| Weekly Thursday Call Agenda 09/29/11
Thursday, September 29th 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
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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
1. REGISTER! PCPCC Annual Summit - ONLY 1 MORE DAY FOR EARLY REGISTRATION FEES. Registration fees increase to $450 on October 1st!
Five Years Making Healthy Connections: Collaborating to Improve Care in the PCMH
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DATE: Friday, October 21, 2011
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LOCATION: Ronald Reagan Building
International Trade Center
1300 Pennsylvania Avenue, NW
Washington, DC 20004
Keynotes: Dr Richard Baron, Director of Seamless Care Models Group at the CMS Innovation Center and Dr Carolyn Clancy, Director of the Agency for Healthcare Research and Quality (AHRQ)
Panel topics will include:
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Workforce training and education in the PCM
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Outcomes of the PCMH - A closer look at the data
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Purchasers and payers in the ACO landscape
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Integrating behavioral health into the PCMH
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Team-based care in the PCMH
Exhibiting/Sponsorship Opportunities - Click HERE
PCMH Happenings
1. CMS Announces New Comprehensive Primary Care Initiative
The Comprehensive Primary Care (CPC) initiative is a new CMS-led, multi-payer initiative fostering collaboration between public and private health care payers to strengthen primary care for all Americans. Primary care is critical to promoting health, improving care, and reducing overall system costs, but it has been historically under-funded and under-valued in the United States. Without a significant enough investment across multiple payers, independent health plans-- covering only their own members and offering support only for their segment of the total practice population-- cannot provide enough resources to transform entire primary care practices and make expanded services available to all patients served by those practices. The CPC initiative offers a way to break through this historical impasse by inviting payers to join with Medicare in investing in primary care in 5-7 selected localities across the country.
The CPC initiative will test two models simultaneously: a service delivery model and a payment model. The service delivery model will test comprehensive primary care, which is characterized as having the following five functions:
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Risk-stratified Care Management;
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Access and Continuity;
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Planned Care for Chronic Conditions and Preventative Care;
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Patient and Caregiver Engagement;
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Coordination of Care Across the Medical Neighborhood.
The payment model includes a monthly care management fee paid to the selected primary care practices on behalf of their fee-for-service Medicare beneficiaries and, in years 2-4 of the initiative, the potential to share in any savings to the Medicare program. Practices will also receive compensation from other payers participating in the initiative, including private insurance companies and other health plans, which will allow them to integrate multi-payer funding streams to strengthen their capacity to implement practice-wide quality improvement.
The Innovation Center is now accepting letters of intent from public and private health care payers for the Comprehensive Primary Care initiative.
The first step is for public and private payers (including states) to indicate their interest to CMS, including the level and type of support for primary care practices being offered. Interested payers must submit a nonbinding letter of intent and a completed Geographic Service Area Worksheet by November 15, 2011 via email to [email protected]. Applications from payers that do not submit a timely letter of intent will not be considered.
Final applications, to be completed only after the letter of intent has been submitted, must be received on or before January 17, 2012. Once CMS evaluates these proposals and selects the markets, a second solicitation will be issued for primary care practices in those markets.
2. Joint Commission Educational Session on Primary Care Medical Home Initiative - October 3rd - Chicago, IL
This pre-conference session will be dedicated to participants who need to receive the latest information related to the Primary Care Medical Home Initiative. Taught directly by Joint Commission faculty with primary knowledge of this new option, you will learn about the additional standards, integration into the on-site survey process, and other related accreditation activities. Get your questions answered and learn the latest updates to the Primary Care Medical Home option.
Objectives
Upon attending this Joint Commission Resources Conference, participants will be able to:
1. Understand how the Primary Care Medical Home (PCMH) option fits with the ambulatory care accreditation program;
2. Describe the additional requirements and expectations in 2011-2012 for ambulatory care organizations who elect the Primary Care Medical Home option along with their accreditation survey;
3. Understand the integration of the additional PCMH requirements into the on-site survey process.
For more information on how to register, download the conference flier HERE or visit the Joint Commission Web site at: http://www.jcrinc.com/Conferences-and-Seminars/Ambulatory-Care-Pre-Conference/2261/
3. Health Care Innovation Summit
The Intel Healthcare Innovation Summit Webcast Series NEXT WEEK!
Three free, one–hour webcasts
Dates: Oct. 4,5,6
Time: 2 p.m.–3 p.m. EDT | 11 a.m.–12 p.m. PDT
Click here to Register Now
Don’t miss this inside look at healthcare technology innovation from the industry's top policy makers and influencers.
