1. UnityPoint Health – Berryhill Integrated Healthcare Services
11/16/2018
UnityPoint Health – Berryhill Integrated Healthcare Services
NAMI of Iowa Conference
Aaron
November 16, 2018

2. About the Presenters Aaron McHone, MBA
11/16/2018
About the Presenters
Aaron McHone, MBA
Master degree in Business Admin from Iowa State University
Executive Director of UnityPoint Health-Berryhill Center
ACO Executive Sponsor for UnityPoint Health – Fort Dodge
Senior Leader of UnityPoint Health –Fort Dodge
Father of 3; Husband of 1
Aaron

3. Why I got into Healthcare
11/16/2018
Why I got into Healthcare

4. Agenda Introduce UnityPoint Health and UnityPoint Health-Berryhill
11/16/2018
Agenda
Introduce UnityPoint Health and UnityPoint Health-Berryhill
Define Value Based Care Models (ACO)
Discuss the impact Value Based Care models have on individuals with severe mental illness.
Q & A
Aaron and Kari

5. 11/16/2018
Aaron

6. Value Based Contracting Medicare Advantage
11/16/2018
Strategy:
Use our network to provide exceptional care delivery in an efficient manor.
Payor Strategy:
Value Based Contracting
Medicare Advantage
Large Employer Health Insurance
Aaron

7. Definition of Value Based Care and Accountable Care Organization (ACO)
11/16/2018
Definition of Value Based Care and Accountable Care Organization (ACO)
Aaron

8. Value Based Care Payment Model
11/16/2018
Value Based Care Payment Model
Aaron

9. 11/16/2018

10. ACO Performance 11/16/2018 Aaron

11. ACO vs. Fee for Service MCO Contract
11/16/2018
ACO vs. Fee for Service MCO Contract
Similarities:
Both “Manage the Care of Beneficiaries”
Both involve utilization targets
Both seek to lower health care claim costs
Managed Care Organizations:
Top down approach
Competition among healthcare providers
Designed to remove revenue from healthcare providers
Accountable Care Organizations:
Bottom up approach
Teamwork among healthcare providers
Designed to remove internal cost from healthcare providers
Aaron

12. 11/16/2018
Aaron
Data published by Medicaid and CHIP Payment and Access Commission (MACPAC) Study published in 2015 (Data from 2011 Medicaid data)

13. We spend less on mental health treatment than we do for treatment of other chronic conditions.
Mental health inflation is lower than that of other healthcare conditions

14. 11/16/2018
The National Association of State Mental Health Program Directors studied comorbid health conditions for patients with behavioral health conditions (2006)
Integrative Psychiatry also conducted a study to show the average years of life lost for various diseases and behaviors. As you can see Major Mental Illness results in a lower life expectancy than smoking, obesity, cancer, etc.
Aaron

15. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Aaron

16. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Named after our first Medical Director Dr. Leroy Berryhill
Accredited Community Mental Health Center & Licensed Substance Use Disorder Facility, and Primary Care Clinic
Primary Care clinic & CLIA Waived Lab
Joined UnityPoint Health in 2008
SAMHSA PBHCI Grantee; Cohort 8
55 Employees; 3 Psychiatrists, 6 ARNP’s, & 14 therapists
18% of our budget is from Grants

17. Heath B, Wise Romero P, and Reynolds K
Heath B, Wise Romero P, and Reynolds K. A Review and Proposed Standard Framework for Levels of Integrated Healthcare. Washington, D.C.SAMHSA-HRSA Center for Integrated Health Solutions. March 2013

18. Example of IHH Success – Berryhill Decline in Emergency Room Visits
11/16/2018
Example of IHH Success – Berryhill
Decline in Emergency Room Visits
722 enrolled IHH Patients Average Emergency Room Visit Charges: Hospital- $1,880 Physician-$ Results (Oct 16-April 17 compared to Oct 17-April 18) - Average reduction of Emergency Room visits per month. - Average reduction of $52,394 in billed ER Charges per month. - Average reduction of $628,728 in billed ER Charges per year.
Aaron

19. 11/16/2018
Example of IHH Success – Berryhill Decline in Inpatient Hospitalizations & Readmissions 722 enrolled IHH Patients Average Hospital Visit Charges: Hospital- $26,972 Physician- $1,690
Results
(Oct 16-April 17 compared to Oct 17-April 18)
-Average reduction of hospitalizations per month.
- Average reduction of
$57,324 in billed charges for Hospital Stays per month Average reduction of $687,888 in billed charges for Hospital Stays per year
Aaron

20. Example of IHH Success – Berryhill Improvement in LDL Cholesterol 722 enrolled IHH Patients. Sample Size was 287 random patients. 180 patients had two values (baseline LDL and performance LDL). Results - 57% (103) of the patients had improvements in LDL Cholesterol - For all patients with two values the average LDL went from 103 to a therapeutic level of For the 57% of patients with an LDL improvement the average LDL went from 115 to a therapeutic level of 79. *The LDL goal is less than Improvement in Hemoglobin A1C 722 enrolled IHH Patients. Sample Size was 147 random patients. 80 patients had two values (baseline HgbA1C and performance HgbA1C). Results - 27% (22) of the patients had a baseline A1C over % (6) patients with an A1C over 8.0 were able to decrease their A1C to less than 8.0 *The Hemoglobin A1C goal is less than 7.0.

22. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Strategy
Integration with Medical Providers and Community Service Agencies
Increased Access to Behavioral Health Services
Children and Family Services
Be the Employer of Choice

23. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Integration:
Joined UnityPoint Health
Integrated Health Home
Shared Behavioral health and physical health Electronic Health Record
Bi-lateral Colocation including Lab
Health and Wellness Classes
Pharmacy Integration
Substance Use Disorder Services
ED Integration

24. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Access:

25. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Access:
Telehealth
Rural Strategy
Transportation
Recruiting/Training
No Pre-appointment
Walk ins welcome
Follow up after Inpatient and ED Encounters
Community Education Resource

26. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Children’s Services:
School Directed School based care
Parent Child Interaction Therapy
Parenting Educational Groups
Specialized treatment modalities incorporating team based learning

27. UnityPoint Health Questions & Answers 11/16/2018 CEO Search Update
Recruitment Update?
EMS Relationship with City of FD and FDFD?
Hospice - Home/Dr. Swisher update?
K9 Program 10:15) – Mark
Simulation Lab Talking Points (provided by Carol)

28. UnityPoint Health - Berryhill Center
11/16/2018
UnityPoint Health - Berryhill Center
Aaron McHone, MBA
(515)
(515) mobile

29. 11/16/2018
Thank You