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NRCNA Business AcumenLearning Collaborative

Looking Back, Springing Ahead

2015 -2016 ClassJuly 27, 2016

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Outline

Looking Back: where have we been?

Looking Around: What have we accomplished?

Springing Ahead: Where are we going?

Questions/Comments

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Managing chronic conditions

Activating beneficiaries

Diversion/ Avoiding

long-term residential

stays

Preventing hospital (re)admissions

ACL

Community-based aging &

disability organizations

State aging & disability

agencies

• Nutrition programs (counseling & meal provision)• Chronic disease self-management• Diabetes self-management• Education about Medicare preventive benefits

• Evidence-based care transitions

• Person-centered planning

• Chronic disease self-management

• Information, referral & assistance/system navigation

• Benefits outreach and enrollment

• Employment related supports

• Community/beneficiary/caregiver engagement

• Transitions from nursing facility to home/community

• Person-centered planning• Assessment/pre-admission

review• Information, referral &

assistance/system navigation• Environmental modifications• Caregiver support• LTSS innovations

• Nutrition programs (counseling & meal provision)

• Evidence-based care transitions

• Care coordination• Information, referral &

assistance/system navigation

• Medical transportation• Evidence-based

medication reconciliation programs

• Evidence-based fall prevention programs/home risk assessments

• Caregiver support• Environmental

modifications

The critical role of community-based organizations

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Role of Nutrition Services

Tailored-Meals to Assist Clients Address:

Heart disease

Hypertension

Diabetes

Osteoporosis

Kidney disease

Obesity

Other Nutrition Services Available As Needed:

Nutrition Counseling

Nutrition Education

Nutrition Assessment

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Value Add of Community Nutrition Services

Trusted in the homePerform regular in-home

assessmentsWellness/Safety CheckRegular contact in the

homeClient status (moved,

hospital, nursing home)

Patient activation

Value of nutrition services as preventing further healthcare costs (readmissions, ED use)

Brand extension –healthcare stakeholders

Patient satisfaction with healthcare

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Learning as a Network

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What is a Learning Collaborative?

Modeled after the 2013 ACL Learning Collaborative to Strengthen Partnerships with the Health Care Sector among Community Based Organizations (CBOs). Focused on building business acumen

Improve integration between hospitals, insurers, health care providers and the community-based organizations (CBOs)

Collaborative learning is an educational approach to teaching and learning that involves groups of learners working together

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Purpose of the NRCNA Learning Collaborative

The purpose of this new mini-grant initiative was two-fold.

1. To provide a small amount of funding to senior nutrition programs to support the development or expansion of opportunities to market nutrition services to healthcare entities.

2. To provide an opportunity to participate in a national learning collaborative and gain/build upon the collective knowledge and experience of nutrition programs in the healthcare space.

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Goals of the NRCNA Learning Collaborative

Develop a business plan that included: (1) nutrition services either through a direct contract or as part of a package

of services contracted through a community-based network (2) the value proposition of that nutrition service package (3) identification of at least one targeted healthcare entity to be offered the

nutrition service package (4) identification of any necessary community partnerships.

Meeting with decision makers from targeted healthcare entities identified in the business plan.

Contracting or developing a formal partnership with at least one healthcare entity.

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Technical Assistance Offered

This learning collaborative delivered targeted technical assistance through a variety of different activities. Assistance with business plan development;

Access to subject matter experts, including people who have led successful business development efforts for community-based networks, including nutrition providers;

Peer-to-peer learning through regular calls, emails, online forums and two in-person meetings;

Broad-based learning through webinars and written materials from national experts.

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How did we do?

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Timeline: Networking Events

Pre-Pre-Conference

Lunch

Pre-Conference Workshop:

Positioning Your Program in the

Healthcare Market

NRCNA Learning

Collaborative In-Person

March Meeting

Pre-Pre-Conference

Dinner

Pre-Conference: Payers, Players

and Opportunities

August 2015 March 2015 August 2016

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Timeline: Training Workshops

Kick Off Webinar

NRCNA staff

Intro to the

NRCNA Learning Collabora

-tive

NRCNA staff

Organiza-tional

Culture Change

Marisa Scala-Foley (ACL)

Calcula-ting ROI

Sandy Atkins

(Partners in Care)

Business Plan Review

Tim McNeill (ACL)

Aug 2015

Marketing Strategies & Developing

Service Packages

Joan Hatem-Roy (Merrimack

Valley)

Developing Pricing

Strategies

June Simmons

(Partners in Care)

Network Develop-

ment

Diane Oyler

(Western NY)

Navigating the MCO System

Martha Spinks

(Consultant, MOWAT)

Sep2015

Oct2015

Nov2015

Dec2015

Feb2016

Mar2016

Apr/May2016

Jun2016

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Grantee Resource Page

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Additional Resources

Access to ACL Business Acumen Learning Collaborative webinars

ACL BALC Weekly Newsletters

Clinic Calls with NRCNA Staff

Resource emails from NRCNA Staff

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Evaluating Our Shared Success

Meeting the Deliverables of the Learning Collaborative:

Meeting with healthcare entities: 100%

Business plans written: 100%

Contract or formal partnership: 6 (at least)

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Evaluating Our Shared Success

Services under contract Populations Served Payers

Example… Example… Example…

Let’s fill in some blanks!• Contract signed (number):• Contracts under negotiation (number):• Networks (consortia): 1

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Lessons Learned

Healthcare integration – takes time, patience and perseverance!

Communicating the value of nutrition services is essential.

Organizational culture change is necessary.

Consider the financial aspects required of healthcare integration.

Be sure to bring everyone along – volunteers, staff, board members, stakeholders.

Everyone (CBOs and healthcare entities are learning & developing a new system together – but we need to be at the table not on the menu.

We need to meet/interact with & learn more from healthcare entities.

If we don’t do this, someone else will!

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Discussion Questions (Open Phone Lines)

What do you wish you knew earlier that no one told you?!

What aspect of the work of aligning nutrition services to the meet the needs of the changing healthcare system do you feel you have expertise in?

What plans do you have next for your collaborative/organization to advance healthcare integration goals?

What additional areas do you need training and support in, in order to maintain/advance successes achieved so far?

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This has been professionally and personally rewarding!

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Springing Ahead

So, Now What?

NRCNA BALC Cohort Dinner – August 29, 2016* *Speakers needed – AHA Moments session!

Mentoring NRCNA BALC Cohort #2

Open Space Calls – Monthly (starting in September)

Conference Meet-Ups: ASA, State Association Meetings

Business Acumen Interest Group (starting in October)

Access to NRCNA 2015 Grantee Resource Page

Email updates with resources and upcoming trainings

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Evaluation/Reporting - Upcoming

In the next few weeks, you will need to complete:

Complete the Contracting Readiness Self-Assessment (August 12th)

Learning Collaborative Exit Evaluation (August 26th)

Final Report (September 15th)

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Content 2

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Upcoming Webinar: Reminder

10/21/2016

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DATA COLLECTION THROUGH POPULATION HEALTH MANAGEMENT SOFTWARE

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