Call Agenda, Thursday, February 25th, 11:00 AM EDT

 
 
 
 
This is a reminder to those who are available that on Thursday February 25th at 11:00am EST we will hold a call for the Patient Centered Primary Care Collaborative. Welcome to those who are on the list for the first time this week. Please forward this on to anyone we may have omitted.
 
Thursday, February 25th 11:00 am Eastern Standard Time
 
Conference Call-In Phone Number
Call in number is 712.432.3900
Passcode is 471334
Moderator code is 406354.
Please press *6 on your phone to mute and *7 to unmute.
(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)
 
Please mute your telephone unless you are speaking. We have had some issues with background noise causing interference with the sound quality of our calls recently due to the growing numbers of participants on these conference calls.
 
If you have not registered to recieve 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.
 
Please note that all of the attachments are linked at the bottom of the agenda.
 
I. Collaborative Announcements
 

A.  Register Now!! PCPCC March 30th Stakeholders' Working Group Meeting  - Washington, D.C.

Across the nation, PCMH demonstrations are at every level of growth in the field. From planning to planting, from seedling to sapling, from flourishing to multiplying, this meeting will bring together the thought leaders who can speak to every stage of development.  Come and learn about the tools you need to make the PCMH grow and thrive.
 
Don't miss this opportunity to learn the "must know" medical home knowledge from the "must meet" people!
The PCPCC Stakeholder's Working Group Meeting: "Cultivate the PCMH" will convene hundreds of CEOs, senior executives and government officials from the nation's largest employers, hospitals, health systems, physician practices, health plans, pharmaceutical companies and leading government agencies.

Space is limited, so register today!
 
Additionally, meet speaker and other attendees at the pre-meeting reception. Monday, March 29, 2010 - 6:00 - 8:00 PM EST.  To register, please click here. Please find draft agenda included in the link.

B. The President's Proposal

On Thursday, the President will bring a comprehensive proposal to the bipartisan meeting that builds on the progress Congress has already made and aims to give the American people and small business owners more control over their health care choices.  The President’s Proposal builds off of the legislation that passed the Senate and improves on it by bridging key differences between the House and the Senate as well as by incorporating Republican provisions that strengthen the proposal.  A summary of the President's proposal can be found here.

Some key pieces relating to the PCMH that are mentioned on the White House website include:

Title II. The Role of Public Programs

State Innovation Incentives to Improve Care

States will have the option to undertake a number of reforms to improve the quality of how care is delivered.  The demonstration projects in each state will help to identify the most innovative care models that can be replicated throughout the country.  [NOTE THIS COULD BE RELEVANT TO MEDICAL HOME DEMOS]

Title III. Improving the Quality and Efficiency of Health Care

Rewarding the Highest Quality of Care

The Act rewards the highest quality of care for America’s seniors.  It provides incentives for doctors, and hospitals that improve quality while providing for better coordination that helps to reduce harmful medical errors and healthcare-acquired infections.

It will provide innovative payment reforms so providers are rewarded for the quality of care they provide, rather than just additional tests or treatments. And it rewards innovative practices where doctors and nurse practitioners provide more primary care that is coordinated with every doctor or specialist involved with a patient’s care.

Title V. Health Care Workforce

Investing in Primary Care
The Act invests in grant programs that support the training of primary care providers, including family medicine, pediatrics, general internal medicine, and physician assistantship.  It also provides payment bonuses to primary care physicians.

Increasing the Supply of Primary Care Providers in Underserved Communities
The Act will increase the number of primary care providers, including doctors, physician assistants, nurse practitioners, and dentists in the areas of the country that need them most.  Through the National Health Service Corps, the Act provides significant funding for scholarships and loan repayment for doctors, nurses and other providers who provide medical, dental, and mental health care in urban and rural areas that have a shortage of health professionals.  It also increases the loan repayment amount and enables additional flexibility for providers to meet their service requirements.

It creates a loan repayment program for pediatric, mental and behavioral health specialists who provide services to children and adolescents in underserved areas or with underserved populations. 

The Act also supports scholarships and loan repayments for disadvantaged students who commit to work in medically underserved areas and who serve as faculty in participating institutions.

C.  New NASHP Publication - 'State Multi-Payer Medical Home Intiatives and Medicare's Advanced Primary Care Demonstration'

In September 2009, the U.S. Secretary of Health and Human Services announced that Medicare will join selected state-based, multi-payer medical home initiatives in an Advanced Primary Care (APC) Demonstration. States have welcomed this announcement, viewing Medicare as a valuable potential strategic stakeholder. Yet they are concerned that the proposed APC criteria may be too narrow to fit many current initiatives. This State Health Policy Briefing builds from a December 2009 research scan and webcast that examines a broad range of state multi-payer initiatives and compares some of these criteria against the proposed APC criteria. It will inform those planning multi-payer initiatives about approaches that are now being used by leading states, as well as areas that will likely be of interest to the federal government.  To download this report, please click here.

