Richard Snow – Osteopathic Medicine and Value Based Care

Course Description

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Estimates from the Institute of Medicine suggest that 30% of health care spending does not benefit the health of individuals in America and constitutes waste. As a response to this waste, payers are redesigning payments to providers to increase the focus on value which is defined by better health, better health care and lower costs, not more volumes. For clinicians to be successful in providing value they must understand and develop the skills necessary to manage populations as well as patients. This approach is entirely consistent with the Ostepathic approach based in empathy and the holistic approach to patients by migrating it to populations. This lecture will use several examples to describe the skills and applications to both patients and populations.

Learning Objectives:

1. Understand how value based care is consistent with Osteopathic Medicine.
2. Evaluate the threat to patient care that health care waste provides using the framework of over-use and under-use
3. Analyze two opportunities to reduce waste in healthcare.

Accreditation:  

OPSC is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. OPSC designates this program for the a maximum of one (1) hour of AOA Category 1-A credits and will report CME and speciality credits commensurate with the extent of the physician’s participation in this activity.

Dr. Snow is currently practicing primary care as an Osteopathic Family Physician in St. Michaels on the Maryland Eastern Shore. He is also serving as a consultant to the Government Resource Center evaluation of the Ohio State Innovation Model. Prior to this he served as the System Vice President of Clinical Transformation at OhioHealth in Columbus, Ohio In this position, Dr. Snow worked with system hospitals and Health4, OhioHealth Group’s clinically integrated network, to align care redesign with payment re-engineering. Value based care projects included CMS bundled payment initiatives and at-risk and gain sharing contracts covering 180,000 lives within the integrated network.

Prior to working with OhioHealth, Dr. Snow served as a consultant with the American Osteopathic Association, hospitals, hospital associations, and process improvement organizations. In this capacity he supported the development and execution of process and outcome improvement projects by providing clinical and epidemiologic leadership. Clients included the Ohio Hospital Association, in support of regional collaboratives in Columbus, Cincinnati, Cleveland, Dayton, and Northwest Ohio. In addition, Dr. Snow served as a medical director for Performance Improvement at Doctors Hospital in Columbus, Ohio. Dr. Snow worked as the principal clinical coordinator at the Ohio Quality Improvement Organization in the early 1990’s, having oversight for the implementation of the Centers for Medicaid and Medicare’s Health Care Quality Improvement Program (HCQIP) cooperative projects. Projects were population-based quality of care studies that focused on improving systems of health care delivery within hospitals serving Ohio’s 1.5 million Medicare beneficiaries. During his tenure he worked with the quality improvement team to develop and execute over 40 quality of care projects involving all 160 hospitals in the state of Ohio.