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ICSI News November 2016

New Pain Guideline Incorporates Assessment, Non-Opioid Treatment Approaches, and Opioid Management

This newly revised guideline blends ICSI’s acute pain, opioid prescribing protocol and chronic pain guidelines, now addressing the entire continuum for acute, sub-acute, and chronic pain for non-cancer pain in adults. Updated evidence-based and best practice recommendations focus less on the pain score, and more on actively managing pain based on function, quality of life, and assisting patients to reach their goals. Guidance for short-term opioid treatment is included, when other treatments are not sufficient or urgent pain relief is indicated.

The opioid management section is designed to help clinicians treat a patient who has been using opioids for six months or more. Recommendations and information are provided for chronic opioid use addressing such things as individualized taper options, discontinuation, ongoing pain management alternatives, and pain specialty referrals. View the guideline.

ICSI Announces Leadership Changes

David Abelson
Craig Acomb

The Board of Directors of the Institute for Clinical Systems Improvement (ICSI) is pleased to announce that they have named David Abelson, MD, as the next president and Craig Acomb as chief executive officer (CEO) of the ICSI collaborative. Since January, Mr. Acomb has served as interim president and CEO.

Dr. Abelson has served in multiple leadership positions over his career, including as CEO of Park Nicollet Health Services. Upon his retirement in 2014, Dr. Abelson was president of Park Nicollet Health Services and executive vice president of HealthPartners. Read Dr. Abelson's blog, Between Two Waves of the Sea.

Mr. Acomb has served as ICSI’s Chief Operating Officer (COO) and Chief Financial Officer (CFO) since 2012. Prior to joining ICSI, Acomb served for three years as the Assistant Commissioner and COO for the Minnesota Department of Health.

Under their dyad leadership, they will bring together a broad table of stakeholders to improve health care quality, cost and outcomes in Minnesota. “ICSI has a rich history of leadership and improvement across the state, and we are excited to have the benefit of these two capable executives as we plan for the next phase of our collaborative future,” said ICSI Board chair Paula Santrach, MD. 

Massari, Morris-Singer aRE Colloquium KEYNOTERS

The program for our 20th annual Colloquium is coming together quickly, in support of our theme Health: A Team Sport. This focus helps us explore the new and evolving teams and teamwork needed, both inside of health care and reaching outward beyond our walls, to meet the coming shift to value-based payment systems and achieve the Triple Aim of better care, better health, and lower costs. More and more, we realize the importance of everyone on the "team," including all types of providers, patients, payers and the community, to advancing better health. Plan to join us as we explore together how to make your "health team" a winning one! 

Transforming Lives: The Art of Person-Centered Care

Allison Massari will kick off the conference by taking us on a journey, offering tools to rise above any obstacle, and find peace, purpose, and happiness despite turbulent times. As the survivor of two life-threatening car accidents, Massari shares her story of absolute loss, to forgiveness and understanding. She illuminates how compassionate, patient-centered care can build an expansive, life-changing foundation for healing, for both patient and provider. Learn more.

Revitalizing Primary Care through Relational Leadership

On the second day, Dr. Andrew Morris-Singer, a primary care physician, former community organizer and national voice on primary care reform, will discuss the rapid transformation of care from volume and isolation, to value and team-based care. With insights from the world of grassroots advocacy, Dr. Morris-Singer will showcase how physicians and other health professionals can lead change efforts in powerful new ways to achieve higher levels of performance and revitalize health professionals in the process. Learn more.

Preliminary Flyer Available; More Details Coming Soon

Visit the Colloquium web page for more information, including a flyer to download and share. Watch for more program announcements, including the pre-conference workshop, in the coming weeks. Registration opens in early January. Please contact Lisa Carlson with any questions.

Upcoming ICSI Events

Rally Around Health Systems Change for Treating Tobacco Dependence

Tuesday, November 15, 2016 | 10 a.m. - 2 p.m. | Maple Grove, MN

Just a few spots remain! We are planning further support for tobacco health systems change, and your voice is critical in the conversation. If you are a champion of tobacco cessation, or simply want to learn more, please join us. Learn more about this free event.

Clinics Connect! Tobacco Health Systems Change

Wednesday, December 7, 2016 | 11 - 11:45 a.m.

You’ve got questions; someone else might have answers. And you’ve learned a few things about addressing tobacco in your organization that others need to know as well. Join this 45-minute networking call as we bridge from connections and learning at the November 15 event, Rally Around Health Systems Change for Treating Tobacco Dependence. Topics may include process improvement, EHR optimization, team approach/roles — but are TBD depending on what we learn on the 15th and the interests of registrants. Sign up by December 2, 2016NOTE: For clinics and health care delivery systems only; all roles welcome. Please contact Tani Hemmila with any questions.


Road to Health Care Transformation: Navigating the Drivers of Change

The health care system has been in a constant state of change for many years, and the shift to value-based care is one that has been long anticipated. As CMS attempts to drive this new payment methodology across the market, successful care delivery systems will need to respond, rapidly. We believe that this will require not an evolutionary change, but a transformation for care delivery.