D.  Register Now! Live CME/CNE/CPE Webcasts: Patient-Centered Medical Home – Integrative Strategies to Optimize Outcomes for Bariatric Procedures

This continuing education activity will highlight the necessary communication, collaboration, health information technology, follow-up requirements, and measurements needed for the successful integration of patient services for bariatric procedures into the work flow of the medical home team.

Choose from 2 different learning Tracks to customize your learning
Track 1:   Recommendations for Medical Directors and Quality Directors
Track 2:   Recommendations for Care Providers

Live Webcast Dates (Eastern Time):
Track 1 - Tuesday, March 23        2:00pm–3:30pm ET  
Track 2 - Wednesday, March 31  7:00pm–8:30pm ET        
Track 2 - Friday, April 2              11:00am–12:30pm ET 

To register and receive full accreditation information, click here.  

All participants will receive a complimentary PCMH Tool Box to help optimize outcomes for bariatric procedures through the application of provider and patient management strategies and communication techniques that can assist with a PCMH approach to comprehensive care.

Faculty Presenters:
Susan Butterworth, PhD, MS, MINT
Associate Professor,
Oregon Health & Science University
President, Q-Consult

Sayeed Ikramuddin, M.D.
Director, Gastrointestinal Surgery
Co-Director, Center of Minimally Invasive Surgery
Associate Professor, Division of General Surgery
Robert and Katherine Goodale Chair in Minimally Invasive Surgery

David W. Moen, MD
Medical Director of Care Model Innovation
Fairview Health Services

David K. Nace, MD
Principle, Health Strategy Solutions, LLC
Co-Chair, PCPCC Center for eHealth Information Adoption and Exchange

Educational Objectives:

  • Compare bariatric procedures for morbidly obese patients
  • Identify short and long-term health related complications and risks associated with bariatric procedures
  • Describe motivational interviewing as a communication technique to improve obesity treatment counseling
  • Discuss provider and patient management tools that can assist with a Patient Centered Medical Home approach to optimize outcomes for bariatric procedures

E. New Article from the Annals of Internal Medicine - Lessons That Patient-Centered Medical Homes Can Learn From the Mistakes of HMOs

Patient-centered medical homes (PCMHs) have been endorsed by primary and specialty care medical associations, payers, and patient groups as an innovative structure for transforming health care delivery. The cornerstone principle of the PCMH is the primary care physician's coordination of a patient's use of health care services, including visits to specialists, to improve effectiveness and efficiency. This principle aligns with the vision behind the creation of HMOs, managed care organizations that were once embraced by physicians, patients, and policy analysts but have since lost much of their luster. Many patients and physicians rejected HMOs as too restrictive, objecting particularly to the concept of gatekeeping. This article reviews the HMO experience and identifies lessons applicable to PCMHs that build on the strengths of HMOs while avoiding their mistakes.  To read the full article, please click here.

F. Metropolitan Health Networks’ Patient-Centered Medical Home Pilot Delivers Outstanding Results

Collaborative Program with Humana Proves Valuable Healthcare Model in Caring for Medicare Advantage Customers - Metropolitan Health Networks, Inc. a leading provider of healthcare services in Florida, recently released the utilization, financial, and quality results from the first year of its Patient-Centered Medical Home (PCMH) pilot program that was sponsored by Humana. The 12-month analysis of outcomes revealed compelling results in all three categories.

In August of 2008, Metcare and Humana agreed to collaborate on a pilot program to formally study the impact of the PCMH model in a Medicare Advantage (MA) capitated group, establishing specific utilization, financial, and quality metrics. The pilot began November 1, 2008 and concluded on October 31, 2009. Baseline measures were determined from medical claims for the period November 1, 2007 to October 31, 2008, and a matched control group was identified and tracked for similar measures. This group represented Medicare Advantage HMO customers seen by primary care physicians within the same markets under a capitated risk arrangement but in a traditional medical practice model.

The 12 month Results

Utilization:

  • Hospital days per 1000 customers dropped by 4.6 percent compared to an increase of 36 percent in the control group.
  • Hospital admissions per 1000 customers dropped by three percent, with readmissions running six percent below Medicare benchmarks.

Financial:

  • Emergency room expense rose by only 4.5% for the Metcare group compared to an increase of 17.4% for the control group.
  • Diagnostic imaging expense dropped 9.8 percent compared to an increase of 10.7 percent for the control group.
  • Pharmacy expense increases were limited to 6.5 percent versus a 14.5 percent increase for the control group.
  • Overall medical expense for the Metcare group rose by only 5.2 percent compared to 26.3 percent increase for the control group.

