Spending as a Percentage of GDP 19802012 2 3 Population Health Programs targeted to a defined population that use a variety of individual organizational and social interventions to improve health outcomes ID: 649454
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Robert C. GarrettSlide2
Health Care
Spending as a Percentage of GDP, 1980-2012
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Population Health
Programs targeted to a defined population that use a variety of individual, organizational, and social interventions to improve health outcomes.
Accountable Care Organization (ACO)
Groups of doctors, hospitals, and other health care providers who join together to provide coordinated, high quality care to well-defined populations of patients such as Medicare and commercial) patients.
Clinically Integrated Network
A structured collaboration among physicians, hospitals, and other providers to improve the access, quality and efficiency of health care across broad geographies.
Defining Population HealthSlide4
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112,000-square-foot center: 75,000 square feet of fitness space and 35,000 square feet of wellness and medical space
Community Care ProgramsSlide7
ConvenientCare
Now
By
Partners in Innovation
Health & Wellness Solutions
Member of NJIT’s NJII Healthcare Delivery Systems Innovation Lab.
Provides access to tools and processes that foster creative thinking and promote innovation and discovery.Slide8
HackensackAlliance
MSSP ACO RESULTS
2014
15,603 – Beneficiaries$6,464,895 – Generated Savings89.43% - Quality Score
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2015
23,156 – Beneficiaries
$33,353,000 – Generated Savings
95.7% Quality Score
2013
16,383 – Beneficiaries
$10,747,669 – Generated Savings
100% - Quality ScoreSlide9
Legacy Meridian Health Achievements in Population Health
Developed an extensive continuum of services in the community for convenient, easy access to care;
This design serves as the foundation for success in population health; Services include: post-acute facilities and home care services, outpatient rehab centers, ambulance and transport services, Wellness Centers/Health Villages, ambulatory surgery centers, Urgent Care to name just a few.
Invested in significant data management infrastructure to warehouse and subsequently perform granular analytics providing capability to segment populations for efficient care coordination/management.
Pluralistic clinically integrated network of 1,100+ participating providers in Monmouth and Ocean counties that promotes broad geographic coverage for primary and specialty care.
Nationally recognized and award winning integrated system-wide Palliative Care Service has grown to provide a continuum of care throughout 5 acute care hospitals, 6 skilled nursing facilities, an outpatient palliative care practice with and without walls, and a home-based demonstration project.
Established an Integrative Medicine Program towards engaging the community in a comprehensive holistic approach to care that compliments many of the traditional allopathic interventions and promotes self-management of illness/disease in an atmosphere of shared responsibility.
Meridian ACO has also been successful; achieving a 91.32% quality score in the most recent performance yearSlide10
HMH Opportunities, Challenges & Strategies that lie ahead in Population Health
Addressing Behavioral Health needs of the population and achieve seamless integration into primary care
Expand connectivity infrastructure to achieve interoperability
Prioritize initiatives around continuum of services for targeted populations by redesigning care coordination model
Shift from fee-for-service to fee-for-value and managing episodic cost of care in bundled payment arrangements
Monitor progress and measure success through a robust clinical, financial, and administrative analytics system that enables predictive modelingSlide11
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Care Coordination
Care Coordination facilitates smooth and efficient transitions of care, promoting
patient engagement
and
cost effective care
.
Care Management and Coordination is the arm that reaches out and turns the dial up on outcomes by taking population health and making it
personal
.Slide12
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Care Management Redesign
Optimizing Data Analytics
Comprehensive Joint Replacement Program
Medical School as a Differentiator
Payer Partnerships
Initiatives UnderwaySlide13
New School of Medicine