A Network Leadership Approach to Program Development and Evaluation: The Regional Health Connector Program in Colorado

Transcription

1 October 19, 2016 A Network Leadership Approach to Program Development and Evaluation: The Regional Health Connector Program in Colorado Paige Backlund Jarquín, DrPH, MPH Senior Program Manager Colorado Health Institute Matt Simpson, MD, MPH Assistant Professor Department of Family Medicine University of Colorado 1

2 Our Map for Today 1. Introducing Paige and Matt 2. Primary Care Health Extension A Primer 3. Regional Health Connector (RHC) Program 4. Using Social Network Analysis (SNA) Evaluation Activities for: Workforce Development Program Development Outcomes Evaluation 5. Please let us know if you have any questions by entering them into the Question & Answer Box on your computer screen 2

3 Paige Backlund Jarquín, DrPH, MPH Role in the world Role in RHC work Level of Expertise in SNA work Public health and community engagement lens on SNA work 3

4 Matt Simpson, MD, MPH Role in the world Role in the RHC work Level of expertise in SNA work Primary care background and lens related to SNA work 4

5 The Project described is supported by Funding Opportunity Number CMS - 1G from the US Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) and by contract/grant number 1R18HS from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS). Opinions expressed in this document are those of the authors and do not reflect the official position of AHRQ, CMS, or HHS. 5

6 Primary Care Health Extension Services 6

7 Primary Care Health Extension Services Relationship to agriculture cooperative extension Large land grant institutions create knowledge County extension brings information to the community Health extension in other states Affordable Care Act (ACA) funding Did you say HEALTH extension?! 7

8 Primary Care Health Extension Services The urgency of these goals and their importance to achieving the triple aim* in human health care should increase interest in rapidly building the primary care extension program much as the need to feed the country did a century ago. *Triple Aim improved patient experience of care, improved health of populations, reducing cost of healthcare Source: Phillips, R. et al. (2013). The Primary Care Extension Program: A Catalyst for Change. Annals of Family Medicine, 11(2). 8

9 Colorado s Model is Unique Primary Care Health Extension Services Approaching work with a main focus on health Majority of work exists with the Practice Transformation efforts Regional Health Connector Program Approaching work with a focus on health and the Social Determinants of Health More egalitarian and cross-sectional work involves many different partners 9

10 Regional Health Connector Program 10

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16 POLLING QUESTION! Imagine you have just received 2 years of funding to design and implement a Regional Health Connector program. How do you want to develop and evaluate it? 16

17 EVALUATION PURPOSE The purpose of this evaluation is to collect and analyze process and outcome-related data in order to develop and implement a highly-effective, sustainable Regional Health Connector Workforce and Program. Because of the developmental nature of the evaluation and the early stage of program development, additional evaluation activities may be added to this plan if resources allow and program needs require. 17

18 EVALUATION GOALS Goal 1: to collect and report on meaningful data to inform the development of the regional health connector workforce in Colorado. Goal 2: to collect and report on meaningful data related to key milestones throughout the development of the regional health connector program in Colorado. Goal 3: to evaluate the influence of RHCs in Colorado primary care practice and community networks 18

19 Graphic and content conceptualized by: Danielle Varda 19

20 Workforce Development Questions Looking at variability in RHC success in building effective networks: What RHC characteristics seem to lead to the (perceived) ideal networks? How frequently are RHCs interaction with others and does more or less frequency matter? What are the attributes of the RHC s personal networks? Questions developed with support from: Danielle Varda 20

21 Workforce Development Answers Ego-centric network analysis activities (Danielle Varda) Leader Network Diagnostic (Phil Williburn) Diversity of network (Diverse) Depth of network (Deep) Opportunities in the network (Open) 21

22 Program Development Questions How to take into account community context to successfully deploy RHCs? 22

23 Program Development Answers Training and education of RHCs to view themselves in the network Unanticipated outcomes from the PARTNER tool in RHC regions List of types of organizations in the system by type or sector 23

24 RHC Outcome Evaluation RHCs make connections between efforts on the following levels: Local Regional Statewide National 24

25 Outcome Questions For example - what is the: % increase or decrease in number of partners, including primary care practices? (Density) % increase or decrease in quality of relationships? (Connectedness, Trust) 25

26 RHC Outcome Evaluation Two Main Process Objectives 1. Create a bounded list 2. Implement PARTNER tool in 21 regions 26

27 TOOLS, TOOLS and more TOOLS! Hiring Package Field Notes Monthly Report Quarterly Progress Report Social Network Analysis Network Survey Core Competency Checklist Satisfaction Surveys Priority Alignment Tool Local Priorities Form Roadmap with SMART Objectives Health Equity Assessment Health Equity Report ENSW Final Report SIM Final Report 27

28 What we are NOT Evaluating (examples) ROI of RHCs Characteristics of an ideal host organization If Colorado needs an RHC workforce Clinical-Community Relationships science Culture change among clinicians toward more community engagement Tracking referrals Population health outcomes 28

29 What questions do you have? 29

30 Thank you! A special thank you to Danielle Varda, Malinda Mochizuki, Becky Hofkes and Sara Sprong at the Center on Network Science at the School of Public Affairs in the University of Colorado Denver! 30

31 Need more information? Online The Project described was supported by Funding Opportunity Number CMS -1G from the US Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) and by contract/grant number 1R18HS from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS). Opinions expressed in this document are those of the authors and do not reflect the official position of AHRQ, CMS, or HHS. 31