Marcus Pierson, MD: Payment

We will soon Complete the Initial Staffing for Project

For this project to truly be succefful, these typse of staff positions will need sustainable funding. A daunting thought for a cottege industry. It's a system. The only question is whether the stakeholders can create infrastructure to support a system.

Recruitment and Hiring of Project Staff (Data Analyst, Project Manager, Project Coordinator)
Hire Grant Writer
Recruitment and Hiring of information technology staff (Web Content/patient Education; Programmers)
Recruitment and Hiring of Team and Process Improvement Facilitator and Organizational Development (OD)
Recruitment and Hiring of Care Managers
Consultants and Contractors may be hired

We will use Simulation and System Models to understand and advocate for reimbursement alignment

Our task list includes the following:

Engage the other grantees in system dynamics effort, sharing knowledge with them as it accumulates
Follow up on HBOC Offer
Develop a contract with System Dynamics folks
Scoping Meeting in June.
Identify community business participation
Week long SYS Dynam meeting with the local Systems Team
Conduct community data analysis and costing for diabetes and CHF
Identification and contact with employers and community resources for support
Identification and contact with payors, national representatives for support in change in reimbursement model

Funding Depression Care

Prospects for Grant Funding P2

Depression in Primary Care: Linking Clinical & System Strategies

http://www.wpic.pitt.edu/dppc/

WA state medical reimbursement

Rewriting WA State medical reimbursement to support new models of care..

From: Anderson, Nancy, Dr. (MAA) [mailto:ANDERNA@dshs.wa.gov]

Sent: Monday, May 13, 2002 10:49 AM

To: Kevin Little

Cc: 'James W. Stout'

Subject: RE: [asthma] FW: [btscollege] Re: Asthma group visits

Medical Assistance (the Washington State Medicaid Administration) is in the process of writing billing instructions for group clinical visits, led by an MD or ARNP, that are specific for diabetes and asthma.

We've written various drafts of the instructions, but all include:

1. review of records/labs/etc by the clinician prior to the visit;

2. Group discussion devoted to a clinical issue;

3. Some question/answer time;

4. Routine review for all (most can be done in a group setting) and short individual visits as necessary

We will allow four one hour modules per year, which can be grouped together and billed as more than one module at one time. We will not allow billing for another e/m code the same day for the same diagnosis. We will allow those clients who have both diabetes and asthma to get clinical visits for each diagnosis (ie 8 one-hour visits a year, 4 for each disease). I'm hoping that we'll begin reimbursement June 1 (but with various bureaucratic issues, probably wouldn't make a bet). We also have a separate pilot project for asthma education with one clinical site, which is an individual contract. These visits are let by an asthma educator and are modeled after the diabetes education that we already reimburse.

Nancy Anderson MD MPH

Medical Epidemiologist

PO Box 45506

Olympia WA 98504-5506

360-725-1567 (v)

360-664-3884

High Level model of Whatcom Co, Pursuing Perfection approach

Key Components of Whatcom Consortium's approach to Pursuing Perfection in Healhtcare.

Pursuing Perfection Components in Whatcom County.

We will use this or a similar graphic on the home page of the future to guide users to the parts they are interested in. We will also add search capabilities by these categories... in the future, the near future I hope.