PHA Members Receive 25% off Nationally Recognized Health Management & Coaching Program

Since 2007, the Population Health Alliance (PHA) has offered members a great benefit: 25% off the National Chronic Care Professional Health Coach learning and certification program. First piloted through funding by the State of Minnesota in 2003, CCP has been adopted by over 250 purchaser, health plan, population health vendor and provider organizations. Users include CMS Innovation Center awardees, 25+ BCBS affiliates, VA centers, military health units and the largest patient-centered primary care collaboratives.

CCP is used by organizations small and large to shorten the ramp-up time for new telephonic or face-to-face population health management hires or to improve engagement, clinical or cost outcomes. Nominated for a “Best of Blue” award by the national association, HealthSciences Institute’s CCP and Registered Health Coach (RHC) training have delivered better engagement rates for three separate BCBS affiliates in independent evaluations. With some state Medicaid programs requiring CCP or RHC for provider or vendor health management program staff, CCP and RHC certification was a deciding factor for the award of a state Medicaid contract to one at least one population health vendor.

CCP was developed in collaboration by a faculty team of national experts in population health, disease state management, health behavior change and motivational interviewing health (MI). It remains the gold standard and the only certification approved for the National Health Coach Registry at www.HealthCoachRegistry.org.

Visit the CCP site to learn more, download the CCP brochure. PHA members can register now to save over $300 on the CCP online learning system, manual, certification, the 50-hour on-demand video skill-building library and three more years of expert-led continuing education by using code PHAL during registration. Or, register for both CCP and RHC and save $500.

Got Data! Plenty of It. How can I use it?

PHA Forum 2014 Educational Sessions 

Analytics to Action for Providers and ACOs 

If you are a population health vendor, care management company, health care provider or an accountable care organization (ACO) you have plenty of data already, and more is on the way.

A clear indication of the industry wide interest in this issue was the number of related proposals we received for the PHA Forum 2014, Population Health Alliance’s annual conference. We have devoted a scientific track to data and analytics.

The Analytics to Action for Providers and ACOs track shows examples of how to turn big data into better health outcomes. It showcases real world examples of how the appropriate use of data and analytics is transforming the way healthcare is provided in a multiplicity of settings.

Presenters from Kaiser Permanente, Indiana Lakes ACO, Tonic Health, Predilytics, U.S. Medical Management, 3M and Wellmark Blue Cross Shield will show attendees how to go far beyond the basics of identification and risk stratification, to be able to use data for the new levers of population health, such as provider and consumer engagement, payment methodologies, care settings.

Learn more

Register today for the PHA Forum 2014

Presentations

See track presentations

Digital Surveys and Actionable Data to Engage ACO Stakeholders in Population

Speakers

Kathryn VanOsdol, BSN 

ACO Clinical Informatics, Indiana Lakes ACO, LLC

Sterling Lanier, BA, MBA 

Chief Executive Officer, Tonic Health

Leveraging Analytics to Improve Identification of Individuals with Advanced Illness Who Will Be Receptive to Hospice

Speakers

Kevin Murphy 

Chief Operating Officer U.S. Medical Management

Hariharan V. Sundram, MD

Chief Medical Officer, Predilytics

Lessons Learned from Adoption of Outcomes-Based Payment 

Speakers

Gerry Tracy, JD, MPH

Manager, State and Payer Initiatives, 3M Health Information Systems

Michael Fay, HIA, MPH

Vice President, Health Networks, Wellmark Blue Cross Blue Shield

Home or Nursing Home? How Kaiser Permanente Is Keeping People Home

Speakers

Martha Shenkenberg, BSN, MBA

Manager, Consulting Services, Medi-Cal and State Programs, SCAL, Kaiser Permanente

PHA Forum 2014: Engagement by Design, Engaging for Success

PHA Forum 2014 Educational Sessions 

The increasing focus on engagement and the interest shown by the Population Health Alliance’s members and the industry at large led us to make it the theme of this year’s annual conference, PHA Forum 2014: Communicate + Collaborate = Engage.

Engagement has become the critical issue in population health. Purchasers of population health programs are recognizing the importance of creating high sustainable engagement rates; while program providers can no longer just design and launch the best evidence based program, and expect that consumers will come. Engagement requires unique expertise, program design and incentives in the various population health delivery models.

The presentations in the Excelling in Engagement track by experts from Blue Cross Blue Shield of Tennessee, Telligen, Welltok and Highmark will provide attendees with recipes for success, in provider and member engagement, incentives program design and engaging the unique moderate risk population. Whether a purchaser, provider or population health program vendor, you’ll gain valuable insights from these engaging sessions.

