Dr. Michelle Gourdine

"Any discussion of public health funding in the U.S. must start with how little there is." If you want to better understand the sad state of public health funding, this is the piece to read. #publichealth #funding https://lnkd.in/dbnVpkuQ

34

6 Comments

What equity frameworks does your organization use? Have you seen the Agency for Healthcare Research and Quality's "Practical Guide for Implementing the Digital Healthcare Equity Framework"? AHRQ takes an intentional approach to considering equity throughout the digital healthcare lifecycle aims to promote improvement in: • Clinical outcomes such as mortality, morbidity, and health/quality of life • Process outcomes such as care continuity, care coordination, and care quality • Healthcare experiences such as patient satisfaction/engagement and provider satisfaction/engagement #HealthcareEquity #ClinicalOutcomes #PatientExperience https://lnkd.in/eTA9d9Gn

1

The Population Health Alliance is the only membership-based program serving all healthcare stakeholders who have skin in the game on Population Health. We all know there is so much work to do to improve the equity, access, outcomes and costs in the U.S. healthcare system. By coming together to drive change we create better outcomes. Please join us and bring your voice to the table. Contact me directly or our Executive Director Thomas Stefaniak, MBA, CAE with inquiries about joining our Alliance! As a member you can actively serve on one of our committees focused on driving REAL change in healthcare! #populationhealth #populationhealthmanagement #healthoutcomes #healthcaretransformation

3

The Association of Healthcare Value Analysis Professionals (AHVAP) celebrates Elizabeth Eisenberg, MSN, RN, CVAHP from Scripps Health for commitment to excellence in the specialty of healthcare value analysis! Liz has signified this commitment by signing the official Association of Healthcare Value Analysis Professionals (AHVAP) healthcare value analysis pledge. To learn more about the Association of Healthcare Value Analysis Professionals (AHVAP) Commitment pledge: https://lnkd.in/gqEWPBue. #AHVAP #valuebasedcare #excellenceincare #valueanalysis

7

A new #EBHC scoping review explores how health service and delivery systems in high-income countries define and operationalise #HealthEquity. 👉 https://ow.ly/ZxaY50ShGWU

18

Do Medicaid recipients get the same care as Medicare recipients? In a new paper with Calvin Ackley, Abe Dunn , and Eli Liebman we find that Medicare recipients recieve 20% more services than Medicaid patients, including high-value care. We track over 22 thousand Medicaid recipients who become "dual enrolled" in Medicare when they turn 65. Dual-enrolled Medicare patients rarely face any out-of-pocket expenses (nor did they when they were on Medicaid) so there are likely to be minimal demand side-effects when they switch from Medicaid to Medicare. Most of the change stems from physicians who are "Medicaid Averse" which we define as a provider who did not see any new Medicaid patients over the last year. This means Medicaid's smaller network size, including Medicaid aversion, is a driving force in limiting services. https://t.co/eXEaHybuz0 #healthcare #medicare #medicaid

26

1 Comment

Are you ready to stay the course, even when the finish line keeps moving? I want to share a story about a journey that took nearly two decades to complete. I represented a group of New York hospitals facing a complex Medicare payment issue. Our strategy required us to pivot between regulatory and legislative avenues multiple times, highlighting the importance of adaptability in any long-term plan. It took: ✅Patience ✅Tenacity ✅And unwavering confidence In our evolving strategy to ultimately succeed after 20 years. Remember, real change takes time. But with a resilient mindset, you can navigate any challenge and achieve your objectives. Stay confident and adaptable in your pursuits! #PersistencePays #LeadershipLessons #StrategicPlanning #AdaptAndOvercome

9

In our latest blog, Sarabeth Zemel discusses the support for utilizing Community Care Hubs in states' #Medicaid 1115 waivers as they work to address health related social needs (#HRSNs). Read more about the innovative strategies that states are implementing here: https://lnkd.in/g_xXDNQU #1115Waiver #NorthCarolina #NYS #CalAIM

10

New paper out with colleagues RAND & Children's Hospital of Philadelphia in American Academy of Pediatrics journal Pediatrics which aims to develop quality measures for #opioid-exposed infants. This work was funded by The National Institute on Drug Abuse (NIDA). Despite the rapid rise of opioid-exposed infants, there are no validated quality measures to better understand the care they develop. Furthermore, much of the attention of opioid-exposed infants has focused only on the subset that develops NOWS/NAS, instead of the whole population. We conducted a Modified Delphi/Expert Lens panel of clinicians, public health experts, people with lived experience and others. We reached consensus on a number of measures ... next up operationalizing them & validating. Want to learn out more? Check out the great video abstract recorded by Dr. Harrison in the link and check out the paper. https://lnkd.in/e7E4vPx9

