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NRCNA Business AcumenLearning Collaborative
Looking Back, Springing Ahead
2015 -2016 ClassJuly 27, 2016
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Outline
Looking Back: where have we been?
Looking Around: What have we accomplished?
Springing Ahead: Where are we going?
Questions/Comments
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Managing chronic conditions
Activating beneficiaries
Diversion/ Avoiding
long-term residential
stays
Preventing hospital (re)admissions
ACL
Community-based aging &
disability organizations
State aging & disability
agencies
• Nutrition programs (counseling & meal provision)• Chronic disease self-management• Diabetes self-management• Education about Medicare preventive benefits
• Evidence-based care transitions
• Person-centered planning
• Chronic disease self-management
• Information, referral & assistance/system navigation
• Benefits outreach and enrollment
• Employment related supports
• Community/beneficiary/caregiver engagement
• Transitions from nursing facility to home/community
• Person-centered planning• Assessment/pre-admission
review• Information, referral &
assistance/system navigation• Environmental modifications• Caregiver support• LTSS innovations
• Nutrition programs (counseling & meal provision)
• Evidence-based care transitions
• Care coordination• Information, referral &
assistance/system navigation
• Medical transportation• Evidence-based
medication reconciliation programs
• Evidence-based fall prevention programs/home risk assessments
• Caregiver support• Environmental
modifications
The critical role of community-based organizations
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Role of Nutrition Services
Tailored-Meals to Assist Clients Address:
Heart disease
Hypertension
Diabetes
Osteoporosis
Kidney disease
Obesity
Other Nutrition Services Available As Needed:
Nutrition Counseling
Nutrition Education
Nutrition Assessment
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Value Add of Community Nutrition Services
Trusted in the homePerform regular in-home
assessmentsWellness/Safety CheckRegular contact in the
homeClient status (moved,
hospital, nursing home)
Patient activation
Value of nutrition services as preventing further healthcare costs (readmissions, ED use)
Brand extension –healthcare stakeholders
Patient satisfaction with healthcare
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Learning as a Network
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What is a Learning Collaborative?
Modeled after the 2013 ACL Learning Collaborative to Strengthen Partnerships with the Health Care Sector among Community Based Organizations (CBOs). Focused on building business acumen
Improve integration between hospitals, insurers, health care providers and the community-based organizations (CBOs)
Collaborative learning is an educational approach to teaching and learning that involves groups of learners working together
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Purpose of the NRCNA Learning Collaborative
The purpose of this new mini-grant initiative was two-fold.
1. To provide a small amount of funding to senior nutrition programs to support the development or expansion of opportunities to market nutrition services to healthcare entities.
2. To provide an opportunity to participate in a national learning collaborative and gain/build upon the collective knowledge and experience of nutrition programs in the healthcare space.
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Goals of the NRCNA Learning Collaborative
Develop a business plan that included: (1) nutrition services either through a direct contract or as part of a package
of services contracted through a community-based network (2) the value proposition of that nutrition service package (3) identification of at least one targeted healthcare entity to be offered the
nutrition service package (4) identification of any necessary community partnerships.
Meeting with decision makers from targeted healthcare entities identified in the business plan.
Contracting or developing a formal partnership with at least one healthcare entity.
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Technical Assistance Offered
This learning collaborative delivered targeted technical assistance through a variety of different activities. Assistance with business plan development;
Access to subject matter experts, including people who have led successful business development efforts for community-based networks, including nutrition providers;
Peer-to-peer learning through regular calls, emails, online forums and two in-person meetings;
Broad-based learning through webinars and written materials from national experts.
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How did we do?
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Timeline: Networking Events
Pre-Pre-Conference
Lunch
Pre-Conference Workshop:
Positioning Your Program in the
Healthcare Market
NRCNA Learning
Collaborative In-Person
March Meeting
Pre-Pre-Conference
Dinner
Pre-Conference: Payers, Players
and Opportunities
August 2015 March 2015 August 2016
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Timeline: Training Workshops
Kick Off Webinar
NRCNA staff
Intro to the
NRCNA Learning Collabora
-tive
NRCNA staff
Organiza-tional
Culture Change
Marisa Scala-Foley (ACL)
Calcula-ting ROI
Sandy Atkins
(Partners in Care)
Business Plan Review
Tim McNeill (ACL)
Aug 2015
Marketing Strategies & Developing
Service Packages
Joan Hatem-Roy (Merrimack
Valley)
Developing Pricing
Strategies
June Simmons
(Partners in Care)
Network Develop-
ment
Diane Oyler
(Western NY)
Navigating the MCO System
Martha Spinks
(Consultant, MOWAT)
Sep2015
Oct2015
Nov2015
Dec2015
Feb2016
Mar2016
Apr/May2016
Jun2016
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Grantee Resource Page
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Additional Resources
Access to ACL Business Acumen Learning Collaborative webinars
ACL BALC Weekly Newsletters
Clinic Calls with NRCNA Staff
Resource emails from NRCNA Staff
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Evaluating Our Shared Success
Meeting the Deliverables of the Learning Collaborative:
Meeting with healthcare entities: 100%
Business plans written: 100%
Contract or formal partnership: 6 (at least)
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Evaluating Our Shared Success
Services under contract Populations Served Payers
Example… Example… Example…
Let’s fill in some blanks!• Contract signed (number):• Contracts under negotiation (number):• Networks (consortia): 1
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Lessons Learned
Healthcare integration – takes time, patience and perseverance!
Communicating the value of nutrition services is essential.
Organizational culture change is necessary.
Consider the financial aspects required of healthcare integration.
Be sure to bring everyone along – volunteers, staff, board members, stakeholders.
Everyone (CBOs and healthcare entities are learning & developing a new system together – but we need to be at the table not on the menu.
We need to meet/interact with & learn more from healthcare entities.
If we don’t do this, someone else will!
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Discussion Questions (Open Phone Lines)
What do you wish you knew earlier that no one told you?!
What aspect of the work of aligning nutrition services to the meet the needs of the changing healthcare system do you feel you have expertise in?
What plans do you have next for your collaborative/organization to advance healthcare integration goals?
What additional areas do you need training and support in, in order to maintain/advance successes achieved so far?
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This has been professionally and personally rewarding!
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Springing Ahead
So, Now What?
NRCNA BALC Cohort Dinner – August 29, 2016* *Speakers needed – AHA Moments session!
Mentoring NRCNA BALC Cohort #2
Open Space Calls – Monthly (starting in September)
Conference Meet-Ups: ASA, State Association Meetings
Business Acumen Interest Group (starting in October)
Access to NRCNA 2015 Grantee Resource Page
Email updates with resources and upcoming trainings
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Evaluation/Reporting - Upcoming
In the next few weeks, you will need to complete:
Complete the Contracting Readiness Self-Assessment (August 12th)
Learning Collaborative Exit Evaluation (August 26th)
Final Report (September 15th)
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Content 2
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Upcoming Webinar: Reminder
10/21/2016
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DATA COLLECTION THROUGH POPULATION HEALTH MANAGEMENT SOFTWARE
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