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

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

15 GBMC Advanced Primary Care Sites 6 2 3 5

Our Vision Statement 2011-2016 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.

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

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

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!

So how are we doing?

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

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

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

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

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

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

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

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

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

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

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

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

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!

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

Thank You! For more information: www.gbmc.org