at Kaiser Permanente, Southern California April 2017
|
|
- Rosanna Lang
- 5 years ago
- Views:
Transcription
1 Complete Care at Kaiser Permanente, Southern California April 2017 Tim Ho, MD, MPH Regional Assistant Medical Director, Quality & Complete Care Southern California Permanente Medical Group Session Objectives Create large-scale improvement through the implementation of systems thinking and approaches Identify key actionable strategies to improve quality 1
2 Who is Kaiser Permanente? What is Complete Care? Regional Outreach SureNet (Safety Net) Proactive Care and Proactive Office Encounter (POE) Online Personal Action Plan (opap) We are Kaiser Permanente Kaiser Foundation Health Plan Kaiser Foundation Hospitals Permanente Medical Groups Source: 2
3 We are Kaiser Permanente Members: 11.3 million Locations: Eight States & The District of Columbia Facilities: 38 hospitals 668 medical offices Personnel: 21,275 physicians 54,072 nurses 201,024 employees Photos: Kaiser Permanente Source: We are Kaiser Permanente, Southern California Members: 4.2 million Facilities: 14 hospitals 222 medical offices Personnel: 7,274 physicians 68,595 employees Photos: Kaiser Permanente Source: 3
4 Julien Dupré ( ) In Pasture 1882, French Source: JAMA 4
5 A little history Photo: Staples 5
6 A little history Photo: Staples Photo: Staples 6
7 4/21/2017 A little history Wenger 1893 Heritage Swiss Army Knife Source: 7
8 4/21/2017 A little history Clinical Practice Guidelines Disease Management Registries Decision Support Wenger 1893 Heritage Swiss Army Knife Source: Wenger Giant Swiss Army Knife Source: 8
9 Complete Care Functions and Systems Complete Care Ecosystem 9
10 Clinical Practice Guidelines Evidence Based or Consensus Based Information Systems 10
11 Regional Outreach Letters and e-letters Automated and Live Calls Text Messaging Colorectal Cancer FIT Kits Proactive Panel Management A standardized and centralized process where the healthcare team supports physicians in managing their panel of patients by extracting and evaluating patients with key, actionable care gaps, and providing patient-specific recommendations to help close key care gaps outside of a face-to-face encounter especially, for those patients not actively seeking care. Improving lives outside the walls of our medical office buildings. 11
12 Proactive Panel Management KPSC Regional Outpatient SureNet Categories of Outpatient Safety Risk Diagnosis Detection and Follow Up Medication Safety 12
13 Regional Safety Net Diagnosis Detection & Follow Up PSA Electronic Safety Net +FIT Electronic Safety Net Abnormal Pap Electronic Safety Net Kidney Disease (Repeat Creatinine) Colon Cancer (Iron Deficiency Anemia + No colonoscopy) Colon Cancer (Rectal Bleeding+ No colonoscopy) Abdominal Aortic Aneurysm Tracking Post Splenectomy Immunizations Positive Chlamydia Follow up Down Syndrome Care Coordination Sickle Cell Care Coordination Hepatitis C (+Antibody + No confirmatory test ) Newborn Hearing Screening Lung Nodules Hepatitis C Primary Hyperparathyroidism Benign Prostatic Hyperplasia Suicide Medication Safety Annual Lab Monitoring: Digoxin (K+, level and SCr), Diuretics (Na+ and SCr) Amiodarone (Preventive monitoring plan) Acetaminophen Overuse Elderly Care Drug-Disease (Falls) Elderly Care Drug-Disease (Dementia) Elderly Care High Dose Digoxin Conversion Diuretic Medication Induced Hyponatremia Medication Induced Hyperkalemia NSAIDs in CKD 4-5, Dialysis, Kidney Transplant Post-TAB Counseling / INH ALT monitoring Birth Control Monitoring Plaquenil Eye Monitoring Metformin Vitamin B12 monitoring Ethambutal eye monitoring Copyright 2015 Kaiser Permanente Slide 25 Diagnosis Detection and Follow Up : Abdominal Aortic Aneurysm Tracking Of deaths caused by ruptured AAAs, 25% were previously diagnosed with AAA without follow-up 78,000 screened for AAA 16,501 under surveillance/intervention 2,605 received intervention 13
14 Proactive Care AAA Screening Rate Trend 14
15 Proactive Care Problem How do you improve the clinical quality outcomes and have a consistent and systematic delivery of care among different medical centers and clinics within a region? 15
16 Goal of Proactive Encounter Improve consistency and quality of the patient care experience care by: Activating all members of the healthcare team in providing a proactive patient care experience Embedding processes to support preventive and chronic care needs into standard workflows Utilizing information technology tools for identification of patient care gaps Three Pillars of POE 16
