Purchaser Learning Group Thursday, March 30th, 2017
Today’s Agenda • Welcome and Introductions • Review the PLG’s History and Purpose • Explore HCGC’s Evolution and Focus
• Shape the Goals and Expectations of the PLG in 2017 • Closing
Review the PLG’s History and Purpose Sarah Durfee, RN Ohio Public Employees Retirement System HCGC Board Member
2013 current
2012-13
2010-12
Evolution of HCGC’s Purchaser Learning Group Value-Based Purchaser Collaborative
• ~ 8 employers and retirement systems • Goal: Become active in HC purchasing process
Evidence-Based Purchaser Collaborative/ Purchaser Advisory Group
• Added business coalitions and carriers • Goal: Explore actionable best practice strategies
Purchaser Learning Group
• Added benefit consultants • Goals: Provide safe learning environment, solicit purchaser input
Participate in work sessions
Engage others
Purchaser Learning Group
Implement strategies
Share best practices, lessons learned
Value-Based Healthcare Collaborative Activities Involving PLG Reporting HC Delivery and Payment
• Provided aggregate utilization data for primary care reporting • Provided input on metrics to be reported
• Supported spread of comprehensive primary care • Supported and raised awareness of VB payment models (PCMH, episode-based payments)
Benefit Design
• Explored VBID to encourage use of high valued care (e.g. PCMH copay differential, reference-based pricing)
Health Literacy
• Provided resources to promote evidence-based care • Encouraged consumers to engage with providers/use the right questions
Explore HCGC’s Evolution and Focus Optimizing Value in Greater Columbus Now and Recognizing Emerging Activity
Vision Optimal health for all people in Greater Columbus
Mission To improve the value* of health care for all people in Greater Columbus by catalyzing collaboration among public and private partners. *Value = quality + consumer experience cost
Next Strategic Area of Focus Value-based Behavior (2017+) Aligning valuebased decision making among providers, purchasers, social services and their consumers
A Three Pronged Approach: • How do we embed the definition of value (quality + customer experience/cost) in current work? • What new value-based work should we catalyze in 2017? • How does HCGC “walk the walk” and showcase its own value proposition to the region and to partners more effectively?
Medical Neighborhood Referral Project:
Advancing accountable care coordination across clinical and social service organizations
Organizations Exchanging Referrals • Alliance Healthcare Partners
• Kroger Pharmacy
• Central Ohio Area Agency on Aging
• La Clinica Latina
• Central Ohio Diabetes Association
• LifeCare Alliance
• Central Ohio Primary Care
• Lower Lights Christian Health Center
• Charitable Pharmacy of Central Ohio • Clintonville-Beechwold Community Resource Center
• Metropolitan Family Care • Physicians CareConnection
• Columbus Free Clinic
• PrimaryOne Health
• Equitas Health (formerly ARC Ohio)
• Ripple Life Care Planning
• Helping Hands Health and Wellness Center
• Southeast, Inc. • Syntero • The Breathing Association • YMCA of Central Ohio
Quality Transparency Project: Based on nationally
endorsed measures, compile and share all-payer quality data from electronic medical records to:
• Help health care professionals see where they can improve, enable consumers to make more informed choices about their health and healthcare, and allow purchasers to know the value of the healthcare that they are buying. • Align work with existing national, state, and regional quality improvement efforts. • Share and apply learning to catalyze the adoption and spread of best practices.
Providers Sharing Quality Data Berger Health Partners Central Ohio Primary Care Physicians CompDrug Concord Counseling Services Heart of Ohio Family Health Centers
Lower Lights Christian Health Center Mount Carmel Medical Group OhioHealth Physician Group
The Ohio State University Wexner Medical Center Primary Care PrimaryOne Health Southeast, Inc. Syntero
Collaborative Learning: hosting safe space with regional partners to explore results-based practices and apply learning • Increase the knowledge of our stakeholders in each respective area of learning. • Help stakeholders make sense of healthcare’s shift to value-based care delivery and payment.
• Inform the work of the collaborative.
Collaborative Learning Groups • Regional Learning Sessions
• Care Coordination Learning Group • Quality Improvement Learning Group • Behavioral Health Learning Group
• Build and strengthen relationships • among regional healthcare stakeholders.
www.hcgc.org
Purchaser Learning Group
How does HCGC’s work align with National/State/Regional initiatives?
Questions and Comments
Group Discussion From your unique perspective, what does "health care value" mean to your organization?
How does your organization get the most "bang for the buck" on its health care spending? Does your organization strive to convey a message about the importance of quality health care to its employees? If so, how? What employee health programs have been the most successful in the last 2 years? Have these successes led to reduced costs to your organization?
Shape the Goals and Expectations of the PLG
What value does participating in the PLG bring to your work/organization? From your unique perspective, what would make the PLG successful in 2017?
2017 Regional Learning Sessions May 12, 8:30 – 12:30AM • Topic: Engaging Employers in Healthcare Transformation
• Organizations Presenting: • Catalyst for Payment Reform • Governor’s Office of Health Transformation • Columbus Partnership
August 25, 8:30 – 12:30AM • Topic: Engaging Patients/Consumers in Healthcare Transformation • Speaker: • Doug Hough, Author, Irrationality in Healthcare
2017 Calendar • Regional Learning Sessions All 8:30-11:30 AM with optional networking lunches May 12, August 25, December 8 • Care Coordination Learning Group All 8:30-10:30 May 3, August 2, November 1 • Quality Improvement Learning Group All 8:30-10:30 April 25, July 25, October 26 • Purchaser Learning Group All 10-11:30 June 8, September 14
• Care Coordination Summit All day 9-4, breakouts, breakfast, lunch, reception, exhibit tables November 7, 2017