Nov 30, 2015
Annette DuBard,
MD, MPH is the SVP for Informatics and Evaluation at Community Care
of North Carolina, where she has led efforts to advance population
health analytics and information systems used statewide to
facilitate care coordination and quality improvement in practices
and communities; to support targeted care management for patients
with complex healthcare needs; and to monitor quality, utilization,
and cost outcomes. A graduate of Rhodes College and the Johns
Hopkins University School of Medicine, she completed family
medicine and preventive medicine residency training, with a
master’s degree in health policy and administration, at the
University of North Carolina at Chapel Hill. Her background
includes several years of full time clinical practice in the
community health center setting, and research interests in
underserved populations, delivery system reform, and population
health management strategies.
Email: adubard@n3cn.org
Twitter: @communitycarenc
Facebook:
www.facebook.com/communitycarenc
LinkedIn: https://www.linkedin.com/company/n3cn
00:00 Annette explains CCNC, Community Care of North
Carolina.
01:00 CCNC is not a healthcare provider, but an infrastructure that
operates between the payer and the provider.
02:30 The primary providers that CCNC operates their program
with.
03:30 How CCNC works as an arm of providers, and what entities hold
them accountable.
05:00 The Complex Care programs that CCNC runs, and what these
are/how they work.
08:30 Moving away from disease management, and taking a holistic
view of individual healthcare management.
11:00 “It is not just recognizing disease morbidity, but you are
looking for how people are using care.”
14:20 “High risk does not necessarily mean highly impactable.”
14:45 Finding outliers in patterns of care.
20:00 The difference between highly impactable patients and
“super-users.”
23:30 How other providers are able to achieve the models that CCNC
uses, without needing the large volume of data that CCNC is able to
use.
26:30 What CCNC is doing to build out their programs and enable
larger community and industry collaboration.
28:30 Check out the links above for more information.
29:00 Notable failures within the industry that Annette has seen
firsthand.
33:00 Annette’s advice for disease management entrepreneurs.
34:50 “It’s really all about appropriate targeting of what we have
to offer.”