A Regional Focus on Advancing Health

MiHIA: Michigan Health Information Alliance, Inc.

Kim Morley, MiHIA CEOPhone: 989-859-0706e-mail: k.morley@mihia.org

MiHIA Vision & Mission

• Vision: To become the healthiest thriving community with the best quality and value in health care.

• Mission: To improve the health of people within our region through effective use of information and collaboration to establish our region as a community of health excellence through a comprehensive focus on population health, patient experience and cost of care.

MiHIA Common Purpose

To improve the health of people within our region and establish a community of health excellence through focused effort and measurable improvement in the Triple Aim.

Involvement in this important initiative will provide direct and indirect benefits to the area and its residents which include:

- Increased appeal for business growth- Decreased health care burden on employers, state and local budgets, and individuals- Improve quality of life for citizens- Healthier and more productive communities- Enhanced ability for health systems and providers to meet tough health reform challenges for improved quality and cost containment/cost reduction

Who Is MiHIA?

Health Systems

Health Systems

Civic LeadersCivic Leaders

Academic Institutions/

Schools

Academic Institutions/

Schools Health Plans/

Insurance Providers

Health Plans/

Insurance ProvidersBusiness/

Employers

Business/Employers

Health Departments

Health Departments

Physicians/ Health Care

Providers

Physicians/ Health Care

Providers

Community Partners

Community Partners

Health and Health System Change

Health and Health System Change

Cost of CareCost of Care

Population Health

Population Health

The Triple AimThe Triple Aim

Patient Experience

Patient Experience

Faith CommunityFaith Community

Community Mental Health

Community Mental Health

Health-Related NGOs

Health-Related NGOs

FoundationsFoundations

Social Service Agencies

Social Service Agencies

Health SystemsHealth Systems

Civic LeadersCivic Leaders

Academic InstitutionsAcademic Institutions

Health Plans/ Insurance Providers

Health Plans/ Insurance Providers

EmployersEmployers

Health DepartmentsHealth Departments

PhysiciansPhysicians

Community PartnersCommunity Partners Health and Health System Change

Health and Health System Change

Cost of Care

Cost of Care

Quality of Care

Quality of Care

Patient Experience

Patient Experience

The Triple AimThe Triple Aim

Faith CommunityFaith Community

FoundationsFoundations

Health Related NGOsHealth Related NGOs

Community Mental Health

Community Mental Health

Social Service Agencies

Social Service Agencies

MiHIAMiHIA

MiHIA Goals: To accelerate regional progress of the Triple Aim

POPULATION HEALTH GOAL:

•All 14 MiHIA counties to be ranked in the top half of the county health rankings by 2015.

PATIENT EXPERIENCE GOAL:

•For both Saginaw and Lansing HHR’s to be ranked in the 1st Qtl by 2015. Focus on improving areas in the 3rd Qtl or 4th Qtl.

COST OF CARE GOAL:

•That the cost of care for the region will not increase more than the CPI.

1. 9 partners in 33 school buildings2. 50 worksites and 60 restaurants on board 3. 2 federally qualified health centers and 1 free clinic4. Michigan Community Dental Clinic for uninsured and Medicaid eligible5. Gladwin Hospital and City of Gladwin paved River Walk6. Regional multi-media anti-tobacco educational initiative7. Teen pregnancy rate has gone down; HPV vaccines

have tripled8. Prescription drug drop off locations increased

from 2 to 119. Clare County: 82 to 7510. Isabella County: 42 to 14

 Saginaw Pathways to Better HealthA. 750 referrals to dateB. Target enrollment: 1,740C. 17 Community Health WorkersD. 6,000 client interactionsE. 2013 Client Satisfaction Report

1. 88% were “happy” or “very happy” with services

2. 84% of respondents would recommend this service

2 Year Trend

Year 2 Year 1 Year 2 Year 1 Year 2 Year 1

Segment % of Population

% of Population

Year 2 Change

Payment per Capita

Payment per Capita

Year 2 Change

Payment(millions)

Payment(millions)

Year 2 Change

Medicare 17.6% 16.7% 6% $ 11,008 $ 10,729 3% $ 1,503.2 $ 1,399.1 7%

Uninsured 11.0% 11.4% -3% $ 80 $ 72 11% $ 6.8 $ 6.4 6%

Medicaid 21.2% 23.7% -10% $ 4,239 $ 4,122 3% $ 696.2 $ 762.6 -9%Employers Insured 50.1% 48.2% 4% $ 7,125 $ 7,125 0% $ 2,761.5 $ 2,682.1 3%

TOTAL $ 6,883 $ 6,618 4% $ 5,326.0 $ 5,167.8 3%

MiHIA Region

773,797

780,869 -1% $ 4,967.7 $ 4,850.2 2%

CPI (consumer price index) rose 1.5% for 2013, after a 1.7% increase in 2012. This is lower than the 2.4% average annual increase over the last 10 years. (source: CPI Detailed Report-December 2013)

Medical care commodities CPI unadjusted for 12 months ended December 2013 was 2.5%

i. MiHIA, University of Michigan, National Kidney Foundation of Michigan, SVSUii. 1 of 3 Residentsiii. Less than 1% are awareiv. Fully developed plan; replicable modelv. Plan Impact

1. prevent 450 cases of Type II Diabetes2. eliminate 4,860 missed work days3. avoid $2.74 million in healthcare costs4. avoid blood pressure and cholesterol medications for 330 people5. add the equivalent of 600 years of perfect health6. lower insurance premiums and taxes7. increased earnings8. increased standard of living9. healthier friends and family members

MiHIA Priority Areas

• Regional Population Health Strategy

• Pre-Diabetes Initiative

• Choosing Wisely

• Time 2 Cost of Care Report

• Support merger of GLHIE and MHC

• Submit to be one of three sites in MI for the State Innovation Model (SIM)

Questions?