24

2 Comments

Thoughtful, complete primer by Center for Health Care Strategies on how to develop primary care population-based payment models in Medicaid. Recommended reading for Medicaid policy makers, as well as those operating in the government program value-based space. I've spent a lot of time thinking through how to bring value-based care to Medicaid, feel like the authors identified most, if not all the key elements. I think risk adjustment, as identified in the primer, is what can move this from theory to reality. As we know states their need to close the books annually, so a key challenge is creating a risk adjustment methodology that meets VBC goals and keeps the program on budget. Appreciate the suggestions of both medical AND social risk adjustment as an approach. Loved this quote, "When developing a social risk adjustment methodology, it is important for states to understand their goals for the adjustment: Is it to predict costs as accurately as possible or increase investment in primary care? Could it be both? Or are there potentially other goals to consider?" Would Centers for Medicare & Medicaid Services ever consider have federal dollars pay for Medicaid risk adjustment?

26

1 Comment

Just released! Our #SDOH and #HealthEquity Workgroup has published "Recommendations for Determinant Capture," suggested guidelines for standardizing how domain risk is captured in #EHRs. "Absence of clear guidelines for risk assessment and standardized representation of risks in EHRs hinders effective data exchange to inform interactions at the point of care," writes the Workgroup. Click here to download: https://ow.ly/WTaj50RpvuC

4

The Innovation and Value Initiative (IVI) launches new project addressing #patientcentered economic impacts in health care, engaging stakeholders to broaden understanding and improve patient-centered care. Read at The Evidence Base® #healtheconomics #heor #outcomesresearch #rwe #rwd #realworldevidence #realworlddata #healthdata #healthequity #patientengagement

5

NIH FUNDING OPPORTUNITIES TO ADDRESS HEALTH DISPARITIES Notice of Intent to Publish a Funding Opportunity Announcement for Understanding the Intersection of Social Inequities to Optimize Health and Reduce Health Disparities: The Axes Initiative (R01 Clinical Trial Optional) Notice Number: NOT-NR-24-009 Key Dates Release Date: March 20, 2024 Estimated Publication Date of Notice of Funding Opportunity : April 2024 First Estimated Application Due Date: July 2024 Earliest Estimated Award Date: April 01, 2025 Earliest Estimated Start Date: April 01, 2025   Examples of projects that may be supported by the Axes Initiative include, but are not limited to:  --> Comparative studies that examine similarities and differences in pathways and mechanisms of health and health disparity impacts across intersectional statuses. --> Studies that focus on embodiment or biological embedding, i.e., how exposure to various forms of privilege and oppression converge to affect SDOH experienced by people at intersections of social statuses and, in turn, effect underlying biological processes (e.g., epigenome, allostatic load, inflammation, microbiome, neurological signatures). --> Longitudinal and life course studies that examine pathways and mechanisms over time and across generations at intersections of social statuses. --> Studies that examine the multilevel pathways and mechanisms through which concentrated disadvantage impacts health at different intersections of social statuses. --> Studies that examine pathways and mechanisms to explain unexpected positive health outcomes across intersecting social statuses. --> Studies that identify protective factors at multiple levels (e.g., individual, interpersonal, institutional, community, societal) and the ways these protective factors buffer effects of oppression on health disparities. -->Studies that examine the differential impact of policies and laws at the federal, state, and/or local levels at varied axes of privilege and oppression. -->Simulation studies that estimate the impacts of strategies to ameliorate adverse or positive SDOH to reveal pathways or mechanisms of action that effect change at the individual, community, and population levels. 

1

1 Comment

Now available - Bundled Payments for Care Improvement (BPCI Advanced) Model Year 4 evaluation findings: go.cms.gov/bpci-adv-ar5 and At a Glance report: https://lnkd.in/e49jD3YM BPCI Advanced aims to provide patients high-quality, coordinated care, support successful recovery and reduce the frequency and length of preventable hospital stays and emergency department use during a clinical episode: go.cms.gov/bpci-advanced.

