1 / 10

Context

Michigan Center for Clinical Systems Improvement (Mi-CCSI) _________________ Collaborating for Quality and Sustainability Spring 2011. Context .

saman
Download Presentation

Context

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Michigan Center for Clinical Systems Improvement(Mi-CCSI)_________________Collaborating for Quality and Sustainability Spring 2011

  2. Context • 50 million nonelderly people in the U.S.—19% of those under age 65—don’t have health insurance (as of 2009, the latest date for which figures are available) • The Kaiser Commission on Medicaid and the Uninsured (Dec 2010) • Health reform will increase the number of insured Americans but this prospect threatens to overwhelm primary care • Payment reform continues to be elusive and complex • Payers and providers have significant barriers to overcome to cooperate on common approaches to system transformation and payment redesign • Employers and consumers have difficulty engaging in reform initiatives Mi-CCSI Overview

  3. Purpose of Mi-CCSI • Create and maintain an environment for collaboration among health care stakeholders to reduce variation in clinical care and administrative practices • Promote systems and practices that improve patient experience and population health while lowering per capita cost • Focus on problems that no one party can solve on its own • Reduce health care disparities among minority populations • Ensure that regional communities lead the effort toward health system reform and stability Mi-CCSI Overview

  4. History • West Michigan Physicians for Transformation created the foundation for the organization • Key physicians from all of the area’s health systems participated in early meetings and helped create the mission and guiding principles • The Development Steering Committee continues to be made up of a subset of founding physicians • ICSI in Minnesota provided a ready organizational model and the two organizations are collaborating through a consulting agreement (see slide for a brief overview of ICSI) • Blue Cross Blue Shield of Michigan provided initial funding and Mi-CCSI was awarded the RWJ AF4Q grant for QI work in 2011-21 • Five west and southwest Michigan delivery systems have provided additional funding Mi-CCSI Overview

  5. Development Steering Committee • MaryEllen Benzik, MD—Integrated Health Partners, Battle Creek • Frank Belsito, DO—Metro Health, Grand Rapids • David Blair, MD—Advantage Health, Grand Rapids • John MacKeigan, MD—Spectrum Health, Grand Rapids • Phil Henderson, MD—Spectrum Medical Group, Grand Rapids • Paul Ponstein, DO—Lakeshore Health Network, Muskegon • Rem Sprague, MD—Mercy Health Partners, Muskegon • Tom Ruane, MD—BCBSM • Mike VanPutten—BCN • Hugh Hufnagel—Independent Consultant • Steve Williams—Independent Consultant Mi-CCSI Overview

  6. Mission and Vision • Mission • Create a permanent multi-stakeholder collaborative to promote health care value and patient-centered care and optimize the health of communities. Work to sustain an effective and efficient system of care consistent with the needs of people, employers, providers and payers. • Vision • West Michigan will be a region with exceptional healthcare experiences, optimal population health and financial sustainability. Mi-CCSI Overview

  7. Overview of ICSI-Minnesota • ICSI brings together diverse groups to transform the health care system so that it delivers patient-centered and value-driven care. It is comprised of 62 medical groups and sponsored by five Minnesota and Wisconsin health plans. • Programs • Common clinical guidelines • Statewide solution to high tech radiology authorizations • Depression management program—DIAMOND • Health care homes • www.icsi.org Mi-CCSI Overview

  8. Initial Program Agenda • Depression • Adapt DIAMOND/Impact model implemented by ICSI in Minnesota • Build and expand elements of PCMH • Focus on Triple Aim goals • CHF • Develop common reporting of metrics for providers participating in west Michigan demonstration project sponsored by BCBSM and BCN • Diabetes • Focus is on ambulatory care for patients with uncontrolled diabetes (hypothesis; still in development) Mi-CCSI Overview

  9. Future Program Possibilities • Advanced care planning • Palliative care • High tech diagnostic imaging guidelines • Public reporting (in collaboration with employer alliances) • Other chronic conditions Mi-CCSI Overview

  10. Collaboration Opportunities • First, do no harm • Second, do not duplicate effort • Third, collaborate, cooperate, support (AFH, MPCC, ICSI) • Focus on reducing variation and common approaches • Advance concepts like medical home and the chronic care model (depression, diabetes) • Share infrastructure wherever possible, but hold parties accountable for achieving goals • Create an environment where collaboration is the norm Mi-CCSI Overview

More Related