HIGHLIGHTS IMPCAMP 2014 Health care is cannibalizing health

HIGHLIGHTS IMPCAMP 2014 Health care is cannibalizing health

HIGHLIGHTS IMPCAMP 2014 Health care is cannibalizing health - Michael Fine, MD The quality train is on the wrong track - L Gordon Moore MD Performance measures - P4P, PQRS, and quality indexes - are examples of the problems, not the solutions - Robert Berenson, MD

DISEASE BASED METRICS (HEDIS) AND POINTILLISM How many points are needed for a picture? Jean Metzinger, 1906, Woman with a Hat Right tool for right job data AS MEASURES

AS ACTIONS YES PRACTICE DEPENDENT YES

REGISTRY YES TAILORED PLAN YES CUSTOM BY ZIP

YES PORTABLE PLAN YES PRACTICE DEPENDENT

Hows Your Health Assessmen t Tools Actionable Feedback Improveme nt and Certificatio

n Measures Patient and Community Resources Customizatio n Evolving Since 1994

BMJ 2015;350:g7818 doi: 10.1136/bmj.g7818 (Published 10 February 2015) WHAT IS HOWSYOURHEALTH Patient entered web based (3-part) survey that gathers determinants of health and health care. Produces a summary of health assets / needs for the patient in front of you.

Aggregated behind the scenes to give your practice actionable primary care and bio-clinical metrics rk! o w e o th d s t

n patie ! Free 10-20 m i n u te s Can you take the health/ health care survey at the link below before you come in for your appointment ?

https://howsyourhealth.com/dispatch? code=IMP107 At the end of the survey on the second page, please fill out your information to send the survey results on that page to me Thank you! This helps me with your care and to improve the practice ! FOR PATIENTS

Short (Medicaid/Medicare) or Comprehensive Versions Reading Level for General Public What Matters to Patients/Caregivers Validated and Immediately Actionable Assessmen t Tools Tailored Information, Tools

and Community Links Meds 10 Important Primary Care Things Subs tance Pain Emotions Habit

U se Finances We ight Socia l s

Domestic Abuse Fitnes s Meds Brought to you by HowsYourHealth EXAMPLES OF PRIMARY CARE SCREENING QUESTIONS

FOR PRACTICES Data Continuously Aggregated Behind the Scenes Designed for Patient Voice, Medicare Wellness and End-of Life Requirements Standard and Valid Metrics; CAHPs Option Tools, Registry and Population Level Data

5 Key Practice Measurements E FF ICIE NCY AC C E S S COORDINATION N O I T

A M R INFO CONTIN UITY Brought to you by HowsYourHealth EXAMPLES OF PRACTICE QUALITY QUESTIONS

HOWS YOUR HEALTH ELICITS THE PATIENTS AGENDA AND EXPERIENCE OF CARE Orphan Power Questions Confidence, Perfect Care and ER/Hospital Use JH Wasson

8/10/15 HOWSYOURHEALTH Screen all, summarize each Practice metrics Registry for high risk patients Actionable data for improvement S PLU !

patient information-problem solving links-medical home measurement-CAHPs Patient 1 Patient 2, Page 1 Patient 2 Page 2 HOWSYOURHEALTH Screen all, summarize each - 10

important domains Practice metrics - 5 key practice measures Registry for high risk patients S PLU ! Real-time actionable data for improvement

patient information-problem solving links-medical home measurement-links to local resources--CAHPS MEDICAL HOME SUMMARY - HOWSYOURHEALTH NATIONAL BENCHMARKS, HYH Exactly the Care: median 30; upper third over 40. Medical Home: median 65; upper third 75. Interaction: median 55; upper third 70. Excellent Information for Chronic Disease(s): median 70; upper third 80.

Aware of Functional Limits: median 50; upper third 65. Patient Confidence/Self-Management: median 50; upper third 55. Preventive and Clinical Benchmarks: median75; upper third 80. Patient Habits Generally Healthy: median 70; upper third 75. No ED or Hospital Use in Year: median 90; upper third 92. HOWSYOURHEALTH:

Screen all, summarize each Practice metrics Registry for high risk patients Actionable data for improvement S PLU ! patient information-problem solving links-medical home measurement-CAHPs HOWSYOURHEALTH

Screen all, summarize each Practice metrics Registry for high risk patients Actionable data for improvement S PLU ! patient information-problem solving links-medical home measurement-CAHPs

Practice Improvement Hows Your Health Assessmen t Tools Actionable Feedback

Improveme nt and Certificatio n Measures Patient and Community Resources Customizatio

n Evolving Since 1994 BMJ 2015;350:g7818 doi: 10.1136/bmj.g7818 (Published 10 February 2015) MORE INFORMATION Go to the HYH website and take a few surveys! Take a survey as if you were quite well, then as if you were very ill. Study and compare the action plans.

www.HowsYourHealth.com Why we cannot use disease based metrics to measure health quality Iona Heaths Arm In Arm with Righteousness http://www.pehmed.com/content/10/1/7 Nancy Guinn and Gordon Moore Practice Measurement: A New Approach http://www.aafp.org/fpm/2008/0200/p19.html Jim Bloomers website about how he uses HYH http://www.yourmedicalhome.com/howsyourhealthsurveyresults.php Don Stewarts recent article on how and why he uses HYH in his practice: http://www.impcenter.org/#!quality/c1w1w John Wasson, et.al Learning from Clinical Microsystems , using HYH for practice improvement:

http://tinyurl.com/ojmcko5 Lynn Ho and Jean Antonucci The Dissenters Viewpoint why the current measurement paradigm should be scrapped http://annfammed.org/content/13/3/269.full

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