Carrying Out HCGC’s Mission of Optimal Health for all People in Central Ohio through the
Central Ohio Pathways HUB
By Jenelle Hoseus, MBA, Executive Director, Central Ohio Pathways HUB
With its long-standing history of catalyzing collaboration, HCGC took on an exciting new program earlier this year. As of January 1, 2019, HCGC began management of the Central Ohio Community Pathways HUB.
Previously managed by the United Way of Central Ohio, the work was transferred to HCGC, and we have spent the last several months working through the details and creating processes to ensure the success of the program. Through an RFP process, six new Care Coordination Agencies (CCAs) were selected and the program went live on March 1st! We are so excited to have such an incredible group of local partners to facilitate the work of the HUB. The new CCAs are:
How the Model Works and Early Successes
The aforementioned CCAs all employ Community Health Workers (CHWs) who work in the local community to find at risk individuals and connect them to services to help them achieve better health outcomes and reduce health disparities.
The 19 CHWs and their 11 supervisors are putting in tireless effort and it’s already showing in the data. In the first twenty days of the program, CHWs have engaged 44 clients and identified 260 Pathways, or connections to care and services, to meet their needs. We are elated that the work has gotten off to such a resoundingly positive start.
Many may know the Pathways model in the infant mortality space – where studies have shown remarkable return on investment. Buckeye Health Plan’s study of the efforts in Northwest Ohio showed $2.36 ROI for every dollar spent on the program. We fully intend to use this program for the Infant Mortality Pathway in Central Ohio, but plan to also focus on the other 19 Pathways. Our aim is to utilize all 20 Pathways available through the HUB to ensure people across the region with varying health needs can benefit from the connections made through this model. To learn more about the HUB and the 20 Pathways, visit the Central Ohio Pathways HUB page of our website.
Sharing the work of the HUB with the Community
On March 19th the HUBs from around Ohio came together to host an Advocacy Day at the Capitol to engage and educate our legislators about the work we do. Representative Mark Romanchuk (R), Minority Leader Emilia Sykes (D), and Commission on Minority Health Director Angela Dawson came to support our efforts and helped the HUB representatives with targeting messaging for legislative visits. Having their support in our attempts at the Statehouse has been invaluable and appreciated.
On April 18th, HCGC will host a Regional Learning Session focused on Population Health, where we will be holding a specific discussion around our efforts with the HUB. All six CCAs have been invited to come speak about their mission and experiences to date with the model. For more information and to register for the session, please click here.
As we look forward, we are planning to truly make a difference for those most in need in Central Ohio. The work that the CHWs are doing will go on to impact hundreds, even thousands of lives. To be able to be a part of this necessary and impactful work is an honor for the entire HCGC team. If you are interested in learning more about the HUB, please contact me at email@example.com.
By Krista Stock, Vice President of Quality and Transformation, HCGC
Earlier this month, HCGC hosted a webinar focused on exploring price and quality transparency. Jeffrey Geppert of Battelle Memorial Institute and Dominic Lorusso and Lewis Baez of FAIR Health presented about how price and quality transparency have evolved and where there is opportunity for improvement. If you missed it, you can review slides and resources by clicking here.
HCGC continues to ask ourselves and the community, “does higher quality equate to lower costs in healthcare?” Related, we have been pondering questions like, “is there more we can be doing as a community with cost and quality transparency efforts?” And, “what data are most useful for consumers, employers, providers, enrollees, and others?” We believe these strategic questions will help guide HCGC improvement efforts in partnership with the community.
Since 2014, HCGC has been leading the quality transparency project with our provider partners to collect and share quality data for specific measures that they collaboratively identify as important for patient care. The performance data are shared among the project partners to help one another better understand how we perform as a region and to identify opportunities for improvement.
We initially learned from this project that the process of collecting the data is difficult. Information systems, such as electronic health records, were not primarily developed to support data collection of the clinical care processes. But, they continue to evolve and improve to help providers monitor gaps in care and ways to improve how care is delivered. Beyond the data collection, project partners learned that being transparent is a positive experience and allows all of us to gain new insights into how we can work together to make improvements within our organizations and across our community. Project organization partners, representing 140 primary care practice sites across Central Ohio, currently include:
Berger Health Partners
Central Ohio Primary Care
Heart of Ohio Health Center
Hilliard Family Medicine
Holzer Health System
Lower Lights Christian Community Health Center
Mount Carmel Medical Group
The Ohio State University Wexner Medical Center-Primary Care
We have new providers joining this project every year and look forward to broadening the impact this work has across the region. To learn more about who participates and the collaborative work these providers are doing in the community, please go to our website or contact me at firstname.lastname@example.org
During our webinar earlier this month, we heard that cost data are difficult to find. Recent price transparency efforts and mandates for hospitals to post their prices online are a good first step, but don’t necessarily provide a clear picture of what a patient might actually pay for a service. What can consumers do? One resource for getting cost estimates for specific healthcare services is FAIR Health. Beyond that, talking with their health plan, employer, and provider are good ways to start better understanding price and costs and to potentially avoid surprise medical bills. Recently, HCGC created a data subcommittee of our Board to look at issues of claims data, quality data, and engagement of community employers to see if there are ways we can all collaborate and translate various data sources into useable information for all of us.
We are excited to continue supporting transparency efforts in our community and we hope that others will join these efforts. If you are interested in learning more, please reach out and become involved.