Partnering with States and Communities to Redesign Care Delivery: Implications for Family Medicine Departments

The Foundation for Medical Excellence

ADFM 2016 Winter Meeting San Antonio, Texas February 18, 2016

Gesundheitswesen

Partnering with States and Communities to
Redesign Care Delivery: Implications for Family
Medicine Departments
ADFM 2016 Winter Meeting
San Antonio, Texas
February 18, 2016
Lloyd Michener, MD
Department of Community & Family Medicine, Duke University Medical Center, Durham, NC
Lauren Hughes, MD, MPH, MSc
Deputy Secretary for Health Innovation, Pennsylvania Department of Health, Harrisburg, PA
Kate Neuhausen, MD, MPH
Associate Director, VCU Office of Health Innovation, Richmond, VA

No Disclosures
While I have been a participant in the discussions
cited, the conclusion and summaries are mine,
and have not been endorsed by the sponsoring
organizations.

There IS a plan…
Moving Forward the National Strategic Imperative of Health

Drivers:
1. Cost
2. Chronic Disease
3. Data
4. Policy
What is needed: Leadership
(McGinnison, The Practical Playbook, pg 11)

Signs of Change
Accountable Health Communities —
Addressing Social Needs
through Medicare and Medicaid
Dawn E. Alley, Ph.D., Chisara N. Asomugha, M.D., Patrick
H. Conway, M.D., and Darshak M. Sanghavi, M.D.
Road Ends
All Traffic
Exit Here

“we see CMS as playing a catalytic role. By embedding population-
based strategies in our programs and policies, CMS can help drive
transformation that aligns health care systems with public health
and social service systems and thereby accelerate progress to-
ward improved health for our whole country.”
Payors are paying attention – especially CMS:

Accountable Health Communities – Addressing Social Needs
Through Medicare and Medicaid
Dawn E. Alley, Ph.D., Chisara N. Asomugha, M.D., Patrick H. Conway, M.D.,
and Darshak M. Sanghavi, M.D.

Percent Difference Between Medicaid Recipients Enrolled in CCNC
and Those Not Enrolled in CCNC, for Rates of Asthma-Related
Emergency Department Visits and Inpatient Admissions, 2008–2012
Note. CCNC, Community Care of North Carolina. NCMJ
September/October 2013, Volume 74, Number 5

460
480
500
520
540
560
580
600
InpatientAdmissionsper1,000
Beneficiaries
Inpatient Admissions Per 1,000 MCC
Beneficiaries per Year
Inpatient Admission Trends among NC Medicaid Beneficiaries
with Multiple Chronic Conditions,
2008-FY2014
This means
>8,000 fewer
inpatient
admissions in
SFY2014
compared to
2008
performance

The State of State Health Policy: Governors’
State of the State Addresses

ADFM’s Role
Leadership
Community of Learning

www.practicalplaybook.org
Users: 38,759 Pageviews: 187,185

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