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Access HealthColumbus
                                         2013-2015 Updated Strategic Plan
                                                        (updated: January 2013)

                                                     a continuation of our
                                                collaborative work to improve
                                                patient-centered primary care


Introduction:
This update to our previous strategic plan was created by Access HealthColumbus’ public-private
board and staff. The value of this strategic plan is to provide a roadmap to guide the allocation of
our scarce financial and staff resources. It is our belief that strategic planning is not a static or
occasional event, but rather a dynamic and inclusive process that we incorporate into the work of
our public-private partnership.

Access HealthColumbus is a catalyst, convener, and coordinator of local health care improvement
projects. We are grateful for our collaborative relationships with leaders from business,
government, health care, and the social sector. It is these partners who are implementing projects
and bringing improvements to our community.



22 E. Gay Street, Suite 801 | Columbus, OH 43215 | 614.884.2440 | www.accesshealthcolumbus.org
2013-2015 Strategic Plan Overview

             The need to improve patient-centered primary care
             as the foundation of accountable health care
             delivery to achieve:
    Why?     • better care
             • better health
             • better value
             Catalyze and coordinate the spread of:
             1. patient-centered medical homes
    What?    2. primary care quality reporting
             3. provider-based patient engagement
             4. value-based purchasing

              Coordinate local health care improvement
              projects in collaboration with:
              • consumers
    How?      • providers
              • purchasers
              • payers



2
WHAT: 1) Spread Patient-Centered Medical Homes

           Strategic                          Process                   Outcome
          Objectives                         Measures                   Measures

Based on national patient-         • Adoption: # of PCMHS         • Patients served:
centered medical home                recognized by national         # of patients served
(PCMH) standards:                    quality accreditation          by PCMHs by payer
                                     programs                       mix (Commercial,
• Increase the number of                                            Medicare, Medicaid,
  nationally recognized            • Geographical Availability:     self-pay/uninsured)
  PCMHs in private practices,        # of PCMHs by location
  hospital-affiliated practices,
  and federally qualified
  health centers serving
  patients with Commercial
  insurance, Medicaid,
  Medicare, and the
  uninsured




3
WHAT: 2) Spread Primary Care Quality Reporting

           Strategic                        Process                   Outcome
          Objectives                       Measures                   Measures

Based on nationally endorsed     • Participation commitments • Improved clinical
measures, compile local            from PCPs, health systems,     outcomes
comparative quality data to:       health plans, and employers
                                                                • Common use of
• Provide physicians and         • # stakeholders participating   nationally endorsed
  providers with access to                                        quality measures
  accurate information to        • Agreement on version 1.0       across competing
  identify areas for quality       of improvement measures,       health care
  improvement                      definitions, and               organizations
                                   methodologies
• Provide purchasers with
  access to accurate             • Release of collaborative
  information about the            primary care quality
  quality of care in the local     reporting version 1.0
  health care market


4
WHAT: 3) Spread Provider-based Patient Engagement

           Strategic                     Process                      Outcome
          Objectives                    Measures                      Measures

Based on best practices,       • Participation commitments Improved patient
partner with primary care        from primary care providers satisfaction in the
teams to:                        (PCPs) and their patients   following areas:
                                                             • Access to care
• Embed the patient’s voice    • # participating PCPs        • Self-management
  and perspective in quality                                    support
  improvement initiatives      • # participating patients    • Shared decision
                                                                making
• Advance skills/tools to      • # of primary care practices • Coordination of care
  improve interactions with      that include patients in    • Information about
  patients and caregivers        their quality improvement      care and
                                 initiatives                    appointments




5
WHAT: 4) Spread Value-based Purchasing

          Strategic                      Process                     Outcome
         Objectives                      Measures                    Measures

Based on best practices,       • # participating purchasers    • # of purchasers that
partner with self-insured        participating in                have implemented
employers and public             collaborative learning          value-based benefit
employee retirement systems      sessions                        plans and purchasing
to:                                                              agreements
                                • # participating purchasers
• Initiate improvements that      participating in
  have the potential to lead to   collaborative improvement
  fundamental redesign of         projects
  employee health strategies

• Measure improvements over
  time




6
WHAT: Other Improvement Activities


 Coordinate federally qualified health center (FQHC) improvement projects

    Purpose: in collaboration with local FQHC leadership, coordinate projects that
    improve affordable health services for those most vulnerable in our community

