Collaborating with your Community

Slides:



Advertisements
Similar presentations
©2011 Walgreen Co. All rights reserved. Georgia Hospital Association Reducing Readmission Learning Collaborative November 7, 2012.
Advertisements

Collaboration Between a Health Plan and a Community Health System to Improve Care Coordination for a Medicaid Population Karen Michael, RN, MSN, MBA Vice.
A Model to Reduce Acute Care Readmissions Susan Weber, RN Chief Nursing Officer Angela Venditte, LPN, CMCO Assurance HealthCare.
CARE MANAGEMENT SOLUTIONS Case Management Utilization Management Disease Management Population Management Prevention Programs Wellness Programs Data Analytics.
The Big Puzzle Evolving the Continuum of Care. Agenda Goal Pre Acute Care Intra Hospital Care Post Hospital Care Grading the Value of Post Acute Providers.
Memorial Hermann Healthcare System Clinical Integration & Disease Management Dan Wolterman April 15, 2010.
Address Readmission Rate Robust inpatient management but need for streamlined community navigation HF patients have been using the ED as primary care.
Copyright ©2011 Georgia Hospital Association FLEX GRANT Kathy McGowan Vice President, Quality & Safety Samantha Dulworth Technical & Customer Specialist.
Community Paramedic. Benchmark 101 We need a description of the epidemiology of the medical conditions targeted by the community paramedicine program.
WELCOME !. ABOUT PCNA PCNA is the leading nursing organization dedicated to preventing cardiovascular disease through assessing risk, facilitating lifestyle.
The Center for Health Systems Transformation
Managing Advanced Illness to Advance Care Executive Briefing - AHA Annual Meeting Tuesday, April 30, :45am – 12:15pm © 2012 American Hospital Association.
Nicheprogram.org NICHE Nurses Improving Care for Healthsystem Elders An Introduction to NICHE © 2015 NICHE All Rights Reserved.
ACMA Mission ACMA Mission: To be THE association for Hospital / Health System Case Management professionals.
Population Health Janet Appel, RN, MSN Director of Informatics and Population Health.
Community Paramedic Payment Reform December 2 nd,2015 Terrace Mall- North Memorial.
Transforming Clinical Practice Initiative (TCPI) An Overview Connie K
Quality Improvement and Care Transitions in a Medical Home Maryland Learning Collaborative May 21, 2014 Stephanie Garrity, M.S., Cecil County Health Officer.
HOUSTON METHODIST POPULATION HEALTH MANAGEMENT
EHealth Initiative Business and Clinical Motivator Work Group January 21, :00 p.m. EDT.
“My Life, My Health” The Stanford University Chronic Disease Self-Management Program.
[Your Facility Name] is now a member of Passport to IHI Training!
Kent CHAP History Health Net of West Michigan. Kent CHAP History Health Net of West Michigan.
Changing Nature of Managed Care Organization-Provider Relationships
DSRIP LPDS CHF PROJECT.
Welcome to ACMA as new members or members looking to better understand the benefits of your ACMA membership. We thank you for your support and look forward.
Welcome! Microsoft Dynamics gp user Group (Gpug)
A national stakeholder roundtable
[Your Facility Name] is now a member of Passport to IHI Training!
Welcome! Enhancing the Care Team May 25, 2017
Transitions of Care Progress Report
Welcome Welcome to the {Chapter Name} PCNA Chapter Meeting!
Mary McDonough RN Jeff Aalberg MD October 28, 2006 NESTFM
SKAL International USA
CTC Clinical Strategy and Cost Committee
Primary Care Expansion Enhance Urgent Medical Advice
MEETING WILL BEGIN SHORTLY
Champlain LHIN Collaboration
Welcome!! Welcome to the {Chapter Name} PCNA Chapter Meeting!
Telehealth’s value to health systems June 2017.
Welcome to Home State Health
Welcome Michigan Rural Health Clinic Network (MRHCN)
Using the SafeMed model for transitions of care approach
Housekeeping Please DO NOT place your phone on “HOLD”
April 27, 2018 UMC Neighborhood Health Clinic El Paso, Texas
The largest cardiovascular peer-to-peer support network in the world
The largest cardiovascular peer-to-peer support network in the world
The largest cardiovascular peer-to-peer support network in the world
Delivery System Reform Incentive Payment (DSRIP) Collaboration
Nexus Montgomery Regional Partnership
St. Mary’s General Hospital Orientation
Successes & Challenges
Founding Sponsor.
Resources & Support for Chapters and Members
The Power of Peer Support
Resources & Support for Chapters and Members
Community Step Up Program
& RHP 15 Collaboration.
Using the SafeMed model for transitions of care approach
NJMGMA GENERAL MEMBERSHIP
Department of Health LIP Request
Welcome! Microsoft Dynamics gp user Group (Gpug)
The largest cardiovascular peer-to-peer support network in the world
Service to the Armed Forces
Harvard Pilgrim Quality Programs
Onboarding Information
TRS-ActiveCare Lifting your spirit SUMMER ENROLLMENT
The Power of Peer Support
9/13/2019 Raising a Ruckus HP template.
Great.
Presentation transcript:

