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AN OVERVIEW OF THE HEALTHIER WASHINGTON INITIATIVE, GREATER COLUMBIA ACH AND THE

AN OVERVIEW OF THE HEALTHIER WASHINGTON INITIATIVE, GREATER COLUMBIA ACH AND THE PATIENT CENTERED MEDICAL HOME MODEL OF CARE. Healthier Washington Healthcare Transformation Strategies. US health care system most expensive in the world. Average Spending on health per capita, $8,508.

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AN OVERVIEW OF THE HEALTHIER WASHINGTON INITIATIVE, GREATER COLUMBIA ACH AND THE

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  1. AN OVERVIEW OF THE HEALTHIER WASHINGTON INITIATIVE, GREATER COLUMBIA ACH AND THE PATIENT CENTERED MEDICAL HOME MODEL OF CARE

  2. Healthier WashingtonHealthcare Transformation Strategies

  3. US health care system most expensive in the world

  4. Average Spending on health per capita, $8,508

  5. Baby Boomers Need Coordinated Care BABY BOOMER CARE

  6. Acute Care Model of Care = Old Framework Fee for Service Causes of Death

  7. Washington State is on a mission to transform its healthcare delivery system!

  8. Medicaid Transformation Goals • Reduce avoidable use of intensive services and settings—such as acute care hospitals, nursing facilities, psychiatric hospitals, traditional long-term services and supports, and jails • Accelerate the transition to value-based payment—using payment methods that take the quality of services and other measures of value into account • Ensure that Medicaid cost growth is 2% below national trends—through services that improve health outcomes and reduce the rate of growth in the overall cost of care • Improve population health—prevention and management of diabetes, cardiovascular disease, mental illness, substance use disorders, oral health and more

  9. Health is more than health care Adapted from: Magnun et al. (2010). Achieving Accountability for Health and Health Care: A White Paper, State Quality Improvement Institute.. Minnesota. Factors contributing to the variability in mortality Because we know that health is more than health care.

  10. CDC Health Impact Pyramid

  11. Building healthier communities through regional collaboration

  12. Population & Medicaid # by County**

  13. Greater Columbia ACH is creating a Culture of Health

  14. Patient Centered Medical Homes

  15. 8 Change Concepts

  16. How to create “Value” in healthcare

  17. The Movement to Value-Based Payment By 2021, 90% of Medicaid payments will be linked to VBP models. Commercial carriers have already begun to follow suit. Increasing provider financial risk

  18. Learning Collaboratives • Monthly Learning Collaboratives for PCMH providers • Focusing on topical areas of interest, especially those tied to PCMH Milestones • EMS Community Paramedicine • Behavioral health integration • Prescription Drug Monitoring Program (PDMP) • Care Coordination • Trauma and the Opioid Crisis • Etc.

  19. GCACH - PCMH Cohort #1 $12,673,219 Astria Sunnyside, Yakima, and Toppenish Hospitals Catholic Charities Serving Central WA CHAS Health Columbia Basin Health Association Community Health of Central WA Kadlec Regional Medical Center Kittitas County Public Hospital District Lourdes Health Network Memorial Physicians Palouse Medical Prosser Memorial Providence St. Mary’s Medical Center Pullman Regional Hospital Student Health Options Tri-Cities Community Health Yakima Valley Farm Workers Clinic Yakima Neighborhood Health Services

  20. Behavioral Health Providers – Cohort #2 $ 4,211,631 Barth Clinic, LLC Blue Mountain Counseling Catholic Charities of Yakima Comprehensive Healthcare First Steps Community Counseling Ideal Balance Lourdes Hospital LLC Lutheran Community Services NW Palouse River Counseling Quality Behavioral Health Serenity Point Counseling Services, LLC Somerset Counseling Sundown M Ranch The Valley Alcohol Council, Inc (Merit) Tri-Cities Community Health Yakima Valley Council on Alcoholism (Triumph Treatment Services) Yakima Valley Farm Workers Clinic

  21. Opioid Resource Networks (ORNs) Benton-Franklin-Walla Walla Opioid Resource Network $300,000

  22. Community Health Fund$1.4 Million to Address SDOH

  23. Community Resilience Campaign$600,000 GCACH is launching a regional resilience campaign to help mitigate the effects of Adverse Childhood Experiences (ACEs) Task force of SME to ensure the campaign is focused, targeted, demographically sensitive, and complementary to the efforts already being carried out locally.

  24. GCACH Health Information Technology (HIT) Initiatives • The GCACH is advancing data and digital strategies to advance interoperability and population health management within and across our partnering organizations • Health Commons for community complex care coordination • CSI Healthcare Community for partnering provider collaboration • Population health management technology integration • The Collective Platform (PreManage/EDIE) for care transitions • ImageTrend (Community Paramedicine Pilot Project) • DataMotion (Direct Secure Messaging) for interoperability • Community Resource Directory to help address patients’ and providers’ social needs

  25. The Health Commons

  26. Sponsorship/Scholarship Program • 2019 Sponsorship Fund: • $30,000 • 2019 Behavioral Health Scholarship Fund: • $490,000

  27. Supportive Housing

  28. Current Funds Flow

  29. GCACH Board of Directors

  30. GCACH Backbone

  31. Thank you!

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