17 Standard Work Flow Proactive Care Standard Work Flow Proactive Office Encounter Team Agreement For Provider MA/LVN/RN Our Cause is Health. Our Passion is Service. We re Here to Make Lives Better 17
18 Proactive Encounter Approach Results in: Consistent support to physician practice Panel ownership and performance Empowered and engaged staff Better partnership between physician and health care team Improved quality and patient care experience Proactive Checklists 18
19 Survey Physician Survey Making the Business Case for Specialty POE 19
20 Proactive Encounter Patient Story Patricia Vasquez, Kaiser Permanente Member Successful Opportunities Target Met within 30 Days 20
21 Clinical Strategic Goal Improvement Clinical Strategic Goal Pre-POE 2006 POE Piloted 2007 POE implemented Regionally %Improved ( ) Breast Cancer Screening(Ages 52-74) Colorectal Cancer Screening Cervical Cancer Screening (Ages 21-65) Diabetes Lipid Screening (profile) performed Diabetes HbA1c testing Diabetes BP control < 140/90 mm Hg Diabetes Eye exam (retinal) performed Controlling high BP (ages 18-85) Osteoporosis Management in Woman who had Fracture Osteoporosis Testing in Older Women Influenza immunization rate (members 65+) Chlamydia Screening Successful Practices Leadership and Oversight Accountability and Results Reporting Team Sport Utilize everyone Do today s work today Close care gaps when the patient is present Team meetings and huddles Close the loop Coordinate outreach with aspirations of efficiency & effectiveness 21
22 Online Personal Action Plan (opap) Online Personal Action Plan - opap The online Personal Action Plan (opap) is a patient facing platform, designed for patients to proactively manage their own care, learn about their conditions and communicate with their care team. 22
23 What is opap? Empower members to proactively close their own care gaps through technology profile the patient a real time personalized view of their health patients in a way that would allow them to become part of their own care team and proactively close their own care gaps patients become educated about the importance of screenings and treatments to their health for patients to take action in their own health for patients to get care any time and any place Personalized Platform opap s notification engine is capable of sending many personalized s types: Appointments Medication(s) refill My pregnancy New media Questionnaire Upcoming visit Vision Daily reminder 23
24 Pre-Visit Interactive Personalized Education 24
25 Interactive Colon Cancer Screening Over 10,000 kits ordered since 12/19/ % of those kits completed and returned within days. Medication Titration 25
26 opap Data & Publications opap Publications 26
27 opap Effective Gap Closure opap vs Unregistered UsersGap Closure Rates 50.00% 45.00% 40.00% 46.15% 42.24% opap has demonstrated it is an effective tool to help patients self manage 35.00% 30.00% opap users show that they are more effective in closing key care gaps such as cancer screening. (n=684k) 25.00% 20.00% 15.00% 23.07% 19.10% 18.09% 24.58% 18.56% 10.00% 11.84% 12.47% 10.67% 5.00% 6.00% 6.52% 0.00% A1c Gap Closure Rate Flu Gap Closure Rate Pneumococcal Gap Closure Breast Cancer Screening Gap Rate Closure Rate opap Users Unregistered Users Cervical Cancer Gap Closure Rate Colorectal Cancer Gap Closure Rate HEDIS Improvement - Baseline 2009 vs
28 Clinical Strategic Goals Benefits Achieved 2004 Nov Metric Increase Savings Per Decade Cholesterol control 34.9% 2,738 Lives Blood pressure control 44.1% 6,054 Lives HbA1C < % 1,379 Lives Smoking cessation 17.0% 1,011 Lives Breast cancer screening 10.3% 515 Lives Cervical cancer screening 11.6% 116 Lives Colon cancer screening 38.9% 6,166 Lives Total: 17,979 Lives 5 5 Relative Five Year Survival Rates 56 28
29 Publications Joint Commission Journal on Quality & Patient Safety, November 2013; 39(11): Avedis Donabedian Primary Architect of Health Care Quality 29
30 Structure Process Outcome Systems awareness and systems design are important for health professionals, but they are not enough. They are enabling mechanisms only. It is the ethical dimensions of individuals that are essential to a system s success. Ultimately, the secret of quality is love. You have to love your patient, you have to love your profession, you have to love your God. If you have love, you can then work backward to monitor and improve the system. 30