Learn more 

Register today for the PHA Forum 2014

Presentations

From ‘ABCs’ to the ‘SITs’ to Implement Population Health

Speakers

Frances Martini, RN, BSN, MBA, Director, Population Health Management, Blue Cross Blue Shield of Tennessee

Effective Patient and Provider Engagement: Integrating the Medical Home into the Coordinated Neighborhood

Speaker

Paul Mulhausen, MD, MHS, FACP, Chief Medical Officer, Telligen

 Key Success Factors to Optimize Program Design, Execution and Compliance

Speakers

Michael Dermer, Senior Vice President, Chief Incentive Officer, Welltok

Paul Puopolo, Vice President of Business Innovation and Development, Highmark, Inc.

Denise Brock, Director, Clinical Platform Products, Highmark, Inc.

Got a Name for Us? Population Health Alliance Seeks Board of Directors Nominations

PHA-Logo-FinalThe Population Health Alliance, the leader in advancing the principles of population health, seeks nominations from members for its 2014 Board of Directors. PHA’s Volunteer Board is comprised of population health industry leaders. PHA Board members serve as industry champions and spokespersons and also shape organizational direction and policies. The Population Health Alliance seeks industry leaders with the appropriate skills and leadership abilities to guide efforts to align all stakeholders toward improving the health of populations.

Please, assist us by nominating individuals who would add value to the Board and who would be interested in this service opportunity to the population health community. A Nominating Committee will review nominations and forward the names of selected nominees to the Board. Final approval is given by membership at the Annual Business Meeting, held in conjunction with PHA Forum 2014, in Scottsdale, AZ December 10-12.

The criteria by which potential candidates are considered and judged include:

  1. Population Health Alliance membership;
  2. Recognized leadership position within organization and/or industry. Leadership is intended to include not only those with C-suite status, but also others demonstrating thought leadership among industry stakeholders;
  3. Engagement in population health improvement industry;
  4. Willingness to participate actively in and to support Population Health Alliance activities through personal involvement in at least one committee and, if an organizational member, through appointment of other organizational personnel to appropriate committee memberships, as well as to assist with development efforts in support of Population Health Alliance events and activities, requiring 60-80 hours of participation per year; and
  5. Bring diversity of membership to the Board of Directors; in particular, ability to assist Population Health Alliance in expanding affiliations with the provider and HIT communities and other stakeholder groups to extend our influence and constituent input for our collective population health improvement missions.

Board members serve two-year terms and are expected to attend all Board activities and participate actively on committees and with fundraising. Nominations should include a comprehensive biography of the nominee. Please send nominations to Fred Goldstein, Interim Executive Director at fgoldstein@populationhealthalliance.org. Nominations must be received by Wednesday, September 10, 5 p.m. Eastern Time.

PHA Forum 2014 Educational Sessions are up. Check them out!

PHA Forum Logo Final-01If you are in the population health field, you do not want to miss the PHA Forum 2014, the Population Health Alliance annual conference. It is that simple. Many of you meet there every year to compare notes, share and discuss the latest research and policy topics, and keep up with colleagues’ endeavors.  You know the quality of the presentations and the high vibrancy of the meeting. If you are a new comer, you certainly do not want to miss the PHA Forum 2014, to be held December 10-12, in Scottsdale, Arizona, with the theme, Collaborate + Communicate = Engage.

Register today. Here is why:

Educational Sessions 

Track 1: Analytics to Action for Providers and ACOs

Digital Surveys and Actionable Data to Engage ACO Stakeholders in Population Health

Kathryn VanOsdol, BSN, ACO Clinical Informatics, Indiana Lakes ACO, LLC

Leveraging Analytics to Improve Identification of Individuals with Advanced Illness Who Will Be Receptive to Hospice 

Kevin Murphy, Chief Operating Officer, U.S. Medical Management

Hariharan V. Sundram, MD, Chief Medical Officer, Predilytics

Lessons Learned from Adoption of Outcomes-Based Payment Models

Gerry Tracy, JD, MPH, Manager, State and Payer Initiatives, 3M Health Information Systems

Michael Fay, HIA, MPH, Vice President, Health Networks, Wellmark Blue Cross Blue Shield

Home or Nursing Home? How Kaiser Permanente Is Keeping People Home

Martha Shenkenberg, BSN, MBA, Manager, Consulting Services, Medi-Cal and State Programs, SCAL, Kaiser Permanente

Track 2: Excelling in Engagement

From ‘ABCs’ to ‘STIs’ to Implement Population Health!

