county health in free market
DESCRIPTION
A companion example to the assessment of health care need in an isolated group of rural NC countiesTRANSCRIPT
- 1. Population Healthcare Access and Health Status
A single County example in North Carolina - 2. Social Systems Include Human Resources, Governance
Structures, Work Processes, Technology and Capital
Healthcare is a local phenomenon
Health literacy is a local characteristic
Definition of health is largely cultural
Question:
Should our communities act locally in response to Federal and State standards through self definition? - 3. Our Regional PartnershipOften regional partnerships may be
created:If the politics do not interfere.
Possible 8 county collaborative - 4. Few US Citizens are familiar with the moral categories
established by Adam Smith. Including those of nature: Propriety,
Prudenceand Benevolence and Motive: Self-love, Reason and
Sentiment. It is in this treatise that Smith first introduces the
metaphor: 'The Invisible Hand' referring to society's
self-regulation through channeling ambition to meet society's
needs.
Weal
th
High Low
Where should the resources go? - 5. 2009 Medicaid Eligibility Will now expand greatly under
PSACA
- 6. There is a great distance between families and they travel
farther for care
- 7. Travel farther and have fewer choices
Co
Our counties - 8. Fewer choices for primary AND specialty care
Note Specialty Care Deficit - 9. Who are our RACs Where are our trauma centers
Our RAC
So do patients with severe trauma go - 10. Where are they treated?
Cross County Collaborative
Residents Hospital Referrals - 11. Unusually high hospital discharge rates for
conditions
that should be treated in ambulatory setting - 12. How confusing can this get?Do we have a
solution?
- 13. County Health Profile
Not so good news
Good News
Ref NC CATCH 2006 - 14. Adolescent Health
Ref NC CATCH 2006 - 15. Adolescent Health
- 16. Adolescent Health
- 17. Cancer Prevalence
- 18. Cancer Prevalence
- 19. Typical Rural Cancer In NC
Low prevalence
VERY Important
Low incidence rate
Cancer caught in late stage
Due to lack of screening
High mortality - 20. Cancer in Sampson County
- 21. Cardiovascular Disease
- 22. Diabetes Outcomes
Excessive mortality
Excessive hospital days
End Stage Renal Disease
Excessive kidney failure - 23. Chronic Respiratory Disease
Smoking and Smoking - 24. STDs
Risky behavior - 25. Murder, Rape and Property Crime Sampson County
Crime Risk - 26. Access to Dental Care
Bad teeth = Bad Hearts - 27. Disability
Children at risk - 28. Substance Abuse
Accidents - 29. 29
A Solution is needed to Manage the Supply ChainAccessing Care Services based on Patient NeedsPlease do not forget rural America
Targeted Patients with highly complex conditions (Top 1%)
Case Management
Targeted Patients with unstable chronic conditions, barriers to behavioral change and or multiple co-morbidities
Extended Care Team Focus
Care Coordination: Patient/Family Coaching
& Care Coordination
Scope, Intensity & Cost of Services
Targeted Patients with uncomplicated chronic conditions and preventative care needs
Medical Home contract established with population of focus
Supported Self Management:
Proactive Outreach & Monitoring Services
Practice Focus
Acute Care Only
Informed Self Service : Education and Self Service Instructions
Usual Care: Diagnosis & Treatment Services
Distribution of Services across the Population
0%
100%
Proprietary & Confidential - 30. Untangled Health Thanks You
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