SOC 2013 - Jim Hester - National Interoperability Community of ...

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ChallengesImproving population health is intimidatinggoal• Determinants of health model not readilyunderstood: Tendency to focus on thefamiliar, clinical services that health providerscontrol directly.• Portfolio of validated interventions for key riskfactors eg obesity, is small• Measures are poor: Confusion betweenquality of care and population health, focus onclinical measures 20
ThreatPayment models for population health in early stageof development‣ Population health traditionally funded by grants,taxes, not payment for services‣ Infrastructure and tools for population healthimprovement are not well developed• Integrated service models for clinical care, publichealth and community based resources• Business case for payment models fundamentallydiifferent from impact on risk factors: CMS vs CDC• Robust measures for learning, accountability andpayment‣ Risk: new payment models will be established withno meaningful population health component
Page 1: Integrating PopulationHealth into D
Page 5 and 6: US Health Care Delivery System Evol
Page 7 and 8: 2011 Vision: CMS as a CatalystThe C
Page 9 and 10: Delivery TransformationDelivery Tra
Page 11 and 12: Population Health at CMMICreate the
Page 13: VT Health Reform600,000 total popul
Page 18 and 19: Status: Growing Opportunity‣ Broa
Page 22: Theme: Recap‣ Health care system

SOC 2013 - Jim Hester - National Interoperability Community of ...

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