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To access the AUDIO portion of the webinar:
Dial: 1-866-740-1260
Pass code: 8618359
Building the Capacity of Indigent Care Networks by Standardizing and Collecting Data
More Efficiently
Kellan Chapin, MPH
Executive Director, Care Share
Shelisa Howard-Martinez, MPA
Collaborative Network Specialist, Care Share
Linda Kinney, MHA
Dial: 1-866-740-1260 Passcode: 8618359 Deputy Director, Care Share Health Alliance
Webinar Logistics
If you have problems accessing the audio or visual portion of this webinar call: 919-861-8358
All lines will be muted during the presentation
To ask a question during the Questions & Answers section, unmute your call by pressing *7
Webinar Overview
Introduction and Webinar Purpose – Kellan Chapin (10 minutes)
Background of Standard Outcomes and Measures Work- Shelisa Howard-Martinez (20 minutes)
• Work by Care Share Evaluation Committee• Standard Outcomes and Measures Pilot Project• Key Learnings from Pilot • Nine Standard Measures
Available Technical Assistance and Tools – Linda Kinney (10 minutes)
Questions & Answers – moderated by Adrian Russell (30 minutes)
Care Share Health Alliance
Care Share is a statewide nonprofit that helps communities coordinate care for low-income uninsured and underserved individuals.
We help communities by:
• Bringing people together to create a shared plan for serving those in need;
• Sharing knowledge and resources within communities;
• Sharing best practices and guidance among communities and across the state.
Care Share Health Alliance
Care Share is funded by: the Blue Cross and Blue Shield of North Carolina Foundation; The Duke Endowment; Kate B. Reynolds Charitable Trust; the North Carolina Health and Wellness Trust Fund; and the North Carolina Office of Rural Health and Community Care.
Thanks to their support, Care Share’s technical assistance is available to communities throughout the state at no charge.
Visit www.CareShareHealth.org or call 919-861-8353 for more information.
Care Share TA Service Map
Western NC – Julie [email protected]
Central NC - Linda [email protected]
Eastern NC – Shelisa [email protected]
Collaborative Networks
Bring together all of the local (most commonly defined as county) stakeholders who provide health services and other resources that promote and improve the health of low-income, uninsured North Carolinians
Are developed when its members decide they want to form one and then create a formalized structure
Have a shared vision, their priorities are determined by one strategic plan, they provide integrated systems of care to local communities and work to achieve common outcomes/system that improves access, quality, health and reduces unnecessary or escalating costs
Webinar Outcomes
1. Learn about nine standard measures and common definitions that have been tested by local indigent care networks.
2. Learn how Care Share’s technical assistance can help build your networks’ capacity to collect and report standard data.
3. Learn how your network can implement standard measures and common definitions.
Vision for Standard Outcomes and Measures for Networks
From its inception, Care Share's vision included developing standard outcomes, measures, and common definitions for networks and providers participating in networks
No other organization in the state has this role
Standard measures are needed so Networks can:
• Improve performance and quality of work
• Report to funders and document outcomes for grant writing
• Demonstrate and communicate their value
• Compare and share best practices with other Networks who serve low-income, uninsured people
Important for this work to be community-driven so that measures are useful and meaningful to Networks.
Standard Outcomes and Measures – Evaluation Committee Work
June 2009 – Care Share Evaluation Committee membership formalized and charged with developing standard outcomes, measures, and definitions for Collaborative Networks and providers participating in local Networks
Evaluation Committee membership composed of professional evaluators from state-level healthcare policy and research centers and representatives from local indigent care networks and statewide funders
Standard Outcomes and Measures – Evaluation Committee
Evaluation Committee developed:
• 7 domains: Access to Care, Utilization/ Appropriate Use of Care, Efficiencies and Cost Savings, Improved Health, Quality of Care, Patient Experience, and Provider Experience
• 46 standard measures covering all 7 domains
• A glossary of standard definitions to help networks apply measures to data collection
Work was developed with feedback of Collaborative Network Committee and Care Share Board of Directors
January 2010Standard Outcomes and Measures Survey to Safety Net
Purpose of Survey –
1. To gather recommendations for core measures that would be used in a Pilot Project
2. To assess the current data collection capacity of indigent care networks and providers
3. Identify potential participants for Pilot Project
84 surveys completed
Survey noted wide variability in:• Types of data being collected by networks and providers who serve low-income, uninsured
people,• Capacity to collect and report data between types of organizations• Capacity of respondents to collect and report data for specific domains and measures
Standard Outcomes and Measures – Pilot Project
Evaluation Committee recommended developing Pilot Project to test and refine 14 measures within 5 domains:
1. Access to Care
2. Cost Savings/Efficiencies
3. Utilization/ Appropriate Use of Care
4. Quality of Care
5. Improved Health Status
Standard Outcomes and Measures Pilot ProjectPurpose
Work with a group of 6-10 Pilot Sites to:• Finalize a list of “core” Standard Outcomes &
Measures • Test and refine online data collection tool - Standard
