GDAHC — WWW.GDAHC.ORG G D A H C N E W S B R I E F

November 2012

The Patient Protection and Affordable Care Act (PPACA) and GDAHC - Kate Kohn-Parrott

The often-cited-as-but-never-proven-to-be already promoting improvements in health

Chinese phrase “may you live in interesting outcomes. times” is supposed to be a curse, exiling recipi- ents to the hinterlands where things are tough Areas of potential risk associated with imple- and demanding, challenging and tiresome, and mentation of PPACA as related to consumers create havoc in their lives. Depending on your and employers are addressed under the particular perspective, however, you could “Community Support” pillar. Specifically, there INSIDE THIS ISSUE: choose to view this phrase as a blessing rather is and will continue to be an increased need for

than a curse. Health Literacy. We know NOV. 1 COFFEE & 2 CONTROVERSY today that only 12 percent of

GDAHC HOSTS 2 Here we are post-election 2012 and most of patients understand what U.S. SURGEON GENERAL the challenges to PPACA have been they are told by their doctor. answered. We have an unparalleled opportuni- Recently, a friend of mine, AF4Q NATIONAL 3 MEETING ty to redefine the meaning and measurement who is a doctor, told me that of health, while (re)establishing a health care he was challenged to under- EXPANSION OF 3 EMERGENCY delivery system that focuses on improved stand the discussion he had DEPARTMENT PILOT quality, lower costs and access to care for all. with his doctor following a And, yes, also mandate individuals to have colonoscopy. Imagine if one Kate Kohn-Parrott, E X E R C I S E 3 President and CEO PROGRAM health care coverage and employers with 50 or doctor cannot understand more employees to provide health care another doctor, what this MEMBERSHIP 4 benefits or pay a penalty. might mean for non-medical patients. And we T H A N K Y O U 4 also know that many, many employers are SPONSORS GDAHC plays a critical role in synthesizing the unsure of the impact of PPACA on their voices across southeast to ensure business. These are areas where GDAHC will that seemingly disparate needs are understood provide much-needed guidance. We look to and met as we champion a healthy community our recently announced partnership with and help deliver on the promise of a high-value Crain’s to serve as a springboard for delivering

health care system. As part of our approach, important messaging. we have carved out specific strategies that support implementation of PPACA and move The time has come when we need to imple- the community closer to the GDAHC vision of ment the requirements of PPACA. Yes, much

“Healthy people. Healthy economy.” has been and is being done, but there is still much to do. Whether or not you favor the Our revised draft strategic plan contemplates changes wrought by federal health care reform grouping our activities into three pillars or (are they a blessing or curse?), we need to areas of focus: Cost and Quality; Community work collaboratively to ensure that the needs Support; and Public Policy, Networking and of our community are met as we define and

Education. Tactics under each pillar link to transition to new care delivery models. requirements of PPACA and are designed to help facilitate implementation of the act’s As always, I invite you to share your thoughts, provisions in . Initiatives, comments and questions with me at such as the Emergency Department Utilization [email protected]. I hope you have a project, under the “Cost and Quality” pillar are wonderful and peaceful Thanksgiving. GDAHC — WWW.GDAHC.ORG Page 2