 Coordinate health care reform learning for social sector leaders and advocates

    Purpose: in collaboration with Access HealthColumbus ‘ Community Advisory
    Committee, increase readiness of social sector organizations to improve care
    coordination in an era of scarce resources

 Participate in the work of others when aligned with our strategic objectives

    Purpose: share our learning and knowledge at local, state, and national levels




7
HOW: Our Operating Guidelines


           Improve(1) delivery of local(2) health care

           for all people, including those most vulnerable

           as a catalyst, convener, and coordinator of improvement
            projects(3)

           by building local collaboratives that respect all
            perspectives and seek no authority

           focused on improving patient-centered primary care(4)
    (1) Improve = focus on access, quality and value
    (2) Local = Columbus & Franklin County
    (3) Projects = participating health care organizations provide direct health care services, Access HealthColumbus does not
    (4) Patient-Centered Primary Care = a team based health care delivery model led by a physician that provides comprehensive and
    continuous medical care by improving access to health care, increasing satisfaction with care, and improving health. Care
    coordination is an essential component that requires additional resources such as health information technology and payment
    models to support patient services that are not visit-based.

8
HOW: Our Approach for Improving Local Delivery of Health Care


                                                             5     LOCAL DELIVERY
                                                                   OF HEALTH CARE
                                     6                                IMPROVED
                                                                 local improvements
    1    Explore best                Lessons learned &               implemented
         practices &                   best practices            by our public-private
        apply learning               shared with others                 partners
         from others




             CONVENE                                          4      COORDINATE
 2 leaders from business,                                    collaborative improvement
  government, health care, and                                  projects that improves
social sectors focused on applying       3    CATALYST for         delivery of local
    best practices to improve                  advancing              health care
  Patient-Centered Primary Care              improvement
                                                projects
9
Ivery Foreman (Board Chair)                     Kevin Hinkle
                            Vorys, Sater, Seymour & Pease LLP                Anthem Blue Cross & Blue Shield
                           United Way of Central Ohio Representative        Health Plan Representative
                         Mike Stull (Board Vice Chair)                   Thomas Horan
                            Employers Health Coalition                       Columbus Neighborhood Health Center
                            Business Representative                         Community Health Centers Representative
                         Bill Wulf, M.D. (Board Treasurer)               Isi Ikharebha
                           Central Ohio Primary Care                         Physicians CareConnection
                           Columbus Medical Association Representative      Consumer Representative
                         Dianne Radigan (Board Secretary)                Doug Knutson, M.D.
                           Cardinal Health                                   OhioHealth
Our Board of Directors




                           Franklin County Representative                    Hospital Representative
                         Doug Anderson                                   Teresa Long, M.D.
                            Bailey Cavalieri                                 Columbus Public Health
                            City of Columbus Representative                  Health Department Representative
                         Dianne Biggs                                    Jennifer Nickell-Thomas
                            Labor Representative                            Nationwide Insurance
                         Kevin Dixon, Ph.D.                                  Business Representative
                            ADAMH Board of Franklin County               Valerie Ruddock
                           Mental Health Representative                      Nationwide Children’s Hospital
                         Jerry Friedman                                      Hospital Representative
                            The Ohio State University Medical Center     Olivia Thomas, M.D.
                            Hospital Representative                          Nationwide Children’s Hospital
                         Diana Riggsby Gardner                               Community Philanthropic Representative
                            The Dispatch Printing Company                Dana Vallangeon, M.D.
                            Business Representative                         Lower Lights Christian Health Center
                         Jeff Geppert                                       Consumer Representative
                            Battelle                                     Bruce Wall, M.D.
                            Health Care Representative                     The Ohio State University Health Plan
                         Thomas Hadley                                     Columbus Medical Association Representative
                            Wells Fargo Insurance Services               Todd Weihl, D.O.
                            Chamber of Commerce Representative             OhioHealth
                         Sister Barbara Hahl                               Columbus Osteopathic Association Representative
                            Mount Carmel Health System                   Jeff Biehl
                           Hospital Representative                          Access HealthColumbus
    10                                                                      President
Our Mission
      To improve access to health care in our community,
            particularly for those most vulnerable,
            by convening public-private partners
     and coordinating health care improvement projects.

                           Our Vision
        Health care for all people that is affordable for
        individuals and sustainable for our community.