Measures Web Portal• Identify needed TA services• Identify challenges and best practices in data
collection and reporting • Facilitate shared learning
Standard Outcomes and Measures (SOM) Pilot Project Sites
Name of Network Counties Served
CapitalCare Collaborative Wake
Durham Project Access Durham
First Health of the Carolinas/ Moore Health/ Moore and Montgomery Counties HealthNet
Moore and Montgomery
Franklin Health Care Collaborative Franklin
Healthcare Access/ Forsyth Healthcare, Inc. Forsyth, Davie, Stokes, Yadkin, Davidson
HealthNet Gaston Gaston
HealthNet Expansion Albemarle Region
Measures Collected during SOM Pilot Project
1.Total # of unduplicated, low-income, uninsured individuals who are enrolled in the Network
2. Total # of active unduplicated, low-income, uninsured patients in the Network
3. Number of visits by Network enrollees
4. Number of enabling health services provided to Network enrollees
5. Total number of unduplicated, low-income, uninsured individuals enrolled in the Network with access to primary care/ medical home
Measures Collected during SOM Pilot Project
6. Number of prescriptions filled for Network enrollees
7. Number of individuals screened for Network eligibility
8. Number of providers participating in the Network
9. Estimated cost of donated care
SOM Pilot Project Lessons Learned - Data Collection and Reporting
• Networks have a wide range of data collection and reporting capacity, dependent upon:– Stage of development (including collaboration among
partners)– Number and type of partners– Resources
• Data collection challenges: – Most Networks do NOT have centralized/ linked system of
data collection or reporting – Partners use different electronic and manual data collection
systems • Challenge to merge this data into one system
– Duplicate patients – hard to “de-duplicate”
SOM Pilot ProjectLessons Learned - Data Collection and Reporting
• Data collection challenges (continued): – Partnership challenges
• Time-intensive to collect data from all partners• Need to build relationships/ trust• Data sharing agreements need to be in place
Lessons Learned Standard Measures
• Overall, Network partners feel that collecting/ reporting Standard Measures is at least “somewhat useful” (among those surveyed)
• Networks feel that Standard Measures are important for reasons including:– To report to funders, document outcomes for grant writing,
demonstrate value, compare with other Networks, improve Networks
• Networks current data collection/ reporting systems are not able to track/ capture all measures with current definitions
Standard Outcomes and Measures – Moving Forward in 2011
Collaborative Network Committee will continue to refine current standard measures and definitions with assistance of Best Practices and Innovation (Evaluation) Committee
Collaborative Network Committee will also begin identifying additional measures, definitions, and reporting templates for networks to use
Standard measures will be developed to support local networks capacity to:• Improve and maintain the health of people they serve • Improve network performance and outcomes by sharing best practices and
facilitating shared learning• Identify data to prepare community/ network for Health Reform implementation
Health EducationPatient engagementWellness/Prevention
Health/Care Navigation
Medical/Primary Care HomeSpecialtyHospital
Urgent CareDental
Behavioral HealthMedications
Labs & DiagnosticsDurable Medical Equipment
Chronic Disease Management
Community Support Services
Department of Social Services
Homeless SheltersFood Banks/PantriesInterpreter/translation
servicesTransportation
Churches, civic clubs
Economic DevelopmentConsumer Credit
CounselingAffordable Care
Education
Collaborative Network
Access to CareSafety Net
Improved health
Individual behavior
Community
Economic
Care Share’s TA Values & Principles
Collaboration is fundamentalInclusive of all stakeholders
Collaborative and working relationships are at the core of improving systems
Responsiveness to all communities Focus on those communities that invite us to work with them
Connecting with communities to create opportunities for improving health
Understanding that each community is uniqueEach community has its own assets and challenges
Considering the context is key to successful efforts
SustainabilityValuing and drawing upon diverse local assets and
resources
Recognizing the long term value
Applying useful tools and resources
Innovative and creative practices
Learning from peers and other places
Outcomes focusedA practical focus on reaching outcomes
Forward looking to accomplish goals
Supporting local capacity Community driven and defined
Everyone is an expert in one’s own experience
Tools to implement SOM in Your Network
Contact TA person in your region
On-site TA available to:
1. Facilitate data-sharing agreements among your partners
2. Map and assess your current data collection process
3. Training about how to use standard outcomes and definitions
Standard Measures Web Portal – an online and centralized data collection tool your network can use to enter quarterly data
Collaborative Network Committee to begin identifying report templates to be used with Web Portal
Care Share IT Committee is creating IT Assessment Toolkit and identifying IT systems / products for networks
Question and Answer Section
Do you have any questions for Kellan, Shelisa, or Linda?
Press *7 to Unmute your call
More Information and Presentation Materials
•For more information, log-on to our Knowledge Bank: https://www.CareShareHealth.org/index.lasso?id=46&cat=6
•The audio-recording and the powerpoint slides for this webinar will be posted within the “Webinars and Teleconferences” section shortly after the presentation is finished.