Presentation for CSRHA Annual Conference November 16,

 Co-facilitators:  Casie Parrish, M.P.A.,  Administrative Coordinator, WCN  Lyman Dennis, MBA, PhD, CPHIMS, HIMSS  Principal, Eldorado Consulting 2

 Survey Objectives  Survey Highlights  “Think Tank” Solutions – Attendees 1.Physician Recruitment & Retention 2.Preparing for P4P 3.Improving PCP/Specialty Care Communications  Summary and Next Steps 3

4 To identify the capacity of safety-net providers to take on newly insured patients according to standards set under the Affordable Care Act and to utilize that information to develop technical, educational and funding assistance programs.

 Kaiser Permanente Southern California Community Benefit  Kaiser Permanente National Community Benefit 5

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 Arizona Association of Community Health Centers  Great Basin Primary Care Association 7

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 Nevada ◦ 17 started and all completed survey  Arizona ◦ 11 started and 7 completed survey  California ◦ 29 started survey and 13 completed ◦ Nearly all were from rural communities 11

 Ability to take new patients into panel?  Yes responses: a % b % c % d % 12

Provider Ability to Increase Patient Load AZ85.7% NV93.8% CA93.3% Physical Office Capacity to Increase AZ100% NV87.5% CA100% 13

26.83% Not Ready23.08% Not Ready 14

Not Ready 9.76%Not Ready 0% 15

Not Ready 26.83%Not Ready 23.08% 16

 Recruitment and Retention of Clinicians  Improving Communications Between PCP’s, Specialists, Hospitals, etc.  Participating in Pay-for-Performance Programs 17

 Provider Recruitment & Retention 18 Degree of Challenge: Extreme33.33% Considerable41.67% Moderate16.67% Low 2.78% None 5.56%

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 How to see more patients with reduced$’s? 20

 *Better Care  *Better Health  *Lower Costs 21

EHR adoption Practice Manager 22

 Workflow Redesign for Increased Efficiency ◦ Reduces Cost  Panel Management for Patient Centered Access ◦ Provides Better Care  Population Care Management for Improved Health Outcomes ◦ Provides Better Health for the Community 23

 Improving Communications Between PCP, Specialists, Hospitals & Ancillary Providers 24

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 Real time data creates opportunity for shared decision making between provider and patient  According to an IOM report, uninformed patients spend 40cents per dollar more on unnecessary care and less-involved patients often demand unwarranted tests and treatment because they don’t know about varying risks and benefit 27

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 Convene in small groups – 5minutes 1. Assign a discussion leader 2. Assign a recorder 3. Assign a reporter  Identify challenges faced with your topic – 5 minutes  Identify innovations that are overcoming those challenges – 30 minutes  Chose one innovative practice to share with larger group – 10 minutes  Report back out at the end of 50 minutes 29

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 Summary of Break-out Reports  Next Steps 31

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 UCSF Practice Management Facilitation ◦ 2 scholarships available: No. and So. CA  Practice Based Research Opportunities ◦ Application of Predictive Analytics in PCP Office ◦ Colorectal FLU-FIT Best Practices Project ◦ Other topics being developed  Ongoing Peer Support and Networking  New CMO Boot Camp ◦ April 22, 2012 Las Vegas 33

 Survey Summary & Best Practices Resources Will be posted on WCN website   or contact  Charla Parker, MPA at (530)  Casie Parrish, MPA at (916) x3670   Lyman Dennis, MBA, PhD, CPHIMS, FHIMSS  34

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