November Coffee and Controversy

In honor of National Diabetes Awareness month, GDAHC’s November Coffee and Controversy featured a panel discussion on moving patients from screening to actively managing their diabetes health goals. Sue Hashisaka, Director of Clinical Transfor- mation for Southeast Michigan Beacon Community, kicked-off the morning discussion. She described the organization’s goals and interventions including an innovative part- nership with area Emergency Departments (ED) to identify previously undiagnosed diabetics and pre-diabetics and direct them to an appropriate care setting. Thousands of patients have been tested and many were identified as diabetic or pre-diabetic and From L: Connie Porter; Chris Van referred for care. Wynen, Sanofi; Sue Hashisaka; Kris Marcath; and Lisa Mason Connie Porter, RN, BSN, MDiv, CDE, Nurse Health Coach for Health Alliance Plan (HAP) explained HAP’s Nurse Health Coach program which identifies at-risk patients and assigns them a Nurse Health Coach who works individually with patients to help them reach their diabetes management goals. Patients are also assigned a “Health Buddy” which is a hand-held device that helps patients monitor diabetes. Kris Marcath, RN, BSN, Medical Policies and Appeals at Chrysler Group, LLC presented the employers’ perspective on this issue. Chrysler’s Diabetes Self-Management Education (DSME) program, in partnership with the UAW, is offered on-site to employees as well as follow-up with a certified diabetic educator and nutritional counseling. Among other benefits, Chrysler has on-site fitness centers and a farmers’ market at the tech center once a week. As a volunteer at Faith Community Nursing, Kris added information about Henry Ford Health System’s DSME project to educate members of the community to improve self-management of their diabetes. The presentation slides for each speaker can be found on the GDAHC website at www.gdahc.org, under the Events tab. There are also links to videos that highlight Beacon’s ED screening program and HAP’s “Health Buddy” program. Many thanks to event sponsor Sanofi for making the morning possible.

GDAHC Co-Hosts U.S. Surgeon General Visit

GDAHC, in collaboration with Business Forward, the Michigan Black Chamber of Commerce, and the Black Chamber of Commerce, co-hosted a business forum featuring U.S. Surgeon General, Dr. Regina Benjamin, on October 12 at the Charles Wright Museum of African-American History. GDAHC President and CEO, Kate Kohn-Parrott, welcomed guests followed by Ken Harris of the Michigan Black Chamber of Commerce. John Trotter, MD of the Detroit Black Chamber of Commerce served as the moderator. Dr. Benjamin presented the National Prevention Strategy which was developed by the National Prevention Council. The National Prevention Strategy’s main goal is to increase the number of Americans who are healthy at every stage of life. This will be accomplished through the following: building healthy and safe community environments, expanding quality preventive services in both clinical and community settings, empowering people to make healthy choices, and eliminating health disparities. Formed through the Affordable Care Act, the National Prevention Council is composed of the heads of 17 Federal agencies and chaired by the Surgeon General. Under the coordination of the National Prevention Council, federal agen- cies and private and public partners will work together to help implement the Strategy at the national, state, tribal, and local levels, recognizing the importance of a broad approach to addressing the health and well-being of our communities. After the presentation, panel members asked Dr. Benjamin questions that were From L: Kate Kohn-Parrott, Dr. Tom Simmer, submitted by attendees. Panel members included Michael Brady, CEO of and Dr. Cheryl Gibson-Fountain with U.S. MobileCare247; Cheryl Gibson-Fountain, MD, System; and Surgeon General, Dr. Regina Benjamin Tom Simmer, MD, SVP and Chief Medical Officer, Blue Cross Blue Shield of Michigan. GDAHC — WWW.GDAHC.ORG Page 3

GDAHC Staff & Members Attend AF4Q National Meeting

The Robert Wood Johnson Foundation’s (RWJF) Aligning Forces for Quality (AF4Q) communities, of which GDAHC is one, recently hosted a fall national meeting in San Francisco. This gathering of the 16 AF4Q communities provides an opportunity for GDAHC stakeholder representatives to meet and network with their counterparts from all over the country as well as hear success stories from several of the communities. In addition, there are nationally recognized experts as presenters at the meetings to impart the latest thinking and information to attendees. The meeting’s theme was “The Value of Story.” Participants were treated to presentations from Abraham Varghese, MD, author of “Cutting for Stone,” and CNN Conference Attendees Senior Medical Correspondent, Elizabeth Cohen. Dr. Varghese explained that “The voice of medicine can strip what makes each person a unique character.” It’s the personal story that encourages action. Both speakers emphasized how stories make the myriad health care statistics meaningful, and have a far more powerful impact. Thanks to the following participants who accompanied GDAHC staff - Kate Kohn-Parrott, Lisa Mason and Laurie Arora - to this meeting: - Employer Representative: Scott Lyon, Small Business Association of Michigan - Provider Representative: Brittany Bogan, Michigan Health and Hospital Association - Consumer Representatives: Ray Lozano, New Detroit, Inc., and Ilene Weathers, WYND Group - Health Plan Representative: Don Whitford, Priority Health

