1. Why The World Wants Smarter Coordinated Care Paul Grundy MD, MPH IBM International Director Healthcare Transformation Paul Grundy, MD, MPH, FACOEM, FACPM IBM Director Healthcare Transformation President Patient Centered Primary Care Collaborative Trip to Denmark July 10 2009

2. Learning Objectives Why our nation wants to move to coordinated, integrated comprehensive care Why the PCMH concept was created and what the intent is. What the ACO PCMH is Why Employers and other buyers want PCMH Models of different organizations that could be transformed into PCMH/ACOs, such as integrated delivery systems, multispecialty group practices, physician-hospital organizations, independent practice associations, and virtual physician organizations. How the Medicare shared savings program for ACOs is supposed to work when it takes effect by January 2012. How PCMH ACOs would be paid to provide care. The long road ahead for crafting federal regulations that will flesh out the details of PCMH ACOs.

5. In Bermuda you are going broke just like the USA -- $7,730 for every man, woman and child today and about twice that by 2016. This is even more than the $7,538 per person spent on health in the U.S., according to OECD data, and more than twice the $3,000 average for all OECD countries. The Cause is clear – Mostly- unregulated fee-for-service payments and an over reliance on rescue/specialty care. stark evidence that the U.S. health care Industry and Bermuda’s has been failing us for years , “ Commonly cited causes for the nation's poor performance are not to blame – it is the failure of the deliver system !! Bermuda

7. $10,743 $28,530 Costs continue their upward climb… … with employers still picking up much of the tab… +166% Why Innovate Affordability $0 $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 a - Employer Cost - Employee Payroll Contributions - Employee Out of Pocket Expenses 2001 2009 2019 $4,918 + 118%

8. Health care is a business issue, not a benefits issue

11. How do you fix the foundational issue: our healthcare system is so High Cost and yet so low value ?? Average health spend per capita ($US PPP) Source: K. Davis, C. Schoen, S. Guterman, T. Shih, S. C. Schoenbaum, and I. Weinbaum, Slowing the Growth of U.S. Health Care Expenditures: What Are the Options?, The Commonwealth Fund, January 2007, updated with 2009 OECD data

12. The World Health Organizations ranks the U.S. as the 37 th best overall healthcare system in the world Countries’ age-standardized death rates, list of conditions considered amenable to health care Source: E. Nolte and C. M. McKee, Measuring the Health of Nations: Updating an Earlier Analysis, Health Affairs, January/February 2008, 27(1):58–71

13. “ We don't have a healthcare delivery system in this country. We have an expensive plethora of uncoordinated, unlinked, micro systems, each performing in ways that too often create sub-optimal performance, both for the overall health care infrastructure and for individual patients." George Halvorson, from “ Healthcare Reform Now Coordination -- we do NOT know how to play as a team Saudi Arabia’s King Abdulaziz will travel to the U.S. to receive treatment slipped disc

14. “ We do heart surgery more often than anyone, but we need to , because patients are not given the kind of coordinated primary care that would prevent chronic heart disease from becoming acute.” George Halvorson’s (CEO Kaiser) from “ Healthcare Reform Now

15. Health Care Reform The Flexner Report "We have, indeed, in America, medical practitioners (medical communities) not inferior to the best elsewhere; but there is probably no other country in the world in which there is so great a distance and so fatal a difference between the best, the average, and the worst.“ Abraham Flexner 1910 94 out of 160 medical schools were closed

16. A long-term comprehensive relationship with your Personal Physician empowered with the right tools and linked to your care team can result in better overall family health…

17. The Trusted Clinician Can be a Powerful Influence Source: Magee, J., Relationship Based health Care in the United States, United Kingdom, Canada, Germany, South Africa and Japan. 2003

19. TODAY’S CARE Comprehensive CARE My patients are those who make appointments to see me Our patients are the population community Care is determined by today’s problem and time available today Care is determined by a proactive plan to meet patient needs with or without visits Care varies by scheduled time and memory or skill of the doctor Care is standardized according to evidence-based guidelines Patients are responsible for coordinating their own care A prepared team of professionals coordinates all patients’ care I know I deliver high quality care because I’m well trained We measure our quality and make rapid changes to improve it It’s up to the patient to tell us what happened to them We track tests & consultations, and follow-up after ED & hospital Clinic operations center on meeting the doctor’s needs A multidisciplinary team works at the top of our licenses to serve patients Slide from Daniel Duffy MD School of Community Medicine Tulsa Oklahoma

22. Geisinger Health System 9% less Cost - 48% 7.9% 15.2% Hospital re-admissions - 20% 291/1000 365/1000 Hospital Admission Percent reduction First pilot year Jan – Oct 2007 Pre-Test period Jan - Oct 2006 Lewisburg Penn

23. Vermont Financial Impact 2009 2010 2011 2012 2013 Percentage of Vermont population participating 6.7% 9.8% 13.0% 20.0% 40.0% Participating population 42,179 61,880 82,332 127,045 254,852 # Community Care Teams 2 3 4 6 13

25. A journey to higher quality lower cost quality as well as efficiency

26. Trajectory to Value Based Purchasing : Achieving Real Care Coordination and Outcome Measurement

27. IBM Announces FREE Primary care to its employees Give Employees 100% Coverage for Primary Care This is part of our partnership with Primary care in our journey together for better healthcare

28. Current Payment Systems reward Down stream cost Penalize Quality, Prevention, Primary care and Reward Volume

29. Healthcare Costs Can Be Reduced but needs to be Moved upstream to reduce downstream cost

31. Purchaser Guide PCPCC Brochure Medication Management Payment Reform Meaningful Connections Value Based Insurance Design PCPCC Consumer PCPCC Pilot

32. The PCMH model impacts stakeholders across the continuum of care Pharma: Improved communication platforms and relationships with healthcare providers, patients and payers; increased sales through improved patient identification, diagnosis, and treatment; recognized as a key player in the patient health delivery value chain Payer: Improved member and employer satisfaction, lower costs, opportunity for new business models Employer: Lower healthcare costs, more productive workforce, improved employee satisfaction Government: Lower healthcare costs, healthier population Patient: Better, safer, less costly, more convenient care and better overall health, productive long-term relationship with a PCP Primary Care Provider: Increased focus on the patient and their health, greater access to health information; higher reimbursement; more PCPs Specialists: Better referrals, more integrated into whole patient care, better follow up less re- hospitalizations Hospital: Lower number of admissions and re-admissions for chronic disease patients; able to focus on procedures. Hospital Payer Employer Community Government Primary Care Provider Other Caregivers Pharmaceutical Manufacturers Nurse Specialists Social Worker PCMH Patient