Value-Driven Health Care MICHIGAN PURCHASERS HEALTH ALLIANCE September 20, 2007.

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Presentation transcript:

Value-Driven Health Care MICHIGAN PURCHASERS HEALTH ALLIANCE September 20, 2007

Value-Driven Health Care August, Executive Order HHS- Four Cornerstones: –Quality Transparency –Price Transparency –Use of HIT –Incentives

WHY? Double Digit Increases By 2013 the percent of GNP Spent on Healthcare Will Double (Tommy Thompson, 2005) Increases in Uninsured Variation in Clinical Outcomes Consumer Demands Government Programs Paying Less Malpractice/litigation Mind-set

STATE OF US HEALTH SYSTEM Safety-Tens of thousands die due to medical errors (IOM, 99) Effectiveness-50/50 chance of receiving appropriate care (McGlynn, 03) Unexplained Medical Practice Variation-Supply induced demand (Wennberg, 1973-present ) Administrative Waste and Absence of HIT Uninsured-Over 40,000,000 people (IOM, 03) $420 Billion spent/yr as direct result of poor quality (MBGH, 03)

STRATEGY FOR SUCCESS Collaboration of all parties: Employers-Public and Private Physicians Health Systems Health Plans Pharmaceutical Companies Consumers

COMMON GOALS Embrace Healthy Lifestyles Evidenced-based care Patient centered, safe, appropriate care Patient Self Management of Health & Disease Achieve Expected Outcomes Increased Clinical and Administrative Efficiencies Patient and Physician Satisfaction Tort Reform

FOCUS Technology Health Promotion and Disease Prevention Control of Chronic Disease Collaborations

TECHNOLOGY Patient-centered and Participative Data Collection-outcomes, process, price Analysis & Reports Whole Episode of Care Speed and Accuracy Predictive Modeling Interoperability

HEALTH PROMOTION & DISEASE PREVENTION Obesity Immunizations Substance Abuse (tobacco, drugs, alcohol) Exercise Nutrition Stress Violence

CONTROL OF CHRONIC DISEASES Hypertension Diabetes CAD Asthma Pain Management Co-morbidities Depression High Risk Pregnancy

COLLABORATIONS Community and Region Community evidence-based standards Community educational materials for Providers and Patients Multi-plan reporting systems for comparisons regional/national Disease registries

FUTURE Transparency Health Coaches Automated Physician and Patient reminders (screenings, immunizations) Electronic Health Record/Personal Health Record Incentives-P4P –Physicians-process & outcomes –Patients-compliance & improvement

THE FUTURE Your Invitation to participate!

SEE YOU THERE!

MICHIGAN PURCHASERS HEALTH ALLIANCE Marilyn H. Bell Executive Director