Kaiser Permanente Complete Care. Michael H. Kanter, MD Medical Director of Quality and Clinical Analysis
Kaiser Permanente Complete Care Michael H. Kanter, MD Medical Director of Quality and Clinical Analysis Joint Commission Journal on Quality & Patient Safety November 2013; 39(11):484-494 HEDIS Results
More informationA1/B1: Complete Care Model: Transforming Chronic and Preventive Care
A1/B1: Complete Care Model: Transforming Chronic and Preventive Care Michael Kanter, MD, Medical Director, Quality & Clinical Analysis, Kaiser Permanente Regional Quality and Risk Management Gail Lindsay,
More informationKaiser Permanente Southern California Building An Integrated Outpatient Safety Net Program
Kaiser Permanente Southern California Building An Integrated Outpatient Safety Net Program Michael Kanter, MD Medical Director, Quality & Clinical Analysis This presenter has nothing to disclose Andrea
More informationServices. Colorado RegionEALTH CARE REFORM UPDATE
Health Care Reform Preventive Hpreventive Services Services Colorado Region Colorado RegionEALTH CARE REFORM UPDATE Your guide to preventive services for the Preventive services coverage for over 65 years,
More informationPreventive Services Explained
Preventive Services Explained Medicare covers many preventive care services without charge. Most of these services have been recommended by the U.S. Preventive Services Task Force. However, which beneficiaries
More informationYour guide to preventive retiree reinsurance prog
Preventive coverage Kaiser Permanente has always offered broad, affordable coverage options that encourage members to seek care before a health condition becomes serious. And we remain committed to improving
More informationServices. Colorado RegionEALTH CARE REFORM UPDATE
Health Care Reform Preventive Hpreventive Services Services Colorado Region Colorado RegionEALTH CARE REFORM UPDATE Your guide to preventive services for the Preventive services coverage for over 65 years,
More informationMEASURING CARE QUALITY
MEASURING CARE QUALITY Region November 2016 For Clinical Effectiveness of Care Measures of Performance From: Healthcare Effectiveness Data and Information Set (HEDIS ) HEDIS is a set of standardized performance
More informationMEASURING CARE QUALITY
MEASURING CARE QUALITY Region December 2013 For Clinical Effectiveness of Care Measures of Performance From: Healthcare Effectiveness Data and Information Set (HEDIS ) HEDIS is a set of standardized performance
More informationSubject: Preventive Services Policy Effective Date: 08/2017 Revision Date: 05/2018
Subject: Preventive s Policy Effective Date: 08/2017 Revision Date: 05/2018 DESCRIPTION The Affordable Care Act (ACA) requires nongrandfathered health plans to cover evidence-based preventive care and
More informationPreventive Care Services Summary
Preventive Care Services Summary Below is a list of preventive services along with the diagnoses and procedure codes that Community Health Options has determined to meet or exceed the requirements and
More informationPreventive Care Services Summary
Preventive Care Services Summary Below is a list of preventive services along with the diagnoses and procedure codes that Community Health Options has determined to meet or exceed the requirements and
More informationWhat s covered for your employees
EMPLOYER NEWS PREVENTIVE SERVICES What s covered for your employees For over 65 years, keeping members healthy has been the foundation of our integrated care model. And when your employees get the right
More information2017 HEDIS Measures. PREVENTIVE SCREENING 2017 Measure Quality Indicator
PREVENTIVE SCREENING Childhood Immunization Children who turn 2 during the Adolescent Immunization Adolescents who turn 13 during the Lead Screening Children who turn 2 during the Breast Cancer Screening
More informationMedicare Preventive Services
Medicare Preventive Services Presented by Cahaba Government Benefit Administrators, LLC Provider Outreach & Education March 24, 2010 Disclaimer This resource is not a legal document. This presentation
More informationLegacy Employee Medical Plan No Cost Preventive Services Listing
Important Notes: Patient Protection and Affordable Care Act (PPACA) requires the to provide coverage for the following services at 100 percent only when provided by a Legacy + Network provider. This is
More informationEffective Date: Key Features: Provides coverage for the 64 preventive and wellness services needed to provide Minimum Essential Coverage.
