September 2019

Letter from the President

Dear colleagues:

The hottest topic in medicine is Social Determinates of Health (SDoH). Your zip code appears to be more important to your health status than your genetic code. SDoH are defined as the structural determinates and conditions in which people are born, grow, live, work and age. They include such factors as socioeconomic status, education, the physical environment, employment and social support networks, as well as access to healthcare. A recent meta-analysis of nearly 50 studies suggested that social factors accounted for a third of the deaths in the United States. The US Department of Health and Human Services reported to congress in 2016 that both patients and providers are impacted negatively by SDoH. While it is easy to see how these issues can affect an indigent population, SDoH are just as important in all populations we care for. We are being moved to a value-based payment system to help improve the care and outcomes for our patients. We will not be successful in an outcome- based reimbursement world if our patients’ healthcare results are mostly influenced by SDoH.

 

These facts create a real Catch 22 for providers. They set up situations where doctors might avoid certain groups of patients for fear they won’t have good outcomes due to SDoH. Unfortunately, these are the people who need us the most. If patients can’t get a ride to the office, can’t buy food, can’t afford co-pays and deductibles and have no one to help them at home, the health outcomes are poor no matter how hard we work or whether or not they have insurance. We have all seen it.

 

What can we do?

 

We have seen the importance of SDoH in our Community Care Coordination (5/50) program. If we can address and improve the SDoH for our patients, they are happier, healthier, more engaged and productive. Robust and aggressive care coordination is the key to understanding and meeting the needs of our patients across all groups. We have seen the difference these efforts make. Fewer ER visits, fewer readmits, fewer hospital stays and an improved, healthier life. This requires partnerships with health systems and provider groups across the community. Addressing food deserts, transportation, housing deficits and access to care are essential for quality care delivery. Oklahoma is poorly ranked in health statistics and in SDoH. We must think differently and be willing to change what has not worked in the past. We put 12% of our healthcare spend toward SDoH and 88% on care delivery. It is not working.

 

I was recently at a healthcare conference in Chicago, and SDoH was the most discussed topic, not networks, high deductibles, smoking and new clinics. Investors and private equity firms were there making the case that spending on housing, transportation, nutrition and better living conditions are the keys. That this type of investment improves health more efficiently than new hospitals and clinics is a very compelling argument. The policy makers, health executives and physician leaders in attendance agreed with the concept. Maybe attacking the SDoH is a more efficient way to improve the health of our communities and a better use of resources. The consensus of those in the know was that fee-for service isn’t dead, but it will be greatly diminished over the next few years.

 

We used to be more connected to our patients and understood how they lived and what their needs were. The machine of medicine with its RVU’s and EMR’s have changed those relationships. The social history discussion has been lost in a check-in kiosk or half-filled out checklist. Do you know your patients’ SDoH? Are they always late because they want to irritate you, or is it because they use our inadequate bus services? Have you or your staff ever asked? Do they eat fast food all the time because it is cheap, or is it the only thing UberEATS delivers, and they have no car or nearby grocery store? We should know and try to help them.

 

I hope you see the quandary we are in. If you don’t, you better figure it out. We will soon be paid for outcomes and quality, not quantity. We will be compelled to take risk on patient populations with not just upside but also downside risk. These populations might have SDoH that impacts are ability to succeed. President Trump’s Director of Health and Human Services, Seema Verna, recently stated the administration ”is doing everything we can to accelerate the implementation of financial incentives to drive costs down and improve quality.” The alternative in her view is “Medicare – for – all “. Status quo isn’t affordable.

There is a lot to be done to achieve success in the coming healthcare environment. More on that next month.

 

Sincerely,

Carl Raczkowski, M.D.
President, INTEGRIS Health Partners


INTEGRIS, Blue Cross and Blue Shield sign agreement – Blue Advantage now in network!

You may have heard the recent news that INTEGRIS and Blue Cross and Blue Shield of Oklahoma (BCBSO) signed a longer-term agreement. An exciting component of the unprecedented five-year contract is that for the first time, INTEGRIS providers and facilities are included in the Blue Advantage PPO as of Sept. 1, 2019. Find more information here.


2019 Metrics and Metrics Completion Lists Available

Please review the 2019 clinical and operational metrics, available for you to view anytime at https://integrisok.com/ihp/2019-metrics.

 

Unsure of your 2019 metrics completion status? Check here.


2019 INTEGRIS Health Partners – Last 2019 Summit October 1

Attendance at one INTEGRIS Health Partners Summit is required for all network physicians to participate in shared savings. If you missed the March or June Summit, there is one more summit on the calendar:

 

Tue. Oct. 1, 5:30p, in the Baptist Medical Center auditorium with livestream options to other INTEGRIS facilities. Dr. Raczkowski will provide an IHP update, including an exciting announcement about 2018 Shared Savings.

 

Human Factor Training will also be offered with CME starting at 6:30p. Human Factor Training for providers is required to receive and maintain INTEGRIS credentials. Note: Providers who have completed Human Factor Training or who are already registered for a different training session may leave after the summit and before Human Factor Training starts.

