Smarter Healthcare Action Group

Intro needed

Category Vision:   Smarter Healthcare ensures access to the highest quality local and remote hospitals, physicians, technologies and services in the most efficient and affordable way, creating a strong and healthy population. 

Discussion:

The healthcare environment is shifting in dramatic ways.  Healthcare and healthcare payment reform will fundamentally change how providers are paid, which will require them to approach the delivery of care in new ways.  Bundled payments will require relationships and care coordination across historically competitive boundaries.

In addition to the challenges presented by the evolving healthcare landscape, Cape Cod is also faced with the challenges presented by having a population that is aging at a faster rate than the rest of the nation. In fact, by 2015 the percentage of 55+ Cape Cod residents is expected to increase 61% as compared to 26% nationally.  It is critical that residents of Cape Cod have access to the highest level of healthcare services on all levels to ensure healthy aging.

The health care subcommittee is comprised of stakeholders in our Region (Cape Cod/SE Mass.) with common issues/challenges relating to the shifting healthcare landscape both nationally and locally. The goal of this subcommittee will be to present and submit a proposal for funding. The committee feels at this time though, that it is important to not limit ourselves to any particular initiative for funding but rather to develop a priority list as a group to focus on. This committee will present these opportunities during the summit for further discussion during the working session 3.  In the end, we want to ensure a system for keeping residents of Cape Cod healthy by ensuring access to the highest quality of care. The open Cape technology/infrastructure will be a catalyst for enhancing both the quality and value of care offered on Cape Cod.

The committee seeks to identify and prioritize a short list of challenges /opportunities and related solutions for which:

  • collaboration would be required by our member organizations to resolve
  • there are clear business drivers requiring collaboration across institutional boundaries
  • there may be Federal, State or Regional forces (regulatory, payer) necessitating the change
  • there may be funding sources (i.e. grants) to implement
  • there are clear quality/revenue gains to be achieved
  • a solution may require development of a common solution which may be enabled by technology including connectivity and applications/services/information

After discussing what challenges/opportunities may be present within our individual organization, the health care subcommittee has identified the following common themes.

 

Health Information Exchange – Accessibility/Sharing of Information

There is a lack of accessibility/sharing of health information across the patient, community and organizational level. Lack of information across the care continuum leads to a fragmented patient care and often times inaccurate diagnosis. The development of a health information exchange would improve the accessibility and sharing of information at the outset. From MOLST and Comfort Care Forms, to orders, med lists and beyond, up to date and accurate information would be available.

Coordination of Care

Care coordination across the health care continuum will result in a better understanding of a patient’s priorities and needs, and the ability to craft a service delivery plan that meets their needs more effectively.  Improving care coordination will yield better patient outcomes/reduced hospitalization and readmission rates and significantly lower costs.

Medical Home Model

Patients with chronic conditions are high consumers of health care services. These conditions are expensive to treat and and are thus drivers of health care cost. This team based approach to care provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. The medical home model is dependent upon effective care coordination and sharing of information.

Goals and Objectives: 

* SmarterCape Smarter Healthcare Goals (Short-term)

  1. Determine/recruit our committee membership
  2. Confirm committee goals/rules/norms
  3. Brainstorm a list of potential initiatives / projects with common interests
  4. Narrow to a short list of initiative(s) with the highest potential
  5. Develop a “concept paper” for pursuing the  initiative(s) – to be presented at the May Summit
  6. Develop a strategy for the 3 sessions allocated to Healthcare at the Summit; which may include Speakers & working sessions
  7. Develop our strategy for activities and progress post-summit