National Business Coalition on Health and Community Coalitions Health Institute

1
National Business Coalition on Health and
Community Coalitions Health Institute

• CDC Business Grantees Visit
• March 18, 2009

2
National Business Coalition on Health and
Community Coalitions Health Institute

• Overview About NBCH and CCHI
• Community Health Partnerships Project with CDC
  Cooperative Agreement
• Examples of Member Coalition Engagement with CDC
  and Public Health
• eValue8Evidence based health plan RFI

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About NBCH and CCHI

• Identity National, non-profit membership
  association of nearly 60 business and health
  coalitions. Network of over 7,000 employers and
  25 million covered lives
• Vision Improving health, transforming health
  care, community by community
• Mission Advancing value based purchasing and
  building coalition change agent capacity to
  improve health and health care

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NBCH Relationship with CDC

• Collaboration thru Cooperative Agreement
• Support with evidence based information for the
  refinement and ongoing updates for eValue8
• Education with coalition leaders about public
  health and information and resources from CDC
• Education with CDC about the needs and work of
  the business community
• Guides for HRAs and Tobacco Cessation in
  collaboration with NBCH members and CDC
• CDC participation in NBCH meetings and conferences

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Community Health Partnership Background

• Catalyst for the current Cooperative Agreement
  project was at 2007 Leaders to Leaders Conference
• Appeal to change the conversation and build
  multi-stakeholder partnerships for population
  health with public health and business community
  in leadership roles
• Alignment with CDC and NBCH goals with members
  Improving health, transforming health care,
  community by community

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Community Health Partners Objectives

• To support NBCH member coalitions in
  leading/participating in population health
  initiatives in their own communities.
• To inventory NBCH member interest in population
  health initiatives and learn from early adopters
  in the field.
• To catalyze coalition and public health community
  dialogue and collaboration, supported by national
  partnership between NBCH, ASTHO, NACCHO, and CDC.
  
• To help build the business case for employer
  engagement in community based health initiatives.
  
• To provide seed grant funding to coalitions to
  start or expand community health initiatives.
• To increase the number of coalitions working with
  public health leaders

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5 Year Plan for Community Health Partnerships
NBCH/CCHI Plan working with ASTHO and NACCHO
Year 5 Evaluation, Results Analysis, Reporting
and Replication
Year 4 Technical support and progress
evaluation for Seed Grant Program case studies,
dissemination of early findings with partners
Year 3 Conduct CHP Meeting, Implementation of
Seed CHP Grant Program with partners, evaluation
criteria for CHP
Year 2 Tools to members, meeting for CHP,
develop seed grant programwith ASTHO, NACCHO,
and Alliance for Healthiest Nation as partners
Year 1 Build partnership with ASTHO and NACCHO,
member inventory, learn from field examples of CHP
Vision Expand and sustain the business led
coalitions working with public health leaders in
Community Health Partnerships to improve
population health status community by community
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Community Health PartnershipsYear 1 and Year 2

• YEAR ONE
• NBCH member inventory
• Established relationship with ASTHO and NACCHO
• Meeting planned with selected best practice NBCH,
  ASTHO, and NACCHO member community health
  partnerships
• Support for Healthiest Nation Alliance
• eValue8 alignment with Purchasers Guide
• CHP Advisory Group Established

• YEAR TWO
• Ongoing planning with ASTHO and NACCHO and CDC
• Development of CHP Seed Grants for Implementation
  Year 3
• Tools Information to support CHP
• Modeled on Diabetes Seed Grant Program
• Fundraising for grants
• Criteria for proposals
• Selection Committee
• Planning for meeting with all interested
  coalitions and their public health partners for
  CHP
• Ongoing opportunities for CHP promotion and
  evolution

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Community Health PartnershipsYears 3 through 5

• Ongoing partnership with leaders from ASTHO and
  NACCHO
• Joint Tools and Information Guide for CHP
• Business case for CHP and community engagement
• CHP seed grant implementation and expansion
• Interim and ongoing evaluation of CHP
• Expanded engagement of business with public
  health officials across the United States
• Case studies and other information for reporting
• Outreach to other business organizations to
  promote community engagement for replication and
  broader dissemination

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Community Health Partnerships Early
FindingsInventory Meeting

• Importance of networking opportunities for
  learning
• Variation in evolution and stages of partnerships
• Common barriers ways to overcome roadblocks
• Value of collaboration
• Resources needed for partnershipstime, direct
  engagement, business case, funding support

• High level of interest from both public health
  and business coalitions
• Observed value to reach broader population
• Common goals to improve health status
• Need for tools and information to support
  partnership development

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Community Health Partnership Examples
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eValue8 Purpose Simply Stated

• eValue8 Measures and Motivates
• Use of health plan resources and information to
• Improve and maintain the health of beneficiaries
• Improve health care

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What Distinguishes eValue8 From Other RFIs?

• Highly interactive placing plans face-to-face
  with important customers
• Coalition led
• Verified responses
• Meetings with multiple purchasers discussing
  strengths and weaknesses with each health plans
  management
• Follow-up to track progress
• Provide a data repository of benchmarking data
  for over 150 health plans nationally
• Springboard for coalition/community and
  inter-plan alignment

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eValue8 Content

• CDC In-kind Evidence Contributions
• Prevention and Health Promotion (Synchronized
  with Purchaser Guide)
• Chronic Disease Management

• Other Content
• Plan Profile (Accreditation, reporting,
  contracting, plan design)
• Consumer Engagement
• Provider Measurement
• Behavioral Health
• Pharmaceutical Management
• Patient-Centered Medical Home

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Quality Calculator Project

• Public domain calculator
• Connect quality metrics with costs
• Strengthen purchaser interest in quality measures
• Make use of existing models measures
• CIGNA Quality Value Model
• AHRQ Preventable Admissions
• Priorities Partnership overused procedures
• NCQA Relative Resource Use measures
• Invitation to CDC AHRQ economists and topic
  experts

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NBCH and CCHI

• Discussion and Questions

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NBCH and CCHI Contacts for CDC

• Andrew Webber awebber_at_nbch.org
• Dennis White dwhite_at_nbch.org
• Sonia Kim skim_at_nbch.org
• Suzanne Mercure smercure_at_nbch.org
• 1015 18th Street NW
• Washington, DC 20038
• 202-775-9300