1. Presentation for CSRHA Annual Conference November 16, 2011 1

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

3.  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. 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.

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

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

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11.  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

12.  Ability to take new patients into panel?  Yes responses: a. 50-60% b. 60-70% c. 70-80% d. 90-100% 12

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

14. 26.83% Not Ready23.08% Not Ready 14

15. Not Ready 9.76%Not Ready 0% 15

16. Not Ready 26.83%Not Ready 23.08% 16

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

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

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

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

22. EHR adoption Practice Manager 22

23.  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

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

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27.  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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29.  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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31.  Summary of Break-out Reports  Next Steps 31

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33.  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

34.  Survey Summary & Best Practices Resources Will be posted on WCN website  www.westerncliniciansnetwork.net www.westerncliniciansnetwork.net  or contact  Charla Parker, MPA at (530) 383-5030 charla_parker@msn.com charla_parker@msn.com  Casie Parrish, MPA at (916) 993-7770 x3670  westernclinciansnetwork@gmail.com westernclinciansnetwork@gmail.com  Lyman Dennis, MBA, PhD, CPHIMS, FHIMSS  Ldennis@eldoradohc.com Ldennis@eldoradohc.com 34

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