9/9/2015

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H e a l t h C a r e I n i t i a t i v e P a r t n e r s

RochesterBusinessAllianceHealthCareInitiative2005‐2015TopPriorities

Rochester RHIO (Regional Health Information Organization) Eat Well Live Well

Description: A community-wide health information technology effort focused on improving the quality of patient care and realizing health system efficiencies by facilitating the movement of clinical information with patients as they move through the health care system. The Rochester RHIO was founded in 2006, and is now a fully operational health information exchange, supported by grant funding, regional healthcare organizations and $685,000 in start-up funding from the Rochester Business Alliance Health Care Initiative partners.Current Status: The Rochester RHIO provides health information exchange services to physicians, hospitals, labs, radiology practices, home care, long term care, eldercare and EMS services across a thirteen county area in New York. Currently, the RHIO provides services to 3,000 users across more than 550 organizations. Over one million patients have given permission for their care providers to view their clinical information through the RHIO. The RHIO delivers over 500,000 clinical reports to physicians each month. The RHIO continues to provide expanded health information services to a growing proportion of the healthcare community. A study published in Applied Clinical Informatics(2014) by Weill Cornell Medical College researchers determined that hospital admissions were 30 percent less likely when emergency department doctors consulted RHIO records, enabling more effective and efficient patient care. The RHIO saves the community more than $4,000,000 annually.

Description: Originally piloted in 2006, Rochester Business Alliance partnered with Wegmans to offer the Eat Well, Live Well Challenge to local employers with the goal of improving the health of the local workforce. The eight-week, competitive challenge encourages individuals to increase their physical activity and the amounts of fruits and vegetables consumed, learn how to “make their calories count,” and to track their blood pressure. The program has received national recognition, including an article in BusinessWeek magazine and a Certificate of Recognition for Outstanding Prevention Efforts from the U.S. Department of Health and Human Services in 2007. Current Status: In total, more than 200,000 employees from 447 local organizations have participated in at least one challenge over the past eight years. During this time, the community walked nearly 80 billion steps and consumed more than 31 million cups of fruits and vegetables. To our knowledge, this is the largest community-wide wellness program in the world.

Increase Utilization of Generics Lean Six Sigma in the Hospitals Physician Compensation

Description: Collaborative effort between Employers, Providers and Insurers to increase the use of generic drugs. The average cost of a brand-name medication is approximately 9 times the cost of a generic medication.Current Status: During the focused initiative, generic fill rate increased 4.8%, for a total estimated savings of $76 million. Since that time, many of the initiative partners continue to focus on generic prescriptions as a priority. Partially due to their efforts, the generic fill rate in the Rochester community continues to rise, increasing from 63.8% in 2006 to 84.8% today (above national benchmarks), saving our community hundreds of millions of dollars each year in health care costs.

Description: Applied Lean Six Sigma (continuous improvement) principles and practices within the three major hospital systems in the Rochester area in order to make our community a national leader in the delivery of highly efficient health care within five years.Current Status: All three hospital systems have Lean Six Sigma efforts underway. Overall hospital system financial benefits totaled more than $24 million for 2008-2010.

Description: In early 2007, URMC and Excellus reported problems recruiting and retaining physicians due to low reimbursement levels. If not addressed, this issue would ultimately lead to serious shortages in physician supply. Current Status: Rochester Business Alliance’s Health Care Planning Team agreed to support the proposed $20 million physician reimbursement increase with the understanding that the cost would be shared by the hospital systems and Excellus. Work continues with initial “offset” savings of over $120 million reported as the result of hospital infection control measures, a reduction in URMFG administrative costs, and a reduced Excellus operating margin.

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9/9/2015

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CEO Roundtable

Dutch Summers,                      Marty Mucci,                           Jeffrey Clarke,                             Danny Wegman,                                Kevin Warren,                       Bill Destler,CEO,  Jasco Tools                  CEO, Paychex, Inc.                   CEO, Eastman Kodak                     CEO, Wegmans Food Markets                   President, US Client              President, Rochester Institute of Technology

Chair of CEO Roundtable                                 Operations  ‐ Xerox

Rochester Business Alliance (RBA) / Finger Lakes Health Systems Agency (FLHSA)Community Collaborative

Organization Chart 

Mark Taubman.                                          Eric Bieber,                                                 Paul Speranza,                        Chris Booth,                                 Denise Gonick, John LiDestri,CEO, University of Rochester                    CEO, Rochester Vice Chairman,                       CEO, Excellus                             President and CEO, CEO, LiDestri Food

