Naval Hospital Jacksonville Innovates with Value-Based Care


Story Number: NNS170713-09Release Date: 7/13/2017 2:29:00 PM
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By Yan Kennon, Public Affairs Senior Writer, Naval Hospital Jacksonville

JACKSONVILLE, Fla. (NNS) -- Navy Medicine is focused on finding innovative ways to protect, support and advance the health and welfare of the military family.

One of Naval Hospital (NH) Jacksonville's innovative strategies is value-based care. The hospital launched a pilot program for Navy Medicine worldwide, Oct. 1, 2016, and has since expanded value-based care to its branch health clinics in Jacksonville, Kings Bay, and Mayport.

Value-based care focuses on the results that matter most to patients: feeling healthy, being able to do daily activities, and fulfilling life roles like work and family.

The goal is doing what's right for patients in ways convenient and acceptable to them, with improved patient outcomes, increased readiness, higher patient satisfaction, and improved value with optimal resource utilization.

The value approach organizes care around patients with similar needs and medical conditions. NH Jacksonville developed multidisciplinary teams, called Integrated Practice Units (IPUs), for diabetes, low back pain, osteoarthritis, and complicated pregnancy.

Patients can ask their primary care manager (PCM) about enrolling in one of the IPUs.

"This is about providing real-world value to patients," said Capt. David Collins, NH Jacksonville commanding officer. "And the early results are promising."

In the first six months, 251 patients enrolled in the IPUs, with about 1,130 appointments. In addition to improving patients' quality of life, the IPUs are also seeing other improvements. The diabetes IPUs have improved patients' A1c scores, reflecting better long-term control of blood sugar. The low back pain IPU is seeing patients earlier in the Physical Therapy Clinic, and completing patients' treatment more quickly. The osteoarthritis IPU has improved the imaging studies patients receive.

Each IPU consists of a dedicated team of providers who are focused on that condition. The team is responsible for the full cycle of care - outpatient, inpatient, and support services - for that condition. The team uses evidence-based strategies to enable patients to reach their health goals. Team members vary by IPU, and include a primary provider and multiple specialties (such as pharmacy, behavioral health, nutrition, wellness, pain management, neurology, orthopedics, physical therapy, and radiology). A care navigator is also part of each IPU, to help patients along the way.

IPU patients generally experience personalized care plans that include their personal goals, individual and group appointments with the team, fewer appointments in general (to save patients' time), and enhanced communications.

While each IPU provides the care for its condition of focus, patients enrolled in IPUs also remain part of their Medical Home Port team. This includes continued access to the appointment lines, 24/7 Nurse Advice Line (800-874-2273), TRICARE Online Patient Portal Secure Messaging (http://www.TRICAREonline.com or http://mil.RelayHealth.com), pharmacy home delivery (www.tricare.mil/homedelivery), and Patient/Customer Relations to help improve the care experience.

Currently, the hospital offers diabetes, low back pain, and complicated pregnancy IPUs. Naval Branch Health Clinic (NBHC) Mayport offers diabetes and osteoarthritis IPUs, and NBHC Kings Bay offers a low back pain IPU. The hospital partners with NBHC Jacksonville on the low back pain IPU.

To find out more, patients can speak with their PCM, or call the diabetes IPU (hospital and NBHC Mayport) at 904-542-7636, or call the osteoarthritis IPU (NBHC Mayport) at 904-270-4371.

NH Jacksonville's priority since its founding in 1941 is to heal the nation's heroes and their families. The command is comprised of the Navy's third largest hospital and five branch health clinics across Florida and Georgia. Of its patient population (163,000 active and retired Sailors, Soldiers, Marines, Airmen, Guardsmen, and their families), about 85,000 are enrolled with a primary care manager and Medical Home Port team at one of its facilities. To find out more or download the command's mobile app, visit http://www.med.navy.mil/sites/navalhospitaljax.

For more information, visit http://www.navy.mil, http://www.facebook.com/usnavy, or http://www.twitter.com/usnavy.

For more news from Naval Hospital Jacksonville, visit http://www.navy.mil/local/nhjax/.

 
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Naval Hospital Jacksonville Value-based Care
MAYPORT, Fla. (June 22, 2017) " Lt. Cmdr. Jeremy Ramsey (right), a sports medicine physician, and Lt. Justin Hoblet, a physical therapist, assess range of motion in Russell Sibert™s knee, as part of Naval Branch Health Clinic Mayport™s osteoarthritis integrated practice unit (IPU). The osteoarthritis IPU is one of four launched by Naval Hospital Jacksonville as part of its value-based care pilot for Navy Medicine. Value-based care focuses on results that matter most to patients, from feeling healthy and having a sense of well-being, to being able to do daily activities and fulfill life roles at work and home. (U.S. Navy photo by Jacob Sippel, Naval Hospital Jacksonville/Released).
July 13, 2017
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