Quality:

  • Preventative breast and colorectal cancer screening was 13.3 percent and 6.3 percent higher respectively, compared to the control group.
  • Seasonal influenza vaccination rates increased nine percent to 64 percent, compared to the national average of 43 percent.
  • Average LDL cholesterol levels dropped by 1.8 percent, and customers with levels below 100 (a target level) rose by 4.0 percent.
  • Ninety-four percent of diabetic patients had an A1C level of less than nine percent.
  • Customer satisfaction results improved or stayed the same in 45 of 61 categories.

For more information, please click here.

G. MDdatacor Announces New Health Plan Contract to Facilitate Medical Home Program; Blue Cross and Blue Shield of Kansas City Launching 2-Year Medical Home Initiative

MDdatacor, Inc., a leader in health care quality management solutions for insurers and health care providers, today announced a new contract with Blue Cross and Blue Shield of Kansas City  (Blue KC) to provide the technology that will support the medical home program.  Blue KC invited internal medicine, family practice and pediatricians in their networks to participate in a two-year medical home initiative, intended to enhance patient care, help maintain or reduce health care costs and to improve physicians' job satisfaction. The program was scheduled to begin in January 2010.  During the initiative, primary care physicians use MDdatacor's MDinsight® system to identify opportunities for additional patient care and ensure patients are treated according to best practices as outlined in clinical guidelines.  The MDinsight system extrapolates clinical data from a physician's records and analyzes it against evidence-based guidelines to help physicians identify care opportunities among their patients. Care opportunities alert physicians about patients in need of medical tests or follow-up visits for chronic conditions such as diabetes or for preventive care like cancer screenings.  The system is unique in that it can also identify patients with test values that are high, such as showing a physician a list of all diabetic patients whose last A1c blood sugar test was above the recommended guidelines.  For more information, please click here.

H.  New Report - Medical Home Case Studies: Profiles in the Patient-Centered Approach

The patient-centered medical home is a centerpiece of health reform and a critical catalyst for improving quality and containing costs across all sectors of the healthcare industry - from Medicare and Medicaid populations to commercial products. The 11 profiles in the 'Medical Home Case Studies: Profiles in the Patient-Centered Approach' document experiences on the adoption, organization, delivery, funding and outcomes of the medical home model.
This 100-page special report profiles the efforts of 11 healthcare organizations as they explore the benefits, opportunities and challenges of the patient-centered medical home model from the viewpoints of payor, hospital, physician, nurse practitioner, case manager and C-suite executive. To learn more on this report, including to view information on these case studies and how to order the report, please click here.

I. PCMH Guide - "Partnering with your Doctor: The Medical Home Approach"

"Partnering with your Doctor: The Medical Home Approach"  was developed by the Region 4 Genetics Collaborative's Medical Home Education Workgroup. The guide is intended to help families connect with their child's doctor, other medical professionals and caregivers through a medical home. You can download a copy here.

This guide is designed to:

  • Be a source of specialized information for parents to help them care for their child
  • Provide a detailed definition and description of the medical home concept
  • Lay the foundation for understanding and advocating for a medical home
  • Provide tools and examples for parents to use and learn from while creating and maintaining the medical home with their doctor
  • Bring attention to the importance of linking families of children with genetic conditions to a medical home
  • Provide advice on how to effectively partner with your child's doctor
  • Define family centered care and demonstrate how it benefits families
  • Demonstrate how to seek culturally effective, compassionate care
  • Assist families through the transition process by providing resources and tips
  • Provide a list of resources and links to organizations that support families and the medical home concept

J.  PCMH Video: AOA Health Dose: Medical Homes-Putting the Focus Back on Patients

Please click here to watch a video from Karen J. Nichols, DO, a member of the American Osteopathic Association (AOA) Board of Trustees and board certified osteopathic internal medicine specialist, who discusses the patient-centered medical home concept and what it means for patients.

K. Two More PCMH Related Videos

To view two more YouTube videos on the Patient Centered Medical Home, please click here and here.  The videos are very brief so please view them at your leisure.

