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CareFirst - Making a Difference CareFirst Commitment Making a Difference in our Communities City. March 13, 2013. Julie Wagner Grants Program Manager. The CareFirst Organization….

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slide1

CareFirst - Making a Difference

CareFirst Commitment

Making a Difference in our Communities

City

March 13, 2013

Julie Wagner

Grants Program Manager

the carefirst organization
The CareFirst Organization…
  • The largest insurer in the Mid-Atlantic region, serving 3.4 million members
  • Employs about 5,000 associates and contractors in Maryland, Washington, D.C., Northern Virginia, West Virginia and North Carolina
  • Has the largest provider network in the region, with more than 80 percent of the region’s health care providers participating in one or more networks
  • Launched the nation’s largest Patient-Centered Medical Home (PCMH) program of its kind
  • Since 2008, through our CareFirst Commitment program, we’ve contributed more than $340 million to community programs designed to increase health care access, affordability, safety and quality throughout Maryland and the National Capital Area
slide3

A

Strategic Giving…

  • Our community giving program is strategic and carefully guided by an overarching goal of dedicating resources to initiatives that catalyze change and create systemic efficiencies in the health care delivery system.
  • In priority order, our giving is focused on:
    • Subsidies to enhance health care access
    • Catalytic giving to improve the health system
    • Targeted giving to organizations that seek to improve health, and
    • Community sponsorships and memberships

Corporate

Memberships

Community

Sponsorships

Programmatic

Initiatives

Targeted Health Giving

Through Others

Catalytic Giving

Subsidies and Enhanced

Access Programs

catalytic funding
Catalytic Funding…

CareFirst funds innovative community initiatives and programs throughout our service area:

  • to improve the region’s health care delivery systems,
  • identify and seek to promote change on broader health initiatives, and ultimately,
  • to affect the long-term health of our community.

More specifically, we’ve focused our efforts on five key areas to address these objectives:

    • Improving Maternal and Child Health;
    • Battling the Obesity Epidemic;
    • Empowering the Region’s Safety Net Clinics;
    • Addressing the Region’s Shortage of Nurses; and
    • Expanding CareFirst’s Patient-Centered Medical Home Concept
    • Improving Maternal and Child Health
supporting the community
Supporting the Community…

Corporate Memberships & Sponsorships

Associate Volunteerism

  • American Heart Association Internal Fundraising
  • United Way Campaign
  • Volunteerism

We sponsor over 344 events, region-wide, with nonprofit partners per year, throughout our entire region. These events support the operating budgets of nonprofit organizations and provide CareFirst well over 150,000 direct impressions and countless others through the media.

  • -Promote participation using
  • the latest tools and technology
  • - Incentives such as matching
  • funds and recognition
grant funding
Grant Funding…

Grant Applications

  • Review applications in 3 grant cycles
  • Special RFP Issued
  • Awards & Reporting
case study
Case Study…

Safety Net Health Centers (SNHC)

Patient-Centered Medical Homes (PCMH) Initiative

snch pcmh rfp process
SNCH PCMH RFP Process…

2011

July Guidelines for Grant Applications

CEO Information Sessions

August Grant Submissions

Sept Evaluation Teams

Oct Recommendations

Nov Final Awards

Dec MOU Development

populations targeted by snhc pcmh projects
Populations Targeted by SNHC PCMH Projects…
  • Behavioral Health Issues
  • Chronically Ill
  • HIV+
  • Homeless Individuals
  • Diverse Communities
  • Low Income Patients
  • Underserved Populations
  • Uninsured Patients
slide11

Regions Serviced by SNHC PCMH Projects…

4

4

3

* Figures represents number of projects servicing that area.

slide12

PCMH Measurements Key:

Black – Organization Defined Goals

Blue – CareFirst Goal Additions

Project Metrics…

slide15

Promoting Project Success…

Grant Project Performance

Quality

Health Outcomes

Utilization

Emergency Dept. Diversion

Hospitalizations

Cost Per Patient

Cost Savings

CareFirst

Support

Offering of

Quality Technical Assistance

Offering of Relevant, Quality Training

Grantee

Engagement

Timely Submission

of Reports

Participation in Collaborative Meetings

Participation in Care Coordination Meetings

Participation in Trainings & Utilization of

Technical Assistance

slide17
2013…

Monitoring & Evaluation

Technical Support

February

27 Creating a PCMH Culture (in-person)

27 Recruiting and Retaining PCMH Participants (in-person)

March

13 PCMH Program Monitoring and Evaluation (webinar)

20 Measuring Patients’ Perceived Health Status (webinar)

26 Health Literacy/Plain Language – Part I (webinar)

April

10 Integrating Data Integrity Into the PCMH Clinic Culture (webinar)

16 Considerations for Integrating Care Plans With Information Systems (webinar)

May

21 Health Literacy/Plain Language – Part II (in-person)

questions
Questions…

Contact:

Julie Wagner

410-528-7111

julie.wagner@carefirst.com