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Priorities in Redesign: Putting Together Humpty-Dumpty

Learn about prioritizing practice redesign, improving performance, and regional interventions in healthcare by Dr. Warren P. Newton. Explore the key areas of focus like continuity of care, comorbidities, and financial outcomes to enhance patient outcomes.

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Priorities in Redesign: Putting Together Humpty-Dumpty

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  1. Priorities in Redesign: Putting Together Humpty-Dumpty Warren P. Newton, MD, MPH University of North Carolina February 23, 2012

  2. Experience in Practice Redesign • Practice redesign in our practices • CCNC regional network • Community Care of North Carolina, NC AHEC Improving Performance in Practice • I3 and I3PCMH collaborative of 25 residencies in FM, IM, Peds • UNC collaboration with BCBS

  3. Priorities at Practice Level • Advanced access first… • Why not improve continuity? • Multiple comorbidities /embedded care management • Money not in readmissions but in total admissions and ED

  4. Priorities at the Regional Level • CCNC: regional financial, informatics, care management • Interventions med reconciliation, transitions, ED visit prevention, etc… • Current target:  25% hospitalizations, and  50% ED visits, MD referrals and CT/MRI

  5. Raising a Barn Statewide… • Regional nodes • Community based infrastructure for case management and ongoing practice redesign; • Multipayer informatics, organized by practice • How to fit integrated systems/ACOs across states?

  6. Priorities for Now… • Sustainabilitythrough prevention of hospitalizations, ED visits, medical consultations • Incentivesand the right kind of infrastructure… • Aligning individual responsibility with team contributions

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