Effective Date: Jan 01, 2015 Key Features: Provides coverage for the 64 preventive and wellness services needed to provide Minimum Essential Coverage. First dollar coverage no deductibles or co-insurance.
More informationretiree reinsurance prog
Preventive coverage Kaiser Foundation Health Plan of the Northwest has always offered broad, affordable coverage options that encourage members to seek care before a health condition becomes serious. And
More informationMonthly Campaign Webinar. October 20, 2016
Monthly Campaign Webinar October 20, 2016 TODAY S WEBINAR Together 2 Goal Updates Webinar Reminders Goal Post October Newsletter Highlights National Day of Action Embed Point-of-Care Tools Q&A Scott Hines,
More informationPrevents future health problems. You receive these services without having any specific symptoms.
PREVENTIVE CARE To help you live the healthiest life possible, we offer free preventive services for most Network Health members. Please refer to your member materials, which you received when you enrolled
More informationSCHEDULE OF BENEFITS PLAN M7
SCHEDULE OF BENEFITS PLAN M7 Effective September 1, 2017 When you need to see a physician, a physician network, PHCS, is utilized for all physician services (primary care and specialists) and ancillary
More informationStatement of Coverage. Preventive Health Services Policy. Policy Specific Section: Preventive Health Guidelines
Statement of Coverage Preventive Health Services Policy Type: Preventive Health Guidelines Policy Specific Section: Medicine Group Plans Effective Date: September 23, 2010 * or upon renewal * Effective
More informationSCHEDULE OF BENEFITS PLAN H1
SCHEDULE OF BENEFITS PLAN H1 Effective June 1, 2018 This Plan is a High Deductible Health Plan (HDHP), designed to qualify for use with a Health Savings Account (HSA). All charges except charges for preventive
More informationChanges to the Guideline: update to mammogram screening ages (possible benefit to screen in age if high risk)
Adult Preventive Clinical Guideline (21 & over) Line of Business: DE Medicaid Summary: The Adult Preventive Clinical Guideline is meant to provide guidance for preventive care for the general, adult population.
More informationCoverage for preventive care
Coverage for preventive care Understanding your preventive care coverage Preventive care, like screenings and immunizations, helps you and your family stay healthier and can help lower your overall out-of-pocket
More informationDiabetes and Quality Measures.
Diabetes and Quality Measures. Reducing Costs, Closing Gaps, and Improving Member Health Executive Summary According to the Centers for Disease Control, 29 million people in the U.S. have diabetes. Another
More informationSCHEDULE OF BENEFITS PLAN C
SCHEDULE OF BENEFITS PLAN C Effective September 1, 2016 All benefits, unless otherwise specified, are based on Usual, Customary and Reasonable (UCR) charges, or the network contracted amounts, and are
More informationPreventive Services Reference Guide for Members 2018
Preventive Services Reference Guide for Members 2018 Together with Children s Community Health Plan (CCHP) covers many preventive services at no cost to you, including screening tests and immunizations
More informationManage Your Health with Preventive Care
Manage Your Health with Preventive Care Preventive care is routine health care that focuses on maintaining your health and preventing disease. This can include annual physical examinations, screenings
More informationBlue represents coding updates. G0389 with diagnosis V81.2, V15.82, or with diagnosis V79.1, or
An Independent Licensee of the Blue Cross and Blue Shield Association Preventive Care Services The following is a list of preventive services (HCP rider) along with the diagnoses and procedure codes that
More informationTPMG experience in improving colorectal cancer screening rates
TPMG experience in improving colorectal cancer screening rates Theodore R. Levin, MD Clinical Lead for CRC screening, The Permanente Medical Group, Inc Kaiser Permanente Northern California Kaiser Permanente
More informationClinical Practice Guidelines Adult Preventive Health
OERIEW Clinical Practice Guidelines The recommendations detailed in the U.S. Preventive Service Task Force s The Guide to Clinical Services 2010-2011 for Adults are considered medically necessary for the
More informationDecoding the USPSTF. By: Dr Vikram Arora Heritage Valley Health System
