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

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I. ContextWhy Delivery System Reform?‣ Goal: Universal access to affordable, qualityhealth care for all‣ Issue: performance of existing system results inunsustainable costs‣ Approach: transformation of the current system toachieve and reward Triple Aims outcomes• Better health for populations• Better health care for those who need it• Lower total costs through improvement‣ Conceptual Model: Halfon, Healthcare 3.0
US Health Care Delivery System EvolutionHealth Delivery System Transformation Critical PathAcute Care System 1.0Coordinated SeamlessHealthcare System 2.0Community IntegratedHealthcare System 3.0Episodic Non-Integrated CareOutcomeAccountable CareCommunityIntegratedHealthcare• Episodic Health Care• Lack integrated care networks• Lack quality & cost performancetransparency• Poorly Coordinate Chronic CareManagement• Patient/Person Centered• Transparent Cost and Quality Performance• Accountable Provider Networks DesignedAround the patient• Shared Financial Risk• HIT integrated• Focus on care managementand preventive care● Healthy Population Centered● Population Health Focused Strategies● Integrated networks linked to communityresources capable of addressing psychosocial/economic needs● Population based reimbursement● Learning Organization: capable of rapiddeployment of best practices● Community Health Integrated● E-health and telehealth capable
Page 1: Integrating PopulationHealth into D
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 20 and 21: ChallengesImproving population heal
Page 22: Theme: Recap‣ Health care system

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

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