1. Idaho Association of District Boards of Health May 29, 2014 The Future of Health Care and Public Health Integration in Idaho

2. P RESENTERS  Tammy Perkins | Senior Policy Advisor for the Governor of Idaho, Health & Social Services  Ted Epperly, MD | Chair, Idaho SHIP Steering Committee | President/CEO, Family Medicine Residency of Idaho  Denise Chuckovich | Deputy Director, Idaho Department of Health & Welfare  Senator Dean Cameron | Idaho State Senate  Senator Lee Heider | Idaho State Senate  Lisa Hettinger | Medicaid, Idaho Department of Health & Welfare  David Pate, MD | President/CEO, St. Luke’s Health System  Bill Deal | Director, Idaho Department of Insurance  Elke Shaw-Tulloch |Bureau Chief, Idaho Division of Public Health  Dan Chadwick | Executive Director, Idaho Association of Counties  Commissioner Tom Faulkner | Gooding County Commissioner | Trustee, South Central Public Health District Board  CAPT Kathryn Porter, MD | (Director, National Center for Health Statistics (NCHS), Division of Health and Nutrition Examination Surveys (DHANES) – Guest member

3. I DAHO S TATE H EALTH I NNOVATION P LAN H OW DID WE GET HERE ?  Idaho has been engaged in efforts to redesign our healthcare system for a number of years:  2007 – Governor Otter Convened a Healthcare Summit  2008 – Governor Otter Tasked a Select Committee on Health Care  2008 – Idaho Health Data Exchange Established  2010 – Governor Otter Established the Health Care Council  2010 – Idaho Multi-Payer Medical Home Collaborative Established  2012 – Public/Private Team Traveled to North Carolina to Study the NC Community Care Model

4. I DAHO H EALTHCARE P RIORITIES 2007-2014  Cover Idaho’s Children  Expand Insurance Access and Affordability for Adults  Expand Residency Opportunities  Address the Health Professions Workforce Shortage  Develop Patient Centered Medical Homes  Continue to Improve Idaho’s Behavioral Health System  Encourage Prevention and Personal Responsibility for Health  Address Undergraduate Medical Education  Expand the Use of Electronic Medical Record Technology Statewide  Support the State Healthcare Innovation Plan (SHIP)

5. W HAT IS THE SHIP? The State Healthcare Innovation Plan (SHIP) is a statewide plan to redesign our healthcare delivery system, evolving from a volume-driven, fee for service system to a outcome-based system that achieves the triple aim of improved health, improved healthcare and lower costs for all Idahoans.

6. I DAHO SHIP M ODEL E LEMENTS  Strong Primary Care System  Patient Centered Medical Homes (PCMH) – Foundational  Medical Neighborhood  Regional Cooperatives (RC) Support Local Primary Care Providers and Medical Neighborhood  Statewide Idaho Healthcare Coalition (IHC)

7. I DAHO SHIP M ODEL E LEMENTS  Health Information is Linked Electronically by EHR and HIT  Data Analytics  Payment Systems are Aligned Across Major Payers  Patient Engagement/Accountability

8. SHIP M ODEL D ESIGN O VERVIEW Idaho Healthcare Coalition RC’s PCMH and Medical Neighborhood Care Team Patients

9. Regional Collaborative Patient Centered Medical Home (PCMH) Patient Centered Medical Home Neighborhood Idaho Healthcare Coalition (IHC) / SHIP

10. Q UALITY I MPROVEMENT AND P OPULATION H EALTH  Core Quality Measures Identified for All PCMHs  All Participating PCMHs will Report on Quality Measure for All Patient in Their Practice  In Year 1, Three Selected Quality Measures will be Tracked Statewide to Establish a Baseline  Tobacco Use and Cessation Activities  Comprehensive Diabetes Care  Weight Assessment for Children and Adolescents

11. P OPULATION H EALTH M ETRICS  Tobacco Use Assessment and Intervention  Weight Assessment and Counseling for Children and Adolescents  Comprehensive Diabetes Care  Screening for Clinical Depression  Adherence to Antipsychotics for Schizophrenia  Non-Malignant Opioid Use  Acute Care Hospitalization  Readmission Rates within 30 Days  Emergency Care without Hospitalization  Elective Delivery  Low Birth Weight Rate  Asthma Emergency Department Visits  Childhood Immunization Status  Adult Body Mass Index Assessment

12. A SCLEPIUS AND H YGIEIA

13. I DAHO H EALTHCARE C OALITION (SHIP) S UMMARY  Vehicle and Model for Healthcare Transformation for Idaho  Built on Foundation of Primary Care and the Patient Centered Medical Home (PMCH)  Integrates and Coordinates the PCMH with Secondary Providers, Hospitals, and Other Members of Healthcare Team  Connects Public Health to Population Health Quality Metrics

14. F OR M ORE I NFORMATION http://idahoshipproject.dhw.idaho.gov Denise Chuckovich Deputy Director Idaho Department of Health and Welfare chuckovd@dhw.idaho.gov Ted Epperly, MD Chairman, Idaho SHIP Steering Committee President & CEO, Family Medicine Residency of Idaho ted.epperly@fmridaho.org

15. Q UESTIONS