Health innovations

Still time to register for HPIO’s Health Innovations 2013 conference

The Health Policy Institute of Ohio’s Health Innovations 2013 conference gives you acccess to a slate of highly respected national experts, without the travel cost and high registration fees of an out-of-state conference. 

The one-day event, on May 8 at the Fawcett Center at The Ohio State University, will showcase innovative approaches to health-related issues that have been adopted from other industries or sectors, including behavioral economics, gaming and the nuclear power industry. These approaches have the potential to reduce health costs, improve outcomes or increase access. Participants also will learn about the relevant state or federal policy implications of these approaches.

The event’s keynote speaker is Brian McGowan, PhD, a consultant and researcher who wrote "#SOCIALQI: Simple Solutions for Improving Your Healthcare." He will discuss how techniques adopted from social media can improve health care by tackling variability in care and promoting greater dissemination and adoption of best practices.

For more information or to register, please click here


HPIO conference to look outside health settings for innovative approaches

Discover how looking outside of health and health care settings can foster the type of integrative thinking and collaboration that leads to innovative solutions. 

This one-day conference on May 8 in Columbus will showcase innovative approaches to health-related issues that have been adopted from other industries or sectors, and that have the potential to reduce costs, improve outcomes or increase access. Participants will also learn about the relevant state or federal policy implications of these approaches.

For more information and to register, click here.

Agenda Highlights At-a-Glance

Keynote Address: Leveraging social learning networks and technologies for quality improvements in healthcare

  • Dr. Brian McGowan, Chief Learning Officer & Co-Founder at ArcheMedX
    Author of #SOCIALQI: Simple Solutions for Improving Your Healthcare 


Predictive analytics and decision support for improving patient care 

  • Dr. Martin Harris, CIO, Cleveland Clinic
    Kenneth Bachmann, CEO, CeutiCare, LLC 


Applying behavioral economics to end of life decisions

  • Dr. Scott Halpern, Deputy Director, The Center for Health Incentives and Behavioral Economics at the Leonard Davis Institute (CHIBE) University of Pennsylvania 


What public health can learn from the community development sector

  • David Erickson, Manager, Center for Community Development Investments, Federal Reserve Bank of San Francisco 


Improving the consumer experience: lessons from the design industry

  • Facility Design:  Dr. Xiaobo Quan, Research Associate, the Pebble Project, Center for Health Design 
  • Human-Centered Design:  David Webster, IDEO  


Patient safety: Lessons learned from the nuclear power industry

  • Howard Bergendahl, President, The Bergendahl Institute, LLC 


What the gaming industry can teach us about prevention, managing health and reducing costs

  • Ben Sawyer, co-founder of Digitalmill and the Games for Health project 

ACO Pioneers ask for delay in pay-for-performance plan

The 32 hospital systems that were the first to begin testing the Accountable Care Organization model under the ACA last year are demanding changes and delays to some of the program's central tenants (Source: “A Bump in the Road to Accountable Care?” Kaiser Health News, March 8, 2013).

In a letter to the federal Centers for Medicare and Medicaid Innovation, 30 of the 32 systems, called Pioneers for their early participation in the ACO program, complaining that the quality measurements federal officials are using to determine payment to the ACOs were flawed. In light of what they consider flawed metrics, the pioneers requested that CMMI wait until 2014 to start basing Pioneer pay on quality, the hallmark of the program. The delay would give CMMI another year of good data collection to set benchmarks, the group wrote.


HPIO releases brief on need for Ohio health workforce data system

The Health Policy Institute of Ohio has released it latest publication: The need for statewide health care workforce data system (pdf, 3 pages).

It is widely understood and accepted that Ohio is facing a primary care workforce shortage across medical, dental and mental/behavioral health care. However, the workforce issue goes beyond the number of providers; it’s also about how care is delivered and how the workforce is distributed.

To address the issue effectively, however, Ohio policymakers need a system for collecting data on the existing workforce.

"A statewide health care workforce data system would give Ohio policymakers the ability to assess current and future supply and distribution of the health care workforce, and support the development of effective health care workforce policies," the brief states.


Cincinnati, Cleveland among six awarded grants to address 'super-utilizers'

Two Ohio communities are among six across the country to be awarded Robert Wood Johnson Foundation grants aimed at addressing "super-utilizers" of health care (Source: "‘Super-utilizers’ place huge burden on health-care system," Washington Post, Oct. 22, 2012).

Cleveland and Cincinnati join Boston, Humboldt County, California, Maine and Western Michigan as areas that will split $2.1 million to consider strategies to address those who are the heaviest utilizers of health care services. The communities have participated in RWJF's Aligning Forces for Quality initiative over the past few years.

According to the RWJF press release announcing the grants, “Health care spending in the United States is unevenly distributed, with the sickest 5 percent of patients causing more than 60 percent of health care costs.”

These type of patients began receiving increased national attention after a 2011 New Yorker article by Atul Gawande chronicled the work of a Camden, N.J. doctor who has developed innovative techniques for improving care to these so-called "hot spotters."


Cleveland-area trauma system shows early success

A new report shows that health outcomes for trauma patients in Northeast Ohio have improved significantly since the formation of a regional trauma system (Source: "New study touts effect of MetroHealth-Cleveland Clinic collaboration on local trauma care" Cleveland Plain Dealer, Sept. 24,
2014)

The Northern Ohio Trauma System, or NOTS, was formed in late 2009 as a collaboration between the Cleveland Clinic and MetroHealth Medical Center. The purpose of NOTS was to develop a more efficient model for trauma care, including standardized treatment and transportation protocols within the Greater Cleveland community.

