• Principle Healthcare Associates


    Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse Practitioner, Physician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates stand head and shoulders above the competition.

    Contact us at PHA email and be sure to visit us at PHA Website

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Transforming Medicaid via the Medical Home Model

Transforming Medicaid via the Medical Home Model

With the March 1st sequestration deadline looming, the budget battle continues. Facing potential cuts to public health and reduced federal relief, ignoring Medicaid expansion could be hazardous to a state’s health.  At least, some states have come to this conclusion.

Despite this, the state with the largest number of uninsured seeking medically necessary healthcare chooses to stand tall.  With emergency relief in mind, House Bill 10 was introduced in the Texas legislature this past week to address a shortfall in Medicaid and the Children’s Health Insurance Programs.

As one reporter for the Texas Tribune pointed out, “the federal government is offering to pay all of the costs of expanding the Medicaid program to some of the state’s uninsured population for three years, then to pay 90 percent of the costs for several years after that. Texas could, according to a report commissioned by Texas Impact, an interfaith public policy group, spend $15 billion over the next 10 years and pull down $100 billion in federal funds as a result. (So), here’s the business question: Why leave that kind of money on the table, especially if it’s going to be spent elsewhere if Texas opts out?”

While the article goes on to point out that federal monies would provide relief to local taxpayers currently subsidizing uncompensated care and potentially turbocharge the state’s medical economy, what I found most intriguing was the statement about running healthcare like a business.  Having just had a similar conversation with a colleague from the finance industry, I lamented that healthcare is a unique industry, dangerously siloed with imminent challenges to data access and ultimately, provider alignment – U.S. healthcare’s primary economic engine.

Now, some might argue that alignment becomes null and void in the absence of an adequate number of providers to address the incoming flux of under and uninsured persons.  Imagine instead, the opportunity to increase the number of providers by establishing advance practice nurse led clinics for participation in medical homes.  Equipped with patient registries, data analytics and health information exchange, physicians become liberated to focus on chronically ill patients and specialist provider coordination.  And perhaps the most galvanizing of all, instead of penalizing patients for visiting the emergency room, engage them in their care by developing a personal contract with specific achievable goals, provide a personal health record (PHR), mobile apps and texting to help monitor their health while keeping them incentivized via a loyalty program that offers redemption for health related items.

Not only is it the right thing to do, but by embracing this transformational change… perhaps savings similar to Chemung county’s Medicaid Medical Home could be achieved.

Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse PractitionerPhysician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates that stand head and shoulders above the competition.

Contact us at PHA email and be sure to visit us at PHA Website

Collaborating for Community Health Innovation

Collaborating for Community Health Innovation

With the recent Super Bowl festivities and Fat Tuesday fast approaching, New Orleans conjures up images of pomp, circumstance and regalia.  While the ragin’ Cajuns will always welcome celebration, the reality of everyday circumstance pales in comparison to these high dollar, high revenue activities.  As noted in The 2013 Healthcare Informatics Innovator Awards: Co-Second Place Winner: The Louisiana Public Health Institute, New Orleans is beset by poverty and poor health status.  And with the onset of Hurricane Katrina in 2005, these difficult situations were magnified.

As noted in the article, one entity that has taken purposeful steps to improve the health of the people in this community is the Louisiana Public Health Institute (LPHI).  Established in 1997, the LPHI’s mission is “to promote and improve health and quality of life in Louisiana through diverse public-private partnerships with government, foundations, community groups, academia and private businesses at the community, parish and state levels.”  After applying for participation in the federal beacon communities project, the group was granted Beacon status and awarded a federal grant, under the auspice of the Crescent City Beacon Community (CCBC) initiative.  Armed with $13.5M, the group is working steadfastly towards the development of a metro area-wide patient centered medical home (PCMH) model.

Tackling dual goals of community quality improvement and long-term healthcare investment, the group is developing a foundation for a patient-centered, accountable, community-wide focus for care.  In order to achieve these goals, they are redesigning care management, employing the new role of care manager to facilitate communication between physicians, administrators and patients in the 20 federally qualified health centers (FQHCs) in the metro area.  And through the use of health information exchange (HIE) and electronic health records (EHR), these re-engineered teams aim to connect patient visits from the ED, hospital, primary care and specialty physician office.

Moving beyond the physical exchange, the group also remains intently focused on improving clinic processes for meaningful use of the shared data.  Instituting regular visits with community stakeholders has allowed for providers to share protocols and other tips for delivering safe, quality healthcare while maximizing workflow.  As a Healthcare Informatics Innovator winner, LPHI has successfully leveraged healthcare technology for community quality improvement.  And while my hat is off to Dr’s Anjum Khurshid, director of the LPHI’s Health Systems, Eboni Price-Haywood, co-ED/CMO for Tulane Community Health Centers and Maria Ludwick, associate director LPHI’s Health Systems, I would be curious to know how they are engaging other providers – pharmacists, schools, social services, long-term care, first responders, etc – and most importantly, patients, in the design process?  Sounds like a great opportunity for the pending 2013 HIMSS conference, coming soon to the Ernest N. Morial Convention Center, located smack dab in the heart of New Orleans.

Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse PractitionerPhysician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates that stand head and shoulders above the competition.

Contact us at PHA email and be sure to visit us at PHA Website

Seeing Red for Heart Health

Seeing Red for Heart Health

According to the caption, “heart disease still kills more women than all cancers combined”.  And in celebration of National Wear Red Day, the American Heart Association (AHA) wants to know how you will make a difference?   Poor heart health can lead to congestive heart failure, one of the leading chronic illnesses estimated to represent 75 percent of the $2 trillion in U.S. annual health care spending.

Current healthcare delivery systems developed around acute visits and crisis management have not been successful in meeting chronic disease care needs. Based on brief and infrequent patient-provider interactions, these models do not provide the sustained support necessary to maintain the healthy lifestyle changes critical to prevention and management of chronic diseases. To better meet the needs of these individuals, care systems must explore new ways to define collaborative care for living well with chronic disease.

Partnering with local and national non-profit organizations has, and will continue, to offer avenues for awareness, education and prevention.  The American Heart Association’s Go Red For Women campaign- described as a passionate, emotional, social initiative designed to empower women to take charge of their heart health – reflects this opportunity.  Not only does it challenge women to know their risk for heart disease, but it also encourages women to utilize AHA tools to take action for personal risk reduction.

According to the AHA Go Red For Women website, the group turns science into materials and tools that healthcare providers and decision-makers can use to help women. Great idea, wouldn’t you agree?  Now, after seeing the article outlining Heritage Health’s interest in working with UCLA and Open mHealth, I am wondering if there isn’t an opportunity to collaborate on production of a chronic disease app?  At the very least, a Go Red For Women mobile app could deliver a personal heart health dashboard, as well as, messaging and alerts regarding symptoms, diet, exercise, lifestyle and AHA events.

With funds raised by Go Red For Women supporting educational programs, increasing women’s understanding about their risk for heart disease and supporting research to discover scientific knowledge about heart health, this seems perfectly APPropriate to me.

Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse PractitionerPhysician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates that stand head and shoulders above the competition.

Contact us at PHA email and be sure to visit us at PHA Website