Medical Center                  Regional  Health  Wegmans Food Markets       Blue Cross Blue Shield               MVP Health Care and Beverage Group Facilitator

Rochester Business Alliance (RBA) Health Care Planning TeamFinger Lakes Health Systems Agency (FLHSA) ‐ Partnership

Health Care Planning Team / High Blood Pressure Collaborative

Jeanine Seguin Santelli, Nazareth  Becky Lyons,               Larry Becker,                 Paul Speranza,                        Cindy Reddeck‐LiDestri, M.D      Jim Sutton,  RPA‐C                       Mike Nazar, M.D.School of Nursing – Chair                         Wegmans  ‐ Co ‐Chair         Xerox  ‐ Co‐Chair  Wegmans Food Markets – Chair,      LiDestri Foods   ‐ Chair                      Rochester General Medical       Rochester RegionalCommunity Engagement       Plan Design Team                 Plan Design Team        Health Care Planning Team             Healthy Worksite Action Team       Group ‐ Chair Metrics and         Health ‐ Chair

Measures Committee  Best PracticeCommittee

Dawn Borgeest,  Nana Bennett, M.D.,                      Al Bradley,                            Sharon Legette‐Sobers,  Susan Hagen,  Mike Waters,         Chris Wiest,        Shannon Ealy,            Daniel Ornt, M.D. United Way ‐ Chair Center for Community                      FLHSA – High Blood            Greater Rochester Health        FLHSA                      Health Care              RBA                      RBA   Rochester InstituteCommunications  Health, URMC – Chair                       Pressure Collaborative       Foundation  Planning Team of TechnologyCommittee                         Behavior Change Committee  Program Manager                          Executive

Branding Sub Committee

Sandy Parker, RBA

Trilby de Jung,  FLHSA 

George Dascoulias, Eastman Kodak

Shaquana Divers, Center for CommunityHealth, URMC

Renee Brownstein, Rochester Instituteof Technology

Chris Hilderbrant, FLHSA

Michele Hill,  University of Rochester

Paul Eisenstat, Excellus

Matthew MacKinnon, MVP Healthcare

Tom Mahoney, M.D.,  FLHSA

Wade Norwood, FLHSA

Jake Flaitz,  Paychex

Theresa Green, Center for CommunityHealth, URMC

Robert DuffyCEO , Rochester Business Alliance

Trilby de Jung,CEO, Finger Lakes Health Systems Agency

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Nancy Adams, Monroe Cty. Medical Society Mark Belfer, Rochester General Hospital  Sherita Bullock, Perinatal Network Stephen Cook, U of Rochester Med Ctr. Sharon Davis, Roberts Wesleyan College Cynthia Adell, MVP Health Care Nancy Bennett,  Ctr. Com Health/U of Rochester Med Ctr. Peg Burrows, Everest Institute Dianne Cooney Miner, St. John Fisher College Edward Deci, U of Rochester Med Ctr.

Megan Alchowiak, National Kidney Foundation Margaret Berfield, Excellus BC/BS Pam Caggianelli, Unity Health Systems Francis Cordero‐Reyes, U of Rochester Med Ctr. Ted Dennee, Wegmans  Food Markets

Jeffrey Allen, Unity Health Systems Tami Best, Finger Lakes Health Agency John Carlo, Wegmans Food Markets Patrizia Corvaia, Finger Lakes Health Agency Mathew Devine, U of Rochester Med Ctr.

Luis Aponte, Monroe Ambulance John Bisognano, U of Rochester Med Ctr. Rachel Carmen, MVP Health Care Carlos Cotto, Rochester City School District Carl DeVore, Excellus BC/BS 

Thomas Arnone, Unity Health Systems Dawn Borgeest, United Way  Greater Rochester John Chamberlain, Private Practice MD Irene Coveny, MVP Health Care Colleen DiMartino, Finger Lakes Health Agency

Marcie Bartolotta, Wegmans Food Markets Al Bradley, Finger Lakes Health Agency Sarah Clark, Office of Senator Gillibrand David Crosby – MVP Health Care Shaquana Divers, Ctr. Com Health/U of Rochester Med Ctr.

William Bayer, Jefferson Family Medicine Howard Brill, Monroe Plan/Med Care Patty Clark, Bausch + Lomb Anne Dalconzo, Rochester General Hospital Jeffrey Dmochowski, Gr. Rochester  Indiv. Practice  Assoc.

