CCA Featured Member: April 2013

Enrollment in HealthSciences Institute’s CCP Health Coach Learning and Certification Program continues to expand nationally and the organization is making inroads in Asia and the Middle East as well. HealthSciences is the largest chronic care and evidence-based health coaching training and performance improvement organization. Our fifth edition of the CCP program was released in February.

Our faculty includes NIH-funded specialists in health behavior change and engagement who have quadrupled engagement rates for employer purchasers in joint projects with Mercer, and assisted others in delivering measurable gains in patient-level outcomes by improving the proficiency of health care professionals to deliver evidence-based health behavior change solutions.

HealthSciences values the CCA partnership and continues to promote CCA membership as an avenue for a 25% reduction on the CCP Health Coach Learning and Certification Program tuition.

National Population Health Improvement Learning Collaborative

Since 2010 with the not-for-profit Partners In Improvement Alliance we have built a community of over 15,000 health care professionals from health plans, providers, federal and state units of health, among others. Each month our free learning collaborative webinar sessions are attended by 800 to 1,000 individuals. Learn more.

Health Coaching Performance Assessment (HCPA): Assessing the Proficiency of Health Coaches and the Quality of Population Health Services 

The first externally validated, standardized tool for measuring the quality of health coaching services delivered in wellness, disease management and care management programs. The HCPA is being used widely by BCBS affiliates, and other population health programs at Mayo Clinic, Marshfield Clinic, Stanford University Health System and the VA to benchmark and improve individual and program adherence to the evidence-based health coaching interventions demonstrated in hundreds of peer-reviewed publications to improve patient-level change. Learn more.

In an independently evaluated study by Ariel Linden, HealthSciences was the first to demonstrate a link between evidence-based health coaching proficiency (based on motivational interviewing health coaching) and member enrollment.

Registered Health Coach Program 

As you know, with lay people developing health coach training and certification programs, or wellness organizations WELLCOA offering theirs, we are proud to offer the only learning and certification programs in health coaching backed by outcomes and developed by specialists in behavioral medicine, motivational interviewing, medical psychology and health psychology. The Registered Health Coach credentials build on CCP, by offering proficiency-based training in MI health coaching. CCPs and RHCs are eligible for membership in the National Health Coach Registry http://registeredhealthcoach.org/.

CCA Featured Members: February 2013

Every month, CCA features the work and contributions to the population health industry of some of its members. This brief highlights are shared through the CCA Connect: Voice of Population Health monthly newsletter.

Using a Calendar Approach to Drive Clinical Outcomes

Over 100M Consumers on the Move. Are You Prepared?

Today’s clinical leaders are looking for ways to optimize consumer communications and drive results.

Personalized, targeted and relevant information is key to helping members make better health decisions. When communicating with individuals,  it is essential to deliver highly personalized, scalable, and dynamic interactions, in a caring and compelling manner, around topics that impact day-to-day health.

One of the strategies we recommend to meaningfully impact care is a calendar-based approach to communications. This type of planning allows clinical leaders to be a thoughtful partner in care with communications designed from the member’s point of view. A well-planned schedule of outreach maximizes the effectiveness of clinical messages and avoids overwhelming or overlapping requests for action sent to the member.

Sometimes it isn’t possible to avoid asking people to do more than one thing in the same time period. For example, when an individual has multiple gaps in care, they may be targeted by multiple communications in a short time frame. In these cases, we recommend taking extra care to identify the affected individuals and deliver highly personalized outreach with a high-touch approach.

The communications calendar typically includes a broad set of calendar-based campaigns and trigger-based outreach that occurs more frequently, such as to provide support when a new medication is first prescribed. It may also include specialized campaigns, such as a multi-channel campaign designed to support seniors across a range of Star topics.

For more on Silverlink’s approach to smarter health engagement, visit www.silverlink.com.

Long Time on the Road of Accountability

HealthPartners is among six organizations to receive a new accreditation as an Accountable Care Organization from the National Committee for Quality Assurance, a leading non-profit organization dedicated to improving health care quality.

“ACO accreditation demonstrates that HealthPartners model of care is achieving the three aims of improving health, delivering an excellent experience and lowering the cost of care,” said Beth Waterman, HealthPartners chief improvement officer.

HealthPartners has been on the road of accountability for a long time.

In 1995, HealthPartners developed the Total Cost of Care measure to bring awareness of health care costs to providers and patients, and to drive improved value for the health care dollar.

