UnityPoint Clinic & UnityPoint at Home:
Aligning to Deliver the Brand
Leadership Symposium
April 29, 2014
Monique Reese, DNP, ARNP, FNP-C, ACHPN, Vice President and
Chief Clinical Officer, UnityPoint at Home
Linda Wendt, RN, CPHQ, Director of Quality, UnityPoint Clinic
Heather Nahas, Director of Marketing Communications,
UnityPoint Clinic and UnityPoint at Home
Aligning to Deliver the Brand
Our Brand Promise: Coordinated Care
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Aligning to Deliver the Brand
Leading the Brand
“Together, UnityPoint Clinic and
UnityPoint at Home will lead the
delivery of our brand.”
– Bill Leaver
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Aligning to Deliver the Brand
System Strategy
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Aligning to Deliver the Brand
Care Coordination Priorities
Call
Center
Medical
Home
Chronic
Care
Analytics
Advanced call center capabilities that
improve access to care
Primary care emphasis for rising risk patients
and populations
High risk population management across the
continuum of care
Technology platform that enables providers
with data-driven, point-of-care decisions
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Aligning to Deliver the Brand
Population Health Management
5% of patients
High
Risk
•
•
•
•
Complex chronic conditions, comorbidities
Care navigators
Chronic care coordination
Wraparound services
15%-35% of patients
Rising Risk
•
•
•
May have conditions not under control
Patient-Centered Medical Home
Care coordinators
60%-80% of patients
•
Low Risk
•
•
Minor conditions, easily
managed
Low-acuity access, education
E-health
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Aligning to Deliver the Brand
Building the Ambulatory Enterprise
Team-based,
patientcentered care
delivery
platform
across the
continuum
Convenient,
innovative
access
Robust
analytics
platform
High value
care
processes
Clinical
integration
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Aligning to Deliver the Brand
Defining Care Coordination
Care coordination is a person-centered,
interdisciplinary team-based approach to
care that integrates health care and social
support services to meet the needs,
preferences and goals of each patient.
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Aligning to Deliver the Brand
Care Coordination: Core Components
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Aligning to Deliver the Brand
The People of the Populations
Low Risk
• Low acuity
• Busy, active lifestyle
• Opts for convenience
• Access after hours
• Web-based
communication
Rising Risk
• Managing chronic
conditions
• Multiple medications
• Self management
• Wants to remain
active
High Risk
• COPD, heart failure,
depression
• Multiple medications
• Limited activity
• Lives alone
• ER, hospitalizations
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Aligning to Deliver the Brand
Low Risk Population Priorities
Primary Care
Relationship
MyUnityPoint
Patient Portal
Call Center
Virtual Care
PCMH│Information│Communication│Plan│Transitions│Experience
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Aligning to Deliver the Brand
Rising Risk Population Priorities
Patient-Centered
Medical Home
• The primary care model
of UnityPoint Clinic
• The care coordination
platform of UnityPoint
Health
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Aligning to Deliver the Brand
Patient-Centered Medical Home
Primary Care
Access and
Communication
Data and Metrics
Team-Based
Care Coordinator
Care Protocols
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Aligning to Deliver the Brand
Patient-Centered Medical Home
2013
• 20 PCMH sites
fully deployed
• 12 PCMH sites
have achieved
NCQA Level 3
recognition
• 8 sites pending
NCQA
recognition
2014
2015
• 34 PCMH sites
• 23 PCMH sites to
to be deployed
be deployed
• 16 of the 34 sites
already in
progress
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Aligning to Deliver the Brand
Rising Risk Population Priorities
PCMH for
Primary
Care
Specialty
Clinics
Home
Health
Virtual
Care
PCMH│Information│Communication│Plan│Transitions│Experience
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Aligning to Deliver the Brand
High Risk Patient Initiative
Create a standard care delivery model for
the high risk population that we believe,
when implemented consistently, will result in
competitive differentiation and can be
offered as a marketable product.
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Aligning to Deliver the Brand
High Risk Patient Initiative
High Touch
High Care
Medication
Management
Provider
Alignment/
Engagement
Access to
Care Team
Centralized
Care Plan
Patient
Engagement
Data Capture
Standardized
Assessment
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Aligning to Deliver the Brand
High Risk Patient Initiative
2014
Q1
• Steering committee
formed
• Assessment of
clinical programs for
high risk patients
conducted
2014
Q2
2014
Q3
• Clinical program
assessment
completed
• Project scope,
deliverables and
timeline finalized
• Completion and
presentation of
business plan
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Aligning to Deliver the Brand
High Risk Population Priorities
High Risk
Patient
Initiative
Palliative
Care
Hospice
Virtual
Care
PCMH│Information│Communication│Plan│Transitions│Experience
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Leadership Symposium 2014
Aligning to Deliver the Brand
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