Larry Becker, Xerox Corporation Zola Brown, Local 1199 SEIU (Serv. Employees Intern. Union) Andrea Clarke, U of Rochester Med Ctr. George Dascoulias, Eastman Kodak  David Dobrzynski, U of Rochester Med Ctr.

Howard Beckman, Finger Lakes Health Agency Renee Brownstein, Rochester Inst. Technology Yvette Conyers, HCR Home Care Sue Davin, The Community Place  Michelle Donaghey, Bausch + Lomb 

Jackie Dozier, AIDS Care 

Donald Goldman, M

onroe Cty. M

ed. Society          Phyllis Jackson, Finger Lakes Health Agency

QuintinDukes, University of Rochester         D

enise Gonick, M

VP Health Care                               Patricia  Jackson, SW Area Neighborhood

Paul Eisenstat, Excellus BC/BS                         Cheryl G

ordon‐Barr, U of Rochester Med. C

tr.        Sonya Jordan

‐Van

 Alstyne, U of Rochester Med Ctr.

Renee Elwood, U

nity Health Systems             Susan Grace, W

orksite Health 

Craig Kaplan, Highland Hosp./U of Rochester 

Med Ctr.

Adam

 Fabrizi, HCR  H

ome Care                       Theresa Green, C

tr. C

om Health/                              M

ichelle Karch, R

och/G

enesee Reg. Trans Auth.

Isabel D

iana Fernandez,  U

 of Rochester                                    U

 of Rochester Med Ctr.                Byron Kennedy,Monroe Cty. D

ept. Health

Med. C

tr.                 Jimmy Haynes, Laborers Local 435                          A

nne Kern, M

onroe Cty. D

ept. Health

Daniel Ferrara, W

egm

ans Food M

arkets       Travis Heider, American

 Diabetes                             StefenieKing, Unity Health Systems

Joseph Finetti, Unity Health Systems             Kelly Henry, B

ryant & Stratton                                   Lisa Krapt, Veterans Administration

SadyFischer, AIDS Care 

Michele Hill, University of Rochester                        Ted Kremer, R

ochester Regional Health In

fo. O

rg.

Jake Flaitz, Paychex                                           Sheryl Holley, Unity Health System                          Jill Lavigne,  St. John Fisher College

SharonetteFoster, Finger Lakes Health         Amy Hudzinski, SU

NY Brockport                                M

ichael Leary, R

ochester Primary Care

Jeffrey Freeman, Excellus BC/BS                     Julie Hutchinson, Private Practice RN                       Sharon Legette‐Sobers, G

r. Rochester Health

Karen Gesell, Unity Health Systems                Nse

Ikpot, Antioch Church

Foundation 

Paul Rapoza, R

ocheste

r General  H

osp.               Saad

iaSherazi, U

nity H

ealth

 System                       A

djuah

VanKeken

, Ctr. C

om Health

/U of R

ocheste

r Med Ctr.

Patricia  R

ecto

r‐Hollomon, N

ew Bethel Church

  Paul Sp

eranza, W

egm

ans Fo

od M

arkets               A

my V

anOrden, Exce

llus B

C/BS

Cynthia R

eddeck‐LiD

estri, LiD

estriFo

ods            Sh

aron Stall, Stro

ng D

ialysis Brigh

ton                     M

allory V

irts, Wellcare

Kelly R

eed, M

onroe Cty. D

ept. H

uman

 Ser.         Joseph  Stan

kaitis, Monroe Plan

/Med

ical Care    G

wenn Voelcke

rs, Ctr. C

om Health

/U of R

ocheste

r Med Ctr.

Thomas R

occo

,  U of R

ocheste

r Med Ctr.

Tammy Ste

wart, R

ocheste

r General H

osp.           Lo

vely W

arren, C

ouncilw

oman

 Caro

lyn RodieMartin

, St. John Fish

er College

     Mich

ael Sto

jkovic, R

ocheste

r Inst. Te

chnology 

Mike

 Wate

rs, Rocheste

r Bus. A

lliance/HBP Plan

 Team

George R

ommell, YM

CA of G

reate

r Rocheste

r    Jason Stu

lb, A

merican

 Heart A

ssociatio

n             M

ervyn

Weerasin

ghe, R

ocheste

r Clinical  R

esearch

            Elissa

Rowley, N

ational K

idney Fo

undatio

n         Jam

es Sutto

n, Rocheste

r General M

ed. G

roup     Fran

 Weisb

erg, Fin

ger Lakes H

ealth

 Agen

cyKristin

 Rusho, Exce

llus B

C/BS                                 Sh

irley Sze

keres, N

azareth College

                        Melinda W

hitb

eck, Fin

ger Lakes H

ealth

 Agen

cyGreg Sarkis, N

ew Yo

rk Blood Pressu

re                 James Taach

i, Xero

x Corporatio

n                           B

ridgette

 Wieflin

g, Rocheste

r  General H

osp.

