community collaborative to impact cost and quality mary ellen benzik rick hensley michpha september...
TRANSCRIPT
![Page 1: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/1.jpg)
Community Collaborative to Impact Cost and Quality
Mary Ellen BenzikRick Hensley
MichPHA September 22,2011
![Page 2: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/2.jpg)
Battle Creek, Calhoun County, Michigan
![Page 3: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/3.jpg)
“All growth is a leap in the dark—a spontaneous, unpremeditated act without benefit of experience.” –Henry Miller
![Page 4: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/4.jpg)
2006 Integrated Health Partners
Opportunity Knocks
Tom Simmer, MD, VPMA, CMO, Blue Cross Blue Shield of Michigan (BCBSM) – Challenge• “We want you to look at the Wagner Model”• “Start a registry”• Development of conceptual framework for the
CCPTH
“Ability has nothing to do with opportunity.” –Napoleon Bonaparte
![Page 5: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/5.jpg)
Calhoun County Pathways to Health Framework
Patient
Community Partners
Consumers
Physicians
Identify barriers to care
Transform the delivery system of care
Remove barriers to care related to benefit design
Transform the community care system (added in 2009) Employers/
Health Plans
![Page 6: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/6.jpg)
Special Request to the WK Kellogg Foundation
![Page 7: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/7.jpg)
IHI Learning Collaborative Model -
“I think you should have a collaborative.”–Mike Hindmarsh
![Page 8: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/8.jpg)
Physician Learning Collaborative
• Year long commitment to improving quality of care – Team based redesign – Commitment to measurement – Public reporting of data
• Three collaboratives to date involving 66 teams – half from Calhoun County
• Learning Collaborative #4 – 13 additional teams – 75% of primary care providers in Calhoun County
![Page 9: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/9.jpg)
Evolution of IHP Learning Collaboratives
![Page 10: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/10.jpg)
Evolution of IHP Learning Collaborative
• Learning Collaborative #1 – Diabetes focus for 10 teams
• Learning Collaborative #2 – Expansion of number of teams to 26
• Learning Collaborative #3 – Broader chronic disease focus – Expansion to prevention – Introduction of efficiency metrics
• Learning Collaborative #4 – Expansion to the late adopters– Attention to care management
![Page 11: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/11.jpg)
Collaborative MeasurementsLearning Collaborative #3
Focused chronic conditions Asthma Childhood Obesity Chronic Obstructive Pulmonary Disease Diabetes Hypertension
Preventive Services Breast Cancer Screening Colorectal Cancer Screening Childhood Immunizations Adolescent Well Visit
• Efficiency Measure
![Page 12: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/12.jpg)
Diabetic BP <130/80
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
Baseline 12/31/06 12/31/07 6/30/08 12/31/08 6/30/09 12/31/09 06/30/10
LC Phys LC Offices Non LC Offices
LC1 LC2
Learning Collaborative #1 begins
Learning Collaborative #2 begins
LC Phys Learning Collaborative Physicians LC Offices Learning Collaborative Offices Non LC offices Offices who have not participated
in Learning Collaboratives
![Page 13: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/13.jpg)
Diabetic Self Management Goal
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Baseline 12/31/06 12/31/07 12/31/08 12/31/09
LC Phys LC Offices Non LC Offices
LC1 LC2
Learning
Collaborative #1 begins Learning Collaborative #2 begins
LC Phys Learning Collaborative Physicians LC Offices Learning Collaborative Offices Non LC offices Offices who have not participated in Learning Collaboratives
![Page 14: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/14.jpg)
Diabetic Depression Screening
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Baseline 12/31/06 12/31/07 12/31/08 12/31/09
LC Phys LC Offices Non LC Offices
LC1 LC2Learning Collaborative
#1 begins
Learning Collaborative
#2 begins
LC Phys Learning Collaborative Physicians LC Offices Learning Collaborative Offices Non LC offices Offices who have not participated in Learning Collaboratives
