d elivery s ystem r eform i ncentive p ayments n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
D elivery S ystem R eform I ncentive P ayments PowerPoint Presentation
Download Presentation
D elivery S ystem R eform I ncentive P ayments

Loading in 2 Seconds...

play fullscreen
1 / 34

D elivery S ystem R eform I ncentive P ayments - PowerPoint PPT Presentation


  • 149 Views
  • Uploaded on

D elivery S ystem R eform I ncentive P ayments. Dr. Michael J. Romano, Associate Dean for Clinical Affairs Mr. Oscar A. Perez, Project Manager, DSRIP-Texas Tech. EXPANDING NEUROLOGY CARE. Salvador Cruz-Flores MD MPH Founding Chair, Neurology Region 15 RHP Meeting

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'D elivery S ystem R eform I ncentive P ayments' - akando


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.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
d elivery s ystem r eform i ncentive p ayments
DeliverySystemReformIncentivePayments

Dr. Michael J. Romano, Associate Dean for Clinical Affairs

Mr. Oscar A. Perez, Project Manager, DSRIP-Texas Tech

expanding neurology care

EXPANDING NEUROLOGY CARE

Salvador Cruz-Flores MD MPH

Founding Chair, Neurology

Region 15 RHP Meeting

El Paso First Healthplan, 1145 Westmoreland Drive

June 28, 2013 @ 1:00pm

slide3

To improve the general health of the population in El Paso by increasing access to quality neurological health care services locally

MILESTONES

  • Recruitment of providers (physicians and non physicians)
  • To expand services to include satellite ambulatory sites for outpatient visits and inpatient consult service.
  • To establish an ACGME accredited residency Program in Neurology
background
Background
  • Nearly half of the Department’s ambulatory encounters are Medicaid and/or No Insurance
  • Population is aging and the burden of neurological disease like stroke, Alzheimer’s, and Parkinson’s disease is increasing
  • Increase in workforce related to Neurology is a better predictor of mortality related to strokes (leading cause of death and disability in USA)
      • -----Desai A, Bekelis K, Zhao W, Ball PA, Erkmen K: Association of a higher density of specialist neuroscience providers with fewer deaths from stroke in the United States population. Clinical Article. Journal of Neurosurgery, published ahead of print November 30, 2012; DOI: 10.3171/2012.10.JNS12518
background1
Background
  • Currently there is a limited number of neurologists in El Paso (about 10 in El Paso excluding those who serve the military)
  • Ideally 6.76 neurologists per 100,000 population (Kurtzke, Bennett, et al 1986) or 54 Neurologists for a city this size of 800,000
  • Time to appointment is a good surrogate of service need (in the community currently is 4-6months for new appointment)
benefits for the region
Benefits for the region
  • Increased access to general neurological care in the ambulatory and inpatient settings
  • Increased access to subspecialty care in neurology such as epilepsy, stroke, movement disorders (i.e. Parkinson’s disease)
  • Form basis for creation of a Comprehensive Stroke Center
  • Facilitate the training of physicians in neurology that may choose to stay in El Paso
progress
Progress
  • Hired 2 FTE neurologists in Year 02 of DSRIP
      • Future plans to include current increase from 4.2 FTE Faculty (2013) to 10-12 FTE within next 4 years (2017)
  • Increased outpatient volume by adding additional clinic sessions and adjusting clinic grids
  • Improvement of telephone access and referrals
  • Began servicing more inpatient consults at UMC and Neuro intervention
    • In the process of creating Stroke Program; Neuro ICU
  • Plans have started to create residency program
    • Residency Coordinator to complement in 2013-14
    • 3 PGY 1 residents in 2015
progress1
Progress
  • Risk areas: Attracting and recruitment of physicians to El Paso
  • Mitigation strategies: within the constrains of academic medicine try to offer competitive compensation and a professional life that candidates may value
  • Anticipated outcomes:
    • Increased number of neurologists
    • Creation of residency program in neurology as planned
    • Increase number of new and established outpatient and inpatient encounters
  • Connection with other initiatives (DSRIP or otherwise):
    • Could be connected to the Family Medicine initiative by creating a neurology satellite clinic in one or more of the family medicine sites
slide9

Questions?

