Doctors Alliance for Quality Stuart M. Dobbs, MD, Chairman, Board of Directors Robert E. Jackson, MD, Medical Direc .


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Physicians’ Alliance for Quality Stuart M. Dobbs, MD, Chairman, Board of Directors Robert E. Jackson, MD, Medical Director Phone: 713-441-7715 www.paqhouston.org. Robert E. Jackson, M.D. Medical Director, Physicians’ Alliance for Quality President, Medical Staff, The Methodist Hospital
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Doctors\' Alliance for Quality Stuart M. Dobbs, MD, Chairman, Board of Directors Robert E. Jackson, MD, Medical Director Phone: 713-441-7715 www.paqhouston.org

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Robert E. Jackson, M.D. Therapeutic Director, Physicians\' Alliance for Quality President, Medical Staff, The Methodist Hospital President-Elect, Texas Academy of Internal Medicine Phone: 713-441-7714 rejackson@paqhouston.org

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Outline Purpose Fundamentals Conclusions

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Purpose Demonstrate how a complex AMC started a P4P program in a substantial city by nearly teaming up with initiative

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Fundamentals Description of The Methodist Hospital as an Academic Medical Center The Physicians\' Alliance for Quality (PAQ) All authority grasping objectives

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Conclusions Roadmap "how-to" Energizing and re-invigorating administration Avoid Despair !!!!

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Cosmic Laws of Health Care First Law of Health Care: at whatever time, anyplace on the globe, individuals will whine about their country\'s wellbeing framework, paying little respect to the rate of GDP that the country spends on human services, and paying little mind to the framework\'s money related and authoritative structure.

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Cosmic Laws of Health Care Second Law of Health Care: At whenever, anyplace on the globe, there will be requests for a noteworthy change of the country\'s wellbeing framework.

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Cosmic Laws of Health Care Third Law of Health Care: at whatever time, anyplace on the globe, the last wellbeing change will be said to have fizzled.

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The Methodist Hospital as an Academic Medical Center Weill Cornell Medical School/New York Presbyterian Hospital Baylor College of Medicine UTMB Galveston University of Texas, Houston

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Physicians\' Alliance for Quality 700+ suppliers Primary Affiliation, The Methodist Hospital (TMH) Houston, Texas - 4 th biggest populace; 3 rd biggest MSA Texas Medical Center

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What Do Doctors Really Want? Magnificence in patient care Less bother More $$$ Followers need powerful pioneers

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National Perspective Med-Vantage, Inc. National P4P Survey

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"To work together means putting the gathering in front of the person for the aggregate great." "Propelling Quality Through Collaboration" IHA, February 2006

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P4P Patients 3 Ps for Success Providers Purchasers

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"All governmental issues is neighborhood" (Thomas P. "Tip" O\'Neill)

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Essential Requirements The 3 "L"s LEADERSHIP

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Physician Buy-In Essential for them to "claim" the procedure Collaborate with the 3 "B"s: specialists, business and sheets AMCs make the procedure and prepare the new specialists

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"Doctor deficiencies represent a hazard to the country\'s wellbeing." American Medical News, February 20, 2006 Crisis Looming in Primary Care "The approaching lack of family doctors could drive up human services costs." The Detroit News, September 26, 2005

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This is our reminder… "More essential care specialists are resigning than are moving on from medicinal school" Wall Street Journal, January 31, 2006 "Essential care is very nearly fall." American College of Physicians, January 30, 2006

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Present State of Health Care in USA Expensive ? Quality Disproportionate Lotsa experts

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The Unanticipated Outcome

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Harris County Healthcare Quality Improvement Project (HCHQIP)

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Harris County Healthcare Quality Improvement Project (HCHQIP) Executive Committee Robert S. Conte, M.D. Halliburton, Centerpoint, City of Houston Ron Girotto The Methodist Hospital David Lopez Harris County Hospital District Elena Marks, J.D. Director of Health Policy, City of Houston Daniel J. Wolterman Memorial Hermann Healthcare System

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Harris County Healthcare Quality Improvement Project (HCHQIP) Roosevelt Alcorn, M.D. Community Health Choice Arden Biggar The Methodist Hospital Richard Blakely, M.D. Memorial Hermann HealthNet Providers Frederick Buckwold, M.D. Unicare Michael W. Bungo, M.D. UT Physicians Margo Hilliard, M.D. Harris County Hospital District Rick Huntington Houston Business Group on Health Susan Kiley St. Luke\'s Episcopal Hospital Pat Metzger, R.N. Memorial Hermann Healthcare System Trey Mitchell Blue Cross/Blue Shield of Texas Charles Jay Morris, M.D. UnitedHealthcare of Texas, Inc. Arranging Committee

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Harris County Healthcare Quality Improvement Project (HCHQIP) Steering Committee Candy Clarke Aldridge City of Houston Travis H. Brashear, J.D. CIGNA Healthcare Michael K. Ellis  Continental Airlines James W. Hickey, CHE UniCare Stephanie Kong, M.D. Community Health Choice James L. Nadler, MD, MPH CIGNA Healthcare of Texas Wayne J. Riley, M.D. Baylor College of Medicine Vivian Rose The Methodist Hospital Lee Sterling, M.D. Twelve Oaks Independent Practice Assn Ana Torres, M.D. Private Practitioner Kenneth Wells, M.D. El Paso Energy

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Harris County Healthcare Quality Improvement Project (HCHQIP) Technical Committee Chris Allen, RN, CIC TMF Health Quality Institute Sandra Alverson, RN, Physicians\' Alliance for Quality Arden Biggar The Methodist Hospital Kim Dunn, MD, PhD UT School of Health Information Sciences Farrell Johnson, M.D. Community Health Choice Kenneth Klingensmith  Twelve Oaks Independent Practice Assn Regina F. Kyles, M.D. People First Healthcare Network, Inc. Thomas Lin, M.D. Aetna Tricia Moody Aon Consultants Christopher Robben, M.D. Physicians\' Alliance for Quality Marc Silverstein, M.D. TMH, Department of Public Health

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Measures Vaccinations Adults & Children Hemoglobin A1c LDL-Cholesterol Blood Pressure

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The "Sacred Grail" IT EMR Integration CPOE

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The "Pay" in P4P Most dangerous "New" or "old" cash Business says: Payers say: Doctors say:

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Third Party Systems accumulate data Information is "bundled" Sent to outsider convener; in Texas: TMF Health Quality Institute

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Interconnectivity in Harris County Cost to Implement EMR (evaluated per member) $25,000 Members in CPO 750 Total $18,750,000 Physicians in Harris County (estimated) 5,000 Cost to Interconnect Harris County Physicians $125,000,000

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"Joint effort Is The New Frontier Of Human Creativity" (Mark Leavitt, MD, PhD,HHS Secretary)

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Nothing Endures But Change Heraclitus ≈ 500 B.C .

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4 "F"s To Survival! Fit Fed Facile Free

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Conclusions AMCs Lead… Not Follow!! Sheets & Leadership Embrace Physicians "Possess" Designated Hitters Revitalize Primary Care

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