Kristin

e Sch

wandt, R

ocheste

r General H

osp.      C

arol Te

gas, Rocheste

r Com. In

div. P

ractice         Christo

pher W

iest, R

ocheste

r Busin

ess A

lliance

Sharo

n Secco

mbe‐Coia, Eve

rest  In

stitute           R

obert Th

ompson, Exce

llus B

C./B

S                        Geoffre

y William

s, Ctr. C

om Health

/ Jean

ine Segu

in‐San

telli, N

azareth College

           John Urban, G

r. Rocheste

r Health

 Foundatio

n                                       U

 of R

ocheste

rMed. Ctr.            

Chris Ze

ltmann, O

ffice of Se

nato

r  Schumer

Thomas Mahoney,  Finger Lakes Health  Agency Michael Mendoza, U of Rochester Med Ctr. Marc Natale, American Heart Association

Ellen Lindahl, MVP Health Care Cheryl Mahoney, Monroe Com. College Robert Merberg, Paychex Michael Nazar,  Unity Health Systems Heidi Parreno, Interfaith Alliance

Rosa Lloyd, Ctr. Com Health/U of Rochester Med Ctr. Maria Marconi, U of Rochester Med Ctr. Ellen Miller, New York Blood Pressure David Newman, Evergreen Family Medicine Cynthia Patrick, Everest

Anthony LoCicero, Unity Health Systems Natalie Masco, St. John Fisher College Anthony Minervino, Unity Health Systems Wade Norwood, Finger Lakes Health  Agency Susan Peterson, SUNY Brockport

Susan Lowey, SUNY Brockport Kelly Matthews, U of Rochester Med Ctr. Susanne Mohnkern, Roberts Wesleyan Daniel Ornt,  Rochester  Inst. Technology Ronalyn Pollack, Monroe  Com. College

Candice Lucas, U of Rochester Med Ctr. JudieLynn McAvinney, City of Rochester Kelly Mueller, American Diabetes Louis Papa, U of Rochester  Med Ctr. Brian Pompo, Wegmans Food Markets

161 Members Representing67 Organizations

This is our Community Collaboration Table 

Rochester Business Alliance /  Finger Lakes Health Systems AgencyCommunity High Blood Pressure Collaborative

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“In Rochester there is collaboration like I have never seen.”Jaime Torres, DPM, Regional Director of the U.S. Department of Health and Human Services

“I am blown away by Rochester. There’s a lot of good stuff being done by a lot of people.”

Richard Gilfillan, MD, acting director, Center for Medicare and Medicaid Innovation

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Age‐adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults Aged 18 Years or Older

Obesity (BMI ≥30 kg/m2)

Diabetes

1994

1994

2000

2000

No Data       <14.0%        14.0%–17.9%        18.0%–21.9%       22.0%–25.9%        26.0%

No Data         <4.5%         4.5%–5.9%           6.0%–7.4%        7.5%–8.9%            >9.0%

CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics

2010

2010

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Over 100 Kiosks Provide Free Blood Pressure Checks Throughout Monroe County 

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20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

% of HBP Patients with BP Read

ing < 140/90

% of HBP Patients with BP ControlledDec 2010, Dec 2013, and Dec 2014 Registries (SBP<140)

Target

Dec 2014

Dec 2013

Dec 2010

Participating Practices with more than 50 Patients in the Registry

Rates are age‐sex adjusted to the age‐sex distribution of the December 2011 HBP Registry.Control rate is calculated for patients with a BP reading in the past 13 months.

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67.7%

50%

55%

60%

65%

70%

75%

80%

2010 2011 2012 2013 2014

Source: FLHSA/RBA High Blood Pressure RegistryControl rates are calculated using the Seventh Report of the Joint National Committee standards for high blood pressure  (JNC 7). 

High Blood Pressure Control RatesImprove 9 Percentage Points

Monroe County 2010 ‐ 2014

62.7%

71.8%

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