                            Our Value
              Access HealthColumbus is a trusted
                catalyst, convener and coordinator
     of health care improvement projects in our community.
11
Funding from the following public-private partners
     supports our collaborative work in the community!
                              Lead Supporter




                            Major Supporters




                        Additional Supporters
                  100%                          Individual &
          Access HealthColumbus                  Corporate
              Board & Staff                      Donations
12
We welcome your feedback and questions:
                                         • Jeff Biehl
                                           President
                                           jbiehl@accesshealthcolumbus.org

                                         • Carol Deibel
                                           Director of Projects
                                           carol@accesshealthcolumbus.org


                                         • Please visit our website to learn more:
                                           www.accesshealthcolumbus.org




     22 E. Gay Street, Suite 801 | Columbus, OH 43215 | 614.884.2440 | www.accesshealthcolumbus.org

13

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2013 15-strategic-plan

  • 1. Access HealthColumbus 2013-2015 Updated Strategic Plan (updated: January 2013) a continuation of our collaborative work to improve patient-centered primary care Introduction: This update to our previous strategic plan was created by Access HealthColumbus’ public-private board and staff. The value of this strategic plan is to provide a roadmap to guide the allocation of our scarce financial and staff resources. It is our belief that strategic planning is not a static or occasional event, but rather a dynamic and inclusive process that we incorporate into the work of our public-private partnership. Access HealthColumbus is a catalyst, convener, and coordinator of local health care improvement projects. We are grateful for our collaborative relationships with leaders from business, government, health care, and the social sector. It is these partners who are implementing projects and bringing improvements to our community. 22 E. Gay Street, Suite 801 | Columbus, OH 43215 | 614.884.2440 | www.accesshealthcolumbus.org
  • 2. 2013-2015 Strategic Plan Overview The need to improve patient-centered primary care as the foundation of accountable health care delivery to achieve: Why? • better care • better health • better value Catalyze and coordinate the spread of: 1. patient-centered medical homes What? 2. primary care quality reporting 3. provider-based patient engagement 4. value-based purchasing Coordinate local health care improvement projects in collaboration with: • consumers How? • providers • purchasers • payers 2
  • 3. WHAT: 1) Spread Patient-Centered Medical Homes Strategic Process Outcome Objectives Measures Measures Based on national patient- • Adoption: # of PCMHS • Patients served: centered medical home recognized by national # of patients served (PCMH) standards: quality accreditation by PCMHs by payer programs mix (Commercial, • Increase the number of Medicare, Medicaid, nationally recognized • Geographical Availability: self-pay/uninsured) PCMHs in private practices, # of PCMHs by location hospital-affiliated practices, and federally qualified health centers serving patients with Commercial insurance, Medicaid, Medicare, and the uninsured 3
  • 4. WHAT: 2) Spread Primary Care Quality Reporting Strategic Process Outcome Objectives Measures Measures Based on nationally endorsed • Participation commitments • Improved clinical measures, compile local from PCPs, health systems, outcomes comparative quality data to: health plans, and employers • Common use of • Provide physicians and • # stakeholders participating nationally endorsed providers with access to quality measures accurate information to • Agreement on version 1.0 across competing identify areas for quality of improvement measures, health care improvement definitions, and organizations methodologies • Provide purchasers with access to accurate • Release of collaborative information about the primary care quality quality of care in the local reporting version 1.0 health care market 4
  • 5. WHAT: 3) Spread Provider-based Patient Engagement Strategic Process Outcome Objectives Measures Measures Based on best practices, • Participation commitments Improved patient partner with primary care from primary care providers satisfaction in the teams to: (PCPs) and their patients following areas: • Access to care • Embed the patient’s voice • # participating PCPs • Self-management and perspective in quality support improvement initiatives • # participating patients • Shared decision making • Advance skills/tools to • # of primary care practices • Coordination of care improve interactions with that include patients in • Information about patients and caregivers their quality improvement care and initiatives appointments 5
