ACHP May 2016 Clinical Executives Collaborative Meeting

Overview

The Alliance of Community Health Plans (ACHP) Clinical Executives Collaborative, Medical Directors Council and Marketplace Leaders met concurrently on May 2 –3 in Philadelphia, Pennsylvania. The Clinical Executives Collaborative provides ACHP members a forum for rapid learning and communication of plan efforts to improve care management of populations with chronic and complex needs via innovative models of care redesign supported by value-based reimbursement. The meeting agenda addressed an array of topics including caring for members with complex needs, designing advanced primary care models, measuring and evaluating performance, using performance data to evolve models of care and building and strengthening the right team. Janet Tomcavage, Geisinger Health System; Mary Cooley, Priority Health; and Jennifer Sulkin, ACHP, serve as leaders of the collaborative.

Summary

ACHP Clinical Executives Collaborative Meeting Summary

Final Linked Agenda

ACHP Clinical Executives Collaborative Meeting Agenda (session titles linked with presentations)

Attendees List

Clinical Executives Collaborative Meeting Attendees

Pre-work/Pre-reading Materials

Recommended Pre-work

ACHP Strategic Planning Document – ACHP is in the process of developing a 3-5 year strategic plan with our Board of Directors and is looking to the medical directors for feedback on the value and future direction of ACHP’s clinical collaboratives. In preparation for this session, we have provided questions for your consideration.

Environmental Scan: Value of ACHP 3-5 Year Strategic Plan – details the major external issues likely to affect ACHP’s strategy for the next 3-5 years.

Building and Strengthening the Right Team Compilation – describes the design of care management teams at ACHP member organizations, including the ratio of care managers to patients, the onboarding/training process and the functions of the care managers. Thank you to everyone that provided responses to the pre-work!

Further Reading

The Conversation Project Overview – outlines the three-pronged strategy of The Conversation Project (TCP), a national public engagement campaign to ensure that each person’s wishes for end-of-life care are both expressed and respected.

The Patient-Centered Medical Home’s Impact on Cost and Quality: Annual Review of Evidence 2014-2015 – the latest report from Patient-Centered Primary Care Collaborative (PCPCC) highlights new evidence that links the patient-centered medical home (PCMH) with lower costs and improved health care quality.

Essential Elements of Care Redesign and Care Management – stresses the importance of care management and examines solutions that can aid health care organizations in their journey towards value-based care such as ProvenCare for care redesign, xGCare for care management and xGLearn for training.

xG Learn – provides a more detailed description of the offerings and benefits of xG Learn.

Essential Components of an Effective Care Management Model (October 2015) – offers a better understand what ACHP member organizations view as the essential components of an effective care management model. This information can be applied during the collaborative’s discussions on evolving models of care.

Clinical Executives Collaborative Charter – documents the function of the collaborative.