slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
EPIP Fall Conference Banner Pioneer ACO and Patient-Centered Medical Home/ Alternatives to Admissions & Readmission PowerPoint Presentation
Download Presentation
EPIP Fall Conference Banner Pioneer ACO and Patient-Centered Medical Home/ Alternatives to Admissions & Readmission

Loading in 2 Seconds...

play fullscreen
1 / 19

EPIP Fall Conference Banner Pioneer ACO and Patient-Centered Medical Home/ Alternatives to Admissions & Readmission - PowerPoint PPT Presentation


  • 127 Views
  • Uploaded on

EPIP Fall Conference Banner Pioneer ACO and Patient-Centered Medical Home/ Alternatives to Admissions & Readmissions. Chuck Lehn CEO Banner Health Network 11/4 and 11/5/2013. Objectives.

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 'EPIP Fall Conference Banner Pioneer ACO and Patient-Centered Medical Home/ Alternatives to Admissions & Readmission' - maxim


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
slide1

EPIP Fall Conference

Banner Pioneer ACO and

Patient-Centered Medical Home/ Alternatives to Admissions & Readmissions

Chuck Lehn

CEO Banner Health Network

11/4 and 11/5/2013

objectives
Objectives
  • Understand the transition of the U.S. healthcare system from a transactional, episodic system to an integrated and continuum-based system
  • Review the needs of individual, employer, and governmental purchasers of healthcare
  • Discuss the value-based opportunities for the providers of emergency care within the care continuum
  • Identify potential barriers to achieving enhanced value in emergency medicine and methods to overcome those barriers
banner health snapshot
Banner Health Snapshot
  • 23 Acute Care Hospitals
  • Banner Health Network
  • Banner Medical Group with more than 900 doctors
  • Banner Health Centers and Clinics
  • Behavioral Hospital
  • Outpatient Surgery
  • Medical Education
  • $4.9 billion in revenue, 2012
  • AA- bond rating
  • $395 million in community benefit including $149 million in charity care, 2012
health care spending per capita life expectancy
Health Care Spending per Capita & Life Expectancy

Source: OECD Health Data, 2007 (data extracted 6.182.10)

5

bhn at a glance

Banner Health Network (BHN)

BHN at a Glance

12 Acute Care AZ Facilities

Share = 50%

Approx. 800 Physicians

Share = 13.3%

Approx. 900 Physicians

Share = 13.3%

Approx. 1,000 Physicians

Share = 13.3%

plan coordinate manage care
Plan, Coordinate, & Manage Care

Tools

Outcomes

Goals

ACO 33 Quality/Clinical Outcomes

  • Disease specific (Diabetes, Cardio, Resp)
  • Preventive care
  • Care coordination (all cause readmission, admission for ambulatory sensitive conditions)
  • Member experience

Disease Registry

Quality Measure

Case Managers

Disease Managers

Robust reporting tools and dashboards

Financial Outcomes

  • Total medical PMPM
case management practice settings
Case Management Practice Settings
  • There is a single, standardized model for Case Management; the setting varies.
  • A standardized process requires standardized assessment tools, action plans, and workflows.
  • Supporting programs are developed that support and mimic the standardized approach to case management (IAC and Bundled Payment).
banner health network
Banner Health Network

Current State

Strengths

Challenges

  • Geographic coverage
  • Integrated payment models
  • Blend of employed and contracted physicians
  • Years of experience managing risk
  • Acute care facility clinical performance
  • Breadth of medical service capabilities
  • Culture is built upon acute care
  • Cultural integration across continuum of care
  • IT infrastructure across continuum
  • Funding resources
  • Balance between volume based and value based models
  • Beneficiary engagement
bhn overall lessons learned
BHN - Overall Lessons Learned
  • New business models ranging from shared savings to joint ventures have developed faster than we anticipated.
  • Physicians will adapt to accountable care principles if you have specific clinical and financial models to invite them into, such as patient-centered medical home, bundled payments, shared savings, or other mechanisms to align quality, service, and cost goals.
  • Finance, data infrastructure, and administrative work dominate time and attention during the start-up phase.
bhn overall lessons learned cont
BHN - Overall Lessons Learned(cont.)
  • Clinical performance, innovation, and member service are the keys to long term success. We plan to stay focused in these areas.
  • Identifying specific areas of financial quality or service improvement is a great way to align interests of all parties toward a common goal.
  • Don’t underestimate the extent to which communication is needed for these relationships to be successful. In-person meetings of any type (formal or informal, large or small) seem to be the most useful method of transmitting information.