Organizational Strategies for Engaging Providers ACORN Meeting – Salt Lake City, UT February 6, 2009

Why Isn’t Outcomes Informed Care a Routine Practice? Threatens clinician autonomy Doubts about its validity and utility  “My outcomes really can’t be measured.”  “I know how my patients are doing.” You get what you pay for Not mandated Multiplicity of tools and approaches EBP Myth: Good Practices = Good Results

Current Strategies to Promote OIC Encourage Use:  Education and promote benefits  Appeal to clinician’s ego and self-interest  Profiles and reports Offer Incentives:  Recognition and preferential status  Eligibility for higher rate structure, or increases Require:  Integrate as part of administrative processes

How well is it working? (IMHO) Encouragement: 10-35% participation  Upper end possible for organizations with significant market presence Most incentive strategies, short of direct financial rewards: up to 50% Requirement (short of withholding claims payments): up to 70%

Where do we go from here? Find ways to lower the barriers  Integrate into administrative processes/systems  Collaboration across manage care systems Develop stronger incentives  Financial rewards, free CEUs, etc. Broaden the range of voices calling for it  Academia, professional associations, government  Develop patient awareness and expectation

Roundtable Discussion: The Future of ACORN ACORN Meeting – Salt Lake City, UT February 6, 2009

Stone Soup or Tragedy of the Commons? Stone Soup: Combined efforts result in better product (also cheaper)  Flexibility for organization choose their level of involvement The “Tragedy”: Each individuals interest is to contribute minimum and extract maximum, but this ultimately destroys the “commons”  Regulatory and/or economic structure required  Other issues: intellectual property, competitor collaboration

Areas for Collaboration Development of assessment technology  New tools, analysis of existing instruments  Interchangeable assessments  Benchmarks  Computerized Adaptive Tests Provider Engagement  Relationships with professional associations  Training opportunities  Identification of effective providers

Questions for ACORN Members How to ensure equitable funding? How to overcome intellectual property concerns? How to address organizational concerns about collaboration among competitors?