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Confidential and Proprietary – UnityPoint Confidential and Proprietary – UnityPoint “End Zone”: Care Model Transformation Erick Laine, MD, EVP/COO, UnityPoint Clinic Aric Sharp, VP, UnityPoint Health Partners

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  • Slide 1
  • Confidential and Proprietary UnityPoint Health End Zone: Care Model Transformation Erick Laine, MD, EVP/COO, UnityPoint Clinic Aric Sharp, VP, UnityPoint Health Partners
  • Slide 2
  • Confidential and Proprietary UnityPoint Health Quality Patient Access/ Patient Experience Cost-of-Care* Transparency* Market Drivers Decades last 10 years Now Triple-Aim Performance New Differentiators Time Course
  • Slide 3
  • Confidential and Proprietary UnityPoint Health Clinical Transformation Operational Transformation Business Transformation Organizational Transformation Quality Patient Access/ Patient Experience Cost-of-Care* Transparency* Marketplace Changes ( T.H.E. Care Model ) External Environment Internal Environment End Zone Transformation
  • Slide 4
  • Confidential and Proprietary UnityPoint Health T.H.E. Care Model Medicare Medicaid Commercial Payers Other Payers Illinois FFS MSSP Medicare Advantage Iowa Wisconsin Care Model Applications
  • Slide 5
  • Confidential and Proprietary UnityPoint Health T.H.E. Care Model. Starts with the Person 5
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  • Confidential and Proprietary UnityPoint Health T.H.E. Care Model Organizes Our Approach 6
  • Slide 7
  • Confidential and Proprietary UnityPoint Health TRIPLE AIM: BIG OPPORTUNITY T.H.E. Care Model: Governance CEO Forum Population Health End Zone Steering Recommendations from PHSC requiring CEO approval Provide Resources Implementation toward standard care model Review, set, and approve standards across the system Removal of any duplication across regional initiatives Approve recommendations to CEO Forum per charter Facilitation of issue resolution Ensure alignment with other strategic initiatives Communication Ensure quality of deliverables 7
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  • Confidential and Proprietary UnityPoint Health BROAD ENGAGEMENT 8
  • Slide 9
  • Confidential and Proprietary UnityPoint Health 9 24 month Development Process
  • Slide 10
  • Confidential and Proprietary UnityPoint Health PHASE I Functional Definitions Regional Assessment Playbook Scorecard End Zone Scorecard PHASE II Operational Plans Regional Summaries 2015/2016 System Summary PHASE IV Performance (Measure Against Scorecard) 10 Functional Definitions Resolve Interdependencies Business Requirements Operational Plan Development Resolved 55 Interdependencies Assigned Ownership to Key Team Several Subgroups Formed Added MTM as a Core Competency Identify Requirements for each Competency Collate all requirements Find best solutions to meet requirements Coordinate solutions and assign ownership Operational Plans being developed Resource requirements for implementation Ownership during and after implementation Sequencing and prioritization Define a standard that all can converge towards Distill definitions down into functional components Identify most important components Survey to determine gaps Phase I drill-down . Phase II.
  • Slide 11
  • Confidential and Proprietary UnityPoint Health
  • Slide 12
  • CORE COMPETENCYWORK TEAM MEMBERS ADVANCED CARE Exec Sponsor: Monique Reese C.N.P, Team Lead: Marie Kayser R.N., Team Members: Dianna Nunn, John Ubben, Jennifer Federspiel, Jean Duncan, John LEstrange, Lori Bishop R.N., Jennifer Kownanacki, Patricia Newland M.D., Vicki Wildman, Cincy Eggleston, Dawn Welling, Theresa Lewis, Tammy Duvendack ATTACHMENT & RETENTION Exec Sponsor & Team Lead: Brian Jones, Team Members: Shari Naughton, Megan, Maher, Ann Petersen, Jeri Spaur, Laura Smith, Sid Ramsey, Dan Allen M.D., Lori Weih, Della Guzman, Julie Zuber, Bill Obrien, Chris Mcmillan, Keith Seashore CALL CENTER ACCESS Exec Sponsor: Erick Laine M.D., Team Lead: Kathy Cunningham, Team Members: Karri Drabik, Jeri Spaur, Laura Hahn, Audrey Vaughn, Tammy Duvendack, Dawn Welling, Raedean VanDenover, Theresa Lewis CLINICAL CARE PATHWAYS Exec Sponsor: David Williams M.D., Team Lead: Wendy Mortimore M.D., Team Members: Megan Maher, Gary Kimberlin, Linda Wendt, Jeff Reininga, Kendra Gustafson, Rhiannon Harms, Patricia Newland M.D., Marcel Devetten M.D., Ryan Walsh M.D, Elizabeth Lane, Derek Clevidence M.D. COMMON CARE PLAN Exec Sponsor: Mark Purtle M.D., Team Lead: Mary Ann Osborn R.N., Team Members: Jeff Jutting, Tiffani Heaberlin, Misty Rauch, Jim Bell M.D., Lori Bishop R.N., Deb Shriver R.N., JoEllen Frommelt, Janna Emick, Tammy Duvendack, Dawn Welling CONNECTION TO COMMUNITY RESOURCES Exec Sponsor: Aric Sharp, Team Lead: Pam Halvorson, Team Members: Dianna Nunn, John Ubben, Darren Clark, Kari Prescott, Tammy Duvendack, Mike Issacson, Dennis Duke, Sarah Brown, Dawn Palmer NEXT GEN HOSPITALIST Exec Sponsor & Team Lead: Mark Purtle