| Weekly Thursday Call Agenda 12/01/11
Thursday, December 1st at 11:00am ET we will hold a call for the Patient-Centered Primary Care Collaborative.
Call in number is 712.432.0900
Passcode is 868853
Please press *6 on your phone to mute and *6 to unmute.
Please mute your telephone unless you are speaking.
If you have not registered to receive this newsletter, follow this link and there is an easy registration process on our website. Additionally, the previous national Thursday call agendas are listed on this page.
Collaborative Announcements
SAVE THE DATE - Spring Stakeholder Conference, April 23-24, 2012, Washington, DC Wardman Park Marriott
Exhibiting/Sponsorship Opportunities - Click HERE
Upcoming Webinars
The PCPCC Education and Training Task Force is pleased to announce a free webinar from 3:00pm – 4:00pm EST on Monday, December 5th, entitled “Interdisciplinary Training Your Workforce to Promote Integrated Care”. Our featured speakers will be Dr. Barbara Cubic, associate professor, psychologist and co-director of the Eastern Virginia Medical School Clinical Psychology Internship Program discuss the role of interdisciplinary training in creating a workforce equipped to provided integrated care within patient centered medical homes.
Barbara Ann Cubic, Ph.D. is an Associate Professor at Eastern Virginia Medical School (EVMS) with joint appointments in the Department of Psychiatry and Behavioral Sciences and the Department of Family and Community Medicine. She serves as the Co-Director of the EVMS Clinical Psychology Internship Program, Director of the EVMS Student Mental Health Program and Director of the EVMS Center for Cognitive Therapy. She is a Certified Cognitive Therapist and Founding Fellow of the Academy of Cognitive Therapy and her clinical and research interests are in cognitive behavioral therapy, eating disorders, psychological aspects of bariatric surgery, and primary care psychology. She has been awarded multiple state and national funding grants. In 2002, she wrote one of the first funded HRSA Graduate Psychology Education grants and in 2007 received her second HRSA Graduate Psychology Education grant focused on training psychologists and primary care physicians to provide integrated care. In the last two years she has also received two substantial grants from the State of Virginia for Workforce Development. She also serves as the editor of the Journal of Clinical Psychology in Medical Settings. In 2010 she was awarded the Cummings PSYCHE Prize by the American Psychological Foundations for her work in Integrated Care.
Center for Employer Engagement Webinar: Wenesday, December 14th at 3 p.m. ET Presenter - Cathy Baase, MD, Dow Chemical. Registration Coming Soon!
PCMH Happenings
1. Health Care innovation Challenge Update
The Department of Health and Human Services recently announced the Health Care Innovation Challenge from the CMS Innovation Center, a new initiative designed to test creative ways to deliver high quality medical care and reduce costs across the country. The Challenge will award up to $1 billion in total grants to applicants who can rapidly implement the most compelling new ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and CHIP, particularly those with the highest health care needs.
Answering Your Questions - New FAQs Available:
After announcing the initiative, Innovation Center staff received thousands of comments and questions about the Health Care Innovation Challenge. In order to more efficiently manage the large volume of inquires and to make sure that everyone has access to responses, we have posted responses to some of the most Frequently Asked Questions on the Innovation Challenge home page. Potential applicants are highly encouraged to check the Innovation Challenge website often for newly posted FAQs and recordings/slides of webinars to receive the most timely information. You can continue to submit additional questions to [email protected] .
Upcoming Webinars – December 6th and December 13th :
To learn more about the Innovation Challenge, CMS Innovation Center staff will be hosting two additional webinars. The first webinar will be held on Tuesday, December 6 th, 2011 at 2pm ET to provide guidance on the application process with specific attention towards project proposal design. A second webinar will be held the following week, Tuesday, December 13, 2011 which will delve deeper into the application process with special focus on quality measurement and financial plans. More information about the December 13 th webinar will be posted on the Innovation Center website shortly.