According to  the Agency for Healthcare Research and Quality (AHRQ), HealthPartners’ population-based Total Cost of Care and Total Resource Use measures provide valuable information to health plans and providers on how to make health care more affordable without sacrificing quality or experience. Health plans and providers can use cost and resource use data to identify areas where they can lower cost by improving resource use or shifting to less expensive, yet equally effective resources — for example, use of a surgery center instead of a hospital where it is medically appropriate, without negatively impacting quality. Evidence supports this idea as depicted in various studies on diabetes care, in academic medical centers, across metropolitan statistical areas and in group practices in Minnesota. These studies conclude that increased cost does not result in increased quality, while quality is not sacrificed when resource use is optimized.

A key benefit of HealthPartners’ population-based Total Cost of Care and Resource Use measures is the identification of potential overuse and underuse of health care services. For example, a primary care physician may be referring back pain patients to an orthopedic surgeon. Rather than managing the back pain in primary care, these patients may have increased specialist costs and potentially more back surgeries than would be expected for their population. Overuse of health care services has led to wide variation in health care cost and use across geographies. Studies suggest that Medicare spending would be decreased by almost 30 percent if medium and high spending geographies consumed health care services comparable to that of lower spending regions. Experts agree that reducing overuse can make care safer and more efficient.

The HealthPartners Total Cost of Care and Resource Use measures for identifying healthcare cost drivers and opportunities to address them were the first of their kind to be endorsed by the National Quality Forum (NQF).

As NQF-endorsed standards, the HealthPartners Total Cost of Care and Resource Use measures complement existing quality measures to provide a much-needed, common reference point supporting the development of accountable care organizations (ACOs) and payment reform models. Providers, insurers, government agencies, employers, consumers and other organizations can use the measures to manage costs, drive affordability and improve delivery of healthcare.

To learn more about their programs, visit www.healthpartners.com.

CCA Featured Members: January 2013

Every month, CCA features the work and contributions to the population health industry of some of its members. This brief highlights are shared through the CCA Connect: Voice of Population Health monthly newsletter.

Viridian Health Management

Understand. Engage. Impact.

Viridian Health Management’s (Viridian) corporate office is based in Phoenix, Arizona, and the company has a national health coaching network in over 31 states. It serves clients in the worksite health, healthcare and public health sectors through its pioneering HealthImpact™ System, a comprehensive health coaching system; an integrative approach to wellness and Maestro™ care management technology solution.

Viridian’s programs combine evidence-based best practices with a “learning from doing” approach that results in health and financial outcomes for its clients. Its employees embody a spirit for service, passion for promoting well-being and a collaborative attitude. Central to Viridian’s work is the ability to scale programs to impact the health of entire communities in places where people spend their time and receive healthcare services – worksites, schools, community centers, places of worship, retail pharmacies in the community and healthcare provider offices.

2013 will be an exciting year for Viridian with several innovative project and partnerships underway:

  • Continued work on the Centers for Disease Control and Prevention’s (CDC) National Healthy Worksite Program. In 2011, as a result of Viridian’s unique industry model, it was selected by the CDC and awarded $8 million dollars to implement the CDC National Healthy Worksite Program to develop and define a national model for worksite health programs.
  • Launch of the Viridian My Weigh 2 Prevent Diabetes™ program as part of Viridian’s work as a recognized CDC Diabetes Prevention Program partner.
  • Fulfillment of its commitment to the Clinton Global Initiative to develop and implement interactive web-based tools for small employers to build worksite health plans and create learning communities to support program implementation and sustainability.
  • Launch of the Viridian Institute for Applied Health Improvement, which leverages Viridian’s health coaching expertise and provides a model for supporting prevention and disease management through training health coaches to reach people at the community level.
  • Delivering services to Viridian worksite health clients nationwide that provide best-in-class programming with industry exceeding participation rates of 85 percent.
  • Partnerships in value-based healthcare delivery environments that require new models for success such as integration of health coaching, health behavior change programs and care management technology.

To learn more about Viridian, visit its website at www.viridianhealth.com.

***

Inovalon

Inovalon, Inc. is a leading technology-enabled healthcare solutions provider focused on the importance of healthcare data and its ability to drive dramatic, objective improvement in clinical and quality outcomes, care management and financial performance throughout the healthcare community. Proprietary healthcare datasets, aggregation and analysis capabilities, combined with a national infrastructure of leading-edge technology, clinical prowess and deep human resources, empower Inovalon’s advanced generation of healthcare assessment and improvement through highly informed solutions. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance ­– while also bringing to bear the resources to resolve them. This differentiating combination provides a powerful capability suite, touching more than 540,000 physicians, 220,000 clinical facilities, and more than 120 million Americans, driving high‐value impact, improving the quality and economics for health plans, hospitals, physicians, patients, and researchers. Please visit www.inovalon.com for more information.

%d bloggers like this: