Friday, January 2

Pilot Accountable Communities of Health Announced

The Washington Health Care Authority today announced two awards of $150,000 each to further support and test the design of regional coalitions called Accountable Communities of Health (ACHs).

The two selected pilot ACHs are:
  • North Sound Accountable Community of Health, supported by Whatcom Alliance for Health Advancement. Serves the North Sound Regional Service Area: Whatcom, Skagit, Island, San Juan and Snohomish counties.
  • Cascade Pacific Action Alliance, supported by CHOICE Regional Health Network. Serves the Timberlands and Thurston-Mason Regional Service Areas: Cowlitz, Grays Harbor, Lewis, Mason, Pacific, Thurston and Wahkiakum counties.
ACHs are an essential component of the State Health Care Innovation Plan and our state’s Healthier Washington initiative, in which we are focused on better health, better care and lower costs for Washington residents.

“No single organization or sector in a community can independently create lasting, transformative change in health and health care,” HCA Director Dorothy Teeter said. “We need clinical, community and government entities at the table together with clearly defined goals that support their community’s whole-person health—including physical health, behavioral health, and the many social determinants of health such as housing and education.”

House Bill 2572, passed during the 2014 legislative session and signed into law by Gov. Jay Inslee, creates a more effective health care purchasing system in Washington. The legislation authorized funding for two pilot ACHs through June 30, 2015. The two pilot communities will further develop and test the ACH governance structure and decision-making process, engagement strategy, and administrative support functions.

This is the next step in the multi-phased ACH initiative, with the ultimate goal of community empowerment and accountability for regional health improvement:
  • 2014-2015: Community Engagement through Community of Health (COH) Planning Grants
  • 2015-2016: Community Empowerment through regional Pilot and Design Grants
  • By 2016-2018: Community Empowerment and Accountability through designated ACHs, evaluation and continued development

The two pilot ACHs are two of 10 entities previously funded by the COH planning grants of up to $50,000 each.  The planning grants—which started on July 1, 2014 and ended December 31, 2014—helped communities begin or expand regional efforts to improve community engagement and multi-sector collaboration for health improvement.

In addition to the two Pilot ACHs, HCA intends to provide ACH design funding to coalitions within the remaining seven Regional Service Areas as part of the next phase of development. 

Saturday, September 27

MU Stage 2 - view download "OR" Transmit 48% achieved it with portals

I often hear doctors lamenting how they shouldn't be held accountable for getting 5% of their patients to log on and view download and transmit their health data. They don't need to!  It is a misunderstanding between what the EHR is required to offer vs what patients are being asked to do.

Although EHR's have to have the ability to do all three view, download AND Transmit to be certified  order for providers and hospitals to meet MU State 2 patients only have to view or download or transmit (NOT AND).

This is critical since it means all you need is to have 5% of patients log onto the portal and view their data.. In those hospitals that have a patient portal 48% of patients log on which is 9x the threshold.

ONC as part of the blue button campaign blurred the lines between what an EHR has to have built in and what providers and hospitals and patients need to do..

Of course it is nice to be able to download data but very often you just want to see it and perhaps print it vs send it someplace else.. Eventually when EHR"s are able to "receive" data this might be of value (since in some areas patients are still the defacto HIE).

Also just as an FYI - nearly all of primary care requires providers asking patients to "do" something in order to manage their chronic conditions or heal from a trauma or other injury so I don't accept it when I hear doctors claim that they shouldn't be held accountable for their patients actions when in fact that is the core of much of their job.  It also however might explain why there is a real disconnect between patients confidence (a surrogate for patient engagement and directly linked to outcomes and patient satisfaction) in managing their health and providers expectations.