![Page 15: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/15.jpg)
Diabetic HbA1c <7
30.0%
35.0%
40.0%
45.0%
50.0%
55.0%
60.0%
Baseline 12/31/06 12/31/07 12/31/08 12/31/09
LC Phys LC Offices Non LC Offices
LC1 LC2
Learning Collaborative #1 begins
Learning Collaborative #2 begins
LC Phys Learning Collaborative Physicians LC Offices Learning Collaborative Offices Non LC offices Offices who have not participated in Learning Collaboratives
![Page 16: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/16.jpg)
Expanding Learning Collaboratives to the Community
Care Management Collaborative Employer Learning Collaborative
![Page 17: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/17.jpg)
Care Management Collaborative #1 “Fortuitous learning from abysmal failure”
• Community partners with physicians to address the transitions of care
• Successes – Brought community partners into the room together – Began improving transitions and care experience one
patient at a time • Challenges
– Cross organizational work more difficult than imagined – Metrics and pilot – population difficult to quantify
![Page 18: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/18.jpg)
Care Management Collaborative #2 “Like the phoenix arising from the ashes”
• Care Management Collaborative 2010 - current - Five pillars
• Assessing and meeting the needs of our patients• Communications• Transitions of care• Referral process• Medication reconciliation
![Page 19: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/19.jpg)
Employer Learning Collaborative
![Page 20: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/20.jpg)
Employer Collaborative
Phase I – Healthy Employer Summit
• January 2009
• In cooperation with Regional Health Alliance
• Half day meeting– Dee Edington– Dr. Jack Mahoney– Local success stories
• 90 participants, 40 employers
![Page 21: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/21.jpg)
Employer Collaborative
• Phase II – Employer Collaborative• Leverage structure of physician collaborative
– Two day opening session – March 22 - 23– Two one day sessions later in the year– Monthly conference calls
• Zero Trend – Dee Edington served as the framework
• Moving networking and best practice sharing to ACTION!
![Page 22: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/22.jpg)
Employer Collaborative
Phase II – Employer Collaborative• Leverage structure of physician collaborative
– Two day opening session – March 22 - 23– Two one day sessions later in the year– Monthly conference calls
– Zero Trend – Dee Edington served as the framework
• Moving networking and best practice sharing to ACTION!
![Page 23: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/23.jpg)
Employer Collaborative
Phase II – Employer Collaborative• Leverage structure of physician collaborative
– Two day opening session – March 22 - 23– Two one day sessions later in the year– Monthly conference calls
– Zero Trend – Dee Edington served as the framework
• Moving networking and best practice sharing to ACTION!
![Page 24: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/24.jpg)
Employer Collaborative
Purpose: To further improve the health of the community and to bend the health care cost trend by encouraging local employers to improve employee health management programs at each respective employer
![Page 25: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/25.jpg)
Employer Collaborative
Phase II – Employer Collaborative• Leverage structure of physician collaborative
– Two day opening session – March 22 - 23– Two one day sessions later in the year– Monthly conference calls
– Zero Trend – Dee Edington served as the framework
• Moving networking and best practice sharing to ACTION!
![Page 26: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/26.jpg)
Framework for Employer Learning Collaborative
![Page 27: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/27.jpg)
Employer Collaborative
Phase II – Employer Collaborative• Leverage structure of physician collaborative
– Two day opening session – March 22 - 23– Two one day sessions later in the year– Monthly conference calls
– Zero Trend – Dee Edington served as the framework
• Moving networking and best practice sharing to ACTION!
