Changing PracticeChanging Lives.pptVIP

Changing Practice Changing Lives The Health Disparities Collaboratives West Central Cluster Sustain and Spread Summit New Team Member Orientation November 8, 2004 The Burden of Chronic Disease Nearly 125 million people in the United States live with some kind of chronic medical condition Accounts for 70% of all deaths in the U.S. Accounts for more than 60% of nation’s medical care costs Direct cost of care is $510 billion per year Source: Health Disparities Collaborative Pre-work Manual, May 2003; Collaborative Charter Problem Statement “Crossing the Quality Chasm”A New Health System for the 21th Century Don Berwick, IHI, President CEO Report of the Institute of Medicine’s Committee on Quality of Care in America “Between the health care we have and the care we could have lies not just a gap, but a chasm.” In it’s current form, habits and environment, American health care is incapable of providing the public with the quality health care it expects and deserves. Labels the problem as design, not people and then it asks for a change Why is Chronic Care Such a Challenge? “The current care systems cannot do the job”. “Trying harder will not work”. “Changing care systems will”. The Health Disparities Collaboratives (HDC) Launched in 1998 BPHC in collaboration with IHI MacColl Institute Other National Partners Eliminate Health Disparities Ensure 100% Access President’s Initiative to Expand Health Centers By 2006 1200 new and expanded health centers Increase patients from 10 to 16 million Goals for FY 2003 exceeded 100 New Access Points (NAPs) (10 target) 88 Expanded Medical Capacity (8 target) 125 Service Expansions Building for Future:HDC Pilots Diabetes Prevention Pilot Prevention Pilot healthy weight, tobacco use, blood pressure, cholesterol, immunizations, lead screening, oral health, includes all lifecycles Redesign/Finance (RedeFin) Pilot Perinatal/Risk Management Expert Panel and planning 2004 The Cluster Structure The 3 H