Day 2 of the Connecting Michigan Conference:
Where We Go From Here: One state’s story of transformation for value
Dr. David Kendrick, Chief Executive Officer, MyHealth Access Network (Oklahoma)
Dr. Kendrick will describe Oklahoma’s journey to value-based payment models beginning with organizing and connecting the community, leveraging HIE and analytics to support practice transformation, and a unique approach to quality and value assessment that supports value-based payment models across Oklahoma. Oklahoma’s Comprehensive Primary Care implementation achieved significant savings and quality improvement, and MyHealth is positioning to support more practices should Oklahoma be selected for CPC+. In addition, Dr. Kendrick will report on progress on the Patient Centered Data Home, a new approach to achieving nationwide interoperability.
Critical Success Factors:
- Patient Centered Medical Home
David Kendrick cites personal experience with HyperPortalosis when an eye operation resulted in him having to access 4 different un-connected patient portals.
- Patient Index
- Interoperability and the flow of information.
1.Multi-payer model. Coordinated requirements. Overlapping requirements create a lack of focus.
PCMH – 68 Practices, 265 Docs
MyHealth Participation required
30+ Hospitals affiliated
4 Payers
90% of patients covered.
MyHealth acts as trusted 3rd Party that sees both claims and clinical data.
Payers and Providers provide Governance over MyHealth
Significant cost reductions over 2 years. Eg. High cost Imaging (40%+ saving)
Engage Employers too.
- Correct Data scope: Patient Centric and Community-wide
Average Patient has data in 4 places.
You need to create a patient centric view
- Point of Care Access to Data
Docs find the Encounter history really valuable. “Who has seen the patient since I last saw them”
- Clear understanding of Attribution and risk
Who are my patients?
Attribution can be confusing.
Who am I accountable for?
MyHealth calculates “Touches” rather than encounters.
- Active Alerting and panel monitoring
If you have attribution you can see population health data and get ADT messages.
Active panel monitoring. A view that displays recent activity excluding the doc’s own activities.
- Community-Wide eCQM’s and Care Gaps
“Quality Measurement follows the stages of grief. First there is denial…”
- Understanding costs and Utilization
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Managing Care Transitions and Closing Loops.
“We have found the CCDA is not very useful for care transitions”
Patient Centered Data Home
Based on concept that 90% of care is given in the patient’s home zip code.
Strategic HIE Collaborative.
HIE’s lookup zip code for patient in ADT messages and froward to HIE covering home zip code.
ADT Messages are simple transactions that trigger proactive action.
Centralize data on each patient in their PCDH:
– Nationwide ADT Alerting
– More accurate Care gap Analysis
– More accurate Quality measures
– National Patient Identity Assurance
– Possibility of centralized (regional) patient consent management
– Patient access to their entire record in one place
The cost is the maintenance of the zip code lookup by each HIE.
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