![Page 28: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/28.jpg)
VBID aligned with multiple pillarsSenior LeadershipSelf Leadership Reward Behavior Quality Assurance
![Page 29: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/29.jpg)
![Page 30: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/30.jpg)
CITY OF BATTLE CREEKCITY OF BATTLE CREEKThe Pathway to HealthThe Pathway to Health
Rick Hensley, ARM, SPHRRick Hensley, ARM, SPHR
Risk ManagerRisk Manager
![Page 31: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/31.jpg)
History of Health CareHistory of Health Care
• 1990 Moved program to BCBSM in 1990 Moved program to BCBSM in response to rising costresponse to rising cost
• 2004 Moved program into BCBSM Self-2004 Moved program into BCBSM Self-Funded PlanFunded Plan
• 2008 Total Program Cost $7,238,1882008 Total Program Cost $7,238,188
• Cost Sharing for same period $845,116Cost Sharing for same period $845,116
![Page 32: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/32.jpg)
History of Health CareHistory of Health Care
• 1990 Initiated $2.00 Pharmacy Co-Pay1990 Initiated $2.00 Pharmacy Co-Pay
• 1995 Increased Phar Co-Pay to $5.001995 Increased Phar Co-Pay to $5.00
• 1996 First Employee Premium 1996 First Employee Premium Contribution set at $2.00 per weekContribution set at $2.00 per week
• Current Employee Contributions range Current Employee Contributions range from $12.70 to $25.00 per weekfrom $12.70 to $25.00 per week
• 2007 Pharmacy Co-Pay set at 15/302007 Pharmacy Co-Pay set at 15/30
• 2010 RX Initiative2010 RX Initiative
![Page 33: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/33.jpg)
History of Health CareHistory of Health Care
Disease management services offered by carrier without the use of a Value Disease management services offered by carrier without the use of a Value Based Benefit DesignBased Benefit Design
![Page 34: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/34.jpg)
History of Health CareHistory of Health Care
![Page 35: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/35.jpg)
CHRONIC CONDITIONS MATRIXCHRONIC CONDITIONS MATRIX COUNT OF MEMBERSCOUNT OF MEMBERS *TOTAL COST *TOTAL COST
COPDCOPD 11 $4,310$4,310
CADCAD 2828 $364,329$364,329
CAD and COPDCAD and COPD 22 $34,676$34,676
DIABETESDIABETES 6969 $421,670$421,670
DIABETESDIABETES and COPD and COPD 11 $3,941$3,941
DIABETESDIABETES and CAD and CAD 1313 $88,923$88,923
DIABETESDIABETES, CAD AND COPD, CAD AND COPD 11 $22,584$22,584
CHFCHF 22 $10,294$10,294
CHF and CADCHF and CAD 11 $23,124$23,124
CHF and CHF and DIABETESDIABETES 11 $37,957$37,957
CHF, CHF, DIABETES DIABETES and CADand CAD 11 $4,238$4,238
ASTHMAASTHMA 8282 $259,411$259,411
ASTHMA and COPDASTHMA and COPD 77 $22,470$22,470
ASTHMA and CADASTHMA and CAD 33 $76,909$76,909
ASTHMA, CAD and COPDASTHMA, CAD and COPD 11 $27,779$27,779
ASTHMA and ASTHMA and DIABETESDIABETES 99 $90,048$90,048
ASTHMA, ASTHMA, DIABETESDIABETES and COPD and COPD 22 $19,721$19,721
ASTHMA,ASTHMA, DIABETES DIABETES and CAD and CAD 22 $53,676$53,676
ASTHMA and CHFASTHMA and CHF 11 $15,345$15,345
ASTHMA, CHFand ASTHMA, CHFand DIABETESDIABETES 11 $11,303$11,303
ASTHMA, CHF, ASTHMA, CHF, DIABETESDIABETES and CAD and CAD 11 $137,781$137,781
TOTALTOTAL 229229 $1,730,488$1,730,488
![Page 36: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/36.jpg)
City of Battle Creek City of Battle Creek VBID Design and Planned ImplementationVBID Design and Planned Implementation
• Effective July 1, 2009Effective July 1, 2009
• Diabetes Focused,Diabetes Focused,
• VBID will overlay Rather than Replace the VBID will overlay Rather than Replace the existing BCBSM benefit plans. VBID plan existing BCBSM benefit plans. VBID plan will eliminate member cost-sharing for will eliminate member cost-sharing for diabetic members who participate in diabetic members who participate in required wellness and Care management required wellness and Care management activities.activities.
![Page 37: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/37.jpg)
City of Battle Creek City of Battle Creek VBID Design and Planned ImplementationVBID Design and Planned Implementation
• Removes Financial barriersRemoves Financial barriers
• Improve enrollment and engagement in Improve enrollment and engagement in Blue Health ConnectionBlue Health Connection
• Increase use of high value services (i.e., Increase use of high value services (i.e., diabetes prevention and treatment)diabetes prevention and treatment)
• End State: Member has the ability to End State: Member has the ability to successfully self manage their conditionsuccessfully self manage their condition
![Page 38: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/38.jpg)
![Page 39: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/39.jpg)
Book of Business
DIABETES PopulationNo.
