WV transformation slide show may conference2
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Presentation on WV Medicaid Transformation Efforts - Peter Groen and Jack Shaffer
![A 20/20 Vision of the Future for West Virginia ,[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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WV transformation slide show may conference2
- 1. Marsha Morris, Commissioner Designated Agents for today’s presentation: Peter Groen, Director, SURC Jack Shaffer, CIO, CHNWV West Virginia Medicaid Transformation Health IT Systems Collaboration, Open Solutions, and Innovation
- 6. West Virginia HIT Strategies Collaboration, Open Solutions, and Innovation (COSI) * Collaboration – The State is collaborating with other HIT organizations and state on multiple eHealth initiatives within West Virginia and beyond, e.g. Veterans Affairs, State of Hawaii, Indian Health Service, WorldVistA. Etc. * Open Solutions – EMR Solutions for the state must be - CCHIT certified; standards based; public domain or open source; and interoperable * Innovation – Collaboration + Open Solutions = Innovation Collaborating with the large, open source HIT community on EMR, PHR, HIE, TeleHealth, ePrescribing, Standards and other HIT solutions has led us to a range of low cost, innovative alternatives
- 7. Developed by Douglas Goldstein and Peter Groen Source: Medical Informatics 20/20, Quality and EHR through Collaboration, Open Solutions and Innovation, Jones & Bartlett, 2007
- 15. Imagine the Future … Create the Future – Health@Anywhere
- 25. Advanced Medical Home WV Health Improvement Institute ADOPTION OF ELECTRONIC HEALTH RECORDS Develop proposed mechanisms to accelerate adoption of electronic health records in West Virginia MEASUREMENT Create a forum of alignment of measures across stakeholders to facilitate reporting SELF MANAGEMENT SUPPORT To align and improve access to resources and best practices to improve the self-activation capacity of all patients EDUCATION OF THE PROVIDER COMMUNITY To develop a system of provider engagement to accelerate Medicaid Transformation and assist physician practices with migration to AMH PAY FOR PERFORMANCE To provide guidance on the deployment of a P4P program as a model for the State QUALITY COLLABORATIONS To support a focused collaboration of key stakeholders on improving quality, building on past initiatives Member Education Healthy Rewards Advanced Medical Homes Advanced Medical Homes Pay 4 Performance Evidenced Based Medicine Health Information Systems Electronic Health Information Provider Technology Incentives OTHER RELEVANT INITIATIVES WV HIN – WVMI - OTHERS
Notes de l'éditeur
- On February 8, 2006 President Bush signed the Deficit Reduction Act of 2005. The DRA provides states with the ability to redesign Medicaid to meet specific health care needs. West Virginia, Kentucky, and Idaho were the first three states to take advantage of the DRA’s flexibility. The flexibility for states to tailor Medicaid program is a concept that has been discussed for years. In the early 90’s – Medicaid block grants were proposed but never passed. Flexibility provides states the opportunity to address their unique problems.
- In combining the grants for purposes of implementation, we identified three projects Pharmacy Improved Medicaid Health Technology
- The largest of the projects is the “Improved Medicaid”. We will have a project manager to assist in developing the benefits and time-lines of re-design for the remaining populations. We are developing our concept of an “Advanced Medical Home”. We will organize & establish a Health Improvement Institute. We will complete the work for the Healthy Rewards Accounts. We will develop “Education & Outreach” that encompasses members & providers.
- Prevention, personal responsibility and health management are hallmarks of Mountain Health Choices. Mountain Health Choices: We are trying to Creates a partnership between f Medicaid, its members and the medical homes Is patient-centered with pro-active personalized care Emphasizes the use of medical homes so that members are provided with a continuity of care, not episodic care. Seeks to address long term program growth by promoting prevention and wellness Encourages integration of technology into medical homes Provides Medicaid members with the opportunity to take ownership of their health care and their lives.
- ADOPTION OF ELECTRONIC HEALTH RECORDS Develop proposed mechanisms to accelerate adoption of electronic health records in West Virginia MEASUREMENT Create a forum of alignment of measures across stakeholders to facilitate reporting SELF MANAGEMENT SUPPORT To align and improve access to resources and best practices to improve the self-activation capacity of all patients EDUCATION OF THE PROVIDER COMMUNITY To develop a system of provider engagement to accelerate Medicaid Transformation and assist physician practices with migration to AMH PAY FOR PERFORMANCE To provide guidance on the deployment of a P4P program as a model for the State QUALITY COLLABORATIONS To support a focused collaboration of key stakeholders on improving quality, building on past initiatives