Doctors\' Alliance for Quality Stuart M. Dobbs, MD, Chairman, Board of Directors Robert E. Jackson, MD, Medical Director Phone: 713-441-7715 www.paqhouston.orgSlide 2
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 firstname.lastname@example.orgSlide 3
Outline Purpose Fundamentals ConclusionsSlide 4
Purpose Demonstrate how a complex AMC started a P4P program in a substantial city by nearly teaming up with initiativeSlide 5
Fundamentals Description of The Methodist Hospital as an Academic Medical Center The Physicians\' Alliance for Quality (PAQ) All authority grasping objectivesSlide 6
Conclusions Roadmap "how-to" Energizing and re-invigorating administration Avoid Despair !!!!Slide 7
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.Slide 8
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.Slide 9
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.Slide 11
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, HoustonSlide 12
Physicians\' Alliance for Quality 700+ suppliers Primary Affiliation, The Methodist Hospital (TMH) Houston, Texas - 4 th biggest populace; 3 rd biggest MSA Texas Medical CenterSlide 16
What Do Doctors Really Want? Magnificence in patient care Less bother More $$$ Followers need powerful pioneersSlide 18
National Perspective Med-Vantage, Inc. National P4P SurveySlide 19
"To work together means putting the gathering in front of the person for the aggregate great." "Propelling Quality Through Collaboration" IHA, February 2006Slide 20
P4P Patients 3 Ps for Success Providers PurchasersSlide 21
"All governmental issues is neighborhood" (Thomas P. "Tip" O\'Neill)Slide 22
Essential Requirements The 3 "L"s LEADERSHIPSlide 23
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 specialistsSlide 24
"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, 2005Slide 25
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, 2006Slide 26
Present State of Health Care in USA Expensive ? Quality Disproportionate Lotsa expertsSlide 27
The Unanticipated OutcomeSlide 28
Harris County Healthcare Quality Improvement Project (HCHQIP)Slide 29
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 SystemSlide 30
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 CommitteeSlide 31
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 EnergySlide 32
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 HealthSlide 33
Measures Vaccinations Adults & Children Hemoglobin A1c LDL-Cholesterol Blood PressureSlide 34
The "Sacred Grail" IT EMR Integration CPOESlide 35
The "Pay" in P4P Most dangerous "New" or "old" cash Business says: Payers say: Doctors say:Slide 36
Third Party Systems accumulate data Information is "bundled" Sent to outsider convener; in Texas: TMF Health Quality InstituteSlide 37
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 $125,000,000Slide 38
"Joint effort Is The New Frontier Of Human Creativity" (Mark Leavitt, MD, PhD,HHS Secretary)Slide 39
Nothing Endures But Change Heraclitus ≈ 500 B.C .Slide 41
4 "F"s To Survival! Fit Fed Facile FreeSlide 42
Conclusions AMCs Lead… Not Follow!! Sheets & Leadership Embrace Physicians "Possess" Designated Hitters Revitalize Primary Care
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