EPIC IC

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Renee Turchi, MD, MPH Medical Director EPIC
IC Molly Gatto Associate Program Director EPIC
IC Medical Home Promising Practices
Forum Value June 24-25, 2008
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What is value?

• Merriam Websters definition-
• -worth high quality a fair return or
  equivalent in goods, services, or money for
  something exchanged
• -Music sports light

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EPIC IC Medical Home Sites
Medical Home Adopter (currently active in EPIC IC)
Medical Home Trainee (Received Training)
Medical Home Adopter (Achieved implementation)
In recruitment
Medical Home Adopter (First year of
implementation)
Satellite office
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Summary of EPIC IC Participation

• 62 practices trained in medical home principles
• Over 29 practices received funded for care
  coordination
• Practices represent
• 6 regions 30 counties in PA
• urban, suburban, and rural communities
• Hospital systems
• 47 counties-FFS MA

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Insurance Types
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Value

• Care coordination time tracking study
• Over 2 years
• Tracked outcomes, focus, time on care
  coordination
• Practice reports
• Partnership with PA Department of Public Welfare
  for cost effectiveness of medical home.

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OutcomesTime Tracking Forms

• Care coordination associated with reduced
• ED Visits
• Hospitalizations
• School absences
• Parent/caregiver work days missed

Out of 65,490 encounter forms
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Reimbursement Success

• Care plans
• 40 up to twice a year
• Essential fields
• EMR templates
• Sample care plans, transition
• Over 500 Total in EPIC IC practices

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Carve out successes

• Behavioral health counseling
• Nutrition counseling
• Home visits (SW and doc)
• Parenting classes
• Skilled nurse in home
• Interdisciplinary conference
• Telephone calls

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In Pennsylvania

• State Implementation Grant
• Governors Chronic Care Commission
• Health IT/EMR

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Governors Chronic Care Commission

• Wagner model
• Improving Performance in Practice
• Adult and pediatric
• Private and public payers
• PMPM reimbursement and consumer incentives

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Various Perspectives-360

• Practices
• Payers
• Government
• Policy
• Patients/Families and Caregivers