Population

WE NEED TO BE ABLE TO DECREASE THE PER CAPITA NET COST PER AGE ADJUSTED PERSON.

 

WHY DOES NET IN-MIGRATIONS DECREASE?

WHY NOT INCLUDE THE SUMMED (TOTAL) POPULATION FLOW IN THIS GRAPH?

PLEASE SHOW AGE-STANDARDIZED DEATH RATES, WHICH DECREASE RATHER THAN INCREASE. THIS IS A SIGNIFICANT GOAL OF THE CITIZENS. MIGHT BE INTERESTING TO SE THIS BY AGE GROUP, INCOME, EDUCATION LEVEL, AND SOME IMPUTED LOSADA RATIO AS WELL.

 

BIG STORY HERE. HUGE PROBLEM IN JAPAN. MORE COSTLY SENIOR WITH FEWER WORKERS AND CARE GIVERS! ARE THERE PLACES IN THE MODEL THAT SHOW THE IMPACTS OF THESE DEMOGRAPHICS COMBINED?

 

 

W

WHY ARE WHATCOM AND ALAMEDA AGING FASTER THAN THE OTHER TWO?

WHEN DOES THE DEMOGRAPHIC BULGE WORK ITS WAY THOUGH? WHAT ARE THE EFFECTS THEN? IS THAT TOO FAR IN THE FUTURE TO INFORM ANY CURRENT STRATEGIES?

HAVE WE MODELED A DRAMATIC INCREASE IN UNINSURED, UNDERINSURED AND MEDICAID?

I NEED HELP MODELING SCENARIOS WITH INCREASED UNINSURED, INCREASED MEDICAID, AND DECREASED COMMERCIAL? THEN ADD THE “RADICAL VALUE CREATING” INTERVENTIONS WE ARE PLANNING IN OUR ACO TO THAT MODEL. LETS ALL GO THROUGH THE STRATEGIC CATEGORIES TO CREATE KEY SCENARIOS OF WHATCOM (PPT)

RADICAL REORIENTATION OF VALUE:

Coach and coordinate health care
–Improve routine preventive and chronic physical illness care
–Provide adherence support for routine care
–Improve care for chronic mental illness
–Enable healthier behaviors
–Improve post-discharge care to reduce hospital readmissions
•Extend the use of hospice care

 FINANCE THE NEW SYSTEM:

Establish innovation fund
Capture savings
•Insurance coverage expanded as a result of federal mandate
•Pay providers for performance (out of captured savings)
 
COMMUNITY OPPORTUNITIES
 
Create pathways to advantage
•Reduce environmental hazards
•Reduce crime
 
REDESIGN THE PROFESSIONAL WORKPLACE
 
Create medical homes
–Redesign primary care practices for efficiency
–Recruit primary care providers in private practice
–Recruit primary care providers for safety net clinics
Improve hospital efficiency
–Prevent hospital-acquired infections

THIS IS WHERE P4MEDICINE WOULD MAKE A DIFFERENCE. INCLUDE STRESS -PAM-RESILIENCE, JOB LOSS, DECREASING SES. INSIGNIA WOULD LIKELY HELP.

 

AGE ADJUSTMENT WOULD MAKE THIS COMPARISON MORE USEFUL–RE POSSIBLE LEARNING FROM ONE COMMUNITY TO ANOTHER.

 

 

COMMUNITIES NEED STRATEGIES FOR EACH SEGMENT. COMMUNITY BASED SOLUTIONS, CARE DELIVERY CHANGES, PROFESSIONAL WORKPLACE CHANGES.

 

STRATEGIES? MODEL RELEVANT STRATEGIES TO CHANGE THIS?

 

I MISSED UNINSURED FRACTION COMPARRISON. NEED TO ADD IT IN.

 

STRATEGIES?

 

 

 

STRATEGIES?

 

26% IN WHATCOM! WHAT PARTS OF THE COUNTY?

STRATEGIES?

STRATEGIES?

TALK WITH DAVID K. AND DEAN WHITE.