GBMC Has Built a Better System of
Care for Patients, Employers and the
Community
October 18, 2016
John B. Chessare MD
President and CEO
GBMC HealthCare System
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The GBMC HealthCare System
• Greater Baltimore Health Alliance (GBHA)
– Private practicing physicians
– Greater Baltimore Medical Associates (GBMA)
• GBMC Medical Center
• Gilchrist Hospice Care
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2 3
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15 GBMC
Advanced
Primary
Care Sites
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Our Vision Statement 2011-2016
In order for GBMC to maintain its status as a provider of the highest quality medical care to our
community, in the context of an evolving national healthcare system, we must transform our
philosophy and organizational structure, and develop a model system for delivering patientcentered care.
We define patient-centered care as care that manages the patient’s health effectively and
efficiently while respecting the perspective and experience of the patient and the patient’s family.
Continuity of care with a focus on prevention and ease of navigation through a full array of
services will be the rule. Our professional staff will be able to say with confidence that the
guidance and medical care they are providing mirrors what they would want for their own family.
We will create the organizational and economic infrastructure required to deliver evidence-based,
patient-centered care and for holding ourselves accountable for that care. This new organization
will be defined by collaboration and continuous improvement. Physicians will lead teams that will
manage patient care.
We are moving into the future with renewed energy and increasing insight. We look forward to
building relationships with both community-based and employed physicians that will form the
foundation of the Greater Baltimore Health Alliance. We welcome all those who share our vision of
health care as it is transformed to meet the needs of our community and nation in the 21st century.
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Vision Phrase:
To every patient, every time, we will provide the
care that we would want for our own loved ones.
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What do we want for our own loved ones?
The GBMC HealthCare Quadruple Aim
1.
2.
3.
4.
The Best Health Outcomes
The Best Care Experience
Lowest Cost (Least Waste)
With the Most Joy for those providing the care
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A Model System
of Patient-Centered Care
• The Patient Centered Medical Home
– 15 practices using advanced primary care.
– It’s not about the visit. It’s about a relationship of
trust and accountability.
– Access is critical: we open at 7AM and close at 7PM or
later; we are open Saturday, Sunday and holidays.
– Physicians work with nurse care managers and care
coordinators to maximize health by using diseasestate registries, CRISP, and care coordination and
prevention.
– The opposite of fragmented- poorly coordinated care!
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So how are we doing?
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Better Health
Breast Cancer Screening
80%
GBMA All
75%
70%
70.84% 70.58% 70.78%
71.71%
72.70% 72.12% 72.23% 72.08% 72.77%
73.60%
74.37% 73.79%
Num / Den
8,590 / 11,641
65%
60%
55%
50%
Sep
2015
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
2016
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Better Health
Colon Cancer Screening
75%
70%
GBMA All
New Goal: 70%
67.07%
65%
64.36%
68.33% 68.54% 68.23% 68.60% 68.78% 68.74% 68.57%
Num / Den
13,614 / 19,835
65.71% 65.68% 65.42%
60%
55%
50%
Sep
2015
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
2016
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Better Health
Poor Diabetes Control- Hgb A1c
40%
GBMA All
35%
30%
25%
30.11%
29.71% 29.03%
28.81% 29.57% 29.42%
31.03% 31.38% 30.68%
29.99%
29.08% 28.65%
Num / Den
1,371/4,786
20%
15%
10%
5%
0%
Sep
Oct
Nov
Dec
2015
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
2016
* Note DM2 is an inverse measure
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Better Health
Diabetic Eye Exam
45%
GBMA All
40%
38.55%
35%
35.45%
30%
Num / Den
1,910 / 4,786
31.76%
27.81%
25%
22.66%
20%
15%
39.91%
23.64%
25.43%
20.29%
16.58%
18.11%
10%
Oct
2015
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
2016
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Better Health
Obesity Screening & Follow-up
85%
GBMA All
80%
75%
70%
72.42%
65%
62.91%
60%
55%
65.23%
66.29%
74.14%
75.85%
77.71%
79.66%
81.34%
82.42%
Num / Den
42,892 / 52,043
68.54%
55.81%
50%
45%
40%
Sep
2015
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
2016
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Better Health
Tobacco Screening and Intervention
100%
GBMA All
95%
94.64% 94.69%
90%
Num / Den
49,773/ 52,566
85%
80%
83.73% 83.90%
82.86% 82.90% 83.06% 82.22% 82.22% 83.13% 83.38% 83.47%
75%
70%
Sep
2015
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
2016
* Note: Changed to 24 month numerator in July 2016
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Better Health
Depression Screening & Intervention
100%
90%
Working with Sheppard Pratt to embed social workers
and Psychiatrists in all the practices!
80%
GBMA All
70%
72.29% 73.06% 72.65%
60%
62.50%
69.49% 69.97%
68.28%
67.08%
65.31% 65.55% 66.45%
Num / Den
33,683/ 48,137
57.39%
50%
40%
Sep
2015
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
2016
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Higher is Better
Better Care
Overall Satisfaction Score
All My Sites
Better Care
Higher is Better
Convenience of our Office Hours
Hunt Valley-Saturday All Primary Care Open
Saturday
Sunday Hours
Open
Holidays
Least Waste
Medicare Total Cost Per Patient
Total Expenditures Per Assigned Beneficiary (Annual)
$13,000
$12,653
$12,352
$12,000
$12,159
$12,035
$12,014
$11,911
$11,907
$11,654
$11,785
$11,816
Total Expenditures
GBHA – 7.12% Decrease (Δ $901)
ACO Cohort – 0.88% Increase (Δ
$87)
$11,752
$11,288
$11,283
$11,000
$10,035
$11,419
$10,050
$9,840
$10,000
$9,895
$9,825$9,774$9,825$9,863$9,830
$9,929
$10,023
$9,982
$9,000
$8,979
GBHA
ACO Cohort
$8,000
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Least Waste
Medicare Hospitalization Rate
Hospital Discharges (Per 1,000 Person-Years)
400
386
372
355
342
350
Hospital Discharges
GBHA – 27.98% Decrease (Δ 108)
ACO Cohort – 11.39% Decrease (Δ
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354
340
337
350
342
337
330
322
322
308
303
309
300
304
297
295
314
312
301
287
274
GBHA
308
277
278
ACO Cohort
250
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Least Waste
Medicare Emergency Department Visits
ED Visits (Per 1,000 Person-Years)
700
683
665
662
666
668
615
614
681
671
667
662
661
651
663
650
667
682
655
ED Visits
GBHA –11.30% Decrease (Δ 75)
ACO Cohort – 0.83% Increase (Δ 6)
628
619
600
616
603
594
583
585
582
588
575
GBHA
ACO Cohort
550
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With More Joy
The GBMC Team takes pride in improving health and the care
experience while reducing cost…it’s a joyful pursuit!
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We are building a system of care for a better
future for healthcare in our region
Do not doubt that a small group of
thoughtful people could change the world.
Indeed, it's the only thing that ever has.
Margaret Mead
Thank You!
For more information:
www.gbmc.org
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