Collaborating with your Community April 11, 2018 Collaborating with your Community Webinar #2

Agenda Time Topic Presenter 12:00 pm Welcome and Introductions Dr. Ty Gluckman   Involving your Community 12:05 pm Scott & White Emergency Medical Services: Mobile Integrated Health Julian Longoria, LP, CCP-C, FP-C Mobile Integrated Health Scott & White Emergency Medical Services 12:25 pm Q&A All 12:35 pm Mended Hearts Support for heart patients and their families Millie Henn National Executive Vice President 12:50 pm 12:55 pm Wrap-up and Next Steps

Mobile Integrated Healthcare 2.0

State of the Program 3 CPs – M-F 8a-5p “Program Capacity” = 15-20 80% Success Rate – 20% Readmission Rate 130 Total Patients Enrolled (104 Successful Enrollments) $1.1M in cost avoidance (SWMC-Temple Business Office) 99% Patient Satisfaction (Press-Ganey Survey)

MIH – Community Paramedics 2.0 24/7 Operation Fault Tolerant Never “out of service” MIH Operations Clinical Finances Flexibility ANY Clinical Population (not just CHF) OLMC Telemedicine Reduce Cost of Operations (To date $1.1M) Flexible Deployment Match Supply & Demand Operational workflows that allow for constant change

MIH - Network RN Case Management OLMC Inpatient MDs Telemedicine Specialty Clinics/MDs OLMC Telemedicine LCSW/CTCTP Coaches Outpatient Clinics

Reimagine Outpatient Care Unavoidable Readmission Emergency Room Specialty Clinic CTCTP/ LCSWs / Clinic PCP OLMC / Telemedicine Paramedic Home Visits

What are the benefits of MIH 2.0? More patients = bigger impact on readmissions From CHF focused to All Cause – All Payer Increased population health Increased patient satisfaction Community education Home Visits – Community Paramedics Hosp. ED Savings All-Cause Admission Savings Total Expenditure Savings Hospital Decrease ED visits Increase PCP Utilization Decreased Total Cost of Care to Patient Clinic Infrastructure

Questions?

Making a Difference in Patients’ Lives

About Millie Henn Mended Hearts Chapter 12 Temple, TX Visiting Chair National Exec. Vice President Heart patient Family history of CVD Patient advocate Certified patient visitor

About Mended Hearts Founded 1951 Dr. Dwight Harken & 4 patients in Boston Nonprofit 501(c)3 organization 300 Community-based Chapters 20,000 Members – patients & families 460 Hospitals 200,000 Visits annually to patients & caregivers

Mended Hearts Mission “Inspiring hope and improving the quality of life for heart patients and their families through ongoing peer-to-peer support” Motto: “It is great to be alive – and to help others!”

Mended Hearts Objectives Visit & support patients/caregivers/families Offer ongoing education and regular programs Promote community outreach and awareness Assist medical professionals by improving outcomes through peer-to-peer connections

MH Accredited Visitor Training Creates a core knowledge… HIPAA, hospital protocols Provides consistent standards Builds confidence Promotes compassion for patients

Patient Visiting Program Goals Support all types of heart patients Provide favorable impact on hospital experience Provide encouragement from person with similar experience Deliver helpful education about medical condition Assist HCPs to improve health outcomes

Patient Visiting Program Encourage healthy lifestyle, diet and exercise Encourage cardiac rehab Encourage medication adherence Participate in patient discharge activities

Mended Hearts Patient Resources 11/13/2018 Mended Hearts Patient Resources HeartGuide education English & Spanish Print & digital Mobile app – Apple & Android GoToGuides & online tools Heartbeat magazine HP template

Patient Follow Up With patients’ permission: 11/13/2018 Patient Follow Up With patients’ permission: Contact patient after home Send chapter newsletters Invite to monthly chapter educational program Mended Hearts is a venerable organization with many strong assets. HP template

Eight Regions Here’s a look at how the Regions are geographically organized. We are divided into 8 regions.

“It’s great to be alive – and to help others!” Questions & Answers www.mendedhearts.org 1-888-HEART-99 “It’s great to be alive – and to help others!”

Upcoming Webinars Webinar 3: Wednesday, June 20th from 12-1 pm EDT Webinar 4: Thursday, November 29th from 12-1 pm EST

Learning Network - Listserv Join the Patient Navigator Community: patientnavigatorfocusmi@lists.acc.org

Questions? Please submit your questions for the moderated question and answer session.