larry wolk, md msph executive director colorado department of public health and environment
TRANSCRIPT
The Future of School-based Health Centers: Are we
prepared?
Larry Wolk, MD MSPHExecutive Director
Colorado Department of Public Health and Environment
State of Colorado/CDPHE strategy ACA Delivery System Reform Payment System Reform Technology advancement Colorado-specific opportunities
The Future of SBHCs
Gaining Momentum as the Healthiest State
Our Vision: Colorado is the Healthiest State
Setting the stage
Safe and Clean Food, Water,
Air
Affordable Care Act
Winnable Battles
Foundation Initiatives & Collective
Impact
Integrated Care (State
Innovation Models Funding
Initiative)
Medicaid Accountable
Care Collaborative
And many more…
The State of Health
Full report: www.colorado.gov/stateofhealth
Our Framework for Progress
Full report: www.colorado.gov/stateofhealth
State of Colorado/CDPHE strategy◦ Elegant, Efficient, Effective◦ Public Health in the context of the ACA◦ Promote technology◦ Evidence-based education and information◦ “Simply Health”
State of Health Foundations Winnable Battles
The Future of SBHCs
CDPHE funds 15 primary contractors with 47 centers operating statewide.
In FY2012-13, nearly 22,000 children and youth were served by our school-based health centers partners.
Thank you and congratulations on job well done!
School-Based Health CentersGrant Program
SBHC Legislative Intent: To provide access to primary, behavioral and dental health care for low-income, uninsured or under-insured, high-risk children and youth through school-based health centers.
SBHC Program Priorities: Quality through the Standards and Clinical Outcomes; Quantity by increasing the number SBHCs, the number of persons served and the services offered; Sustainability through local infrastructure development such as data and records systems, billing systems, and clinic build-outs; and Partnerships through active involvement by local SBHC staff and stakeholders such as through advisory committee participation and application reviews.
SBHC Program Purpose and Priorities
Quality of care by providing funds for highly qualified primary care, behavioral health and dental care providers; by funding training and technical assistance to help SBHC sites meet the SBHC Quality Standards.
Quantity by investing in existing SBHC centers to continue or expand their services and to serve more children and youth, and by providing funds for emerging and newly operational sites.
Sustainability by investing in the infrastructure of SBHCs, including patient enrollment in Medicaid and CHP+, enhancements to physical space, and data and billing systems to capture health service information and to generate program revenue through Medicaid and private insurance billing.
Partnerships by funding key partners, such as CASBHC for events such as this annual conference, and others to provide quality training on important topics related to SBHC care.
SBHC Priority Investmentsin the era of Health Reform
ACA (life after capital)◦ Similar to LPHAs providing direct services◦ Insurance eligibility◦ Insurance enrollment◦ Provider enrollment◦ Billing and encounter submission
The Future of SBHCs
Delivery System Reform◦ Medical home◦ Integrated primary/behavioral healthcare (SIM)◦ Dental◦ Relevant metrics (HEDIS, “stars”)
The Future of SBHCs
Payment system reform◦ Medicare “bump”◦ Care management, care navigation◦ Episodes of care◦ Medicare pilots (inclusive, outcomes, severity)
The Future of SBHCs
Technology advancement◦ EHRs/Meaningful Use◦ HIE/Meaningful Use◦ APCD◦ Public Health and disease-specific registries◦ Telehealth◦ Project ECHO
The Future of SBHCs
CO-REC Program
Implementation Quick Stats
© 2010 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved
CORHIO Proprietary - Not For Redistribution
Measurement 2011 2012 2013 2014 YTD# Hospitals Live 3 27 31 33# EHR Practices Live* 1 13 65 83# LTPAC Facilities Live 0 23 117 123# Behavioral Health Facilities Live
0 2 17 24
# Office-Based Providers Live
4 291 1102 1416
# Hospital/ED Providers Live
0 0 82 244
# Users Live 11 880 2758 4076# Messages in to the HIE 2,399,531 37,437,951 102,416,456 133,819,480# Messages out to Providers 1,606 100,522 1,054,960 1,687,295# Unique Patients in the HIE
129,096 1,321,416 2,651,384 3,449,784
# Queries 26,100 294,987 1,541,045 1,985,688*23 Integrated EHRs: Athena, Allscripts MyWay, Allscripts Pro, Amazing Charts, Aprima, eMDs, eCW, GE Centricity, Greenway,
HealthFusion, HealthTronics, McKesson Lytec/Axession, McKesson MediSoft, McKesson Practice Partner,
ModuleMD, NetSmart, NextGen, QHMS, Red Planet, Sevocity, SRS, Vitera, CoCentrix (UNI/CARE)
HIE Implementation SnapshotLive In Development In Queue
# Office Providers Live: 1416
# Hospital Providers Live: 244
83 EHR practices representing 763
providers
Behavior Health: 24 facilities/118 providers
48 LTPAC orgs/123 facilities
3 Labs: CLS, LabCorp, Quest
33 Hospitals/Systems: BCH, SLVRMC, Centura, LUH, PVHS, Parkview, Memorial,
Banner, Children’s, UCH, Craig, HCA (Rose), Evans, Rio Grande
CDPHE NB Screening Results Delivery, ELR, Immunizations
QHN IntegrationInterstate/HISP: KHIN,
Surescripts9Health Fair
3,449,784 Unique Patients133,819,480 Messages
#Providers in Development: 543
EHR Practices:22 practices/359
providers
LTPAC: 2 organizations/2 facilities
7 Hospitals/Systems:Denver Health, Pagosa Springs,
HealthONE, Exempla, Estes Park, Evans, Rio Grande
1 Regional Lab: Schryver
Behavioral Health: 2 Organizations
CDPHE: Immunizations, ELRCDC: Syndromic Surveillance
Payer: Colorado Access
ACO: PHP
HISP: Montana
Other: Kaiser Permanente
Providers:Ready: 34 practices/56
providersOther: 39 practices/252
providers
4 Hospitals/Systems: Southwest Memorial, Animas
Surgical, Mt. San Rafael, Conejos
1 Regional Lab: Cedar Diagnostics
Behavioral Health: 1 Organization
LTPAC: 8 organization/11 facilities
Public Health:Cancer Registry
Marijuana (medical, retail, minors) 10 Winnable Battles General Fund Environmental Health
◦ Fracking◦ Radon◦ Water
Colorado-specific