WHAT: Webinar: Health Care Innovation Challenge: Project Design Discussion
WHEN: Tuesday, December 6, 2011 at 2:00pm – 3:45pm (EST)
WEBCAST: http://www.visualwebcaster.com/event.asp?id=83923
Participants wishing to listen to audio must dial 877-261-8937 and enter code 31613148#. Reminder, participants will only be able to ask questions via chat feature online. A recording will be available following the webinar.
**For more information, including a fact sheet, FAQs and the Funding Opportunity Announcement, please see the Health Care Innovation Challenge initiative web site at: www.innovations.cms.gov or send your questions to [email protected]gov.
2. PCMH: Pathway to the Future - December 6th Conference in Louisiana
BC/BS LA Mtgs Location: Pennington BioMed, 6400 Perkins Rd, Baton Rouge, LA
Our state and nation face unprecedented change in the healthcare industry. Blue Cross and Blue Shield of Louisiana has answered the call for new and innovative delivery transformation models by embracing the concept of the Patient-Centered Medical Home.
For questions, please contact [email protected]
Join BCBS Louisiana and national leaders in health care for this informative event. Other speakers include:
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Paul Grundy, President, PCPCC
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Dr. Diane Rittenhouse, M.D., M.P.H.Associate Professor, Department of Family/Community Medicine, University of California, San Francisco
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Dr. Bryan K. Demarie, M.D.Board-certified Internist, NCQA Double Distinctive Medical Clinic of North Texas
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Ken Phenow, M.D., M.P.H.Chief Medical Officer, Blue Cross and Blue Shield of Louisiana
Click HERE to register for this event.
3. New Position Paper from the GME Initiative on Medical Education Reform
The Graduate Medical Education (GME) Initiative is a voluntary, collaborative “grassroots” endeavor of individuals representing health care consumers and leaders in Family Medicine Residency Training from 10 states and the District of Columbia. The GME Initiative strives to explore and advocate for reforms in the training of primary care physicians in order to meet the country’s current and anticipated health care needs. As outlined in this position paper, they discuss a system emphasizing primary care that has been shown to deliver increased access to health care, improved quality, greater patient engagement and satisfaction, and lower costs—all imperatives in the drive to ensure access to high-quality care for all individuals. Accordingly, the GME Initiative Recommends that Congress:
1. Revive Primary Care Supply through GME benchmarking and enforcement:
a. Declare the optimal composition of the physician workforce and the federally supported GME enterprise that supports it to be 50% primary care physicians and 50% subspecialists.
b. Hold teaching hospitals accountable for achieving these goals by maintaining or expanding primary care resident training slots, regardless of the level of federal funding they receive.
c. The GME cap on residency slots should be increased, with a preferential increase in primary care training slots, in order to be able to produce enough primary care physicians to meet the workforce needs of the country.
2. Establish a GME system that is based on care for all segments of the community, accessible to Medicare, Medicaid and otherwise insured and uninsured patients, and financially supported by all health care insurance plans.
a. Establish a fixed floor amount of Medicare Direct Graduate Medical Education (DME) funding at $100,000 per resident, per year for family medicine residents. This funding should remain unaffected by the percentage of Medicare patients treated at family medicine residencies.
b. Redirect Medicare Indirect Graduate Medical Education (IME) funding to support primary care residency education in teaching health centers, teaching hospitals and community-based ambulatory patient care centers that operate primary care residency programs.
c. Develop funding mechanisms to support Rural Training Tracks and resident training for urban underserved communities.
3. Retroactively adjust the 1997 full-time equivalent (FTE) cap for the primary care FTE that was backed out for time residents spent outside of the hospital.
This position paper details these recommendations. Specifically, this report presents the foundation for developing legislation that will transform GME structure and financing in order to educate the primary care workforce necessary to meet the nation’s need for cost-effective, high-quality health care. This policy statement represents the proceedings of the GME Initiative’s Initial Forum held in Denver, Colorado, on July 8, 2011. Click HERE to download the position paper.
