EQRO Presentation
August 25, 2015
Dr. Richard J. Bookman,
VP for Program Development
http://fmsqn.org
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Who we are….
(Florida’s 9 medical schools in a 501(c)3 )
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Florida Atlantic University
Florida International University
Florida State University
Lake Erie College of
Osteopathic Medicine
Nova Southeastern University
University of Central Florida
University of Florida
University of Miami
University of South Florida
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What we do
as med schools….
• Provide >3 million encounters with
Medicaid and uninsured patients/year
• Produce ~1000 new MDs and DOs/year
• Train >3000 residents and clinical
fellows
• Carry out >$500 million of biomedical &
health policy-relevant research/year
• ~4,000 physicians + thousands of other
healthcare professionals providing care
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What we
do….together
• Identify opportunities to improve
health, quality of care, outcomes
and efficiency of care delivery
• Identify new medical science that
needs to be culturalized and
adapted for Medicaid communities
in Florida
• Identify interested experts
• Assemble teams
• Run projects
• Disseminate results
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Our vision
FMSQN, through relationships with patients, providers, payers, industry, the
Centers for Medicare and Medicaid Services (CMS) and the Agency for
Health Care Administration (AHCA), will serve as a Research and
Development (R&D) partner with Florida’s Medicaid Program.
By leveraging our expertise in medicine, in research and in education, we
can accelerate our shared pursuit of the “Triple Aim” to the benefit of those
in need.
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FMSQN in Florida
Statutes
409.975 Managed Care Plan Accountability
(2) FLORIDA MEDICAL SCHOOLS QUALITY NETWORK.
The agency shall contract with a single organization
representing medical schools and graduate medical education
programs in the state for the purpose of establishing an active
and ongoing program to improve clinical outcomes in all
managed care plans. Contracted activities must support
greater clinical integration for Medicaid enrollees through
interdependent and cooperative efforts of all providers
participating in managed care plans. The agency shall support
these activities with certified public expenditures and any
earned federal matching funds and shall seek any plan
amendments or waivers necessary to comply with this
subsection. To be eligible to participate in the quality network,
a medical school must contract with each managed care plan
in its region.
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Where do ideas for FMSQN
projects come from?
①AHCA
②FMSQN (the med schools)
③Plans
④Providers
⑤CMS
⑥Other…
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How do FMSQN
projects get paid for?
NOW:
50% Federal from CMS thru AHCA
50% from FMSQN
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How do FMSQN
projects get paid for?
Future:
State of FL General Revenue
Foundations
Industry, etc.
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First FMSQN Project:
Pediatric Oral Health
Three Concerns:
o Are PCPs providing adequate screening?
o Are PCPs providing adequate and
effective counseling?
o Are parents and kids following counseling?
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Pediatric Oral Health
Study Team:
① Dr. Elizabeth Shenkman (UF), statewide lead investigator
② + UF (Health Outcomes & Policy, College of Dentistry)
③ + UM (Pediatrics, Family Medicine, Health Communications)
④ + FSU (Clinical Sciences)
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Pediatric Oral Health
Study Design:
① Literature review – best practices, state of knowledge
② Gather stakeholder input through focus groups
③ Design interventions
④ Field test interventions
⑤ Refine intervention toolkit
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Pediatric Oral Health
What’s in it for you?
1) An opportunity to provide input during design stage
(i.e., focus groups)
2) Contribute to the design of toolkits and pilot testing
3) Receive the results of pilot testing
4) Toolkits, focusing on families and on practice flow in
busy offices, to help improve screening and oral
health outcomes.
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Projects in
the Pipeline
AHCA:
Perinatal Quality: C-section
rates & more
FMSQN:
Real-time quality surveys:
can we use text messages?
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How can we help you
innovate and improve?
Please contact:
Dr. Richard J. Bookman
rbookman@miami.edu
305-243-4487
http://fmsqn.org
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