Health Promotion in Kansans with Disabilities

1
Health Promotion in Kansans with Disabilities

• Kansas Medicaids CMS Transformation Grant
• Kansas Health Policy Authority in collaboration
  with
• the University of Kansas Medical Center Ingenix
• Presented by Theresa I. Shireman, Ph.D.
• University of Kansas Medical Center

2
Collaborative Effort

• Kansas Health Policy Authority (KHPA)
• Becky Ross
• Sharon Johnson
• Debbie Huske
• University of Kansas Medical Center (KUMC)
• James Backes, Pharm D
• Allen Greiner, MD
• Aimee James, PhD
• Ingenix Impact Pro
• Developer of solutions that are focused on
  improving health care through the use of
  information and technology
• www.ingenix.com

3
Statement of Project Need

• Persons with disabilities
• Less likely to receive preventive health care
  services
• High rates of chronic comorbidities
• High rates of medication use
• Compliance problems
• Face variety of barriers to quality health care
• Case managers
• Support/coordinate vocational social services
• New responsibility for medical services
  coordination
• Ultimate goal improve beneficiary health!

4
Project Goals Objectives

• Increase use of age- and gender-appropriate
  preventive health care
• Increase receipt of chronic disease monitoring
  services
• Improve compliance with chronic medications

5
Project Description Agencies

• Case managers recruited from selected agencies
• Community Developmental Disability Organizations
  (CDDOs)
• Independent Living Centers (ILCs)
• Serve primarily physically disabled
• Located throughout state of Kansas

6
Project Description Impact Pro

• Claims-based predictive modeling tool
• Lists all paid claims incurred in most recent 12
  month experience period including
  hospitalizations, doctor visits, medications, and
  other services
• Uses ETG grouper logic to create condition
  specific episodes
• Identifies gaps in care and opportunities for
  care interventions
• Standard Impact Pro rules based upon clinical
  consensus
• Ability to fully customize rules to identify
  members
• Accessed via Web
• Case Managers access the Impact Pro Reporting
  System on-line

7
Project Description Training

• Live training sessions
• KUMC faculty
• Medical pharmacy home
• Basic chronic disease management
• Basic chronic medication management
• Small group activities
• Ingenix Impact Pro
• Computer-assisted training

8
Project Description Case Managers Support

• Project website
• Training materials
• Useful links
• Monthly e-newsletters
• Developed by KUMC faculty staff
• Range of topics chronic diseases, physical
  health, dental care, medications
• Consultation with team MD RPH
• Email based triaged by project manager

9
Project Evaluation Case Manager Assessments

• Surveys
• Baseline conclusion of intervention
• Focus groups
• Conclusion of intervention
• Identify barriers facilitators of
  implementation program success
• Team leaders selected case managers

10
Project Evaluation

• Changes in
• receipt of preventive care
• receipt of chronic care monitoring
• medication adherence
• Pre- vs. post-intervention claims data
• Within participating agencies
• Across participating non-participating agencies