 

Register online here.


2019 Education Metric – Videos now available

INTEGRIS Health Partners presents three online education videos for physicians:

  • Ambulatory Pharmacy Services
  • Hospice and Palliative Care
  • Medical Assistance in Dying

 

Viewing any IHP education video by Dec. 31, 2019 will meet the education metric for 2019, which is required to participate in shared savings. https://integrisok.com/ihp/annual-education


INTEGRIS Golf Classic benefiting Southwest Medical Center Community Care Coordination Program

The INTEGRIS Health Foundation will host the 2019 INTEGRIS Golf Classic on Oct. 22, 2019 at Jimmie Austin Golf Club in Norman. Care coordination brings compassionate care to indigent patients fighting chronic diseases. Your support will fund the equipment and resources needed to serve patients in-need. Donate to this worthy cause by playing in the golf classic, becoming a sponsor or you can “chip in” if you can’t play. Interested in a single player spot? Contact Breann Hager directly at breann.hager@integrisok.com to secure your spot for early registration when single registration opens. Thank you for your recognition and support in making a true difference in the lives of our neighbors.


Upcoming INTEGRIS CME Events

Please mark your calendars for these upcoming educational events. Questions? Contact INTEGRISCME@integrisok.com

 

October 4

INTEGRIS Pediatric Emergency Services Symposium

IBMC Auditorium

Register: www.integrisok.com/ESS

 

November 1

INTEGRIS 31st Annual Fall Symposium

IBMC Auditorium

Register: https://integrisok.com/classes-and-events/conference/31st-annual-integris-deaconess-fall-symposium/c-29/c-91/p-2349


INTEGRIS Connect Welcome

Matthew Draelos MD, Jamie Crain APRN and Brock Vorwald PA at Draelos Metabolic Center are the latest independent provider to implement INTEGRIS Connect, the Epic product for community providers. Dr. Draelos and his staff members can now access information for their shared patients throughout the Epic system. Congratulations! To learn more about INTEGRIS Connect, visit www.integrisok.com/connect. Submit an inquiry to schedule an informational meeting.


