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Title & Content |
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The Vermont Blueprint for Health: An Integrated Approach to Chronic Disease Prevention and Care Vermont Department of Health
Ellen B. Thompson, MS
Sharon Moffatt, RN, MSN
Paul Jarris, MD, MBA
Eileen Girling, RN, MPH |
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Vermont
- Population: 620,000
- 18 US Cities are larger
- 90 US Counties are larger
- Ranked 2nd healthiest State in 2005
- 90 % insured
- 59 % Private (3 carriers)
- 15 % Medicaid
- 15 % Medicare
- Adequate to good access to primary care
(image: map of Vermont)
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Why the Blueprint?
- More than ½ of adult Vermonters have a chronic condition—88% of those over age 65
- Inefficiency in the system: people don't get the care they need ½ the time (national data)
- "System" is set up to be responsive-not proactive: good doctors and good patients can't overcome system problems
- Increasing cost of health care: 8.7% increase in 2003 (U.S. 7.7%)
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Blueprint Vision
- Vermont will have a statewide system of care that improves the lives of individuals with and at risk for chronic conditions.
Goals:
- Better Outcomes
- Lower prevalence of chronic conditions
- Better health for people with chronic conditions
- Improved quality of life
- Moderation in costs
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Our travel plan
- Link prevention and treatment
- Work with key players to promote change
- Patients, families and friends
- Health care team
- Communities: geographic, faith, social, work, school
- Create coordinated, supportive infrastructure
- Health "system"
- Public health and public policy "system"
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The Continuum of Chronic Disease
(image: diagram titled "The Continuum of Chronic Disease")
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Reducing diabetes deaths
(image: chart titled "Deaths Per Thousand Adults")
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Blueprint Care and Prevention Model
(image: diagram titled "Blueprint Care and Prevention Model")
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The Model Reconstructed
(image: diagram titled "The Model Reconstructed")
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Blueprint Successes
Community Services
- 12 Local Health Districts
- >37 towns-physical activity
- VT-211 statewide
- Built Environment Assessment
Public Policy
- Mainstreamed Debate
- Governors priority
- Legislation
- Public Funding
- Press Coverage
- National recognition
Self Management
- 7 Master Trainers
- 81 Instructors
- >250 participants
- 15 towns
Information Systems
- Software purchase
- Interim registry
- RHIO contract
- Practice needs
- Analysis
Health Systems
- Payer/regulator engagement
- Disease Management Report
- Pay 4 Performance
- Agreement on standards
Provider Practice
2 Service Areas-2005
- 19 Practices
- 45 Providers
- 1200 patients
4 Service Areas-2006
(image: pie graph titled "Blueprint Successes")
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Blueprint Sites
(image: map of Vermont featuring providers)
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Next steps
- Continue to expand communities and conditions
- Promote entrepreneurship
- Fully engage Vermonters in the endeavor
- Gain Medicare participation
- Keep learning
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Thank you
Ellen Thompson
Vermont Department of Health
ethomps@vdh.state.vt.us
802-863-7279
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