Join us to see some of the leading voices in healthcare IT discuss the most critical issues facing the industry, including:
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Changing policy and behaviors to empower doctors to get back to treating patients |
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How to harness the power of data, technology, and innovation to improve healthcare |
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Achieving integrated care delivery across the care continuum |
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Security and privacy solutions that do not hinder productivity |
You’ll receive actionable, real-world insights into the innovative methodologies, tools, and technologies driving the next generation of healthcare delivery.
Each of the three webcasts is:
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free |
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one hour in length |
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easily accessed online |
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followed by a live Q&A with webcast participants |
Register today for one, two, or all of these webcasts.
October 4 – The Healthcare IT Innovation Imperative
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Todd Park, Chief Technology Officer, U.S. Department of Health and Human Services |
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William F. Bria, II, MD, Chief Medical Information Officer, Shriners Hospital for Children |
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Marc Lange, Secretary General of EHTEL, European Health Telematics Association |
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Moderator: Eric Dishman, PhD, Intel Fellow and Global Director of Health Innovation and Policy, Intel Corporation |
October 5 – Enabling Collaborative Healthcare Delivery: Care Coordination Strategies with 21st Century Technology
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John Mattison, MD, Chief Medical Information Officer, Kaiser Permanente, Southern California |
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Jennifer Mensik, PhD, RN, Administrator, Nursing and Patient Care Services, St. Luke’s Health System |
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Ben Wilson, MBA, MPH, Director, Global Healthcare Strategy, Co-Chair, Accountable Care CoP, Intel Corporation |
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Moderator: Jared S. Quoyeser, MHA, Director of Healthcare Marketing, Intel Americas, Intel Corporation |
October 6 – Where Information and Care Meet: Secure Mobile Healthcare Solutions that Drive Care Coordination
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Liz Johnson, VP of Applied Clinical Informatics, Tenet Healthcare Corporation |
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John LeMoine, MD, System Medical Director, Sharp Healthcare |
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Michael S. Blum, MD, Associate Clinical Professor of Medicine, Medical Director of Information Technology, UCSF Medical Center |
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Moderator: Mark Blatt, MD, MBA, Worldwide Medical Director, Intel Corporation |
There is no charge for this unique, interactive event. Register today.
Intel in Healthcare
Learn more about what Intel is doing to transform healthcare.
For HIT Professionals
Access all the resources on the Intel Healthcare IT community portal.
4. Maryland pays out over $3 million to primary care practices
Maryland’s fledgling patient-centered medical home program designed to improve the delivery of health care has given an average $56,000 to 54 participating primary care practices across the state.
In total, the program has doled out about $3 million in its first months of operation — $2.1 million from commercial insurers and another $900,000 from Maryland Medicaid. The larger the practice — and more sick its mix of patients — the more money a doctor group received, according to information the Maryland Health Care Commission shared with the state’s Health Quality and Cost Council on Sept. 26.
Some of the money participating practices received could help them buy new e-health record systems, which can cost several tens of thousands of dollars. Practices that already have a so-called EHR could use the cash to bolster staff needed to keep closer tabs on patients.
The Maryland Health Care Commission expects all practices participating in its patient-centered medical home program to apply with the National Committee for Quality Assurance by Oct. 21. The committee certifies patient-centered medical home programs throughout the U.S.
Click HERE to view the entire article.
Collaborative Centers
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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. On September 27th the CMD will host a Webinar with Affinity Medical Group.
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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. The next Task Force call will be Thursday, October 27th at 10 a.m.
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 - Participants continue to work with co-chairs Cynthia Belar and Libby Baxley to define the goals and activities of this new Task Force. They are focusing on the training and educational needs around PCMH of both the incoming and current workforce, and that of academic faculty across multiple disciplines.The next call will be held on October 19th at 4 p.m. ET
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Task Force on Medication Management - The next call of the Medication Management Task Force will be held on Wednesday, October 12th at 11 a.m. ET.
C. Center for Employer Engagement
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. Their next call will be held on Wednesday, October 12th 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. The Task Force co-hosted a presentation with the CeH on the integration of behavioral health in the PCMH through technology. Next call scheduled for Thursday, September 29th at Noon ET
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. The most recent call for the CCE featured a presentation by Kait Roe, Consumer Advocate and PCMH advisor. The next call will be held on Friday, October 28th.
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. The next call of the CAC will be held on Monday, October 24th at 2 p ET.
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