Decoding the USPSTF By: Dr Vikram Arora Heritage Valley Health System Objectives O Gain insight into function of USPSTF O Review grading system O Critically appraise key current recommendations of the
More information2017 Preventive Health Care Guidelines
2017 Preventive Health Care Guidelines NEXT All Adults 4 Women 6 Pregnant Women 8 Children 10 Guidelines may change throughout the year based on new research and recommendations. Get the most up-to-date
More informationTransforming Healthcare. From a Managing Sickness Model to a Preserving Wellness Model. A Common Sense Approach to
Transforming Healthcare A Common Sense Approach to From Value a Managing Based Care Sickness Transforming Healthcare Model From a Managing to a Sickness Model to a Preserving Wellness Model Preserving
More informationYour Guide to Medicare s Preventive Services
Your Guide to Medicare s Preventive Services C E N T E R S F O R M E D I C A R E & M E D I C A I D S E R V I C E S This is the official government booklet with important information about: What disease
More informationHEDIS 2017 MQIC MEASURES SUMMARY LISTING FOR ANNUAL PERFORMANCE REPORTING
HEDIS 2017 MQIC MEASURES SUMMARY LISTING FOR ANNUAL PERFORMANCE REPORTING ATTENTION-DEFICIT/HYPERACTIVITY DISORDER 1. Follow-up Care for Children Prescribed ADHD Medication (ADD) Percent children newly
More informationPreventive Health Guidelines
Preventive Health Guidelines Guide to Clinical Preventive Services Adult LifeWise has adopted the United States Preventive Services Task Force (USPSTF) Guide to Clinical Preventive Services. The guideline
More informationPreventive Health Coverage
Birth to 2 Years Page 1 of 2 Wellness exams and immunizations Well-baby/well-child/well-person exams... Birth, 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months Additional visit at 3-5 days after birth and within
More informationConsensus Core Set: ACO and PCMH / Primary Care Measures Version 1.0
Consensus Core Set: ACO and PCMH / Primary Care s 0018 Controlling High Blood Pressure patients 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately
More informationNEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF BENEFITS SUPREME BENEFITS
BENEFIT GUIDE NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF SUPREME IN NETWORK FEATURES Primary Care Physician Not Required 2 Physician Referrals Not Required 2 Out of
More informationSCHEDULE OF BENEFITS PLAN M7
SCHEDULE OF BENEFITS PLAN M7 Effective September 1, 2016 All benefits, unless otherwise specified, are based on Usual, Customary and Reasonable (UCR) charges, or the network contracted amounts, and are
More informationClinical Guideline Adult Preventive (21 & Over)
COUNSELING SCREENING Clinical Indicator Ages 21-39 Ages 40-49 Ages 50-64 Ages 65+ Assessing tobacco use Every visit Every visit Every visit Every visit Advising smokers to quit At least annually At least
More information2018 Preventive Schedule
2018 Preventive Schedule Medicare-Covered Services PLAN YOUR CARE: KNOW WHAT YOU NEED AND WHEN TO GET IT Preventive or routine care helps us stay well or finds problems early, when they are easier to treat.
More information2016 Preventive Health Care Guidelines. Free preventive care to help you be your healthiest.
2016 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. We want to help you be your healthiest. That s why we recommend over 30 free preventive care services for kids,
More informationGuidelines Description USPSTF HRSA CDC Benefit Description Types Ages
Guidelines Description USPSTF Evidence-based items or services that have a rating of A or B in the current recommendations of the United States Preventive Services Task Force HRSA Evidence-informed exams,
More informationKaiser Permanente 2015 Sample Fee List 1
Kaiser Permanente 2015 Sample Fee List 1 SOUTHERN CALIFORNIA Knowing how much you can expect to pay for care and services can give you peace of mind. This Sample Fee List shows you estimated charges for
More informationUFCW LOCAL 1500 WELFARE FUND PREVENTIVE CARE SERVICE BENEFITS REVISED AS OF JANUARY 1, 2015
UFCW LOCAL 1500 WELFARE FUND PREVENTIVE CARE SERVICE BENEFITS REVISED AS OF JANUARY 1, 2015 PREVENTIVE SERVICES Preventive Services Benefit Overview The UFCW Local 1500 Welfare Fund provides coverage for
More informationSchedule of Benefits
3 Patient Protection and Affordable Care Act ( PPACA ) Compliance: The Plan will at all times be in compliance with PPACA rules and regulations. Notes regarding the Plan This Plan provides coverage for
More informationHorizonBlue.com. We ve got you covered. Preventive care at no cost to you.
