Embed Size (px)
Citation preview
1
READY BY 2014:CLINICIAN CAPACITY SURVEY HIGHLIGHTS
Presentation for CSRHA Annual ConferenceNovember 16, 2011
2
Co-facilitators:
Casie Parrish, M.P.A., Administrative Coordinator, WCN
Lyman Dennis, MBA, PhD, CPHIMS, HIMSSPrincipal, Eldorado Consulting
Charla Parker, M.P.A.Presenter, CEO, WCN
3
Survey Objectives
Survey Highlights
“Think Tank” Solutions – Attendees1. Physician Recruitment & Retention2. Preparing for P4P3. Improving PCP/Specialty Care Communications
Summary and Next Steps
Participation Map
4
Study Goal:To identify the capacity of safety-net providers to take on newly insured patients according to standards set under the Affordable Care Act and to utilize that information to develop technical, educational and funding assistance programs.
5
Kaiser Permanente Southern California Community Benefit
Kaiser Permanente National Community Benefit
Study Sponsor
6
Survey Partners in CA
7
Arizona Association of Community Health Centers
Great Basin Primary Care Association
Survey Partners in AZ and NV
8
What did we learn?
9
Clinicians Are Eager to Express Their Opinions
10
Clinicians Hate to Complete Surveys
11
Nevada◦ 17 started and all completed survey
Arizona◦ 11 started and 7 completed survey
California◦ 29 started survey and 13 completed
◦ Nearly all were from rural communities
Survey Responses: 57 total
12
Ability to take new patients into panel?
Yes responses:a. 50-60%b. 60-70%c. 70-80%d. 90-100%
What do you think they said?
13
Provider Ability to Increase Patient Load• AZ 85.7%• NV 93.8%• CA 93.3%Physical Office Capacity to Increase• AZ 100%• NV 87.5%• CA 100%
Clinicians’ Perspective on “Ready by 2014”?
14
Clinician Perception of Ability to Add 25% More Patients
26.83% Not Ready 23.08% Not Ready
39.02%
31.71%
17.07%
4.88%
7.32%
Increase your registered patient population by
25% - % Roll Up
12345
53.85%
15.38%
15.38%
7.69%
7.69%
Increase your registered patient population by
25% - % CA
12345
15
Perception of PCMH Readiness
Not Ready 9.76% Not Ready 0%
34.15%
41.46%
14.63%
2.44%7.32%
Be fully certified as a PCMH
% Roll Up
12345
38.46%
38.46%
23.08%
Be fully certified as a PCMH - % CA
12345
16
Perception of Ability to Enter into ACO Contracting Relationship
Not Ready 26.83% Not Ready 23.08%
19.51%
26.83%
26.83%
14.63%
12.20%
Enter into an ACO contracting relation-
ship % Roll Up
12345
15.38%
23.08%
38.46%
23.08%
Enter into an ACO contracting relation-
ship % CA
12345
17
Recruitment and Retention of Clinicians
Improving Communications Between PCP’s, Specialists, Hospitals, etc.
Participating in Pay-for-Performance Programs
Top Critical Issues
18
Provider Recruitment & Retention
#1Critical Issue
Degree of Challenge:
Extreme33.33%
Considerable 41.67%Moderate 16.67%Low 2.78%None 5.56%
19
More Pts. – Not Enough PCP’s
20
How to see more patients with reduced$’s?
#2:Participating in Pay-for-Performance Programs
21
*Better Care
*Better Health
*Lower Costs
The 3-PART AIM:
22
Workflows before implementing EHR are different from those after
EHR adoptionPractice Manager
Practice Manager
23
Workflow Redesign for Increased Efficiency◦ Reduces Cost
Panel Management for Patient Centered Access◦ Provides Better Care
Population Care Management for Improved Health Outcomes◦ Provides Better Health for the Community
Practice Management Coaching
24
Improving Communications Between PCP, Specialists, Hospitals & Ancillary Providers
No. 3 Optimizing EHR Critical Issue
25
The Past Information System
26
Potential for Real Time Health Information Exchange
27
Real time data creates opportunity for shared decision making between provider and patient
According to an IOM report, uninformed patients spend 40cents per dollar more on unnecessary care and less-involved patients often demand unwarranted tests and treatment because they don’t know about varying risks and benefit
Shared Decision Making
28
How do we move from past to present to the future integrating all of the new Ready by 2014 “guidelines”?
29
Convene in small groups – 5minutes1. Assign a discussion leader2. Assign a recorder3. Assign a reporter Identify challenges faced with your topic – 5 minutes
Identify innovations that are overcoming those challenges – 30 minutes
Chose one innovative practice to share with larger group – 10 minutes
Report back out at the end of 50 minutes
Assignment for “Power Dating” Break-outs
30
Attendee’s ShowcaseInnovations
31
Conclusion
Summary of Break-out Reports Next Steps
32
Opportunities for the Future of Improved Financial & Clinical Performance
33
UCSF Practice Management Facilitation◦ 2 scholarships available: No. and So. CA
Practice Based Research Opportunities◦ Application of Predictive Analytics in PCP Office◦ Colorectal FLU-FIT Best Practices Project◦ Other topics being developed
Ongoing Peer Support and Networking New CMO Boot Camp
◦ April 22, 2012 Las Vegas
WCN Current Program Offerings:
34
Survey Summary & Best Practices Resources Will be posted on WCN website
www.westerncliniciansnetwork.net or contact Charla Parker, MPA at (530) 383-5030
[email protected] Casie Parrish, MPA at (916) 993-7770 x3670 [email protected] Lyman Dennis, MBA, PhD, CPHIMS, FHIMSS [email protected]
Resources and References
35
With Special Thanks toThomas Bodenheimer, M.D. Associate Professor, UCSF Center for Excellence in Primary Care
