2017 Patient Navigation Best Practices

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Presentation transcript:

2017 Patient Navigation Best Practices 10/13/2017 OHOS Meeting

2016 Company Profile Multi-Specialty Group Practice 14 Practice Locations: 4 Urology Offices 1 Radiation Oncology Office 1 Medical Oncology Office 1 Pathology Office 1 Business Office 6 Comprehensive Cancer Centers Advanced Prostate Cancer Clinic Urology Clinical Research Radiation Dayton Physicians Network Hem/Onc Pharmacy 45 Physicians and Mid Level Providers 325 Employees 35,769 Individual Patients 229,842 Patient Visits 457,272 Phone Calls Imaging Pathology How successful we have been Large healthcare provider in the region

Focus on Quality and Innovation CoC and NCQA Accredited Oncology Medical Home United Health Care, Episode Fee Payment Anthem Quality Care Program Participant Aetna OMH Pilot Program Participant National Radiation Oncology Registry CMMI Oncology Care Model ACR Accreditation ACHC Specialty Pharmacy and Oncology Accreditation

PATIENT NAVIGATION CONCEPTS Oncology Patient 1. Best Practices Care: Triage, Diagnostic & Therapeutic Pathways 2. Electronic Health Records – to share/track real-time patient information; monitor quality 3. Team-Based Care: Med/Rad Onc, Diag Radiology, NPs, RNs, LPNs, Pharmacists, Med Techs, Care Coordinators, first responders – working as team to keep patients in OP setting and out of ER and hospital 4. Active Disease Management: Patient Education, patient/provider web portal 5. Enhanced Access: 24/7 Triage Line with “first responders” (8-6) and On-Call Providers (6-8) Come Home stands for Community Oncology Medical Home 7 pillars supported the Oncology patient Standardizing process across 7 practices – like a clinical trial Currently at 1 office centrally located - GDCC #2 – Robust #3 - Multi-disciplinary #4 – Focus on patient education #6 – On-site services #7 - Provides infra-structure #7 - Payer involvement is key 6. Enhanced Care: On- or near-site lab, imaging, pharmacy 7. Financial Support for Medical Home Services

Enhanced Partnerships Fidelity Health Care Oncology Specific trained staff Medication teaching/safety/nutrition/social work Ohio’s Hospice / Innovative Care Solutions Increased communication with DPN after hours Support Care in our office Premier Health Oncology Service Line collaboration Oncology admissions not profitable/re-admissions penalty Development of OMH has led to ……….. Right care, right time, right setting Patients who are in need of more care than outside DPN Dedicated time on site in offices – also after hours communication Hospitals do not want admissions either – In their best interests to keep out also Started Palliative Care Program

Questions?