  • 6. WHAT: 4) Spread Value-based Purchasing Strategic Process Outcome Objectives Measures Measures Based on best practices, • # participating purchasers • # of purchasers that partner with self-insured participating in have implemented employers and public collaborative learning value-based benefit employee retirement systems sessions plans and purchasing to: agreements • # participating purchasers • Initiate improvements that participating in have the potential to lead to collaborative improvement fundamental redesign of projects employee health strategies • Measure improvements over time 6
  • 7. WHAT: Other Improvement Activities  Coordinate federally qualified health center (FQHC) improvement projects Purpose: in collaboration with local FQHC leadership, coordinate projects that improve affordable health services for those most vulnerable in our community  Coordinate health care reform learning for social sector leaders and advocates Purpose: in collaboration with Access HealthColumbus ‘ Community Advisory Committee, increase readiness of social sector organizations to improve care coordination in an era of scarce resources  Participate in the work of others when aligned with our strategic objectives Purpose: share our learning and knowledge at local, state, and national levels 7
  • 8. HOW: Our Operating Guidelines  Improve(1) delivery of local(2) health care  for all people, including those most vulnerable  as a catalyst, convener, and coordinator of improvement projects(3)  by building local collaboratives that respect all perspectives and seek no authority  focused on improving patient-centered primary care(4) (1) Improve = focus on access, quality and value (2) Local = Columbus & Franklin County (3) Projects = participating health care organizations provide direct health care services, Access HealthColumbus does not (4) Patient-Centered Primary Care = a team based health care delivery model led by a physician that provides comprehensive and continuous medical care by improving access to health care, increasing satisfaction with care, and improving health. Care coordination is an essential component that requires additional resources such as health information technology and payment models to support patient services that are not visit-based. 8
  • 9. HOW: Our Approach for Improving Local Delivery of Health Care 5 LOCAL DELIVERY OF HEALTH CARE 6 IMPROVED local improvements 1 Explore best Lessons learned & implemented practices & best practices by our public-private apply learning shared with others partners from others CONVENE 4 COORDINATE 2 leaders from business, collaborative improvement government, health care, and projects that improves social sectors focused on applying 3 CATALYST for delivery of local best practices to improve advancing health care Patient-Centered Primary Care improvement projects 9
  • 10. Ivery Foreman (Board Chair) Kevin Hinkle Vorys, Sater, Seymour & Pease LLP Anthem Blue Cross & Blue Shield United Way of Central Ohio Representative Health Plan Representative Mike Stull (Board Vice Chair) Thomas Horan Employers Health Coalition Columbus Neighborhood Health Center Business Representative Community Health Centers Representative Bill Wulf, M.D. (Board Treasurer) Isi Ikharebha Central Ohio Primary Care Physicians CareConnection Columbus Medical Association Representative Consumer Representative Dianne Radigan (Board Secretary) Doug Knutson, M.D. Cardinal Health OhioHealth Our Board of Directors Franklin County Representative Hospital Representative Doug Anderson Teresa Long, M.D. Bailey Cavalieri Columbus Public Health City of Columbus Representative Health Department Representative Dianne Biggs Jennifer Nickell-Thomas Labor Representative Nationwide Insurance Kevin Dixon, Ph.D. Business Representative ADAMH Board of Franklin County Valerie Ruddock Mental Health Representative Nationwide Children’s Hospital Jerry Friedman Hospital Representative The Ohio State University Medical Center Olivia Thomas, M.D. Hospital Representative Nationwide Children’s Hospital Diana Riggsby Gardner Community Philanthropic Representative The Dispatch Printing Company Dana Vallangeon, M.D. Business Representative Lower Lights Christian Health Center Jeff Geppert Consumer Representative Battelle Bruce Wall, M.D. Health Care Representative The Ohio State University Health Plan Thomas Hadley Columbus Medical Association Representative Wells Fargo Insurance Services Todd Weihl, D.O. Chamber of Commerce Representative OhioHealth Sister Barbara Hahl Columbus Osteopathic Association Representative Mount Carmel Health System Jeff Biehl Hospital Representative Access HealthColumbus 10 President
  • 11. Our Mission To improve access to health care in our community, particularly for those most vulnerable, by convening public-private partners and coordinating health care improvement projects. Our Vision Health care for all people that is affordable for individuals and sustainable for our community. Our Value Access HealthColumbus is a trusted catalyst, convener and coordinator of health care improvement projects in our community. 11
  • 12. Funding from the following public-private partners supports our collaborative work in the community! Lead Supporter Major Supporters Additional Supporters 100% Individual & Access HealthColumbus Corporate Board & Staff Donations 12
  • 13. We welcome your feedback and questions: • Jeff Biehl President jbiehl@accesshealthcolumbus.org • Carol Deibel Director of Projects carol@accesshealthcolumbus.org • Please visit our website to learn more: www.accesshealthcolumbus.org 22 E. Gay Street, Suite 801 | Columbus, OH 43215 | 614.884.2440 | www.accesshealthcolumbus.org 13