Safe States Alliance & SAVIR Annual Meeting: June 2013

Transcription

1 PRIMARY CARE AND PUBLIC HEALTH INTEGRATION Safe States Alliance & SAVIR Annual Meeting: June 2013

2 f f f Reference: IOM The future of the public s health in the 21st century. Washington, DC: The National Academies Press.

3 Principles for Successful Integration of Public Health and Primary Care: a shared goal of population health improvement community engagement aligned leadership sustainability the sharing and collaborative use of data and analysis Degrees of Integration Reference: Institute of Medicine. Primary Care and Public Health: Exploring Integration to Improve Population Health. Washington, DC. The National Academies Press. 2012

4 Moving toward greater integration A strategic map intends to guide the work of ASTHO, our partners, and others interested in supporting the integration of public health and primary care.

5 Created in July 2012 with the support of: IOM United Health Foundation CDC HRSA

6 Overall Coordination, Support and Communication Collaborative Efforts on Each Track of Work Value Proposition/ Business Case Successes Measures Resources

7 Value Proposition/Business Case Create the Value Proposition and Business Case for Integrating Primary Care & Public Health Promote Integrated Public Health and Primary Care Quality Improvement Processes Create Compelling Cases for Integration with Stakeholders at Local, State and Federal Levels Co-led by: Michael Fine, SHO-RI American College of Preventive Medicine (ACPM) Successes Identify What Works at the National, State and Local Levels Implement a Mechanism to Capture Successes and Best Practices Co-led by: Lloyd Michener, Duke University Sharon Moffatt, ASTHO

8 Measures Identify Top Population Health Priorities Using Agreed Upon Criteria Develop and Secure Agreement on Key Measures for Each Priority Align Identification & Utilization of Key Measures Across All Stakeholders/Payers Led by: Gail Janes, CDC Resources Promote Funding Transformation to Support Integration Goals Align Federal Policies and Programs with Scalable Implementation Co-led by: Judy Monroe, CDC David Sundwall, IOM Committee & ASTHO Alum

9 The value proposition is different for each partner Local governments Payers Providers Hospitals Primary care physicians Primary care groups Emergency Medical Services lh Home Health Agencies The Value Proposition needs to be made explicit for each The choice of a convener is critical The choice of a closer is critical

10 2012 ASTHO PRESIDENT S CHALLENGE Advance the Reintegration of Public Health &H Healthcare

11 Identify at least one example from each state/territory that demonstrates successful integration of public health and healthcare delivery. Decode the key elements for success. Share with others to promote further integration, increase healthcare quality, decrease cost, and improve overall population health.

12 View state integration stories on ASTHO s webpage: Integration/Submitted-Stories and submit your own using the online integration successes form.

13 Public Health Grand Rounds Supported by credit towards licensure fee Health Connections Academic Detailing Payment for Quality Assurance/Quality y Q y /Q y Improvement for Public Health Science The Rhode Island Primary Care Trust

14 Convener: Rhode Island Department of Health Participants: Rhode Island Primary Care Academies and Physicians organizations Pharmacy retailers Boards of Medicine, Dentistry, Pharmacy, and Nursing Primary Care Physicians, NPs. PAs and Dentists Chronic Pain Treatment Collaborative Payers Physicians i Primary care Chiropractors Pain specialists Anesthesiologists Dentists Pharmacists Closer:?

15 EMS uses fall risk assessment tool for elderly patients who fall and are not transported Results communicated to primary care provider and/or caregiver 5 cities 2 low SES or racial & ethnic diversity Convener: Rhode Island Department of Health Closer: Rhode Island Department of Health 15

16 Partnership between EMS and Primary Care practices in 4 communities EMS indentifies patients who are transported more than four times a year Primary Care practices review charts At risk patients referred to Home Health for Home Safety Evaluation Convener: Rhode Island Department of Health Closer: Rhode Island Department of Health 16

17 Partnership with RI s largest primary care group practice 40 sites, 100+ physicians, 118,000 patients Each of 5 sites practices randomly selects 3 patients per week Eligibility: Adults 65+; living independently Stay Independent Questionnaire Timed Up and Go Test Scoring determines referral to community-based exercise referred for further evaluation QA/QI to improve practice site performance Convener: Rhode Island Department of Health Closer: Rhode Island Department of Health 17

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19 The Rhode Island Primary Care Trust Neighborhood Health Stations

20 Vision: Healthy people thriving in a nation free of preventable illness and injury. Mission: To transform public health within states and territories to help members dramatically improve health and wellness.