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The Primary Care Office of the Future: Demonstrating Innovative Technology, Design, and Workflow Concepts
cipci.org/future
Introductions
Tom Agresta, MD, MBICIPCI Informatics LeaderProfessor of Family MedicineUniversity of Connecticut
Jeri Hepworth, PhDCIPCI Co-DirectorDirector of Medical EducationSaint Francis Hospital & Medical CenterProfessor of Family MedicineUniversity of Connecticut
Rebecca Andrews MD, MSCIPCI Education Leader
Associate Professor MedicineUniversity of Connecticut
Rachael Ingersol, MACIPCI Project Supervisor
Catherine MacLeanCIPCI Research Associate
www.cipci.org
Disclosures
The presenters have no financial relationships or affiliations with commercial interests.
Demonstrations include examples of tools that are available, but CIPCI does not endorse or have financial interests in any vendor or product.
The presentation does not include any discussion of unapproved or investigational uses of products or devices.
Goals and Objectives
Participants will be able to:Describe several innovative concepts identified with the
Primary Care Office of the Future exhibit.Describe how innovative technology can enhance patient
engagement, team based care, and clinician satisfaction.Discuss how Connecticut physicians are using some of the
ideas displayed. Consider innovations to be included in their own practices.
Outline of SessionPart I1. Overview of Office of the Future2. Discussion of key concepts3. Demonstration of select Office of Future tools
Break – 30 minutes
Part II1. Examples of regional implementation of concepts2. Create your future - group discussion exercise3. Wrap-up
CIPCIOur MissionDeliver practical value for patients, providers, and payers by transforming primary care in ways that are palpable and sustainable.
Our Aims Serve as a trusted partner and resource Involve patients and patient perspectives Improve training for primary care providers Increase retention of primary care providersHelp practicing providers manage change
Expose primary care stakeholders to innovative and practical solutions that improve patient care and provider and staff experience.
Purpose
better health
better care
lower cost
cliniciansatisfaction
quadruple aim
Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine,12(6), 573-576.
The Primary Care Office of the FutureA hands-on demonstration of new
practice designs and technology for primary care transformation.
care anywhere
cipci.org/care-anywhere
patient engagement centercipci.org/patient-engagement-center
clinical team hub
cipci.org/clinical-team-hub
cipci.org/clinical-team-hubexam room
Space designed to facilitate communication and collaboration
Telemedicine to connect to specialists or family members
population health center
Learn more and engage your team:
www.cipci.org/future
The Primary Care Office of the Future: Demonstrating Innovative Technology, Design, and Workflow Concepts
cipci.org/future
Introductions
Tom Agresta, MD, MBICIPCI Informatics LeaderProfessor of Family MedicineUniversity of Connecticut
Jeri Hepworth, PhDCIPCI Co-DirectorDirector of Medical EducationSaint Francis Hospital & Medical CenterProfessor of Family MedicineUniversity of Connecticut
Rebecca Andrews MD, MSCIPCI Education Leader
Associate Professor MedicineUniversity of Connecticut
Rachael Ingersol, MACIPCI Project Supervisor
Catherine MacLeanCIPCI Research Associate
www.cipci.org
Disclosures
The presenters have no financial relationships or affiliations with commercial interests.
Demonstrations include examples of tools that are available, but CIPCI does not endorse or have financial interests in any vendor or product.
The presentation does not include any discussion of unapproved or investigational uses of products or devices.
Goals and Objectives
Participants will be able to:Describe several innovative concepts identified with the
Primary Care Office of the Future exhibit.Describe how innovative technology can enhance patient
engagement, team based care, and clinician satisfaction.Discuss how Connecticut physicians are using some of the
ideas displayed. Consider innovations to be included in their own practices.
Outline of SessionPart I1. Overview of Primary Care Office of the Future2. Discussion of key concepts3. Demonstration of select Office of Future tools
Break – 30 minutes
Part II1. Examples of regional implementation of concepts2. Create your future - group discussion exercise3. Wrap-up
Review Concepts – Video from FMX
The Future is Now
Tips
Use available codesMake changes to ease workflows
and improve careProfessional organizations have tool
kits for change
Transitional Care Management
Pros
More time with patients Better care Patients like being seen when
discharged Visit does not need to be done by
the doctor You know what’s going on with
your patients
Cons
Hurdle of getting admit/discharge notification Tight schedules Patients like seeing you when
discharged
Chronic Care Management
Pros
Reimbursement for work you are already doing and documenting Includes all patients on Medicare
with 2+ diseases
Cons
Associated co-payOnly Medicare
Financial Reality
Current reimbursement with co-pay
$40 334 patients per monthor 2.08 per hour based on 40 hours
Pays you back with increased quality reimbursements under MACRA
Remote Monitoring Solutions in Use in CTHeart failure – Reduced mortality &
hospitalizations @ 90 days1
CHF and hypertension• Home blood pressure & glucose
recorded in patient portal (Asylum Hill Family Medicine)
• EHR configuration to accept data from Apple Healthkit and Google Fit
1. Agboola S, Jethwani K, Khateeb K, Moore S, Kvedar J. Heart Failure Remote Monitoring: Evidence From the Retrospective Evaluation of a Real-World Remote Monitoring Program. EysenbachG, ed. Journal of Medical Internet Research. 2015;17(4):e101. doi:10.2196/jmir.4417.
Telemedicine and Reimbursement in CT Private insurance “Parity Law” – payment for telemedicine on par with
in-person services – Variable implementation ProHealth had pilot in 2015-16 –reassessing best uses Pilot of OB/GYN and behavioral Health in Hartford
State Medicaid exploring reimbursement. Check back in 2017. New England eConsult Network – Medicaid paying in demonstration
project Regional, including centers in Maine CHC, Inc. through Weitzman Center and UConn Health Dermatology, Cardiology, Endocrine, and Orthopedics
Corrections Medicine in CT – telemedicine from prison to UConn Health specialists
Teams need a “Virtual Assistant”
ProHealth – Automated medication refill wizard
Space and connectedness matter
Back to Reality
What can you and your team do?
Engaging All ParticipantsWrite – Pair – Share
What are specific changes that you can make to facilitate efficient workflow, team collaboration, or clinical tool implementation?
Learn more and engage your team:
www.cipci.org/future
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