32

🏥 Extending Hospital at Home: A Bipartisan Initiative 🏥 Senators Tom Carper (D-Del.) and Tim Scott (R-S.C.) have introduced the Hospital Inpatient Services Modernization Act of 2024. This pivotal legislation aims to extend the CMS Acute Hospital Care at Home waiver program for five additional years. Here's what this means: - **Continued Success**: The program has shown to reduce healthcare costs, improve patient outcomes, and alleviate hospital burdens. - **National Reach**: Currently active in 37 states, including Delaware and South Carolina, with the program set to expire on December 31, 2024. - **Home Care Benefits**: Enables Medicare beneficiaries to receive hospital-level care in the comfort of their own homes. - **Bipartisan Support**: This extension builds on prior successes and bipartisan efforts to innovate healthcare delivery. - **Healthcare Evolution**: ChristianaCare has successfully admitted over 1,000 patients, showcasing the effectiveness and patient satisfaction with home-based care. 🗨️ "Our efforts aim to revolutionize healthcare by allowing vulnerable Americans to receive high-quality care at home, reducing traditional hospital risks," said Senator Scott. Take a look a the bill here: https://lnkd.in/ge4CMpx8 #HospitalAtHome #HealthcareInnovation #BipartisanHealthcare #Medicare #HomeCare #PatientCare #HealthPolicy #ModernMedicine #SeniorCare #CMS 👩‍⚕️🏡 Let's support the future of healthcare, where home is where the healing happens!

2

3 Comments

Mark your calendars for this upcoming webinar presented by the Public Health Accreditation Board on the "Practical Application of the Foundational Public Health Services"! For more information or to register, check out their post below! #KSPublicHealth

4

1 Comment

Join us tomorrow at the 10th Annual SDoH and Health Equity Innovations to Transform Population Health Conference, hosted by Strategic Solutions Network in Orlando, Florida. Our President, Jean Drummond, will present at 9:45 a.m. on "Using Actionable Data Insights to Close Gaps in Care for SDoH and Reduce Health Disparities." The discussion will cover the following topics : 🔶 Creating and implementing actionable data insights for decision-making 🔶 Applying a health equity lens to reduce gaps in care and SDoH barriers 🔶 Integrating multiple data sets to refine population health interventions 🔶Using a centralized dashboard to make integrated, nuanced, data-driven decisions For more information, Contact HCDI directly info@hcdi.com or Visit Hcdi.com #HCDI #HCDInternational #HealthCareDynamicsInternational #Florida #Healthcare #Healthequity #populationhealth #Healthdisparities #Healthtransformation #HEDIS #HEDISgaps #HEDISgapclosure #Healthplans #Dataanalyticsforhealthplans #healthplanflorida #healthcareflorida #Populationhealth #populationhealthsummit #populationhealthconference #SDoHhealthequitysummit

2

It's thrilling to have Thomas Novak, the whisperer of all things related to #Medicaid systems interoperability, mention #Consent Management services, not once, but TWICE in a single post. For those who missed it, state Medicaid agencies can receive enhanced federal matching funds to provide supportive health IT services that improve care coordination for individuals being treated for behavioral health and/or substance use disorders (SUDs). Electronic Consent Management (ECM), for those new to the concept, means offering an accessible source-of-truth database for the data-sharing preferences (consents) of individuals with sensitive information in their health records to be stored and made known, with role-based access controls. The ECM does not store medical records; rather it serves as a traffic cop for organizations that need to share specially-protected information for the purpose of care coordination, or for other purposes as individuals choose to allow, based on consent forms in the system (e.g., eligibility and enrollment, research studies, notification of clinical trials, and others). Care coordination for behavioral health and SUD treatment is highlighted in the announcement, but this service will be valuable for reproductive and gender-related healthcare services as well. There will be a roadmap available soon to state Medicaid agencies that are interested in implementing an ECM, because this is exactly what Washington State Health Care Authority is doing with Midato Health's ShareApprove electronic consent management registry service! Washington's service will be called ConsentLink, and the first SUD clinics in Washington are slated to go-live on ConsentLink on August 13th. Stay tuned! A partial list of people and organizations instrumental to Midato Health: Laura Nixon Pete Robinson Mike Bertrand Cindy Throop Brett Johnson Mohammad Jafari Don Ross, BS, ACHE John Barranco Bren Shipley Dawn Bonder Vatsala Kapur Vani Kapur Douglas Jenkins Laura Kreofsky, MHA, MBA, PMP, CDH-E Preston Dodd Tresa Thomas Massiongale Mary-Sara Jones Jerry Carleton Yan Cui Graham Baradoy Fred Hong Lucy Wightwick Ayaka Yoshida Danni Zhang Jing Yan (Jennifer) Dai Waleola Akinsanmi Kyle Bacon Catherine Veraghen @360 Social Impact Studios Newfire Global Partners Toptal Delap LLP Immix Law Amazon Web Services (AWS) Olio https://lnkd.in/gGSSp7ju

28