A Modeling Tool for Estimating Practice Based Financial Impact of Adult Immunization. An ACP Quality Connect Program

Transcription

1 A Modeling Tool for Estimating Practice Based Financial Impact of Adult Immunization An ACP Quality Connect Program National Adult Immunization and Influenza Summit Provider Workgroup December 4, 2014 Agenda Background and need of tool Tool and development process Next Steps Resources 2 1

2 Project Team ACP: Laura Lee Hall, PhD and Rebecca Gehring, MPH RTI HS: Technical Project Leads: Sean Carr, PhD, Katherine Hicks, MS, Josephine Mauskopf, PhD 3 I Raise the Rates: Initiative to Raise the Adult Immunization Rates in Primary Care An ACP Quality Connect Program Project Overview 2

3 Project National Partners 5 Program Goal Significantly increase adult immunization rates in at least 2 states by assisting physicians and their health care teams by implementing: Standards for Adult Immunization Practice especially through a strong recommendation increased immunization in their practice Closer collaboration with immunizers in their communities Starting with Arkansas and Louisiana, adding New Jersey 6 3

4 Approaches to Increasing Adult Immunizations 7 Resources to Promote the Business of Vaccination Early 2014, ACP on behalf of the Provider Workgroup: Reviewed websites for tools that assist with purchasing, storage, and billing, including: Professional societies - ACP, AAP, AAFP, ACOG Federal agencies - CDC, CMS, FDA, VA Immunization resource groups IAC Manufacturers Conducted Google/Bing and PubMed Searches: Immunization/vaccine + purchasing/storage/billing Presented results on call and at Summit Resources included education about ordering, coding, insurance coverage, storage, billing; little available for adults providers in terms of addressing the widespread concern that providers will lose money vaccinating. A priority for the provider workgroup 8 4

5 Provider Work Group: Making Vaccines a Winning Proposition for Healthcare Providers Laura Lee Hall, PhD Director, Center for Quality American College of Physicians 5

6 A Modeling Tool for Estimating Practice Based Financial Impact of Adult Immunization 6

7 Business Tools Overview User-friendly and customizable Excel-based planning tool for health providers To identify the types and amounts of adult vaccines to provide in their practices Basic tool estimates net revenue for five priority vaccines Influenza Pneumococcal (PCV13 and PPSV 23) Td/Tdap Zoster Inputs will include revenue from vaccination and variable costs related to purchasing and delivery; fixed costs for storage; current patient demand; and costs for increasing demand Advanced planning model to include more detailed inventory planning 13 Financial Viability Modeling Baseline data to inform calculations will be taken from literature review and provider survey/focus groups Quantitative model will be translated into a simple excel spreadsheet developed to estimate Expected fixed and variable costs experienced in ordering, storing, and administering vaccines compared to expected revenue Results should inform individual practices, and in aggregate, reveal macro-economic impact of physician led immunizing 14 7

8 Example Tool Inputs and Outputs Example Tool Inputs and Settings 16 8

9 Example Tool Analysis Outputs

10 Next Steps Tool Validation and Development Validation Drs. O Neill and Soppet will review the algorithm and pilot test the tool Development Train ACP staff, member leaders, and health providers on how to use and interpret the tools Live and recorded webinar training sessions Stand alone user guide with FAQs Pilot Test In Louisiana and Arkansas I Raise the Rates program 20 10

11 Proposed Timeline December 2014 January 2015 February March 2015 April May 2015 Early June 2015 June July 2015 Project Kick off Draft model structure Draft and finalize tool Pilot and validate tool by Drs. Soppet and O Neill Draft and finalize user guide and FAQs Draft and finalize training materials Finalize dissemination plan Final tool ready to use Conduct trainings and webinars Pilot in two states 21 Questions? 11