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

2. Value-Driven Health Care August, 2006- Executive Order HHS- Four Cornerstones: –Quality Transparency –Price Transparency –Use of HIT –Incentives

3. 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

4. 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)

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

6. 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

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

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

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

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

11. 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

12. 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

13. THE FUTURE Your Invitation to participate!

14. SEE YOU THERE!

15. MICHIGAN PURCHASERS HEALTH ALLIANCE Marilyn H. Bell Executive Director 269-668-4149 mhbell@michpha.org