CompliantRate Rate
HbA1c Testing 79 66 83.5% 73.1%
Microalbuminuria Testing 79 37 46.8% 34.8%
Dilated Retinal Exam 79 32 40.5% 29.6%
Lipid Testing 79 65 82.3% 70.4%
ACE or ARB (& treated for nephropathy) 4 4 100.0% 69.5%
Lipid Lowering Agent (& over 50) 46 26 56.5% 61.0%
CORONARY ARTERY DISEASE (CAD)
Lipid Testing 23 19 82.6% 72.3%
Lipid Lowering Agent 23 9 39.1% 68.0%
Beta-Blocker 23 13 56.5% 56.3%
ACE or ARB (with HF, Diabetes, or Hypertension) 17 7 41.2% 63.7%
Beta-Blocker (with Myocardial Infarction) 19 12 63.2% 82.8%
HEART FAILURE (HF)
Lipid Testing 8 8 100.0% 62.2%
ACE ARB 8 6 75.0% 64.5%
ASTHMA
Asthma Controller Medication 63 41 65.1% 50.5%
Clinical Quality Indicators By Disease
![Page 40: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/40.jpg)
City of Battle CreekCity of Battle Creek
• WHAT’S NEXTWHAT’S NEXT
![Page 41: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/41.jpg)
The Kellogg Experience
• 12/14 of the chronic disease metrics are significantly higher than the book of business
• Those that engaged in VBID had more co morbidities
Initially, higher ER and hospital admissions in engaged participants
Steeper declining trend, with subsequent lower rates than unengaged at year end
![Page 42: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/42.jpg)
![Page 43: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/43.jpg)
Data for Quality Improvement
![Page 44: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/44.jpg)
Sometimes gathering data can
bring new and
surprising knowledge!
![Page 45: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/45.jpg)
Evaluation of the Calhoun County Experience
• Case studies – Patient Centered Primary Care Collaborative White
Papers (PC-PCC) • PCMH Performance Metrics for Employers• PCMH and VBBD
– Advisory Board – RWJF Improving Chronic Illness Care website
• Robert Wood Johnson Foundation Analytic Grant – Impact of PCMH – Impact and synergy of VBBD
• Kellogg Company with BCBSM
![Page 46: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/46.jpg)
Impact of Patient Centered Medical Home (PCMH)
Diabetic Blood Pressure <130/80
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
55.0%
60.0%
12/31/08 6/30/09 12/31/09 6/30/10 12/31/10
2009 PCMH 2010 PCMH 2009 & 2010 PCMH Non PCMH
![Page 47: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/47.jpg)
Impact of PCMH Diabetic HbA1c <7
30.0%
35.0%
40.0%
45.0%
50.0%
55.0%
60.0%
12/31/08 6/30/09 12/31/09 6/30/10 12/31/10
2009 PCMH 2010 PCMH 2009 & 2010 PCMH Non PCMH
![Page 48: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/48.jpg)
Impact of PCMH Diabetic Self Management Goal
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
12/31/08 6/30/09 12/31/09 6/30/10 12/31/10
2009 PCMH 2010 PCMH 2009 & 2010 PCMH Non PCMH
![Page 49: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/49.jpg)
![Page 50: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/50.jpg)
Flexibility in Design Changes• Failed grant applications
Robert Wood Johnson · Aligning Forces for Quality · Vulnerable Populations Community Funding Partners
Trinity Call to Care Grant · Two cycle failures
• Ineffective structure for the Physician Advisory Council Establish relationship with Mike Hindmarsh, Hindsight
Healthcare Strategies with funding from leadership team
• Redesign of the Employer Collaborative • Care Management Collaborative – “Abysmal Failure”
![Page 51: Community Collaborative to Impact Cost and Quality Mary Ellen Benzik Rick Hensley MichPHA September 22,2011](https://reader036.vdocuments.mx/reader036/viewer/2022062807/56649cad5503460f94970622/html5/thumbnails/51.jpg)
But – It’s the Coolest Thing We’ve Ever Done!
Mary Ellen Benzik, MD269- [email protected]
Never doubt that a small group of thoughtful, committed Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's the only thing that citizens can change the world; indeed, it's the only thing that ever does” ever does” Margaret Mead Margaret Mead