feorene presentation v2.0
DESCRIPTION
Presentation as a panelist at the NAHC \'12 Physician Leadership Forum. Great audience with excellent discussion.TRANSCRIPT
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
colonnadehealthcare.comwww.colonnadehealthcare.com
Physician Leadership Forum
National Association for Home Care & Hospice
Annual Meeting & Exposition
Monday, October 22, 2012
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
ACO
Bundling
Integrated Care Models
Patient Centered Medical Home
Independence at Home
MCO Innovation
Dual Eligibles
2
PPACA Offers Opportunities for Home Care
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
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Reforms creates market forces that will present challenges
Continued downward pressure on fees and margins
Potential to be viewed as a
“vendor” and not a “solutions
provider”
Accountability for quality and outcomes throughout episode
Revenue
Care Continuum Value Position
Provider
Provider Concerns
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
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Redefining The Value StatementOffering An Integrated Solution to Post-discharge Care Management
Medical care delivery in the patient’s residence
Alternative for follow-up visit to busy PCP office with access and scope limitations
Integrated, collaborative care in a SNF using physicians and Advanced Practice Providers
Offering ED physicians clincally appropriate options to an I/P
admission
Acute Care
MedicalHouse Calls
ED Diversion
DischargeClinic
SPaRC
Home Care
TechnologyCare Transitions
Psycho-social Support
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
ChallengesOpportunities
Opportunities Bring Challenges
5
Increased demand for home care workforce
“Just” a tool for value based contracts
Infrastructure for a accountable provider
Integration of medical capability
Increased Volumes
Maintain and Enhance Margins
Move up the Value Chain
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
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A foundation for providing value present challenges
Build, buy or JV to create necessary infrastructure
Able to “lay hands” on patients
at the right time with the right
clinician
Programs and technology to enable superior DM capabilities
Care Coordination Infrastructure
DiseaseManagement
Care Delivery
Comprehensive Care Manager
Home-based Care
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
Transitional CareMedical House Calls
Hospital At Home
Home-Based Chronic Care
Care Coordination Solutions
Technology Links & Integrates
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
Dual Strategy:Volume and Solutions Provider
Volume Driven Provider
Solutions Provider
Both• Growth for the sake of
scale
• Streamlined and
efficient culture
• Consistent evaluation
of winning and losing
business lines
• Packaged solution
with niche value
proposition
• Build versus buy to fill
needed capacity
• Focused with building
care coordination
infrastructure
• Dedicated leadership
vendor and solutions
strategy
• Clear vision for each
strategy
• Alignment of
resources
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
Solutions Provider
Focus operational strategies on building care coordination infrastructure
Have or willing to build/buy capability to manage at-risk or high-cost patients
Ability to communicate their value proposition as a solutions provider
Capable or moving towards an ability to manage risk
Solutions Provider Characteristics
9
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
Case Study: Home Care
• A $30M+ regional powerhouse founded in 1996
• Serves the central and southwest Ohio triangle of Columbus, Dayton and Cincinnati
• Services– Skilled nursing and therapy
– Private duty services
– Hospice (2013)
• Growth – Organic - focus on quality
– Keen eye for strategic acquisitions of both skilled and private duty agencies.
• Strategy– Add a medical house call program to move up the value
chain
10
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
Case Study: Home Care
• Results
– Closed acquisition of NP-lead HCP on
October 1, 2012
– Integrating HCP fourth quarter ‘12
– In discussion with two Dual Eligible MCOs
– Founding partner in post-acute care network
for contracting with Medicare Advantage and
ACOs
11
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
Notable Innovators
NaviHealth
Manages the post acute care benefit for MCO and hospital systems.
Leveraged health system’s brand name to provide MSO and affiliate relationships outside of hospitals footprint.
Home Care Division Regional Health System
Univita Health
Manages and coordinates post acute care benefit for MCO and hospital systems.
Mid-sized home care agency manages care coordination for 13 PCMH and 2 IAH programs.
Home Care/PCMH/IAH
Innovations in Post Acute Care
12
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
Care Coordination Strategy
Clinical Command Center
Care Delivery
Risk Management
Technology
Patient Recruitment
Craft a Comprehensive Care Coordination Strategy Guide and Integrate
30628 Detroit Road #148 Westlake, OH 44145-5844www.colonnadehealthcare.com I e. [email protected]
p. 440.871.2756 I f. 440.377.5685
• Operational
• Talent
• Competitors
• Payers
• Vendors
• Access to investment capital
Assessment
Evaluate your ability to add value