and Delivery System Reform A NN H WANG , MD 23 rd Princeton - - PowerPoint PPT Presentation

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and Delivery System Reform A NN H WANG , MD 23 rd Princeton - - PowerPoint PPT Presentation

State Consumer Advocacy and Delivery System Reform A NN H WANG , MD 23 rd Princeton Conference May 26, 2016 Center for Consumer Engagement in Health Innovation Community Catalyst advocates for high-quality, affordable health care for all


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ANN HWANG, MD

23rd Princeton Conference May 26, 2016

State Consumer Advocacy and Delivery System Reform

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  • Community Catalyst advocates for

high-quality, affordable health care for all

  • Networks in over 40 states
  • The Center focuses on advancing the role of

consumers in efforts to improve payment and delivery with a focus on vulnerable populations Center for Consumer Engagement in Health Innovation

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  • Many eggs in many baskets
  • Lower barrier to entry
  • More flexibility, ability to innovate at state

level

  • Health care is local—variable market and

provider structures

  • States dominate health care and especially

health, particularly for vulnerable populations Why states?

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States’ levers for shaping health care

Purchaser/ Payer Regulator Provider Data Collector/ Source Influencer

  • f Public

Opinion

Health Care

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Building a grassroots constituency around delivery system reform

What is the Center doing?

Advocating for the importance of consumer engagement in delivery system reform

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Three levels of consumer engagement

  • Patients as partners
  • Care matched to needs

Clinical Setting

  • Governing Boards
  • Advisory Councils
  • Shape design, implementation, evaluation of programs

Health Care Organization

  • Key stakeholder tables
  • Statutory advisory groups
  • Shape design, implementation, evaluation of programs

State/ Federal Policymaking

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  • Need an inside and an outside game
  • Balance the vested interests
  • Outreach and education
  • Field test your messages
  • Sustain momentum through transition

Why engage?

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  • Activated and engaged patients result in better health
  • utcomes
  • Health care should be oriented around the needs of

those served: if you don’t ask, you don’t know

Why engage?

  • Feedback loop and “early

warning” as system transitions

  • Important element of

quality improvement

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  • Active feedback loop that improves implementation
  • f duals demonstration
  • Focus on health disparities and mapping social

determinants

  • Push for workforce diversity, such as community

health workers

  • Payment system adjustments

What can consumers achieve (examples from the field)

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  • Establish and strengthen mechanisms for diverse

consumer and community input in the planning and design of delivery systems

  • Allocate resources necessary for effective outreach,

training and support for diverse consumer engagement

  • Establish ongoing formal feedback loops with organized

consumer efforts and trusted community groups

  • Maximize use of patient-focused quality metrics

How to support consumer engagement

  • Proactively seek input and

feedback from vulnerable populations

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Thank you! ahwang@communitycatalyst.org