While the shift to value-based payment is highly important, there are certainly additional forces at work. Recently, ICSI staff conducted a high-level environmental scan to identify the trends, innovations, and disruptions that may impact Minnesota health care delivery systems, both primary and specialty care, over the next two to five years. With the information gleaned, we created a series of papers for ICSI members. Each one discusses an identified trend and outlines the various effects it may have in the health care sector, and includes discussion questions that organizations can use to better understand their current state and create a vision for their future. Learn more (log-in required). Member account questions? Click here.

New Series: One Trend Each Month

All of the papers are available in a new Navigating Transformation section on our website. However, we recognize that this is a lot of information to digest at one sitting, so every month ICSI News will focus on one of the trends. First up, in December, we'll look at how health care will increasingly be provided by teams, and require new roles, new knowledge, and new ways of delivering care.

MACRA Is (Still) Coming

CMS has positioned 2017 as a transition year for implementing components of the Quality Payment Program (QPP) in the current release of rules around MACRA legislation. Practices can “pick their pace” for MIPS reporting, and there are fewer measures. Read more about the rule. Two important things to consider:

  • While participation requirements are now minimal, you must still do something in 2017 to avoid negative payment adjustment.
  • Essential program components have not changed; it’s not going away. Use the transition time to educate yourself and prepare for the ongoing roll-out.

We’ll share more as additional information becomes available. ICSI is participating in national discussions and analysis of the rule and its implications through the Network for Regional Health Improvement and others.

HCMC Clinic’s Asthma Work, Part of SIM Practice
Facilitation Project, Wins Award

Hennepin County Medical Center (HCMC) received a Prevention Care Recognition Award at the HealthPartners Banquet for Health Care Quality for its efforts to implement practice facilitation strategies to improve adult and child asthma quality scores at East Lake Clinic. During the past year, a team led by Goa Vang, health care quality coordinator, has spent at least one day a week at the clinic teaching Plan-Do-Study-Act (PDSA) process improvement strategies, guiding the identification of gaps, and helping staff take ownership of their quality work, with the ultimate outcome of significant and sustained improvement in their asthma scores.

This project is part of the work ICSI and Stratis Health are doing with eight primary care and specialty clinics as part of the Minnesota Accountable Health State Innovation Model (SIM) Practice Facilitation cooperative agreement. Learn more about ICSI's work in this area.

PAC Seal of Approval Awarded to ICSI’s New Pain Guideline

The ICSI Patient Advisory Council (PAC) has awarded its Seal of Approval to ICSI’s new Pain: Assessment, Non-Opioid Treatment Approaches and Opioid Management Guideline. Several members of the PAC reviewed an early version of the guideline and had the opportunity to submit questions and suggestions about how it could better reflect the needs of patients and their families. The guideline work group considered and responded to the feedback by making changes and/or offering explanations that addressed the PAC’s concerns, which was shared with the PAC by Audrey Hansen, ICSI Project Manager/Health Care Consultant, at its August meeting. With this information, the PAC voted to award the Seal of Approval to the guideline.

As a follow-up, the PAC was interested to learn more about how guidelines are actually implemented into a clinic’s practice. ICSI invited Entira Family Clinics’ Dave Thorson, M.D., a member of the pain guideline work group, to present at the PAC’s October 2016 meeting. Dr. Thorson shared the same presentation he used to introduce the guideline to his organization, explaining how it would be rolled out, the policy and system changes required, and talking through some of the issues that come into play when making such significant changes.

The PAC members were very appreciative of Dr. Thorson’s time and willingness to answer their questions, and feel they now have a better understanding of the guideline process, from start to finish. Learn more about the Seal of Approval, including how this guideline meets the criteria.

Member Spotlight

West Side, People's Center Clinics Part of Project to Improve Care for Medicaid Patients

An October 24, 2016 article in the Minneapolis Star Tribune reported on a new project to improve Minnesota’s Medical Assistance program by making front-line medical clinics more responsible for the cost and quality of patient care. ICSI members West Side Community Health Services and People's Center Health Services, along with eight other safety-net clinics, have reduced emergency room use by patients in the experiment by 18 percent by harnessing a database of patient records. "Inpatient hospital use has declined 8 percent, mostly by preventing costly readmissions," the article says. "As a result, over the past three years the 10 clinics have slowed spending by about 5 percent, saving taxpayers $16.6 million, while also finding new ways to address their patients’ underlying medical problems." Read the article.

Fairview Names James Hereford as Next President and CEO

Fairview Health Services recently announced that its board of directors has appointed James Hereford as president and CEO. Hereford currently serves as chief operations officer at Stanford Health Care in California. His Fairview appointment is effective Dec. 12, 2016.

“James is passionate about patient care, driving outcomes and advancing health care for our country,” said David Murphy, Fairview board chair and interim CEO. “He has strong experience strategically guiding organizations, strengthening core operations and bringing teams together to drive cultural change. James connects well with others and achieves impressive results. He will help Fairview continue its longstanding reputation of high-quality care for patients, families and communities.” Learn more.