Guide” August 2016 with funding from the Department of Health and Human Services For Anyone: Community leader Public Health professional Employer Healthcare provider Health plan administrator Policymaker Consumer

Action Guide Framework for multisector groups to work together to improve population health Brief/written in plain language to help communities achieve shared goals Designed for accessibility and implementation Organized by 10 key elements

10 Key Elements Collaborative self-assessment Leadership across the region and within the organization Audience-specific strategic communication A community health needs assessment and asset mapping process An organizational planning and priority setting process An agreed upon prioritized set of Health Improvement Activities Selection and use of measures and performance targets Joint reporting on progress toward achieving intended results Indications of scalability A plan for sustainability

Using the Action Guide Purpose Provides concise steps to design Population Health project Shares useful tools that are research tested. Discusses successes and lessons learned . Focus on community.

Key Elements

Collaborator Assessment CDC Partnership Evaluation Guidebook Community Tool Box. Improving Community Health through Hospital-Public Health Collaboration

Leadership Leadership Across the Region - At a minimum, this should include representatives from public health, healthcare, and other key stakeholders who are strongly invested in the affected population. Reports to reference: Collective Impact Common Table Health Alliance

Each element is described: what it is why it is important Communication and Needs Assessment Elements 3 and 4 focus on creating audience specific communications, and assessing community needs. Each element is described: what it is why it is important and how it can be done with examples and references.

Organization and Priority Setting Common Criteria for Prioritizing Population Health Needs and Interventions

Elements 7, 8, and 9 Prioritized Set of Health Improvement Activities Priority topic or topics are identified through shared planning, assessment, and decision making. Measures and Performance Targets Public health measures exist through Institute of Medicine, 100 million healthier lives etc… ESRD measures will be more specific to population but can include important health measures for all ie smoking cessation Joint Reporting on progress Transparent, all stakeholders, timely, and easily accessible

Scalability Scalability – The ability to expand the initiative to other regions or groups. Assessed with project initiation, can expand with new discoveries through initiative Example – CMS State Innovation Models Initiative fosters testing and development of state-based models for improving health system performance through multi-payer payment reform and other system changes.

Sustainability Sustainability – The ability to stay productive over time. The ability to motivate structural changes can increase the likelihood that you will sustain the gains you make Georgia Health Policy Center Sustainability Framework - Identifies components that contribute to organizational and programmatic sustainability.

Following the checklist is helpful to structure your approach. Conclusion The NQF Action Guide – Is a valuable resource to assist the Networks in ESRD Population Health project planning. Tools and resources provided can be adapted to fit our specific population. Following the checklist is helpful to structure your approach. Using tested methods and resources could add to your success

Population Health Framework Resources Population Health Framework http://www.qualityforum.org/Population_Health_Framework/

5-Part Webinar Series July 21, 2017 Attributions: Principles and Approaches Project 2015-2016 Disparities Project August 4, 2017 Improving Diagnostic Quality & Safety All Cause Admissions and Re-Admissions August 18, 2017 Care Coordination Endorsement Maintenance Renal Measures Standing Committee September 1, 2017 Decision Aids Palliative & End-of-Life Care September 15, 2017 Population Health *Webinars convene at 12:00 pm ET

Thank you for attending Forward your comments and questions to Dee LeDuc at: forumcoord@centurytel.net Recording, slides and supporting documents will be available at the Forum website: http://esrdnetworks.org/education Thank you for attending