Frances Martini, RN, BSN, MBA, Director, Population Health Management, Blue Cross Blue Shield of Tennessee

Effective Patient and Provider Engagement: Integrating the Medical Home

Paul Mulhausen, MD, MHS, FACP, Chief Medical Officer, Telligen

Key Success Factors to Optimize Program Design, Execution and Compliance 

Michael Dermer, Senior Vice President, Chief Incentive Officer, Welltok

Paul Puopolo, Vice President of Business Innovation and Development, Highmark, Inc.

Track 3: Powerful PHM Strategies

Best Practices for Reporting Program Value, V2.0 

Michael Connor, Dr.P.H., Senior Vice President, Health Intelligence, Alere

Creating a Culture of Health through Organizational Support

Jennifer Flynn, MS, Strategy Consultant, Mayo Clinic  Ronald O’Donnell, PhD, Director, Nicholas A. Cummings Doctor of Behavioral Health Program, Arizona State University

Track 4: Tech Touch: Strategies for Apps in Health

Achieving Optimal Health and Unlocking Human Potential: A Case Study of Data-Driven Dialogue with the Army

Jeff Arnold, Founder and CEO, Sharecare

Association of Activity Monitors with HRA Responses among those Participating in Employee Wellness Programs 

Robert A. Frommelt, PhD, MS, Director, Measurement & Analysis, Nurtur Health

Elaine Gordon, MPH, MCHES, Senior Director, Public Health & Programs, LiveHealthier

Using Mobile Technology to Target Responsible Drinking as Part of Employer-Sponsored Population Health Programs 

Leanne Mauriello, Vice President of Research and Product Development, Pro-Change Behavior Systems, Inc.

The Gamification of Health: Effective Engagement in Health vs Gaming the System                        

Erin Seaverson,  StayWell

Paul Terry, PhD, Chief Science Officer, StayWell

Gina DeBruin, MBA, Strategic Partnership Manager, Wellness Team, Fitbit

Register for PHA Forum 2014

 

PHM Virtual Brown Bag Series

PHA-Logo-Final

PHM Virtual Brown Bag Series

Population Health Management Framework Webinars

How does your organization’s population health solution fit as part of the PHM framework? Come share it with fellow members and the industry at large by presenting a webinar as part of PHA’s new PHM Virtual Brown Bag Series.

Population Health Alliance (PHA) members will present their work and research in a new webinar series, PHM Virtual Brown Bag Series, that will offer guidance and clarity on the core components of the Population Health Management (PHM) framework.

The webinar series will kick off on Thursday, August 21, at 12 Noon Eastern Time, with an introductory overview of the PHM framework. It will run every other Thursday at the same time. These complimentary webinars provide a unique opportunity for PHA members to showcase their strengths in the areas of identification, assessment, stratification, engagement, interventions, and evaluation. In addition, customers of PHA members and the industry as a whole will benefit from the basic level discussion.

Read more: http://populationhealthalliance.org/webinars/phm-virtual-brown-bag-series.html

Topics

  • Population Monitoring/Identification
  • Health Assessment
  • Risk Stratification
  • Engagement Strategies
  • Interventions
  • Impact Evaluation

How to Present?

All PHA members interested in presenting one or more of the following topics should follow the submissions guidelines that can be found here. If you have questions, comments or marvelous insight, send them to Karen Moseley, Director, Research at kmoseley@populationhealthalliance.org.

The Accountable Health Organization: Wave of the Future?

By Frederic S. Goldstein, M.S., and David B. Nash, M.D.

Reproduced from Healthcare Innovation News

The choice of words matter; they set the base and direction upon which thoughts and ideas flow forth, ultimately leading to structures and systems. One of the entrants into the healthcare lexicon is the accountable care organization (ACO). While there is much to like about ACOs and their proposed ability to improve health outcomes and efficiency while reducing unnecessary utilization and costs, there are some inherent flaws in the concept that will keep ACOs from achieving the results needed to create a sustainable healthcare system in the United States.

These flaws arise from the name and extend through the operational focus of ACOs. To better meet the goals of quality, costs and improved health outcomes requires a new organization with a broader constituency and a name that does not limit its structure to focusing on “care.” An expanded organization, an “accountable health organization (AHO),” would include the consumer as a central focus and extend well beyond the walls of the health system and the provision of care.

The Fundamentals of ACOs

With the passage of the Patient Protection and Affordable Care Act (PPACA), physicians, hospitals, health plans and even large employers are rapidly embracing ACOs as one of the newest approach to saving the healthcare system. They are meant to improve the coordination of care from within the system in order to improve health outcomes and reduce costs.

