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Reducing Emergency Department Among the MI population- Systems Improvement- Learning Series - Shared screen with speaker view
Terry Wilson (Staff)
36:18
If you have any technical problems, please click my name here then message me for assistance.
Matthew Ford - Tuality Health Alliance
46:14
Doesn't allow choose all that apply, only pick one.
Rob Reinhardt JCC Pharmacist
46:53
I picked PH, but we also share with other providers and BH. radio button
Matthew Ford - Tuality Health Alliance
47:47
Dental
Elise Thompson, Clackamas County
55:51
And starting small also allows for development/identification of champions within the provider network.
Elise Thompson, Clackamas County
57:49
And all of these help reduce costs...
Matthew Ford - Tuality Health Alliance
58:19
This seems like an expansion of the conferences for LTSS members
Elise Thompson, Clackamas County
01:00:06
Where are peers and people with lived experience in this model?
Rob Reinhardt JCC Pharmacist
01:02:34
We had an issue working across insurances that HIPAA became a problem for the clinic.
Matthew Ford - Tuality Health Alliance
01:03:12
You can get a "blanket" ROI that allows information to be released to all pertinent parties.
Michelle Eastern OR IPA (CHW)
01:04:45
how do we go about getting pre manage ?
Esther Escobar -Tuality Health Alliance
01:06:01
Dave GreenSr. Manager, Health Plan SuccessCollective MedicalP: 385.351.3903
Esther Escobar -Tuality Health Alliance
01:06:11
This can be a good phone number to start
Esther Escobar -Tuality Health Alliance
01:06:19
about getting Pre-manage
Michelle Eastern OR IPA (CHW)
01:07:39
Thank you
Rob Reinhardt JCC Pharmacist
01:11:11
35% are Medi/Medi combined, or 35% each are Medicare and Medicaid?
Rob Reinhardt JCC Pharmacist
01:11:37
Or a total of 35% are either Medicaid or Medicare or both?
Matthew Ford - Tuality Health Alliance
01:11:52
85% medicare/medicaid combined
Matthew Ford - Tuality Health Alliance
01:12:16
meaning 85% are medicare, or medicaid, or dual
Rob Reinhardt JCC Pharmacist
01:13:17
Thanks Matt.
Rob Reinhardt JCC Pharmacist
01:13:44
Sorry, maybe overly familiar there - Thanks Matthew.
Matthew Ford - Tuality Health Alliance
01:14:07
call me w/e you want, no problem
Matthew Ford - Tuality Health Alliance
01:17:49
my mic isn't working -
Matthew Ford - Tuality Health Alliance
01:17:52
Long term supports and services
Michelle Eastern OR IPA (CHW)
01:21:10
Thank you
Kristin Hill, Lake Health District Hospital
01:21:53
Do you know if EOCCO has the built-in cohort?
Terry Wilson (Staff)
01:24:30
To unmute, you need to click the microphone button in the bottom left of the screen.
Rob Reinhardt JCC Pharmacist
01:24:44
Rob - Clinic pharmacists are very reticent to add yet another software system (PreManage) or to add any more work as whatever is added they have to take something else off their plate.
Elise Thompson, Clackamas County
01:25:09
I'm unmuted on my end....
Elise Thompson, Clackamas County
01:26:00
I'm not sure what else I can do! I'm showing as unmuted on my end....
Matthew Ford - Tuality Health Alliance
01:27:39
Short version (since my mic doesn't work currently): we're having small conferences with Washington County on a weekly basis to address members where we can, beyond that we're placing EDIE alerts / Pre-Manage notes en masse with our contact information and getting a positive result from ED providers reaching out to us to coordinate care in a quicker fashion
Elise Thompson, Clackamas County
01:28:16
This isn't directly related to your request for input, Susan, but I'm wondering if you see a difference in the disparity level, depending on the ease of access to EDs seen in each of the CCOs? I know that we often see our rural partners being much more creative because they simply don't have access to hospitals with the same ease as some of the more urban areas.
Matthew Ford - Tuality Health Alliance
01:28:59
Washington County = Behavioral Health if people didn't know, sorry.
Rob Reinhardt JCC Pharmacist
01:31:45
I've heard from our team that the diagnoses in PreManage don't precisely align with the diagnoses in the metric.
Elise Thompson, Clackamas County
01:31:45
One challenge that we have is we hear a fair amount of "been there, done that" with some of our partners.
Rob Reinhardt JCC Pharmacist
01:32:29
THanks, have to sign out due to a call with a member.
Matthew Ford - Tuality Health Alliance
01:33:52
One of our challenges is in dealing with the highest utilizers: those that go to the ED 20+ times in a year. Trying to figure out if it's worth the time investment to help these members, or to focus on 5-10 members who have 2-3 visits in a year?
kinneych
01:35:27
One challenge is having behavioral health providers see the utility of building relationships across other providers. They are so busy putting out fires and meeting productivity metrics.