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Right Care Initiative The University of Best Practices, Sacramento

Right Care Initiative The University of Best Practices, Sacramento. Hattie Rees Hanley , MPP, RCI Director Parag Agnihotri, MD, Co-Chair, José A. Arévalo , MD  FAAFP, Co-Chair . CMS Innovation Center Taking Action to Improve Care and Reduce Costs.

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Right Care Initiative The University of Best Practices, Sacramento

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  1. Right Care InitiativeThe University of Best Practices, Sacramento Hattie Rees Hanley, MPP, RCI Director Parag Agnihotri, MD, Co-Chair, José A. Arévalo, MD  FAAFP,Co-Chair

  2. CMS Innovation Center Taking Action to Improve Care and Reduce Costs

  3. CMMI Innovation Center Portfolio -22 programs Capacity to Spread Innovation Health Care Innovation Awards State Innovation Models Initiative Initiatives Focused on the Medicaid Population • Primary Care Transformation • Accountable Care Organizations (ACOs) • Bundled Payment for Care Improvement • Medicare-Medicaid Enrollees

  4. Three Part Aim The Best Care, for the Whole Population, at the Lowest Cost. Population Health Person Experience of Care Per Capita Cost

  5. Sacramento Prevalence of Chronic conditions CDC Division of heart disease and stroke prevention interactive atlas 2007-09 last accessed July 6, 2012

  6. Cost of chronic care Health care cost per capita for people with heart disease is by far the highest: more than five times that of the general adult population. Sources: Gerard F. Anderson, PhD, Johns Hopkins Bloomberg School of Public Health. Analysis of Medical Expenditure Panel Survey (MEPS) Datafor selected chronic conditions, 2002. MEPS Statistical Brief #69, February 2005.

  7. California Health Care Quality Report Card - 2012 edition (2010 data)Local Medical Groups (Commercially insured)

  8. Goal : Working together to prevent Heart Disease and Stroke Right Care Objectives: • Hypertension Improve the number of patients with high blood pressure controlled ( < 140/90) to 76% (90th percentile HEDIS®) by end of 2013. • Secondary Cardiac Prevention Improve the number of patients with LDL < 100 to 73% (90th percentile HEDIS®) by end of 2013. • Diabetes care Improve the number of patients with HbA1c< 8% to 71% Improve the number of patients with LDL<100 to 58% (90th percentile HEDIS®) by end of 2013.

  9. Right Care InitiativeThe University of Best Practices, Sacramento Education Patient CenteredPractice Redesign Medical Home Team-Based Web Supported High-Tech Enabled Continuous Care - Not Episodic Quality Data Tools & Processes COMMUNITY FOCUSED EFFORT

  10. Great location.Sierra Health Foundation, Sacramento Low fat lunch

  11. Education Excellent speakers around RCI objectives July: -Dr. Anthony DeMaria: The Science Behind Prevention, and the San Diego Example August: Prevention Guidelines -Dr. Sean Ameli & Laura King Hahn: AHA's Get with the Guidelines Program -Dr. Caroline Peck: CDPH Heart/Stroke Registry -Dr. Mary Fermazin: QIO Update on Federal Initiatives September: Cardiovascular Disease in Women -Dr. AmparoVillablanca: Cardiovascular Disease in Women

  12. Quality Data Alignment of Clinical Quality Measures across payers=Population Health *Physician Quality Reporting Services

  13. Tools &Processes Highlight local best practices

  14. Right Care InitiativeThe University of Best Practices, Sacramento Education Patient CenteredPractice Redesign Medical Home Team-Based Web Supported High-Tech Enabled Continuous Care - Not Episodic Quality Data Tools & Processes COMMUNITY FOCUSED EFFORT

  15. Sample Sac group’s HTN improvement

  16. Key Components of Million Hearts/RCI CLINICAL PREVENTION Optimizing care COMMUNITYPREVENTION Changing the context Focus on ABCS Health information technology Clinical innovations TRANS FAT 16

  17. Warren Principle “Its not just about competing with each other, it’s about competing against disease”

  18. California Health Care Quality Report Card THE FUTURE STATE

  19. Thank you. Dr. José A. Arévalo Sr. Medical Director, SIP Dr. Don Hufford CMO, WHA

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