1 eqro presentation august 25, 2015 dr. richard j. bookman, vp for program development

16
1 http://fmsqn.org EQRO Presentation August 25, 2015 Dr. Richard J. Bookman, VP for Program Development

Upload: benjamin-patterson

Post on 01-Jan-2016

214 views

Category:

Documents


0 download

TRANSCRIPT

1http://fmsqn.org

EQRO PresentationAugust 25, 2015

Dr. Richard J. Bookman, VP for Program Development

Who we are….(Florida’s 9 medical schools in a

501(c)3 )

• Florida Atlantic University• Florida International University• Florida State University• Lake Erie College of

Osteopathic Medicine • Nova Southeastern University• University of Central Florida• University of Florida• University of Miami• University of South Florida

2

What we do as med schools….

• Provide >3 million encounters with Medicaid and uninsured patients/year

• Produce ~1000 new MDs and DOs/year

• Train >3000 residents and clinical fellows

• Carry out >$500 million of biomedical & health policy-relevant research/year

• ~4,000 physicians + thousands of other healthcare professionals providing care

3

What we do….together

• Identify opportunities to improve health, quality of care, outcomes and efficiency of care delivery• Identify new medical science

that needs to be culturalized and adapted for Medicaid communities in Florida• Identify interested experts• Assemble teams• Run projects• Disseminate results

4

Our visionFMSQN, through relationships with patients, providers,

payers, industry, the Centers for Medicare and

Medicaid Services (CMS) and the Agency for Health

Care Administration (AHCA), will serve as a Research

and Development (R&D) partner with Florida’s

Medicaid Program.

By leveraging our expertise in medicine, in research

and in education, we can accelerate our shared pursuit

of the “Triple Aim” to the benefit of those in need.

5

FMSQN in Florida Statutes409.975 Managed Care Plan Accountability

(2) FLORIDA MEDICAL SCHOOLS QUALITY NETWORK.

The agency shall contract with a single organization

representing medical schools and graduate medical

education programs in the state for the purpose of

establishing an active and ongoing program to improve

clinical outcomes in all managed care plans. Contracted

activities must support greater clinical integration for

Medicaid enrollees through interdependent and

cooperative efforts of all providers participating in

managed care plans. The agency shall support these

activities with certified public expenditures and any

earned federal matching funds and shall seek any plan

amendments or waivers necessary to comply with this

subsection. To be eligible to participate in the quality

network, a medical school must contract with each

managed care plan in its region.6

Where do ideas for FMSQN projects come

from?① AHCA② FMSQN (the med

schools)③ Plans④ Providers⑤ CMS⑥ Other…

7

How do FMSQN projects get paid for?

50% Federal from CMS thru AHCA

50% from FMSQN

8

NOW:

How do FMSQN projects get paid for?

State of FL General RevenueFoundationsIndustry, etc.

9

Future:

First FMSQN Project:

Pediatric Oral Health

Three Concerns:o Are PCPs providing adequate

screening?

o Are PCPs providing adequate and

effective counseling?

o Are parents and kids following

counseling? 10

Study Team:

① Dr. Elizabeth Shenkman (UF), statewide lead

investigator

② + UF (Health Outcomes & Policy, College of

Dentistry)

③ + UM (Pediatrics, Family Medicine, Health

Communications)

④ + FSU (Clinical Sciences)

11

Pediatric Oral Health

Study Design:

① Literature review – best practices, state of

knowledge

② Gather stakeholder input through focus

groups

③ Design interventions

④ Field test interventions

⑤ Refine intervention toolkit

12

Pediatric Oral Health

Pediatric Oral Health

What’s in it for you?1)An opportunity to provide input during design

stage (i.e., focus groups)

2)Contribute to the design of toolkits and pilot

testing

3)Receive the results of pilot testing

4)Toolkits, focusing on families and on practice

flow in busy offices, to help improve screening

and oral health outcomes.13

Projects in the Pipeline

AHCA: Perinatal Quality: C-section

rates & more

FMSQN:Real-time quality surveys:

can we use text messages?

14

How can we help you innovate and

improve?Please contact:

Dr. Richard J. Bookman

[email protected]

305-243-4487

15http://fmsqn.org

16