HealthPRO Heritage’s Post

Always happy to be in Texas, where everything is bigger, including the ideas on how we can create a better system of health for all--improving the quality of care that patients receive, while reducing costs, ensuring continuity of coverage, and reducing physician burnout--just *some* of the challenges we face today. This morning's opening keynote by Dr. Ziad Obermeyer on the integration of artificial intelligence into the health care ecosystem focused on whether we're truly understanding what the best business use case for this new technology really is ("AI can't help us if we're confused ourselves about what we're trying to do"). Amazing and thoughtful analysis by a researcher from University of California, Berkeley who is working closely with industry to drive #artificialintelligence applicability forward. The second keynote on the new science of quality measurement by Will Bruhn, MD founder of Global Appropriateness Measures was so inspiring and exactly what the field needs to hear. When we look only at quality measures that are outcome-based, calculated on services rendered, we are missing the larger story. Will's work at GAM helps to uncover practice patterns and helps reduce inappropriate care; for example, c-section rates for low-risk deliveries should not exceed 25%, per several obstetrics societies and published research, so why do we see over 50% of providers posting much higher rates? The answer, of course, is in the misalignment of payment incentives, something which #valuebasedcare can help to align, but without the data that GAM is organizing and operationalizing, we still won't see meaningful change. Amazing start to the two days here at Texas Association of Health Plans annual conference, looking forward to more insight!

🎉 Wrapping up the 3-day marathon that was the Texas Association of Health Plans 2023 conference, I can't help but be in awe of Texas' progress, conscious of the size of the challenges that face the state, and optimistic about the future. Here are some of my top takeaways from Days 2&3: 📄 Texas Medicaid has new leadership and she’s got priorities: Emily Zalkovsky is a veteran of HHSC but she’s new to the Medicaid Director role and she’s here with clear priorities. That kind of direction is just what the field needs to engage and transform the delivery system. Expanding access to members, driving adoption of value based models, and expanding partnerships are just a few of her top 5 priorities. She’s clearly a leader to watch in this space. 💰 Value Based Care is here to stay y’all: It says a lot that Day 2 of the conference had a panel on some aspect of value based care during all time slots. It’s a reflection that the state of VBC is strong here in TX and it was great to see what models are working and seeing high levels of uptake (TCOC attributed to PCP still dominates the space) and to have honest conversations about what’s not working (need to move beyond ‘boilerplate’ models, need to involve specialty care, need to think about what types of providers are the right principal care provider—hint: it’s not always the PCP!) 🚩 Business as we know it no longer: A key thread running through the panel conversations and the conversations at the water cooler was the high level of disruption this space is experiencing. Whether it is the Medicaid redetermination process, the questions raised by artificial intelligence creeping into the workflows of both payers and providers, or the rising costs of RX due to GLP-1 and other high-cost pharmaceuticals, it is clear that 2023 was a year of turbulent change. And don’t look to 2024 for stability. I’ll have a full write up next week, for now, know that Texas is an exciting market for those looking to bring value into the health care ecosystem. 

* 21% fewer inpatient deaths than peer health systems * 13.8% fewer patients with complications * 21% fewer healthcare-associated infections (HAIs) * 0.5-day shorter average length of stay These are the types of facts & figures that I want to see from my healthcare provider. 👏 #HelloHumankindness #HealthTech #PatientCare #Excellence #Kentucky

During a recent visit to Cone Health, the Patient Experience team proudly shared three strategic actions that take patient experience to the next level. With focuses on provider communications, community health, and leader rounding, this large health system is transforming the human experience through training and resources with positive results that will lead them into the future and beyond. Read the On the Road https://ow.ly/ExQR50SeI73

In this episode of 'Being Human: Hidden Depths', we are join by Dr. Tess Lawrie a founding member of the World Council for Health, a global coalition of health-focused initiatives and groups seeking to broaden public health knowledge. Tune in via the 👉 https://lnkd.in/exppeZph

Join Shiran Isaacksz, VP, University Health Network at our global webinar for World Accreditation Day! He will explore the critical role of equity and access to care by shifting the focus from traditional institutional models to "care outside the walls," which include holistic community-based approaches. This impactful discussion will center on addressing systemic disparities, increasing accessibility, and cultivating a culture of inclusivity within the health care delivery system. We encourage you to reserve your spot: https://hubs.la/Q02y9Jg_0

In this episode of 'Being Human: Hidden Depths', we are join by Dr. Tess Lawrie a founding member of the World Council for Health, a global coalition of health-focused initiatives and groups seeking to broaden public health knowledge. Tune in via the 👉 https://lnkd.in/exppeZph

Planning for a region’s health-care needs means taking the time to learn about both current challenges and future opportunities. In this week’s Impact Report story, learn about VCH’s plan for the fast growing Sea to Sky region, including how we worked with First Nations, the Sea to Sky community and health-care teams on how to best maintain access to safe, high-quality health care now and in the future. https://lnkd.in/gzijKjtR

I promise there is so much to learn here. Check out Abt Global's first ever mini-Master Class! “With an eye toward understanding the data, understanding the evidence, and understanding where it's come, we can stay on track toward further progress and not relearn lessons of the past.” - Kelly Saldana #HealthSystems #GlobalHealth #Data #MasterClass

#CalAIM implementation is happening locally, with counties playing a central role. This brief focuses on how four counties – Alameda, Contra Cost, Placer, and Ventura – are adapting to these changes as the need for data infrastructure emerges as a cross-cutting theme to meaningfully impact complex health and social care.