In the two years since the establishment of NOTS, the mortality rate for traumas in Cleveland
dropped from 5.7 percent to 2.7  percent. The mortality rate for patients in Cuyahoga County and surrounding counties dropped from 4.4 percent to 2.7 percent, and the mortality rate for
patients with injuries such as gunshot or stab wounds dropped from 10.1 percent to 6.5 percent.

Nationally, outcomes for adult trauma patients have been steadily improving. Whether the study’s
measures of local improvement in trauma care are the result of NOTS or simply a reflection of the national trend is hard to say without examining the raw data. According to Dr. Brendan Patterson, chairman of NOTS, the full study will be released upon acceptance for publication.


Study finds telemedicine effective for depression treatment

A Northwestern University project has found that treatment of depression can be effectively undertaken over the phone, and patients are more likely to maintain treatment compared to those who seek in-person care (Source: “Depressed? Treatment May Be A Phone Call Away,” National Public Radio Shots blog, June 5, 2012)

After offering 18 weeks of cognitive behavioral therapy over the phone to more about 150 patients with severe depression, researchers at Northwestern University Feinberg School of Medicine found that only 4 percent dropped out, compared to 13 of a similar number of patients who were enrolled in face-to-face therapy.

"Often they need to travel some distance to get there," said David Mohr, the lead researcher on the project. "They may need to take time off of work, or away from their family."

Findings from the study were published this week in the Journal of the American Medical Association.

The research is the latest to highlight the potential of telemedicine to improve care.  On July 25, the Health Policy Institute, through support from HealthSpot, Nationwide Children’s Hospital and Cincinnati Children’s Hospital Medical Center, is hosting “Moving Telehealth Forward in Ohio.” The event is one of few in Ohio focused on bringing together Ohio’s stakeholders and policymakers around the issue of telehealth.

Click here for more information or to register.


HPIO to host July forum on telehealth

The Health Policy Institute announced this week that it will be hosting a forum on telehealth in July. 

Presented by HealthSpot, “Moving Telehealth Forward in Ohio” will feature presentations from Jon Linkous, Chief Executive Officer, American Telemedicine Association and Christine Martin, Executive Director, California Telemedicine & eHealth Center. The event will take place from 11 a.m. to 2:30 p.m. on July 25 at the Grand Oaks Events & Business Center in Grove City. 


Click here to register or for more information

Telehealth is an emerging strategy to address access and quality-of-care issues. The term “telehealth” includes subtopics such as an exchange of medical information from one site to another via electronic communications for the purpose of providing clinical support or care; remote clinical care and patient monitoring; e-health; professional and patient-related health education and health information management.

Few events in Ohio have focused on bringing together Ohio's stakeholders and policymakers specifically around the issues of telehealth. The forum is intended to:

1) Educate policymakers and stakeholders on national trends and challenges/opportunities associated with moving telehealth forward in Ohio

2) Discuss collaborative policymaking around telehealth

3) Showcase innovative and promising, Ohio-based telehealth projects and programs


Cleveland project wins $12.7 million Innovation award

An Ohio-based project is one of 26 that was awarded a Health Care Innovation Award, the Center for Medicare and Medicaid Innovationannounced earlier this week (Source: “Rainbow Babies and Children's Hospital gets $12.7 million federal award,” Cleveland Plain Dealer, May 8, 2012).

HHS Director Kathleen Seblius announced Tuesday that the care coordination project for children enrolled in Medicaid organized by Rainbow Babies & Children’s Hospital in Cleveland will get a $12.7 million federal grant. The project is titled “Transforming pediatric ambulatory care: the physician extension team (PET).”

According to the CMMI announcement, “the intervention will offer health care advice, referrals, and care coordination services through telehealth and home nurse hotlines; provide practice-tailored facilitation for primary care providers; and provide financial incentives to primary care physicians who reach quality performance targets, agree to offer extended hours, and make themselves available to treat these vulnerable children.”

Rainbow Babies and Children’s Hospital is partnering on the project with Ohio Medicaid, CareSource, WellCare, 4 community mental health agencies, Cuyahoga Community College, Cleveland Schools, Head Start, InstantCare, and HealthSpot.

“We are changing the health care delivery system for all pediatric patients and improving child health overall,” said Leona Cuttler, MD, UH Rainbow Babies & Children’s Hospital’s Director of the Center for Child Health and Policy, Chief of Pediatric Endocrinology, Diabetes and Metabolism and Professor of Pediatrics at Case Western Reserve University School of Medicine in a news release. “Our goal with the PET model is develop a sustainable coordinated system that improves the quality of outpatient care for children, increases their access to physicians, improves pediatric behavioral health services, decreases unnecessary emergency visits and hospitalizations and advances the health and functionality of children with complex chronic conditions.”


HPIO Innovation Conference material available

On Thursday, 200 people attended the Health Policy Institute of Ohio’s inaugural Health Innovations in Ohio conference in Lewis Center.

All presentations from the conference have been posted at www.hpio.net/conference

The conference highlighted Ohio-based projects that demonstrate promise for reducing costs while improving health. The purpose of the conference was  to showcase promising practices and innovative health policy solutions that will help to improve health and reduce costs, and to equip and motivate policymakers and other stakeholders to build upon the successful efforts that are already being implemented in Ohio.  

The presenting sponsor for the conference was AARP Ohio and other organizations supporting the event included OhioHealth, The Success Group, Kaiser Permanente, Bailey Cavalieri LLC, Summa Health System, ProMedica, Mercy, Mount Carmel and Pfizer.