HorizonBlue.com We ve got you covered. Preventive care at no cost to you. Did you know that Horizon Blue Cross Blue Shield of New Jersey provides full coverage for certain preventive services at no cost
More informationCrossing The Quality Chasm: Cardiovascular Care
Crossing The Quality Chasm: Cardiovascular Care Philip Madvig, MD Associate Executive Director Partnership for Quality Care Chronic Disease Summit March 19, 2008 The Impact of Cardiovascular Disease In
More informationTRANSITIONING FROM PP EXTRACT TO A VENDOR NEUTRAL DATA EXTRACTION APPROACH R U T H J E N K I N S, P H D A U G U S T 2 2,
TRANSITIONING FROM PP EXTRACT TO A VENDOR NEUTRAL DATA EXTRACTION APPROACH R U T H J E N K I N S, P H D A U G U S T 2 2, 2 0 1 4 AGENDA Why a new extract is needed Explain new extract process Data Extracted
More informationIndemnity PPO Medical Plan Preventive Care Guidelines 2019
Indemnity PPO Medical Plan Preventive Care Guidelines 2019 The District Council 16 Northern California Health and Welfare Trust Fund Medical Plan offers 100% coverage for many routine preventive care services
More informationMinimal Essential Coverage Healthcare2U Direct Primary Care Benefits Proposal
Minimal Essential Coverage Healthcare2U Direct Primary Care Benefits Proposal Presented By: About Staff Benefits Management & Administrators What We Do: SBMA provides comprehensive benefits administration
More informationPREVENTIVE CARE RECOMMENDATIONS Detailed descriptions
PREVENTIVE CARE RECOMMENDATIONS Detailed descriptions How often and what kind of preventive care services you need depends upon your age, gender, health and family history. Not all items on this list are
More information2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest.
2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. Guidelines may change throughout the year based on new research and recommendations. Get the most up-to-date
More informationWellness Preventive Health Guide
Wellness Preventive Health Guide Protect Your Health with Good Preventive Care Plan Now for Better Health One of the best ways to maintain good health and lower the risk of future health concerns for you
More informationPopulation Health in an Integrated Care Delivery System
Population Health in an Integrated Care Delivery System Michael McNamara, MD Chief Medical Information Officer Northwest Permanente Medical Group Kaiser Permanente Agenda KPNW Overview of Population Health
More information2017 Preventive Schedule
2017 Preventive Schedule PLAN YOUR CARE: KNOW WHAT YOU NEED AND WHEN TO GET IT Preventive or routine care helps us stay well or finds problems early, when they are easier to treat. The preventive guidelines
More informationPreventive Care Coverage
Preventive Care Coverage Benefits designed to protect your health BridgeSpanHealth.com Review Coverage» To find out if you re eligible for preventive coverage, call the Member Services number on the back
More informationKaiser Permanente Implementation Journey for Long Term Conditions Management
Kaiser Permanente Implementation Journey for Long Term Conditions Management Joel D. Hyatt, MD Assistant Regional Medical Director Kaiser Permanente Southern California NHSScotland Event 2008 Better Health,
More informationPreventive care guidelines Blue Cross and Blue Shield of Minnesota
Service Recommendation Adult men Adult Children Pregnant abdominal aortic aneurysm One-time screening by ultrasound in men aged 65 to 75 who have ever smoked Screening and counseling to reduce alcohol
More informationReduce Costs, Prevent Disease, Improve Employee Health
Reduce Costs, Prevent Disease, Improve Employee Health Using Proven Policies and Programs for Effective Change Texas Department of State Health Services Cardiovascular Health and Wellness Program From
More informationDETAILED 2014 PREVENTIVE CARE SERVICES
DETAILED 2014 PREVENTIVE CARE SERVICES How often and what kind of preventive care services you need depends upon your age, gender, health and family history. Your provider determines whether services delivered
More informationWhy Prevention? Why is Prevention Difficult? Overview of Preventive Medicine for Family Physicians. Levels of Prevention
Overview of Preventive Medicine for Family Physicians Larry Dickey, MD, MPH Medical Director, Office of Health Information Technology, California Department of Health Care Services Associate Adjunct Professor,
More informationUnder the Affordable Care Act (ACA), private insurers except for plans that have been
Brought to you by the insurance professionals at HUB International Preventive Care Once an underused component of the health care world that benefits both employees health and employers health care spending,
More informationCLINICAL PRACTICE EVALUATION I: MEDICAL RECORD REVIEW (Adult Patient Population)
Diplomate: CLINICAL PRACTICE EVALUATION I: MEDICAL RECORD REVIEW (Adult Patient Population) A. RECORD IDENTIFIER INFORMATION 1. Date medical record reviewed (mm/dd/year) / / 2. Patient identifier: 3. Date
More information2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest.