4. HHS awards Affordable Insurance Exchange Grants
The Department of Health and Human Services (HHS) today awarded nearly $220 million in Affordable Insurance Exchange grants to 13 states to help them create Exchanges, giving these states more flexibility and resources to implement the Affordable Care Act. The health care reform law gives states the freedom to design Affordable Insurance Exchanges – one-stop marketplaces where consumers can choose a private health insurance plan that fits their health needs and have the same kinds of insurance choices as members of Congress.
The Department also released several Frequently Asked Questions providing answers to key questions states need to know as they work to set up these new marketplaces. Critical among these are that states that run Exchanges have more options than originally proposed when it comes to determining eligibility for tax credits and Medicaid. And states have more time to apply for “Level One” Exchange grants.
Today’s awards bring to 29 the number of states that are making significant progress in creating Affordable Insurance Exchanges. States receiving funding today include: Alabama, Arizona, Delaware, Hawaii, Idaho, Iowa, Maine, Michigan, Nebraska, New Mexico, Rhode Island, Tennessee, and Vermont.
In the new Exchanges, insurers will provide new information such as an easy-to-understand summary of benefits and costs to consumers. The level of detail will sharpen competition between carriers which will drive costs down.
Of the 13 states awarded grants today, 12 are receiving Level One grants, which provide one year of funding to states that have already made progress using their Exchange planning grant. The 13th state, Rhode Island, is receiving the first Level Two grant, which provides multi-year funding to states further along in the planning process.
Forty-nine states and the District of Columbia have already received planning grants, and 45 states have consulted with consumer advocates and insurance companies. Thirteen states have passed legislation to create an Exchange.
States have many opportunities to apply for funding. To accommodate state legislative sessions and to give states more time to apply, HHS also announced a six-month extension for Level One establishment grant applications. Applications now will be accepted until June 29, 2012 (the original deadline was December 30, 2011).
For the FAQs, visit http://cciio.cms.gov/resources/regulations/index.html#hie.
For more information on Affordable Insurance Exchanges, visit http://www.HealthCare.gov/law/features/choices/exchanges/index.html
For more information on the states receiving grants, visit http://www.healthcare.gov/news/factsheets/2011/05/exchanges05232011a.html
5. Two Health Home Medicaid Waivers Approved
The first two Health Home Medicaid Waivers have been approved and awarded to New York and Rhode Island. Both States plan to implement a strong behavioral health component:
New York - New York is transforming the system of care for almost 1 million people on Medicaid, using the federal health care reform known as health homes.The health home concept is a good one. It says that the locus of control of one's care is patient-centered and coordinated through a network that, in many cases, will include hospitals, mental health organizations, health plans, community-based organizations, health centers and addictions disorders providers. A designated care manager will help coordinate these services.
It is hard for a mental health advocate to argue against a concept that provides a more comprehensive approach to mental health and other health care. Many people with mental illness have substance abuse issues and health-related issues like diabetes and high blood pressure.
For many people in the mental health system, getting access to non-mental health professionals has been an exercise in futility. They sometimes have to wait months before seeing a health care professional who will take Medicaid patients.
However, as we know, the devil is in the details. There is still much that has to be worked out before there are guarantees of successful outcomes. Our concerns include:
Mental health services: According to the state Health Department, all applications to serve as a health home must have a strong mental health component. We agree and want to make sure that the applicants selected as health homes have robust community mental health systems in place that include peer services, trauma-based care, family services, employment and educational support, suicide prevention training and access to emergency services.
Read more: http://www.timesunion.com/opinion/article/N-Y-s-chance-for-better-mental-health-care-2308883.php#ixzz1fEnmPcrl
Rhode Island - While 13 states shared in $220 million in CMS grants on Tuesday, the Ocean State was alone in receiving a Stage 2 award -- worth nearly $58 million over two years -- for its health insurance exchange efforts. But a smaller, path-breaking reward escaped many health wonks' notice: $12.7 million in federal matching funds for Rhode Island to become the nation's second state to establish a "health home."
