Rob Gaslin, Controller SAMC-Baker City - PowerPoint PPT Presentation

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Rob Gaslin, Controller SAMC-Baker City

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Title: Slide 1 Author: Elizabeth Anne Hackenmueller Last modified by: Robert C. Gaslin Created Date: 1/28/2011 5:56:22 PM Document presentation format – PowerPoint PPT presentation

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Title: Rob Gaslin, Controller SAMC-Baker City


1
Patient Centered Primary Care Home
  • Rob Gaslin, Controller SAMC-Baker City

02/18/2014
2
Baker City, Oregon
  • Location Frontier Designated
  • County Population 16,210
  • Size 3,068 sq miles
  • Interesting fact
  • Home to the largest pure gold nugget ever found

SAHS Strategic Plan
3
Saint Alphonsus Medical Center Baker City
  • Member of CHE/Trinity Health
  • Critical Access Hospital/RHCs/Nursing Home
  • Owned Clinics
  • EMR installed 7/2011
  • PCPCH certified 10/2012 and 6/2013
  • Under 2011 criteria
  • Reapplied for tier 3 status 2/14 under 2014
    criteria

SAHS Strategic Plan
4
2011 to 2014 Application
  • Baker Clinic certified as PCPCH tier 2 under 2011
    criteria
  • Baker Clinic reapplied as PCPCH tier 3 under 2014
    criteria
  • Valley Medical Clinic certified as PCPCH tier 3
    under 2011 criteria
  • 2014 criteria add significant number of standards
  • Longer application
  • More opportunities

5
Scoring
  • Tier 1 30-60 points and all 10 must-pass
    measures
  • Tier 2 65-125 points and all 10 must-pass
    measures
  • Tier 3 130 or more points and all 10 must-pass
    measures

6
PCPCH Core Attributes
  • 1 Access to Care
  • A. In-Person Access
  • B. After Hours Access
  • C. Telephone Electronic Access
  • D. Same Day Access
  • E. Electronic Access
  • F. Prescription Refills

SAHS Strategic Plan
7
PCPCH Core Attributes, cont.
  • 2 Accountability
  • A. Performance Clinical Quality
  • B. Public Reporting
  • C. Patient and Family Involvement in Quality
    Improvement
  • D. Quality Improvement
  • E. Ambulatory Sensitive Utilization

SAHS Strategic Plan
8
PCPCH Core Attributes, cont.
  • 3 Comprehensive Whole Person Care
  • A. Preventative Services
  • B. Medical Services
  • C. Mental Health, Substance Abuse,
    Developmental Services
  • D. Comprehensive Health Assessment Intervention
  • E. Preventive Services Reminders

SAHS Strategic Plan
9
PCPCH Core Attributes, cont.
  • 4 Continuity
  • A. Personal Clinician Assigned
  • B. Personal Clinician Continuity
  • C. Organization of Clinical Information
  • D. Clinical Information Exchange
  • E. Specialized Care Setting Transitions
  • F. Planning for Continuity
  • G. Medication Reconciliation

SAHS Strategic Plan
10
PCPCH Core Attributes, cont.
  • 5 Coordination Integration
  • A. Population Data Management
  • B. Electronic Health Record
  • C. Complex Care Coordination
  • D. Test Result Tracking
  • E. Referral Specialty Care Coordination
  • F. End of Life Planning

SAHS Strategic Plan
11
PCPCH Core Attributes, cont.
  • 6 Person Family Centered Care
  • A. Language/Cultural Interpretation
  • B. Education Self-Management Support
  • C. Experience of Care
  • D. Communication of Rights, Roles and
    Responsibilities

SAHS Strategic Plan
12
External Resources
  • The EOCCO has fully embraced the PCPCH as the
    foundation or cornerstone of frontier health
    transformation.
  • EOCCO has been very quick to remove barriers to
    proper, cost-effective care
  • Baker County Complex Care Continuum
  • Hospital, Clinics, Sherriff, Police, Mental
    Health
  • Next step expand model for Medicaid

13
Incentive Payment
  • PCPCH Tier 2
  • PCPCH Tier 3
  • EOCCO Providence Health Plan

14
Effects
15
Questions?
Thank you!
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