Workgroup ideas: Colorado Primary Care Collaborative
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Transcript of Workgroup ideas: Colorado Primary Care Collaborative
Workgroup Ideas
Areas of Focus
Engaging the Public
• Recognition
• Education & recognizing community culture
• Menu of services & transparency of who is PCMH
• Patient choice
Engaging the Public
• Action steps
– Development of message content: must include the voice of the public
• Available data from NCQA, RCCOs, others
• Focus groups, public polls/survey
– How do we deliver the message?
• Utilization of available data/ask the people
Engaging the Public
• Action steps continued
– Addition of others to the planning process (including previously mentioned)
• Chronic care community
• OB/GYN
• Faith-based organizations
• PATIENTS! (with supports)
• Pharmacists
• Etc.
Buying Health Services for Employees
• Decrease employee absenteeism & increase employee production by offering PCMH programs on top of current/existing health insurance programs to decrease lost time from work
– Educate employers on value of primary care & medical homes
Buying Health Services for Employees
• Drivers of health care decisions
– Cost of health care
– Employee productivity
– Health (what is health in eyes of the employer?)
– Direct & immediate access to all needed healthcare
Buying Health Services for Employees
• Parallel a company work-comp/safety program with a work-health health program
– Pathways/contracts for both acute & chronic health care
– Safety: loss ratio linked to premium reduction
– Employer demand for medical homes ( contract with medical homes, similar to work-comp)
Buying Health Services for Employees
• Build a business case for, and explain a clear ROI for the PCMH– Engage in a local conversation with businesses &
organizations
– Infiltrate, integrate, & educate employers at business events• Chamber of Commerce
• Colorado HR Association
• CO Restaurant Association
• Etc.
– Involve & engage health insurers & brokers
Payment Reform
• Convening all stakeholders
• Transparency/alignment of metrics (risk adjustment, benchmarks)
• Understanding real cost of PCMH transformation & sustainability
• Financial incentives for all stakeholders –aligned across payers
Payment Reform
• Transparency – know the cost! Across the public & private plans
• Incentivize with goal in mind allocate more funds to primary care
• Cover all services needed:
– Primary care
– Behavioral health
– Dental
Payment Reform
• Standardize the standards
• Insurance reform
– Must offer same plans & benefits
– Base member on service rather than cost
– Publicly funded – privately serviced
Delivery Reform
• Set medical home as standard of care
• Share the vision
• Build the infrastructure tools/resources extension service model
Delivery Reform
• Action steps
– Support facilitation
– Standard quality measures
• Cost
• Experience
– Partnership (culture)
• Community
• Equitable
Delivery Reform
• Transform with hospitals
• Build facilitator systems
– Equitable
• Culture
– Language
– Patient
• Measures