What is a Health Home? Specifically, a health home must integrate physical and mental health services, partly by requiring care providers to collaborate with community organizations and in-the-market resources.
As director of Rhode Island's Department of Behavioral Healthcare, Developmental Disabilities and Hospitals, Stenning will lead a three-pronged approach to address mental health patients' chronic conditions and lack of access to providers.
Under the new program, some of Rhode Island's 5,400 mentally ill adults will be steered toward medical clinics at community health centers, while others will receive care at stand-alone clinics or from private physicians. State officials will monitor the outcomes to see if the care is thorough, effective and ultimately cost-saving by avoiding trips to the emergency department.
Upcoming Conferences and
Webinars
1. NASHP State Support for Primary Care Practice Transformation: Replication of the North Carolina Model
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Date: |
Tue, Dec 13, 2011 |
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Time: |
02:00 PM EST |
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Duration: |
1 hour 30 minutes |
This webcast is an introduction to the new Infrastructure for Maintaining Primary Care Transformation (IMPaCT) initiative in North Carolina, funded by the Agency for Healthcare Research and Quality (AHRQ). It will outline the key components of North Carolina’s primary care practice transformation strategy, their interrelationship, lessons learned, the role of a state level coalition, and collaboration with area health education centers. The webcast will describe an upcoming opportunity for three states to receive technical assistance to adapt North Carolina’s model.
Presenters:
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Samuel Cykert, MD, Associate Professor of Medicine, University of North Carolina at Chapel Hill
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Darren DeWalt, MD, MPH, Associate Professor of Medicine, Division of General Internal Medicine, University of North Carolina at Chapel Hill
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L. Allen Dobson, Jr., MD, FAAP, Vice President, Clinical Practice Development, Carolina HealthCare System
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Denise Levis Hewson, RN, BSN, MSPH, Director of Clinical Programs and Quality Improvement, Community Care of North Carolina
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Michael L. Parchman, MD, MPH, Practice Based Research Network Initiative Director & Senior Advisor for Primary Care, Prevention and Clinical Partners, AHRQ
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Jill Rosenthal, MPH, Program Director, NASHP
Click HERE to register
2. 2012 Accountable Care and Health IT Strategies Summit January 17-19, 2012, Intercontinental, Doral, Miami, Florida
The 2012 Accountable Care and Health IT Strategies Summit delivers critical insights into the information powered health system that will lay the foundations for clinical improvement, operational and financial efficiencies in Era of Accountable Care.
Healthcare providers, payers and ACO Pilots are rapidly determining their organization's strategy to succeed in an Accountable Care setting, a critical part of establishing a successful ACO is to plan and implement the IT systems that will enable the improved workflow, care coordination and support new incentive and payment models.
The 2012 Accountable Care and Health IT Strategies Summit is produced in close collaboration with Co-Sponsors The Care Continuum Alliance, Patient-Centered Primary Care Collaborative (PCPCC) and The Advisory Board Company.
Click HERE to learn more.
3. American College of Physicians Free Webinar on Medical Home Builder 2.0
Dates
Thursday, November 17, 2011; 6:30 pm, ET
Tuesday, November 29, 2011; 5:00 pm, ET
Thursday, December 15, 2011; 8:00 am, ET
Thursday, December 29, 2011; 7:00 pm, ET
Do you want to see how the Medical Home Builder works? Participate in a free, 30 minute live/interactive demonstration webinar and learn how to improve patient care and office efficiency!
Medical Home Builder 2.0 is an online practice support tool from the American College of Physicians (ACP) that provides primary care practices with an affordable, self-paced means to improve office operations, quality, and/or transition to a Patient-Centered Medical Home model. Medical Home Builder 2.0 features 13 modules, an online community and hundreds of online resources in a virtual library.
