nashp state health policy conference october 5, 2010
DESCRIPTION
NASHP State Health Policy conference October 5, 2010. Health Reform Matrix. OPCA’s tool for tracking health reform: http://www.orpca.org/advocate-for-health-centers/federal-policy Key areas that impact CHCs $$ to support CHC growth National Health Service Corps expansion - PowerPoint PPT PresentationTRANSCRIPT
NASHP STATE HEALTH POLICY CONFERENCE
OCTOBER 5, 2010
Health Reform Matrix
OPCA’s tool for tracking health reform:http://www.orpca.org/advocate-for-health-centers/federal-policy
Key areas that impact CHCs
$$ to support CHC growth National Health Service Corps expansion Medicaid expansion to 133% of federal poverty
level Insurance exchange and CHCs Heightened focus on cost and quality
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A new study indicates that upcoming shortages of primary care physicians may be worse than projected, as will patients' access to primary care.
--American Academy of Family Physicians
Workforce Issues3
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Costs of hiring and training
Lack of recruitment staff
Physician shortage
CHC challengesLocation, population complexity, pay
The CHC Recruitment Climb:Getting Steeper
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And Yikes!
CHC patients expected to double by 2014
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CHC Residency Program
Health reform act opportunity
Difficult for CHCs Best candidates:
Larger CHCs Other CHCs will
partner with residency programs
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Offers exposure to CHCs 70% of students continue working with populations in
need
Boosts job satisfaction for CHC providers
Strengthens partnerships with academic institutions
OPCA’s SEARCH program7
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Historically used at CHCs
Utilizing Mid-Level Providers
Oregon’s ratio of physician to mid-level Currently 1:1 May evolve to 1:3 or more
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Training curriculum needs to improve To “hit the ground running” Example: Pacific University PA program
Primary care home model = more patients per provider team
Utilizing Mid-Levels (cont’d)9
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Physicians in “medical home” demonstration projects report job satisfaction rates going up tremendously.
--Patient-Centered Primary Care Collaborative
Primary Care Home Model
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Issues with current primary care model Pressures of the 10 – 15
minute visit Negatively impacts
patient outcomes
Provider satisfaction: More than money
How the Primary Care HomeCan Help
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What is a Primary Care Home?
Flexible, based on population need Patient-centered experience Quality & safety Team-based care Enhanced access Coordination of care Behavioral health integration
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Environment: Payment focused on old model Workforce not trained for model Current economic environment
& need to focus on access Payers don’t want to wait for
transformation
Challenges, Barriersand Competing Priorities
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Clinic level: Capturing data Spreading
leadership and buy-in throughout the clinic
Finding resources Allowing providers
time to lead
Challenges, Barriersand Competing Priorities (cont’d)
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Account for social factors Support model for entire patient population Minimize clinics’ administrative burden and cost Tailor payment to reward movement on indicators Pay for work that improves care Allow time for care Fund learning collaboratives
Key Issues for Payment Reform
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Policy alignment and opportunity
Oregon’s initiative is improving: Provider satisfaction Basic patient satisfaction Some clinical quality indicators
Exciting Developments16
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Contact InformationCraig Hostetler
Executive DirectorOregon Primary Care Association
Phone: 503-228-8852Email: [email protected]
Thank You!17
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