M.D., Team Members: Jeff Jutting, Rhiannon Harms, Kathy Brandow, Carmen Buchman, Theresa Lewis, Dustin Arnold M.D., Mark Willis, Tray Ekhardt M.D., Dan Sullivan M.D., Chad Wolbers, Julie Harris, Elizabeth Day M.D., Nadine Schlienz, Jeremy Jaskunas M.D., Heather Certain M.D., Tammy Duvendack, Todd Baker, Marty Dorgan, Laurie Brown, Paul, McLoone M.D.,Toyosi Olutade M.D., Stephanie Burns, Wendy Lindley, Lynn Wold, Jenni Friedly HOSPICE Exec Sponsor: Monique Reese C.N.P., Team Lead: Leanne Burrack M.D., Team Members: Megan Maher, Cory Reuter, Lynn Steffen, Heather Vandewater, Crystal Franke, Joyce Bianchi, Patti Fallert, Jean Walker PALLIATIVE CARE Exec Sponsor: Monique Reese C.N.P., Team Lead: Lori Bishop R.N., Team Members: Megan Maher, Lynn Steffen, Heather Vandewater, Jennifer Federspiel PCMH 2.0 Exec Sponsor: Erick Laine, M.D., Team Lead: Linda Wendt, Team Members: Megan Maher, Lauren Hardison, Sean Liddell, Patricia Newland, M.D., Dawn Welling, Lori Weih, Tammy Duvendack, Ray Seidelman, Jennifer Federspiel, Lori Bishop R.N., Kevin Carroll, Craig Logemann RISK STRATIFICATION Exec Sponsor: Betsy McVay, Team Lead: Lillian Dittrick, Team Members: Jeff Jutting, Kevin Allen, John Ubben, Jeryl Janson, Lance Lisk, Amber Lenhardt TRANSITIONS IN CARE Exec Sponsor & Team Lead: Monique Reese C.N.P, Team Members: Dianna Nunn, Jeff Jutting, Rhiannon Harms, Dianna Burnett, Pat Grunwald, Lori Bishop R.N., Deb Moyer R.N., Peg Bradke, Dawn Welling, Kami Petitgoue UTILZATION and REFERRAL MANAGEMENT Exec Sponsor & Team Lead: Aric Sharp, Erick Laine M.D., Team Members: Jeff Jutting, John Ubben, David Williams M.D., Larry Kay M.D., Sabra Rosener, Carol Brockmiller, Greg Johnson M.D.
  • Slide 13
  • Confidential and Proprietary UnityPoint Health Each Clinical Core Competency 13 Standard Functional Definition Paragraph and Checklist Format Communicates the standard where we will converge in the near term Points to when we will be able to begin to evolve such standards Provides clear articulation of the way we will provide value to the marketplace
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  • Confidential and Proprietary UnityPoint Health Regional Gap Analysis: Initial Findings 14
  • Slide 15
  • Confidential and Proprietary UnityPoint Health Triple Aim Scorecard Metrics 15
  • Slide 16
  • Confidential and Proprietary UnityPoint Health CLINICAL CORE COMPETENCYPHASE II ESTIMATED HOURS Common Care Plan (estimate includes Assessment Toolkit)2,365* Risk Stratification205 Transitions In Care4,552* Advanced Care228 Attachment & Retention460 Call Center Access506* Clinical Care Pathways467 Connection To Community Resources850 Hospice131 Medication Therapy Management232 Palliative Care416 PCMH 2.0254 Utilization Management / Referral Management285 TOTAL10,951 16 Phase II Work: Conceptual Design Operational Planning ADDITIONAL COMMENTS 1)Top 4 Priorities are highlighted in RED: 1) Common Care Plan, 2) Assessment Toolkit, 3) Risk Stratification, 4) Transitions in Care 2)Next Generation Hospitalist Clinical Core Competency Team is a separate work stream and is in progress. The estimated hours for this team are not represented in the Total Hours. 3)End Zone Scorecard is a Phase II Deliverable and estimated hours are not included in the Risk Stratification Phase II Estimated Hours. The estimated hours for this work is 250 resource hours. 4)* Represents Clinical Core Competency Teams requesting additional physicians to be added to the team The Physician resource needs are being shared with Dr. Erick Laine to determine available resources.
  • Slide 17
  • Confidential and Proprietary UnityPoint Health What Comes Next Key Milestones March 12Phase II Launch March 12 April 29Core Competency Operational Plan Development April 30 End Zone Steering Committee Review Operational Plans May 5 Pop Health Approve Operational Plans May 5 May 22 Regional Summary Development and Signoff June 2 Pop Health Steering Committee Review End Zone / Playbook 2015 / 2016 System Summary June 11 CEO Forum Presentation 2015 / 2016 System Summary TARGET: Deliverables In Advance Of Budget Cycle Q1Q2 Ongoing Phase IPhase II Phase III Phase IV 01/01/17 Nov/Dec Planning Q3-Q4 FY 2016
  • Slide 18
  • Confidential and Proprietary UnityPoint Health T.H.E. Care Model 18
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  • Confidential and Proprietary UnityPoint Health ORGANIZATIONAL COMMITTMENTS 1.This is T.H.E. CARE MODEL we are transforming toward. 2.Every region is represented. 3.We understand this wont be perfect, it will evolve over time. 4.We will align our future initiatives to T.H.E. Care Model 5.We will dedicate key individuals and others time for completion of Phase II planning. 6.We will develop an organized standard communication plan 7.We will remain committed to development and deployment regardless of when risk bearing contracts come into play. 19
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  • Confidential and Proprietary UnityPoint Health QUESTIONS 20