New Physicians and Advanced Practice Providers

Abeera Ali MD

Neurology

INTEGRIS Neurology North

3366 NW Expressway Suite 200

Oklahoma City OK 73112

405-713-9930

Ronan A. Bakker MD

Obstetrics and Gynecology

The Perinatal Center

4140 W Memorial Road Suite 321

Oklahoma City OK 73120

405-748-4726

Kandy Brown APRN

Nephrology

Midwest Nephrology Group

9230 E Reno Ave Suite B

Midwest City OK 73130

405-737-4900

Rachel M. Cameron APRN-CNP

Family Medicine

Trail Creek Wellness

1001 Hospital Circle

Kingfisher OK 73750

405-375-7935

Andrew Cease MD

Pediatric Neurology

INTEGRIS Pediatric Specialties

3330 NW 56th Street Suite 305

Oklahoma City OK 73112

405-713-7060

Charles E. Cottle MD

Physical Medicine-Rehab

INTEGRIS Southwest Rehabilitation

4219 S Western

Oklahoma City OK 73109

405-644-5356

Seana Dean MD

Pediatrics

INTEGRIS Family Care Del City

4801 SE 15th Street

Del City OK 73115

405-702-9400

David E. De Gaston MD

Family Medicine

INTEGRIS Family Care Del City

4801 SE 15th Street

Suite 300

Del City OK 73115

405-702-9400

Christine DiEnna DO

Cardiovascular Disease

INTEGRIS Cardiovascular Physicians

5701 N Portland Suite 126

Oklahoma City OK 73112

405-947-3341

Sean R. Dossett DO

Anesthesiology

Anesthesia Scheduling Services

608 NW 9th Street Suite 6210

Oklahoma City OK 73102

405-272-9641

Kristen Downs APRN-CNP

Orthopedics

Orthopedic Spine Associates

14100 Parkway Commons Dr. Suite 101

Oklahoma City OK 73134

405-463-3370

Stacey L. Foshee MD

Pulmonary

Stacey Foshee MD

3100 SW 89th Street

Oklahoma City OK 73159

405-292-5500

Netali Ginsberg MD

Emergency Medicine

IBMC ER Physicians

3300 NW Expressway

Oklahoma City OK 73112

405-951-5241

Holly A. Goracke MD

Family Medicine

The Physicians Group

7530 NW 23rd Street

Bethany OK 73008

405-787-8550

Heather Hales APRN

Pediatric ENT

Pediatric ENT of Oklahoma

9900 Broadway Extension Suite 200

Oklahoma City OK 73114

405-608-8833

Michael Harper MD

Critical Care Medicine

Zuhdi Transplant Physicians

3300 NW Expressway

Oklahoma City OK 73112

405-951-9860

Jerry R. Hine MD

Anesthesiology

Anesthesia of Enid

600 S Monroe

Enid OK 73701

580-242-3003

Michael Hood MD

Ophthalmology

Retina Vitreous Center

1411 West 12th Avenue Suite C

Stillwater OK 78074

405-607-6699

Robert N. Jarman MD

Diagnostic Radiology

Radiology Associates

3330 NW 56th Street Suite 206

Oklahoma City OK 73112

405-945-4740

Gerald E. Joseph CRNA

Anesthesiology

Anesthesia of Enid

600 S. Monroe Street

Enid OK 73701

580-242-3003

Christopher Kelso MD

Emergency Medicine

IBMC ER Physicians

3300 NW Expressway

Oklahoma City OK 73112

405-951-5241

Sidney Le MD

Hospitalist - Family Medicine

INTEGRIS Hospitalists

3300 NW Expressway

Oklahoma City OK 73112

405-713-7403

James E. Lynch MD

Pain Management Oklahoma Pain Center

5101 W Memorial Road

Oklahoma City OK 73142

405-752-9600

Audrey McGowen PA-C

Pediatrics

The Pediatric Group

3330 NW 56th Suite 400

Oklahoma City OK 73112

405-945-4200

David L. Miller DDS

Oral Surgery

OKC OMS Holdings

20 E. Dunloup

Shawnee OK 74804

405-585-2407

Kyla Moore APRN-CNP

Transplant Hospitalist

Zuhdi Transplant Physicians

3300 NW Expressway

Oklahoma City OK 73112

405-949-3349

E. Lee Moore MD

Ophthalmology

Dean A McGee Eye Institute

608 Stanton L Young Boulevard

Oklahoma City OK 73104

405-271-6060

Chris Nguyen DO

Hospitalist

INTEGRIS Hospitalists

3300 NW Expressway

Oklahoma City OK 73112

405-713-7403

Shelby Lynn Nicholson PA

ENT

INTEGRIS ENT Edmond

4509 INTEGRIS Parkway Suite 200

Edmond OK 73034

405-657-3895

Amanda D. Oblander APRN-CNP

Rheumatology

The Physicians Group

6516 N. Olie Avenue Ste G

Oklahoma City OK 73116

405-608-8060

Nancy O'Connell APRN

Pediatrics

INTEGRIS Family Care Del City

4801 SE 15th Street

Del City OK 73115

405-702-9400

Jennifer L. Rich APRN

Family Medicine

The Physicians Group LLC

13190 NE 23rd Street

Choctaw OK 73020

405-769-7201

Dennis E. Sandler MD

Obstetrics and Gynecology

Dennis E Sandler MD

1211 N Shartel Suite 107

Oklahoma City OK 73103

405-430-1058

Andrea M. Seat DPM

Podiatry

Oklahoma Foot and Ankle Treatment Center

5500 N Portland

Oklahoma City OK 73112

405-949-1800

Hamid Sima MD

Gastroenterology

Zuhdi Transplant Physicians

3300 NW Expressway

Oklahoma City OK 73112

405-949-3349

Ananth Srinivasas MD

Transplant Surgery - Liver

Zuhdi Transplant Physicians

3300 NW Expressway

Oklahoma City OK 73112

405-949-3349

Courtney L. Swartz DO

Pediatrics

INTEGRIS Family Care Del City

4801 SE 15th Street

Del City OK 73115

405-702-9400

Timothy Thomas DPM

Podiatry

Foot and Ankle Surgeons of Oklahoma

13100 N Western

Suite 200

Oklahoma City OK 73114

405-418-4500

Samuel Thomsen MD

Ophthalmology

Dean A McGee Eye Institute

608 Stanton L Young Boulevard

Oklahoma City OK 73104

405-271-6060

Samantha E. Tidwell PA-C

Orthopedic

INTEGRIS Orthopedic Central

3433 NW 56th Street Suite 950

Oklahoma City OK 73112

405-713-9940

Amaza A. Tripp APRN-CNP

Family Medicine

The Physicians Group

7530 NW 23rd Street

Bethany OK 73008

405-470-6510

Yasir Usman MD

Pulmonary - Critical Care

INTEGRIS Pulmonology Associates of Enid

620 S Madison Suite 209

Enid OK 73701

580-213-9741

Beth Veatch NP

Pediatrics

The Children's Center Rehabilitation Hospital

6800 NW 39th Expressway

Bethany OK 73008

405-440-9866

Jaspreet Virdi MD

Internal Medicine

INTEGRIS Family Care Central

3400 NW Expressway Suite 500

Oklahoma City OK 73112

405-945-4589

Richard D. Watkins APRN-CNP

Pain Management

Elite Pain and Health

13100 N Western

Suite 200

Oklahoma City OK 73114

800-781-1220

Tim Weaver MD

General Surgery

Surgical Partners of Oklahoma

1808 Commons Circle Suite A

Yukon OK 73099

405-265-2210

Heather Weber DO

Pediatrics

INTEGRIS Family Care Council Crossing

9417 N Council Road

Suite 200

Oklahoma City OK 73162

405-470-2590

Rachel Witmer PA

Urgent Care

MedOK Mustang

1616 S Mustang Road

Yukon OK 73099

405-256-0501