UNLV Health Care Summit Tracey Green MD Vice Chair of Clinical Affairs

UNLV Health Care
Summit
Tracey Green MD
Vice Chair of Clinical Affairs
March 11,2016
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630,000 Medicaid recipients; more than
400,000 in Clark County
Lack of clarity of services, qualifications and
reimbursement
Opportunity to look at quality outcomes,
population wellness and incentives
Shortage of ALL provider types
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Medicaid expansion
•  Enrollment projected to increase: 800K by 2023
•  Growing number of children on Medicaid
•  Nearly 50% of Medicaid medical cost for
institutional services
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Homeless population 33K; largest in U.S.
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Growing population of military veterans
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Aging population projected to increase to 18.6%
by 2030; high suicide rate
Tourists: 50-100K per week
Random acts of
innovation vs. aligned
efforts with strategic
goals
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A community-based system of care is
comprehensive coordinate network of care
Identifying and directing services to meet
individual needs, such as complex
behavioral, educational, social, medical, etc.
The right care in the right place at the right
time
Focus on initial upfront assessment that
remains with patient
Strengths
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Collaboration and
Consensus/desire
Wide array of diverse
participants delivering care
Community desire to improve
health care
Schools to develop a
workforce
Data-driven
Measurable objectives with
targets that align with 2 A’s
Challenges
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Balancing between crisis
and prevention
Integrating at all
opportunity
Developing and funding of
integrated data sources
Developing an
implementation plan
Change!!!!
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Nevada medical schools will graduate
320 medical students annually by 2021
•  Need at least the same number of slots as
graduates in Las Vegas
•  68% of students remain in state where they
completed medical school & residency
training
•  Nevada needs to keep medical graduates
in state
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Focus on Medicaid patients
•  Alleviate strain on local hospitals, ERs, and
physician clinics (20% or more)
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Students and residents will receive patient
care experience
•  1-year longitudinal integrated clerkship
•  All 60 students will work in clinic, along with 60+
faculty and residents
Hospitality in health care outpatient clinics
Ë  Integration with co-location across disciplines!
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Unique opportunity to build a future health care
delivery system
Next generation of health care delivery includes:
Population-based health
Value/outcome based health
Outpatient focused
Strategic partnerships
Community integration with heavy focus on primary
care (mental health)
•  Patient-centric, proactively identifying and
managing patients through data analytics
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