1 / 18

National Study of Physician Organizations and the Care of Chronic Illness (NSPO) II

National Study of Physician Organizations and the Care of Chronic Illness (NSPO) II. AcademyHealth 2007 Annual Research Meeting Diane R. Rittenhouse, MD, MPH University of California, San Francisco. Collaborators. Stephen Shortell, PhD (Principal Investigator) Lawrence Casalino, MD, PhD

natane
Download Presentation

National Study of Physician Organizations and the Care of Chronic Illness (NSPO) II

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. National Study of Physician Organizations and the Care of Chronic Illness (NSPO) II AcademyHealth 2007 Annual Research Meeting Diane R. Rittenhouse, MD, MPH University of California, San Francisco

  2. Collaborators Stephen Shortell, PhD (Principal Investigator) Lawrence Casalino, MD, PhD James Robinson, PhD Robin Gillies, PhD Sara Fernandes-Taylor, Doctoral Student Rodney McCurdy, Doctoral Student

  3. National Study of Physician Organizations and the Care of Chronic Illness (NSPO) II Funded by: Robert Wood Johnson Foundation The Commonwealth Fund California HealthCare Foundation

  4. Care Management for Chronic Illness • Quality Chasm • Particularly concerning for chronic illness care • Substantial disease burden and cost: • Diabetes, Asthma, CHF, Depression

  5. Care Management for Chronic Illness • New models of care delivery are needed • Physician organizations (large medical groups and IPAs) well positioned to improve care

  6. Internal Capabilities External Incentives Care Management Improved Processes Outcomes Physician Organizations’ Role in Improving Chronic Illness Care

  7. National Study of Physician Organizations and the Care of Chronic Illness (NSPO) II • Comprehensive list of all U.S. physician groups (medical groups and IPAs) with 20 or more physicians n=1063 • 35 minute phone survey with Medical Director or CEO • 1/1/06 - 3/31/07 • 52% response rate; n=551 physician groups

  8. Internal Capabilities External Incentives Care Management Improved Processes Outcomes Physician Organizations – Improving Chronic Illness Care

  9. Care Management for Asthma and Diabetes

  10. Care Management for CHF and Depression

  11. Care Management for 4 Diseases • On average, physician organizations used 11.1 (out of 24) care management processes for all 4 chronic diseases.

  12. “Practice Re-design” • Advanced Access scheduling: 59.7% • Group visits for chronic illness: 24.7% • Primary care teams: 30.3%

  13. Internal Capabilities External Incentives Care Management Improved Processes Outcomes Physician Organizations’ Role in Improving Chronic Illness Care

  14. Patient Centered Culture • Does good job of assessing patient needs • Staff promptly resolve patient complaints • Patient complaints are studied to identify patterns • Patient data are used to improve care • Patient satisfaction data are used in developing new services

  15. Health Plan Activities • To what extent do physician organizations report that health plans are providing CMP services to their physicians/patients? • Are health plan and P.O. efforts complements or substitutes?

  16. Participation in Quality Initiatives • Does your group participate in any quality improvement demonstration programs? • (Eg: Bridges to Excellence, IHI, Pursuing Perfection, Improving Chronic Illness Care) • Does your group use the rapid cycle quality improvement strategy (PDSA)?

  17. External Incentives for Quality

  18. Emerging Story • Internal Capabilities • Culture plays an important role • Health plan care management activities are complementary to physician organization efforts • Participation in quality improvement programs • External incentives • Prevalent and associated with increased care management

More Related