Transformation of Healthcare Delivery Models with SIM Grant
Explore how the SIM grant facilitates the evolution from fee-for-service to value-based care, empowering patients and healthcare teams to take ownership of diseases, enhance care coordination, and optimize utilization and costs in the healthcare system.
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Presentation Transcript
SIM Model Steering Committee Meeting July 29, 2013
Current System Fee for Service Acute Events Issue of the Day Episodic Care Fragmented Care Driven by patient decision to access( who & when) Suboptimal Utilization & Cost
Multi-Payer ACOs: Core measures for public reporting and value-based payment Integrated, Patient-Centered Care: Multi-Payer Patient-Centered Medical Homes, Health Homes and Behavioral Health Homes Leadership Consumer Engagement Community Linkages Workforce Education Health Information/ Tools: Access and Analytics
With this new model under way, what does the SIM grant bring to the table? Allow for the development and implementation of the tools and resources necessary to continue transformation from current system to one based on Advanced Primary Care Model Data collection, analysis & reporting Workforce Development Leadership Development Market Shift to fund a new delivery model Informed Decision Making by the patient and the system Population Health interventions
Value of SIM Grant- A bridge from here to tomorrow Helps transition from current fee for service to value based purchasing Helps transition process from providers intervening with patients on an acute and episodic basis to one in which the patient with a team of healthcare staff take ownership of their disease Coordination of care replaces fragmentation of care Patient becomes member of care team fully & continuously engaged Appropriate utilization & cost will be realized