Kelly Devers and Robert Berenson (1) in their seminal paper1 proposed that an ACO should have the following three essential characteristics:

  • The ability to provide, and manage with patients, the continuum of care across different institutional settings, including at least ambulatory and inpatient hospital care and possibly post-acute care.
  • The capability of prospectively planning budgets and resource needs.
  • Sufficient size to support comprehensive, valid and reliable performance measurement.

While the ACO may be a fairly new name on the healthcare landscape, the concept is not that different from other structural approaches, such as physician/hospital organizations that were all the rage a few years ago. Many of these organizations accepted full risk or capitated contracts and were therefore accountable for the costs of the population they were managing.

The thinking behind the concept was that these models would ensure the efficient and appropriate utilization of services, resulting in lower costs and therefore a viable organization. Many of these organizations failed as they discovered that they were unable to manage the health cost risk.

As seen throughout the history of health reform, the vast majority of efforts have focused on the provider side and look at care and costs. Given the enormity of healthcare and the vast dollars, one would think that focusing on the supply side would make sense. There is much that can be done to fix the faults of fee-for-service medicine—inappropriate service delivery, fraud, tort reform and other areas. But this continual focus leaves out a basic but undeniably critical piece—the patient.

The Hippocratic oath includes these two lines: “I will prevent disease whenever I can, for prevention is preferable to cure.

“I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.”

As healthcare has evolved in the United States it has focused on illness; one enters the system for the most part when ill and that illness requires some sort of treatment. Then the person leaves the system to return to his or her community.

The problem with this approach is that patients and their interactions outside of the healthcare system have much to do with creating or degrading health. In fact, the major healthcare cost driver of the past two decades resulting from this behavior has been the increasing prevalence of chronic diseases, such as cardiovascular disease and diabetes, among others.

The Centers for Disease and Control estimates that 80% of cardiovascular disease, 80% of diabetes and 40% of cancers are preventable. The majority of these illnesses are the result of lifestyle, little impacted by the care system.

How will the three essential characteristics of an ACO have much of an impact on an individual’s health in places like the Mississippi Delta, where lifestyle and the community play such a huge role? Will ACOs prevent the growing incidence of diabetes, heart disease or obesity, or will they merely “care” for these conditions more effectively after they have occurred?

A Logical Expansion

True success in the United States will not come from an ACO, which places an overwhelming majority of its efforts on the provider system and the care they provide, but rather from an AHO that includes the patient and the broader community as an active and necessary partner in the structure, management and indeed financial rewards and penalties required to make this work.

How might an AHO take the basic structure of an ACO and integrate the patient into the process? There are tools that have been available for years in the population health management arena that should become a central component of the AHO model.

To be successful, the AHO must not only manage care efficiently, but it must also engage those that currently have little or no need for the “care” system of an ACO, except possibly for secondary prevention. These efforts are needed to reduce the incidence of preventable diseases such as diabetes, cardiac disease and the like.

An AHO will require the integration of two additional components: the patient and their communities. This new model will:

 

  • Seek to improve the health of all members, whether they have a current condition or not.
  • Use population based tools, such as health risk appraisals to adequately understand the health risks, as well as the health conditions or medical acuity of the population.
  • Place the patient at the center of the focus.
    • Assign appropriate accountability to the patient.
    • Provide incentives and shared savings if achieved.
  • Provide services of primary, secondary and tertiary prevention that go beyond those services provided by or within the healthcare system
  • Include the broader community in the planning and operations of the AHO to look at:
    • gaps in community services that lead to better health and
    • nutritional issues, such as access to healthy foods, school programs and the prevalence of unhealthy, fast foods, opportunities for exercise and physical activity.
  • Work with local and state governments to develop appropriate policies for the creation of health within a community.
  • Develop broader teams that include those from within the healthcare system, as well as those in the community.

 

ACOs may be a step in the right direction, but from their name, they are not focused correctly to truly impact a population and foster health at a population level. AHOs, which more deeply integrate the patient and their communities, combined with a “health” focus of comprehensive primary, secondary and tertiary prevention programs are the way to improve the health of all and thereby reduce the growing incidence of preventable chronic diseases and health expenditures.

 

(1) Devers KJ, Berenson RA. “Can Accountable Care Organizations Improve the Value of Health Care by Solving the Cost and Quality Quandaries?” Robert Wood Johnson Foundation and The Urban Institute. Oct. 1, 2009.

___

Frederic S. Goldstein is president/founder of Accountable Health, LLC, and chair of the Board of Directors, Population Health Alliance in Washington, D.C. His email is fgoldstein@accountablehealthllc.com.

David Nash, M.D., is dean of Jefferson School of Population Health, Thomas Jefferson University, Philadelphia. He can be reached at david.nash@jefferson.edu.

 

 

 

 

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