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Genesys HealthWorks cited nationally as model of care

National Commonwealth Fund case study focuses on Genesys HealthWorks
(GENESEE COUNTY, MI) Genesys HealthWorks is featured in a newly-published case study - prepared and nationally released by the Commonwealth Fund - that focuses on HealthWorks’ efforts and commitment to achieving the Triple Aim, as outlined by the Institute for Healthcare Improvement (IHI).

The case study is entitled “Genesys HealthWorks: Pursuing the Triple Aim Through a Primary Care-Based Delivery System, Integrated Self-Management Support and Community Partnerships.” It details how Genesys HealthWorks is an innovative model of care developed by Genesys Health System to improve the health of Flint and surrounding Genesee County, as well as the patient and provider experience while containing the costs of care.

Improving the health of a population, improving the patient and provider experience of care and containing costs are the three primary objectives of the IHI’s Triple Aim initiative. The initiative began in 2007 with 15 prototype organizations, one of which was Genesys HealthWorks, and has now grown to include more than 40 organizations worldwide.

"Our involvement in the IHI Triple Aim collaborative work has helped with the evolution of Genesys HealthWorks, which we view as leading the transformation of healthcare by creating a model of care focused on health rather than just disease," reports Trissa Torres, MD, MSPH, FACPM, medical director of HealthWorks. "Through our work, within our organization and with community partners, the Triple Aim has helped with our focus on measures that matter in the three realms of health, experience and cost."

According to the Commonwealth Fund’s case study, Genesys HealthWorks is achieving the Triple Aim through three key aspects of its model of care:

1. Its work with community-based primary care physicians in the Genesys Physician Hospital Organization (PHO) to emphasize the importance of primary care and increase the efficient use of specialty care.

2. A health navigator self-management support model that supports patients in adopting healthy behaviors, supports providers in chronic and preventive care, and provides a link to community resources to further address the core determinants of health.

3. A partnership with Genesee Health Plan (GHP) to extend access to primary care and other services for low-income, uninsured county residents.GHP is a community-based nonprofit organization that provides primary care and other basic healthcare services to 27,000 low-income, uninsured adults in Genesee County, Michigan - one of the most economically challenged areas of the United States.

The study cites Genesys HealthWorks' achievements in two patient populations:

• Those who receive care through Genesys Health System and its affiliated physicians. The model has helped lower the use and cost of care while improving performance on quality indicators. A study by General Motors found the automaker spent 26 percent less on healthcare for enrollees who received services at Genesys versus local competitors, according to the Genesys PHO.

•Low-income, uninsured patients enrolled in GHP.Health navigators have helped to improve health behaviors of at-risk patients (eg, a 53 percent increase in physical activity among those who were inactive; a 17 percent quit rate among smokers; and 80 to 90 percent increases in disease self-management by formerly unengaged diabetic patients). Furthermore, patients engaged in guidance by health navigators reported approximately a 50 percent decrease in emergency department visits and hospital admissions six months after engagement in interventions by health navigators compared to the baseline, which has resulted in much less expensive care for the patient and the medical system.

According to conclusions within the Commonwealth Fund case study, Genesys and its partners are further along in making progress toward achieving the goals of the Triple Aim, while also facing more difficult economic circumstances than other communities.

“Recognition of Genesys HealthWorks by the Commonwealth Fund is not only a great source of pride for Genesys and our team, but it is also further validation that our model of care is making an impact with the Triple Aim.Ultimately, we’d like to achieve the Triple Aim for our entire community,” says Dr. Torres.

“Now with national healthcare reform, there’s such an opportunity for change and innovation at greater levels.This case study gets our story out to a national audience with a level of detail that truly shows the innovative work and partnering that is going on here in our community.We believe and hope our model of care can serve as a model for other health systems around the nation,” adds Dr. Torres.

The Commonwealth Fund is a United States private foundation that promotes a high performing healthcare system that achieves better access, improved quality and greater efficiency, particularly for the society's most vulnerable, including low-income people, the uninsured, minority Americans, young children and elderly adults.

For more information on the case study, go to:

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