2017 Preventive Health Care Guidelines Free preventive care to help you be your healthiest. Guidelines may change throughout the year based on new research and recommendations. Get the most up-to-date
More informationPREVENTIVE HEALTH GUIDELINES FOR PROVIDERS
PREVENTIVE HEALTH GUIDELINES FOR PROVIDERS Sanford Health Plan has adopted the preventive care benefits as outlined under The Patient Protection and Affordable Care Act. Members can refer to their Summary
More informationMichigan Department of Health and Human Services Preventive Services Coverage Guidelines Healthy Michigan Plan
Plan The Patient Protection and Affordable Care Act have designated specific resources that identify the services required for coverage by the act. The following lists of services, CPT, and HCPCS codes
More informationIN-NETWORK MEMBER PAYS. Out-of-Pocket Maximum (Includes a combination of deductible, copayments and coinsurance for health and pharmacy services)
HMO-OA-CAL-15-15-0-0-03 HMO Open Access Calendar Year Plan Benefit Summary This is a brief summary of benefits. Refer to your Membership Agreement for complete details on benefits, conditions, limitations
More informationMedical Plan Options and Enrollment Information
Enrollment Guide Medical Plan Options and Enrollment Information Administered by Key Benefit Administrators, Inc. PLANS DESIGNED FOR THE EMPLOYEES OF Heritage Management Group, Inc. dba Indiana River Transport
More informationYour Partnership in Health Report: Chronic Conditions ABC Company and Kaiser Permanente
Your Partnership in Health Report: s ABC Company and Kaiser Permanente Measurement Period: JUL-01-2012 through JUN-30-2013 Report Date: DEC-31-2013 Commercial All Members Partnership in Health (PIH) reports:
More informationUnderstanding Preventive Care
Understanding Preventive Care FAQs: Understanding Preventive Care At Blue Cross and Blue Shield of Vermont, (BCBSVT) we want you to get preventive care so you can find out about health problems early and
More informationPREVENTIVE GUIDELINES
PREVENTIVE GUIDELINES for Patients & Providers Nov. 2016 Preventive Care for All Adults (Men and Women) Preventive Service 19-39 Years 45-64 Years I Age 65 and Older Daily Aspirin Colon Cancer Screening
More informationPreventive Health Guidelines for Providers
Preventive Health Guidelines for Providers Sanford Health Plan has adopted the preventive care benefits as outlined under The Patient Protection and Affordable Care Act. Members can refer to their Summary
More informationHealthcare Reform Preventive Services
An Independent Licensee of the Blue Cross and Blue Shield Association The following preventive services and immunizations do not apply to all health plans administered or insured by Blue Cross and Blue
More informationKaiser Permanente 2012 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges.
Kaiser Permanente 2012 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. NORTHERN CALIFORNIA As your partner in health, we want to help you manage your
More informationPreventive health guidelines for providers
Preventive health guidelines for providers Sanford Health Plan has adopted the preventive care benefits as outlined under The Patient Protection and Affordable Care Act. Members can refer to their Summary
More informationReach Out to Patients for Better Disease Management
CASE STUDY Reach Out to Patients for Better Disease Management Logansport Memorial Hospital How automated reminders led to a higher compliance rate for overdue labs by diabetic patients. Quick Summary
More informationEngaging patients and providers with the right information, at the right time, to do the right thing
Engaging patients and providers with the right information, at the right time, to do the right thing Using Automated Patient Engagement and Clinical Decision Support tools to Improve Outcomes and Reduce
More informationPreventive care covered with no cost sharing Get checkups, screenings, vaccines, prenatal care, contraceptives and more with no out-of-pocket costs
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions NOTE: Aetna Choice follows the recommendations of the United States Preventive Services Task Force (USPSTF).
