Right Care Initiative University of Best Practices Jerry Penso, MD, MBA February 7, 2011

Jerry’s Two Goals for Today 1.Provide value so you want to come back 2.Enlist volunteers for UBP Committee

What is the Right Care Initiative? Goal: Reduce morbidity and mortality among California’s 15 million commercial managed care enrollees Focus Areas: 1. Cardiovascular disease 2. Diabetes 3. Hospital acquired infections

Right Care Goals for San Diego 70% of hypertensive patients with blood pressure <140/90 mmHg 70% of patients with cardiovascular conditions with LDL-C<100 mg/dL 81% of diabetic patients with HbA1c < 9 52% of diabetic patients with LDL-C<100 mg/dL

Who is the Right Care Initiative? Technical Expert Steering Committee Chair and Vice Chair Stephen Shortell, PhD, MPH, Professor and Dean, University of California, Berkeley, School of Public Health Carol Mangione, MD, MSPH, Professor of Medicine and Public Health, University of California, Los Angeles, Schools of Medicine and Public Health Cardiovascular Disease and Diabetes Principal Investigators Carol Mangione, MD, MSPH, Professor of Medicine and Public Health, University of California, Los Angeles, Schools of Medicine and Public Health Allen Fremont, MD, PhD, RAND, Director, Action Consortium to Accelerate Change, Practicing Physician, Department of Veterans Affairs CA Dept. of Managed Health Care Hattie Rees Hanley, MPP, Right Care Initiative Project Director and UC Berkeley School of Public Health, Dean’s Office Funding Over 4 million dollars have been raised from the following funders: Johnson & Johnson, Blue Shield of California Foundation (HAI), Novartis, The California Health Care Foundation,the National Heart, Lung and Blood Institute (National Institutes of Health), the California Office of the Patient Advocate.

Diabetes LDL-C<100 mg/dL California Health PlanResult Kaiser Foundation Health Plan – No CA66.42 Kaiser Foundation Health Plan – So CA62.57 Health Net54.50 PacifiCare of CA50.94 Blue Shield of CA49.64 CIGNA Health Care of CA49.64 Western Helath Advnatage47.81 Anthem Blue Cross47.81 Aetna of CA45.95 HEDIS 90 th Percentile HEDIS 90 th Percentile 54.95

San Diego Medical Groups Heart Disease LDL-C<100mg/dL San Diego Medical Groups Heart Disease LDL-C<100mg/dL

Today’s Agenda 12:30-12:50 – Welcome Jerry Penso Anthony DeMaria 12:50-1:20 - Jim Dunford "How Can San Diego EMS the AHA Help You Save Lives and Money” 1:20-1:50 - Ted Chan, Anapum Goel “Beacon Grant Context” 1:50-2:20 – Table Exercise (What is your organization’s top challenge in meeting the heart and stroke goals of RCI?) 2:20-2:30 – Summarize and next steps Jerry Penso