Money in the Bank: The Why’s & How’s of Investing in Chronic Care

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The document summarizes a presentation given by Donna Marshall of the Colorado Business Group on Health to the National Academy for State Health Policy about investing in chronic care. It discusses how chronic conditions drive the majority of healthcare spending and highlights research showing patients only receive about half of recommended care. It then outlines the Colorado Business Group on Health's efforts to implement the Bridges to Excellence program in Colorado to recognize and incentivize high-quality physicians to improve chronic care.

Business Gesundheit & Medizin

Presentation to: National Academy for State Health Policy Money in the Bank: The Why’s & How’s of Investing in Chronic Care Donna Marshall Executive Director Colorado Business Group on Health October 15, 2007

Colorado Business Group on Health The BEST Trust Public Employees’ Retirement Association City of Boulder (P. E.R.A.) City of Colorado Springs State of Colorado Colorado College Sun Microsystems Colorado Springs Utilities TIAA-CREF Colorado Springs SD #11 University of Colorado Denver Newspaper Agency Woodward Governor El Paso County Intel Poudre School District 303-922-0939 [email_address] www.coloradoHEALTHonline.org 200 S. Sheridan Blvd. #105 Denver, CO 80226-8010

Colorado Business Group on Health We welcome these Associations: Rocky Mountain HealthCare Coalition Colorado Association of School Executives Colorado Education Association

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What does the Expert Say? “ In theory there is no difference between theory and practice. In practice there is.” -- Yogi Berra

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Do We Get the Care We Need? 45.40% 13 Diabetes 48.60% 7 Hyperlipidemia 53.50% 25 Asthma 57.70% 14 Depression 68.00% 37 Coronary Artery Disease 73.00% 39 Prenatal Care % of Recommended Care # of Indicators Condition RAND STUDY Results, NEJM, 2003

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Physicians Attaining Recognition Show Improvement Physicians Achieving Diabetes Physician Recognition Show Substantial Improvement In Key Clinical Measures % of adult patients with Diabetes Physician Recognition Program, average performance of applicants, 1997-2003 data. * Lower is better for this measure.

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Number of Diabetes Recognized Physicians in Colorado has been enhanced Total eligible physicians in the Colorado Springs Area is approximately 300 * = estimate made in January 2007 16 6 10 By March 2007 29 7 22 By June 30, 2007 63 13 50 By Sept 30, 2007 60* 10 4 Total # (cumulative) 25* 0 0 Colorado Springs # 35* 10 4 Other Colorado Locations By December 2007* July to December 2006 2003 to June 2006 Date

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Organisational success today depends on effective communication and collaboration with individuals from cultures with varying beliefs and practices. Indeed, with the workforce increasingly comprised of people of varying cultural backgrounds, leaders must now prioritise the significance of cultural competence in the workplace. Ensuring cultural competence at every level of your organisation cannot be understated. While cultural disparities can manifest in different ways, as a leader, you must build deep and nuanced cultural competence skills and education to accurately spot, address and alleviate the various scenarios that can arise. Failing to recognise the importance of cultural competence or not acting to improve it can lead to cultural negligence. There are a few things to consider to ensure your organisation is on the right track. In this deck, you'll understand the importance of building cultural competence in the workplace. You'll also learn • The three (3) dimensions of Cultural Competence in the workplace • Key strategies to build a culturally competent workforce • Major benefits you stand to gain by having a culturally competent team.

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1. Presentation to: National Academy for State Health Policy Money in the Bank: The Why’s & How’s of Investing in Chronic Care Donna Marshall Executive Director Colorado Business Group on Health October 15, 2007

2. Colorado Business Group on Health The BEST Trust Public Employees’ Retirement Association City of Boulder (P. E.R.A.) City of Colorado Springs State of Colorado Colorado College Sun Microsystems Colorado Springs Utilities TIAA-CREF Colorado Springs SD #11 University of Colorado Denver Newspaper Agency Woodward Governor El Paso County Intel Poudre School District 303-922-0939 [email_address] www.coloradoHEALTHonline.org 200 S. Sheridan Blvd. #105 Denver, CO 80226-8010

3. Colorado Business Group on Health We welcome these Associations: Rocky Mountain HealthCare Coalition Colorado Association of School Executives Colorado Education Association

8. What does the Expert Say? “ In theory there is no difference between theory and practice. In practice there is.” -- Yogi Berra

10. Do We Get the Care We Need? 45.40% 13 Diabetes 48.60% 7 Hyperlipidemia 53.50% 25 Asthma 57.70% 14 Depression 68.00% 37 Coronary Artery Disease 73.00% 39 Prenatal Care % of Recommended Care # of Indicators Condition RAND STUDY Results, NEJM, 2003

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12. Physicians Attaining Recognition Show Improvement Physicians Achieving Diabetes Physician Recognition Show Substantial Improvement In Key Clinical Measures % of adult patients with Diabetes Physician Recognition Program, average performance of applicants, 1997-2003 data. * Lower is better for this measure.

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19. Number of Diabetes Recognized Physicians in Colorado has been enhanced Total eligible physicians in the Colorado Springs Area is approximately 300 * = estimate made in January 2007 16 6 10 By March 2007 29 7 22 By June 30, 2007 63 13 50 By Sept 30, 2007 60* 10 4 Total # (cumulative) 25* 0 0 Colorado Springs # 35* 10 4 Other Colorado Locations By December 2007* July to December 2006 2003 to June 2006 Date

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Hinweis der Redaktion

Notes: Gena, please make sure I have your title correct!

Money in the Bank: The Why’s & How’s of Investing in Chronic Care

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