More informationMonthly Campaign Webinar. May 19, 2016
Monthly Campaign Webinar May 19, 2016 WEBINAR REMINDERS Webinar will be recorded today and available the week of May 23 rd Together2Goal.org Website (Improve Patient Outcomes Webinars) Email distribution
More informationEmblemHealth Preventive Care/Screening Services Exempt from Cost-Share
EmblemHealth Preventive Care/Screening Services Exempt from Cost-Share The Affordable Care Act (ACA) requires non-grandfathered health plans in the individual and group markets to cover certain preventive/screening
More informationPreventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over
Preventive Care Guideline for Asymptomatic Elderly Patients Age 65 and Over 1. BMI - Documented in patients medical record on an annual basis up to age 74. Screen for obesity and offer counseling to encourage
More informationMU - Selection & Configuration of Measures
MU - Selection & Configuration of Measures Presenter: Christy Erickson October 14, 2011 Objectives Review the 15 Core Measures and highlight some findings from the field Discuss the MU Menu and Clinical
More informationKaiser Permanente 2013 Sample Fee List
Kaiser Permanente 2013 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. COLORADO As your partner in health, we want to help you manage your health care
More information2017 Diabetes. Program Evaluation. Our mission is to improve the health and quality of life of our members
2017 Diabetes Program Evaluation Our mission is to improve the health and quality of life of our members Diabetes Program Evaluation Program Title: Diabetes Program Evaluation Period: January 1, 2017 December
More informationPREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION
PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION Health Plan of Nevada and Sierra Health and Life suggest that health plan members get certain screening tests, exams and shots to stay healthy. This document
More informationQIP/HEDIS Measure Webinar Series
QIP/HEDIS Measure Webinar Series September 26, 2017 Presenters: Partnership HealthPlan Quality Department Partnership HealthPlan of California To avoid echoes and feedback, we request that you use the
More information2018 Benefits Enrollment Guide
2018 Benefits Enrollment Guide We are pleased to be able to provide the best benefits to our hard working employees. Please read this Benefit Guide carefully so you understand the value our benefits offer
More informationTable of Contents. Early Identification Chart Biometric Screening Comprehensive Cardiovascular Disease Risk Assessment...
Public Safety Table of Contents Early Identification Chart... 1 Biometric Screening... 2 Comprehensive Cardiovascular Disease Risk Assessment.... 2 Recommended after Comprehensive Cardiovascular Disease
More informationIntegrating Medical and Social Support for Elderly System & Technology Enabled Service Innovations. Dr Christina MAW Hospital Authority, Hong Kong
Integrating Medical and Social Support for Elderly System & Technology Enabled Service Innovations Dr Christina MAW Hospital Authority, Hong Kong Hospital Authority (HA) of Hong Kong A statutory body responsible
More informationThe Guide to Clinical Preventive Services Recommendations of the U.S. Preventive Services Task Force
The Guide to Clinical Preventive Services 2009 Recommendations of the U.S. Preventive Services Task Force Section 1. Preventive Services Recommended by the USPSTF All recommendation statements in this
More informationPreventive Care Coverage
STAYING WELL Regence BlueCross BlueShield of Utah is an Independent Licensee of the Blue Cross and Blue Shield Association Preventive Care Coverage Wondering what preventive care your plan covers? Our
More informationGrow & Stay Healthy Guidelines to Live By
Grow & Stay Healthy Guidelines to Live By Raising a child can be a lot of work! Trying to remember when to take them to the doctor or which immunizations they need can be a little confusing. Follow the
More informationOptima Health. Adult Health Maintenance Guidelines. Guideline History Original Approve Date 04/93
Optima Health Adult Health Maintenance Guidelines Guideline History Original Approve Date 04/93 Review/ Revise Dates 8/94, 8/96, 6/97, 7/97, 10/98, 10/99, 5/00, 2/01,6/03, 06/05, 12/07,01/09, 1/10, 1/11,
More informationColorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center
Colorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center Kaela Momtselidze Health Systems Manager Primary Care Systems American Cancer Society Sheri Frank Director of Corporate
More information2017 Preventive Schedule
2017 Preventive Schedule PLAN YOUR CARE: KNOW WHAT YOU NEED AND WHEN TO GET IT Preventive or routine care helps us stay well or finds problems early, when they are easier to treat. The preventive guidelines
More information