Comments?

enhancing expanding comprehensive breast care services

ENHANCING & EXPANDING COMPREHENSIVE BREAST CARE SERVICES

Rene Vallejo

Region 15 RHP Meeting

El Paso First Healthplan, 1145 Westmoreland Drive

June 28, 2013

1:00pm

description of the project
Description of the Project

Synopsis

Expand and enhance access to specialty care for women with breast disease. Develop a Fellowship Program and provide increased access to surgeons with special expertise in breast surgery. Establish a Survivor’s Program at UBCC with an emphasis on objective measures of quality of life and strategies to improve this matric.

Department Involved:

Department of Surgery- University Breast Care Center (UBCC)

Major Milestones DY2:

  • Baseline Report Time-to-3rd Appointment
  • Survivor Program-(40 enrolled) Program starting to see enrolled patients
  • Hire Breast Surgeon
  • NAPBC Program Accreditation
  • 2 RHP Seminars
benefits to the community
Benefits to the Community

Established in 1994, primary focus was to help the indigent. UBCC treats 1/3 of all breast cancer in El Paso. 4,500 patients seen annually @130 are diagnosed with breast cancer. UBCC has Multi-disciplinary team approach from diagnosis to end of treatment (5 yrs). UBCC is NAPBC- National Accreditation Program for Breast Centers. DSRIP Project will create more access to UBCC services and improving quality of life to those patients. UBCC patients are 45% Medicaid or uninsured

progress2
Progress

Milestones:

  • Baseline Report Time-to-3rd Appointment Complete 100%
  • Survivor Program In-progress 40%
  • Hire Surgeon- Hired Search firm In-progress 30%
  • NAPBC Program Accreditation Complete 100%
  • 2 RHP SeminarsIn-Progress 50%

Risk Areas:

    • Hire Breast Surgeon- Hired Search firm

Anticipated outcomes:

    • Meet all other milestones

Connection:

    • Working with Texas Tech Internal Medicine Oncology Department
innovations
Innovations
  • Developed an implemented a new schedule Matrix to track Survivor patients in Centricity Business.
  • Completed contract services for Survivor Program.
  • Kick off Survivor Program is July 1, 2013 at UBCC.
  • UTEP Health fair July 11, 2013.
slide15

Questions?

Comments?

increasing access to surgical services

INCREASING ACCESS TO SURGICAL SERVICES

Rene Vallejo

Region 15 RHP Meeting

El Paso First Healthplan, 1145 Westmoreland Drive

June 28, 2013

1:00pm

description of the project1
Description of the Project

Synopsis:

This project will increase the number of surgical providers serving the region. Surgery will expand the number of sites at which the performing provider offers outpatient general surgery clinic services and implement an electronic referral system.

Department Involved:

Texas Tech Department of Surgery

Major Milestones:

  • Increase clinic volume
  • Increase Specialty locations
  • Hire Provider
  • Needs Assessment
  • E-Referral
  • 2 RHP Seminars
slide18

Questions?

Comments?

benefits to the community1
Benefits to the Community

Each new surgical provider, when established, will provide services to a minimum of 250 unique patients each year. Benefit to Medicaid / Indigent Patients: Given that 60% of our enterprise ambulatory encounters are to patients with Medicaid or no insurance, this project will be a direct benefit to that population.

progress3
Progress

Milestones:

  • Increase clinic volume In-Progress 90%
  • Increase Specialty locations In-Progress 40%
  • Hire Provider In-Progress 40%
  • Needs Assessment In-Progress 80%
  • E-Referral In-Progress 40%
  • 2 RHP Seminars In-Progress 50%

Risk Areas:

    • None

Anticipated outcomes:

    • Meet all Milestones
minimally invasive gynecology surgery fellowship

MINIMALLY INVASIVE GYNECOLOGY SURGERY FELLOWSHIP

J. Salvador Saldivar, MD, MPH

Assistant Professor Gynecology Oncology

Department of OB/GYN

Region 15 RHP Meeting

El Paso First Healthplan, 1145 Westmoreland Drive

June 28, 2013

1:00pm

description of the project2
Description of the Project
  • AAGL approved Fellowship in MIGS
    • 2 year program with 1 Fellow per year
    • Faculty preceptors from Texas Tech and the community
  • Supported internally by the Dept of OB/GYN
  • Milestones
    • Increase the number of residents choosing MIGS specialties (shortage).
    • Design workforce enhancement initiatives to support access to MIGS providers in El Paso region (underserved)
    • Expand MIGS training.
benefits to the community2
Benefits to the Community
  • Provide gynecologic services to patients at Texas Tech, UMC and the community
  • Production of an independent provider for the greater El Paso community
  • Increasing the pool of outside applicants to our Program and in turn, retention to the El Paso area
  • Benefits of minimally invasive surgery
progress4
Progress
  • Milestones
    • Quarterly evaluation for Fellow advancement
  • Risk Areas / Mitigation strategies
    • Faculty preceptors role as supervisors
  • Anticipated outcomes
    • Successful completion of an independent MIGS
  • Connection with other initiatives (DSRIP or otherwise)
innovations1
Innovations
  • Innovative ideas implemented
    • Advanced minimally invasive endoscopic instruments
    • Robotic technologies
  • Improvements to processes
    • Ability to apply MIS technology to patient care where the availability was scarce or non-existence
slide26

Questions?

Comments?

increasing access to ocular care

INCREASING ACCESS TO OCULAR CARE

Rene Vallejo

Region 15 RHP Meeting

El Paso First Healthplan, 1145 Westmoreland Drive

June 28, 2013

1:00pm

description of the project3
Description of the Project

Synopsis

Improve utilization rates of clinical preventive services (testing, preventive services, treatment) in target population with identified disparity

Departments Involved:

Texas Tech Surgery- Ophthalmology

Milestones DY2:

  • Baseline data- Performance indicators-established and implemented Patient Questionnaire
  • E Referral- IT team working with EMR to create referral
  • 4 Hire Ocular Providers currently Recruiting
  • 2 RHP Seminars
benefits to the community3
Benefits to the Community

El Paso community consist of large Hispanic population with many having Type II diabetes and a significant number are indigent or have Medicaid. The importance of this exam is underscored by it being a core HEDIS marker. In addition, the lack of access to primary care creates more barriers to receiving this screening exam.

progress5
Progress

Milestones:

  • Baseline data- Performance indicators

established and implemented Patient questionnaires In-Progress 80%

  • E Referral- IT team working with EMR to create referral In-Progress 40%
  • 4 Hire Ocular Providers currently Recruiting In-Progress 20%
  • 2 RHP Seminars In-Progress 50%

Risk Areas:

  • Hiring of Providers prior to deadline- added more resources to recruiting.

Anticipated outcomes:

  • Milestones will be met
innovations2
Innovations
  • Improvements to processes:
    • Educated team on CQI/Rapid Cycle Improvement
    • Formulated Action Plan
quarterly process improvement meeting june 21 2013
Quarterly Process Improvement MeetingJune 21, 2013

Project Leader: Ceci Sambrano/ Michael Maldonado

Clinic: Ophthalmology

Contact Phone: 545-6999

Team Members: Rene Vallejo-Facilitator, Esther Estrada-Scribe, Sandra Alderete, Sandra Villagran, Belinda Sanchez

Purpose: Review Quarterly Patient Satisfaction Scores and develop an Action Plan to improve scores.

Opportunity Statement: Decrease Length of time waiting at Office

Root Causes: (Analyze with Brainstorming-Select 1-2 Root Causes)

1. EMR Implementation

2. Registration Process

3. Schedule Matrix

slide34

Questions?

Comments?