Expansion of Emergency Cardiac Disease Prevention Department Pilot Exercise Program

GDAHC’s Emergency Department (ED) Utilization GDAHC’s Cardiac Disease Prevention Exercise Team is spreading the success of its Primary Care Program kicked-off in October. Over thirty people Physician (PCP) Access Pilot to decrease use of the have signed on to participate in the Program. Imple- ED for PCP treatable conditions. In addition to several mented in a community setting, the Program local and national presentations, an interactive session participants are a diverse group of adults without was recently held at Blue Cross Blue Shield of Michi- known heart disease but who have risk factors and gan’s Physician Group Incentive Program (PGIP) committed to participate in a structured exercise Quarterly meeting. Presented by GDAHC staff mem- program. Goals of the Program include demonstrating ber Annie Ervin and GDAHC PCP Access Pilot part- reduction of risk factors in participants and creation of ner Jeni Hughes from Oakland Southfield Physicians, a template program that can be widely implemented the session provided an opportunity to share “An throughout the community. Implementation Guide for the PCP Access Toolkit.” Heart disease remains the leading cause of death in Over 100 participants reviewed the Guide and gener- the United States. Risk factors for heart disease, ated additional content. The toolkit includes samples including hypertension, diabetes and hypercholester- of a patient brochure/welcome letter, after hours olemia can be prevented and/or treated with regular telephone script and an access to Care policy. exercise. The Guide and Toolkit can be used by physician For more information, please contact Lisa Mason, practices and Physician Organizations (POs) in their Vice President of Cost Quality, at [email protected] efforts to reduce ED use for PCP treatable conditions or (313)596-0811 or Tawana Nettles-Robinson, and are available in the Provider Resources section of Program Manager of Community Health at myCareCompare.org. (313)596-0813. GDAHC is planning to expand the successful PCP Access Pilot to additional POs; interested POs should contact Lisa Mason at [email protected] or 313-596-0811. GDAHC — WWW.GDAHC.ORG Page 4

Executive Committee

Join our esteemed Membership and get great benefits that include: Chairman of the Board One free “member pass” for a future Coffee Richard Haller, Walbridge & Controversy Chairman of the Board - Elect Group purchasing options for dental, vision and pharmacy coverage Brian Connolly, Oakwood Health System Treasurer Participation on a working committee or pro- ject such as Cost Quality initiatives, commu- Isadore King, Synergy Partners, LLC nity health activities, or educational pro- Secretary grams Kate Kohn-Parrott, GDAHC Developing solutions and influencing change with others who care about improving health Executive Committee in southeast Michigan Thomas J. Adams, TJ Adams & Associates Wayne Bradley, Detroit Community Health Connection Discounted subscription to Crain’s Detroit Steven Grant, MD, Detroit Medical Center Business David Lalain, Automotive Industry Action Group Gene Michalski, Beaumont Health System Access to regional, innovative health care information Robert Milewski, Blue Cross Blue Shield of MI Kathleen Neal, Chrysler Group, LLC Visibility as a health care leader in southeast Francine Parker, UAW Retiree Medical Benefits Trust Michigan Robert Riney, Henry Ford Health System Karen Schrock, Adult Well Being Services Networking opportunities Renee Turner-Bailey, UAW Contact Laurie Arora at 313-965-4123 or at Marianne Udow-Phillips, Center for Healthcare Research and Transformation [email protected] Edward Wolking, Detroit Regional Chamber Donald Whitford, Priority Health

We want to hear from you! Send your ideas, comments or questions to: Find out how physicians compare. [email protected]

Thank you to our 2012 Coffee and Controversy Sponsors!

Greater Detroit Area Health Council, Inc. (GDAHC) ▪ 407 E. Fort Street, Suite 600, Detroit, MI 48226 ▪ 313-963-4990 ▪ www.gdahc.org

For more information about GDAHC, contact Laurie Arora, Director of Member Relations at 313-965-4123 or [email protected]