2018_Blueprint_for_Health_Annual_Report_final.pdf

Report to The Vermont Legislature Annual Report on The Vermont Blueprint for Health In Accordance with 18 V.S.A. §709: Blueprint for Health, Annual Report Submitted to: House Committee on Health Care; Senate Committee on Health and Welfare; and Health Reform Oversight Committee Submitted by: Cory Gustafson Commissioner Prepared by: Beth Tanzman Executive Director Report Date: January 31, 2019 Department of Vermont Health Access 2 1 CONTENTS 2 About the Blueprint ................................................................................................................ 3 3 Executive Summary ................................................................................................................ 4 4 The Blueprint in 2018 ............................................................................................................. 8 4.1 Aligning The Blueprint and OneCare ............................................................................... 8 4.2 Strengthening Our Network ............................................................................................. 8 4.3 Innovation ........................................................................................................................ 9 5 Blueprint Programs ............................................................................................................... 11 5.1 Patient-Centered Medical Homes ................................................................................... 11 5.2 Community Health Teams .............................................................................................. 13 5.3 Women’s Health Initiative .............................................................................................. 14 5.4 Hub & Spoke ................................................................................................................... 16 5.5 Self-Management Programs ........................................................................................... 19 5.6 Data Collection, Analysis, and Reporting ...................................................................... 20 6 Blueprint Evaluation – From a Program to System Perspective .......................................... 24 6.1 Context ........................................................................................................................... 24 6.2 Limitations of VHCURES and Impact of Gobeille vs. Liberty Mutual .......................... 25 6.3 Evaluation Populations .................................................................................................. 26 6.4 Expenditures .................................................................................................................. 32 6.5 Utilization: Opportunities for Improved Care Quality and Management ..................... 38 6.6 Quality Measures – Substance Use Disorder and Mental Health ................................. 45 6.7 Quality Measures: Asthma ............................................................................................. 47 6.8 Patient Experience ......................................................................................................... 48 6.9 Women’s Health ............................................................................................................. 50 6.10 Conclusion ....................................................................................................................... 51 7 Blueprint Partner Programs ................................................................................................. 52 7.1 Support and Services at Home (SASH) .......................................................................... 52 7.2 Vermont Chronic Care Initiative (VCCI) ....................................................................... 55 8 Health Service Area Highlights for 2018 ............................................................................... 57 3 2 ABOUT THE BLUEPRINT The Vermont Blueprint for Health designs community-led strategies for improving health and well-being. Current Blueprint programs include Patient-Centered Medical Homes, Community Health Teams, the Hub & Spoke system of opioid use disorder treatment, the Women’s Health Initiative, Support and Services at Home (SASH), Self-Management and Healthier Living Workshops, full population data and analytics for policy makers, communities, and practices, and a series of learning labs for providers and community teams. The Blueprint’s design work responds to the emerging needs of Vermonters and the latest opportunities in health and human services reform, creating change in the delivery system. This work began with patient-centered primary care and community health, then a system of treatment for opioid use disorder, and is now addressing the social determinants of health. The Blueprint Transformation Network of locally hired Program Managers, Community Health Team Leaders, and Quality Improvement Facilitators work w...