SNI Bulletin SNI
December 19, 2013

In this SNI Bulletin:
Message from SNI’s Executive Director, David Lown
Announcing the 2013 CAPH/SNI Quality Leaders Awards Winners
Highlights from the 2013 CAPH/SNI Annual Conference
Supporting California Public Health Care Systems through PHoENIX
Chronicling the Lean Journey of California’s Safety Net Systems
CG-CAHPS Improvement Network Infuses Empathy into Care Delivery
Journal Article Shows Adoption of Innovation in the Safety Net, Continued Support Needed


Message from SNI’s Executive Director, David Lown

Thank you to all the attendees of the 2013 CAPH/SNI Annual Conference. As a first-time attendee of the CAPH/SNI Annual Conference on Dec. 4-6, I was thrilled to meet so many of you and be truly welcomed into the public health care system family. I was excited to engage in many deeply stimulating conversations – prioritizing high cost pharmaceuticals and diagnostics, benchmarking specialty care demand, developing clinical leadership, combatting measurement fatigue, managing changing guidelines, focusing on value experienced by the patient, continuing the engagement of patients and line staff in daily improvement, etc. – and I look forward to expanding those discussions during the coming months, and starting new ones with those I have not yet been able to meet. The next several years will be challenging AND exhilarating, and as with all great adventures, best experienced together. I am honored to lead SNI in this historic moment and work with our members, partners, funders, and other supporters, as we show California – and the country – how to build and strengthen high-performing public health care systems.

Sincerely,

Lown Signature

David Lown, MD

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Announcing the 2013 CAPH/SNI Quality Leaders Awards Winners

This year’s CAPH/SNI Quality Leaders Awards (QLAs) honored the top innovations taking place among California’s public health care systems at the CAPH/SNI Annual Conference on Dec. 5th. The list of top awardees is as follows:

• Top Honor: Contra Costa Health Services,Telephone Consultation Clinic

• Kaiser Permanente Clinical Systems Development: Alameda Health System, Emergency Department Navigator

• QLA Clinical Learning Award: Riverside County Regional Medical Center, Examining an Important Aspect of the Patient Experience: Continuity among Providers in the Family Care Clinic

Honorable Mention winners included Alameda Health System, Hope Center, Harbor-UCLA Medical Center, Partnership for Patients: Reducing Avoidable Harm, and San Francisco General Hospital, General Medicine Clinic Care Management Program.

Congratulations to this year’s winning organizations for creating better and more effective ways to deliver the highest quality care possible to their patients and communities. Full descriptions of the QLA program and winning entries can be found on the SNI website, along with a catalogue of all entries submitted this year.

Contact: Norma Batongbacal

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Highlights from the 2013 CAPH/SNI Annual Conference

The CAPH/SNI Annual Conference, Leading the Way: A New Chapter in Healthcare, held Dec. 4-6 in Napa, CA, brought together more than 240 of California’s public health care system leaders and other champions to learn about and discuss today’s rapidly evolving health care landscape.

The conference featured excellent keynote speakers including political strategist Celinda Lake, national policy expert Michael Chernew, radio host and author Dr. Brian Goldman, California Senator Holly Mitchell, as well as a panel discussing how different providers are working to improve population health for low-income communities.

The final day of the conference titled Breaking the Mold: The Role of Partnerships and Data in System Transformation featured Diane Marriott from the Michigan Primary Care Transformation project, who shared details of their large-scale medical home initiative. Nancy Garrett and Pamela Clifford followed and presented Hennepin County, MN’s development and implementation of Hennepin Health and its innovative approach to providing what we call Whole Person Care, for a high-risk, high-utilizing population.

For links to these presentations, please visit the CAPH website.

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Supporting California Public Health Care Systems through PHoENIX

CAPH/SNI has partnered with UCSF’s Center for Vulnerable Populations (CVP) at San Francisco General Hospital to lead PHoENIX (Public Healthcare system Evidence and Innovation eXchange), designed to help California’s 21 public health care systems adopt, spread and sustain best practices and innovations. PHoENIX activities support member systems achieve targets in breast cancer screening and LDL control as they relate to system-wide improvement. Members have learned about and shared promising practices challenges through in-depth interviews, evidence-based research, and presentations from high-performers, which were discussed at a pre-conference convening on December 4th. PHoENIX is launching a series of web-based meetings called the “Action Series,” the first of which will take place in early February 2014. This first Action Session will feature current member breast cancer screening rates, discussion of successful initiatives and system-wide implementations, and member feedback on an Implementation Package for breast cancer screening best practices, which is expected to be released in mid-January.

Contact: Rosemary Phu

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Chronicling the Lean Journey of California’s Safety Net Systems

The California HealthCare Foundation (CHCF) has just released an in-depth multimedia production to demonstrate how executives from five California public health care systems are applying Lean techniques to transform their systems. These executives visited three pioneers in Lean health care as part of a CHCF-sponsored Embedding Lean Initiative supported by SNI.

The San Francisco Chronicle also published an article that describes San Francisco General Hospital and San Mateo Medical Center’s Lean efforts to make their systems even more efficient and patient-centered. These member systems are also part of SNI’s initiative.

Contact: Nancy Oswald

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CG-CAHPS Improvement Network Infuses Empathy into Care Delivery

Fifteen primary care clinics from four California public health care systems are wrapping-up the SNI-led CG-CAHPS Improvement Network with a “Capstone” event on January 31st, 2014 at the Beverly Garland Hotel in North Hollywood. The clinics have been hard at work implementing the Language of Caring skills-based program aimed at enhancing communication and building the empathy conveyance skills of providers and staff, while also working to boost the capacity for data-driven, patient-centered care. Several clinics have successfully integrated the Language of Caringas a tool to reduce the stress of transitioning to a new ambulatory EHR system, and others have trialed innovative new methods for obtaining patient feedback, such as the “Poker Chip Method.” Ultimately, the Network aims to measurably improve scores on the CG-CAHPS patient experience survey, as well the Pulse Survey of staff.

Patient experience champions from all CAPH-member systems are invited to attend the 1/31/14 Capstone event to learn about this innovative effort (RSVP to Rosemary Phu), as well as help celebrate the efforts and achievements in participating clinics.

Contact: Rosemary Phu

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Journal Article Shows Adoption of Innovation in the Safety Net, Continued Support Needed

California public health care systems were recently the subject of the American Journal of Medical Quality article “Innovation and Transformation in California’s Safety Net Health Care Settings: An Inside Perspective” for their approaches to implementing innovations to transform care delivery. While highlighting the implementations already undertaken, the study also noted that additional support is needed in order for public health care systems to accelerate change and succeed under health reform.

Contact: Norma Batongbacal

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