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Carolina Advanced Health (a.k.a. the Model Practice)

Carolina Advanced Health (a.k.a. the Model Practice). January 12, 2012. Our Vision To be the Nation's leading public academic health care system. Leading. Teaching. Caring. What is Carolina Advanced Health (CAH)?.

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Carolina Advanced Health (a.k.a. the Model Practice)

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  1. Carolina Advanced Health(a.k.a. the Model Practice) • January 12, 2012 Our VisionTo be the Nation's leading public academic health care system.Leading. Teaching. Caring.

  2. What is Carolina Advanced Health (CAH)? • New off-campus primary care practice (the Model Practice) opened in December 2011 • Focus on improved health outcomes for chronically-ill patients • Team-based model with on-site primary care, pharmacist and behavioral health providers • Located on Hwy 54 near I-40 • Partnership between BCBSNC and UNCHCS • Aligned incentives - share costs and downstream medical expense savings • TPN practice with unique branding • Staff are TPN employees • Logo contains BCBSNC and UNCHCS branding

  3. Major Objectives of Collaboration • Provider • More time to fully engage patients in their care • Improved access to information and tools to provide quality care • Payer • Demonstrating leadership in changing the healthcare system • Aligning incentives • Creating a sustainable, replicable model

  4. Scope of Initiative • Select BCBSNC members only • 1500 State Health Plan members are eligible to attend • 5,000 patient panel • Enriched with chronically-ill adult population (e.g. Diabetes, CAD, HTN, Diabetes, Obstructive Lung Disease, Depression, Hyperlipidemia, and Asthma) • Targeted mailings with copay voucher to attract members • Three-year pilot beginning on December 1, 2011

  5. What makes Carolina Advanced Health different? • Access and Convenience • Extended hours • Open scheduling • Telehealthvisits • Small patient-to-provider ratio • Effective Encounters • Pre-visit planning • Decision support • Evidence-based protocols • Outcome orientation • Self-Management Support • Lifestyle / health coach • Decision aids and educational materials • Home monitoring • One-Stop Shopping • Primary Care • Behavioral Health • Pharmacist • Phase 2 – select Specialists Patient • Technological Support • Sharing of claims data • Disease registries • Patient risk stratification • Coordination of Care • Case management • Transition-of-care program

  6. Considerations for Other UNCHCS Practices • If model is successful, may positively influence the future of primary care reimbursement and delivery models in NC • New technologies will be rolled out to other practices • BCBSNC members that are not eligible or lose eligibility for CAH will be referred to a UNCHCS/TPN primary care practices • Coordination of care is a critical component for success of CAH • CAH to use WebCIS to enable common medical record with specialists

  7. Monday 7 am – 5 pm Tuesday 8 am – 5 pm Wednesday 8 am – 5 pm Thursday 8 am – 7 pm Friday 8 am – 5 pm Saturday 8 am – 12 pm 6101 Quadrangle Drive Suite 100 Chapel Hill, NC 27517 Phone (919) 445-6000 Fax (919) 445-6011 Thomas Warcup, DO Medical Director Nikki Hudson Practice Manager Sarah Smithson, MD Margaret Rutledge Beal, PA Susan Kimberly, LCSW Marcy DelMonte, PharmD, BCPS Latasha Williams, Nutritionist/Health Coach Andrea Treimel, LCSW Care Manager Teresa Ellis CMA Melissa Hockaday CMA Sonja Smith CMA Michelle Williams CMA OshimmaDaye CMA Annie Whitney Quality Office Hours / Contact Current Providers and Staff Carolina Advanced Health Facts – Opening Dec 1, 2011

  8. Questions?

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