The newly updated version features new elements and functions to help clinicians improve patient care, office efficiency, and move toward PCMH recognition and accreditation. Included in Medical Home Builder 2.0 are expanded patient-centered care modules, a new scoring methodology, module-specific resource libraries and a searchable master resource library.
Additionally, a robust reporting function is particularly suited for large practices, groups, institutions and regional programs.
Sign up today and see how Medical Home Builder 2.0 can help you provide quality patient care and achieve a well-managed practice.
To register, visit the ACP web site at: http://www.acponline.org/running_practice/pcmh/help.htm or contact Ayanna Wells at [email protected]
Collaborative Centers
To receive Center emails, please signup here.
For more information please contact Amy Gibson at [email protected] .
A. Center for Multi-Stakeholder Demonstration
The primary objective of the Center for Multi-Stakeholder Demonstrations (CMD) is to serve as a clearing house for information on Patient-Centered Medical Home (PCMH) pilot efforts around the country that include multiple private sector payers. The CMD will aim to recruit payers to devote covered lives to demonstration projects, while assisting them with demonstrations efforts through sharing of lessons learned and best practices from existing PCMH demonstrations. This will be accomplished by the CMD serving as an information exchange where Plans can discuss innovative reimbursement models to test in pilots as well as program design. The CMD will also be responsible for working with local convening entities to support regional pilots.
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Care Coordination Taskforce -The Care Coordination Taskforce has reconvened their calls and will be discussing future activities and strategies for addressing care coordination in the PCMH. They have received input from PCPCC stakeholders toward the development of an outline for a PCPCC publication on care coordination.
B. Center for Public Payer Implementation
CPPI is tasked with a very broad mandate encompassing over 50% of all payors in the US Healthcare System. Growing out of the work that the Collaborative had undertaken within the Medicaid environment the CPPI is charged with promoting the Patient-Centered Medical Home (PCMH) concept in all facets of the public payer system.
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Task Force on Education and Training - The Task Force is hosting a presentation by Dr Barbara Cubic on Monday, December 5th. See top of agenda for registration information.
The Center for Employer Engagement (CEE) promotes large and small employer interest in - and implementation of - the patient-centered medical home (PCMH) model through educational resources, sharing employer best practices, implementation tools, and evaluation measures to demonstrate the value of this strategy and build market demand. They are hosting a webinar with, Cathy Baase, Dow Chemical Company, on Wednesday, December 14th at 3 p.m. ET.
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Task Force on Behavioral Health - This Taskforce is collecting best practices and behavioral health screening tools for use in primary care. They are looking for resources to publish a more comprehensive guide to Behavioral Health in PCMH and possibly an on-line database of resources.
D. Center for eHealth
On Wednesday, September 22nd, from 1:00-2:30pm ET, the Center for eHealth co-hosted a presentation with the Center for Public Payer Initiatives entitled: “Health Information Technology and the Indian Health Service ‘Improving Patient Care’ Program." This presentation is available for viewing on the PCPCC web site at: www.pcpcc.net/media
E. Center for Consumer Engagement
The primary objective of the Center for Consumer Engagement (CCE) is to ensure the medical home model is truly patient-centered by: facilitating consumer involvement and leadership in the design and evaluation of the PCMH, strengthening the consumer voice in the PCPCC, and by developing a set of "Best Practices" for consumer engagement in PCMH. The CCE partners with large consumer groups to capitalize on their visibility and existing efforts.
F. Center for Accountable Care (CAC)
The CAC works to ensure that the Patient-Centered Medical Home (PCMH) serves as the foundation for all ACO’s, and that ACO’s thrive as a result of strong robust PCMH support. The center is tasked with strengthening the collaboration between the PCPCC and evolving ACO stakeholders, as well as espousing strategies and positions that strengthen the notion of a strong PCMH foundation for evolving ACO guidelines and practices. Their last call was held on Monday, December 19th at 2 pm ET.
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