L. New Learning Collaborative to Prepare Clinicians for Better Chronic Care

HealthSciences Institute will sponsor a new learning collaborative for health care professionals, teams and organizations who serve individuals at risk of, or affected by, chronic diseases in employer, health plan, medical home and other provider settings.
The collaborative will offer free, noncommercial webinars on topics, solutions and case studies in chronic disease prevention, management and care improvement. Each webinar will include a brief presentation, ask-the-expert segment, and targeted discussion on the application of new learning to participant job roles. Discussion will continue online between sessions.
The collaborative is a component of a new HealthSciences Institute-sponsored Partners in Improvement initiative that will offer free online chronic care improvement resources and tools to health care organizations and professionals.
“Nurses and other professionals who serve at-risk individuals—in settings from health plans to medical homes—want affordable, noncommercial learning activities that prepare them for the real-world challenges of chronic care. They also understand that some of the most valuable lessons are learned through collaboration and problem-solving with peers,” cites Blake Andersen, PhD, President and CEO of HealthSciences Institute.
Learning Collaborative Event Schedule

  • 3/5/2010 A Collaborative Primary Care CVD & Diabetes Program at Kaiser Permanente with Teri Laurenti, PharmD, CCP and Gail Richardson, NP, CCM, CCP.
  • 6/4/2010 Community-Based Strategies for Primary Prevention of Diabetes with David Marrero, Ph.D., Professor of Medicine, Indiana School of Medicine.
  • 8/6/2010 Minimally Disruptive Medicine with Victor Montori, MD, Endrincrinologist and Professor of Medicine, College of Medicine, Mayo Clinic.
    All events held 10:30 to 11:30(CT); CCP Community Calls 11:30 to Noon (CT).

To learn more, please click here.

M. Medical Home and the Nurse Practitioner: A Policy Analysis

As chronic disease and health care costs escalate, nurse practitioners (NPs) are in a pivotal position to participate in the Medicare Medical Home Demonstration Project (2006) that allows for NP-led patient-centered medical home practices to be reimbursed for coordination of chronic care, specifically for those complex patients with multiple chronic conditions. This policy analysis reviews the evidence for three potential patient-centered practice design alternatives, to evaluate the most viable patient-centered medical home practice design alternative for NPs. Strategies are included for NPs to actively participate in this endeavor.  To purchase the full article, please click here.

N. URAC’s 2010 Best Practices Awards Recognize Innovative Leadership and Successful Health Programs

URAC, the nation’s leading health care accreditation and education organization, has issued a call for entries for its 2010 Best Practices Awards in Health Care Consumer Empowerment and Protection to find which companies are setting the standard in advancing the role of consumers as active participants in health care.

“At a time when everyone is looking for health care value, transparency, and accountability, the URAC Best Practices Awards give health care organizations an opportunity to showcase best practices and receive recognition for their commitment to engage consumers as partners,” said Alan P. Spielman, president and CEO of URAC. “We are delighted to honor those who are leading the health care industry through innovation and providing proven practices that advance patient safety and empower consumers.”  The competition is open to six types of health care organizations: Health Care Provider Practices, Health Information/Decision Support Companies, Health Management Companies, Health Plans and Health Networks, Pharmacy Management Companies, and Workers’ Compensation Companies. For more information, please click here.

O. Indiana, North Carolina host Medicare quality demos - Physicians and health systems in the two states will share savings from coordinating care and developing medical homes.

American Medical News - The Centers for Medicare & Medicaid Services on Jan. 27 announced two new Medicare demonstrations that provide incentives for physicians and others to improve the quality of care for Medicare beneficiaries while reducing costs.

One of the programs, in Indiana, is in partnership with the Indiana Health Information Exchange, which was formed in 2004 to promote the efficient exchange of medical records among doctors and hospitals. Under the new demonstration, IHIE will use Medicare data to give participating physicians the information necessary to lower costs and boost quality.

The project, which involves a coalition of roughly 800 physicians, also will examine the impact of quality measures reporting and pay-for-performance.

"Under the current health care system, patient data is often inconsistent and housed in different systems, making it less useful to physicians," said CMS Acting Administrator Charlene Frizzera. The IHIE project will work to combine fragmented data and standardize quality reporting and pay, she said.

In North Carolina, a new demonstration will extend the medical-home concept to low-income Medicare beneficiaries through a partnership with the North Carolina Community Care Networks. The organization consists of eight regional health care networks that combine care coordination and health information technology to manage care more effectively.

The networks, consisting of community physicians, hospitals, health departments and others, will provide medical homes for beneficiaries who are eligible for both Medicare and Medicaid. Each network has clinical care coordinators who will work with practices on medical-home plans for their patients.

Both demonstrations are set up to allow the organizations to share in a portion of Medicare savings once care quality and efficiency objectives are met, CMS said.

P. Second National Medical Home Summit - March 1-2, 2010, Philadelphia, PA

A Hybrid Conference and Internet Event
The Leading Forum on the Development and Implementation of the Patient Centered Medical Home 

Sponsored by Patient Centered Primary Care Collaborative and Jefferson School of Population Health Cosponsored by American Academy of Family Practice, American Academy of Pediatrics, Convenient Care Association and Disease Management Association of America
Media Partners: Harvard Health Policy Review, Health Affairs, Medical Home News and Population Health Journal
Some of the Issues that will be Addressed are:
  • Actual experience implementing the medical home EHR
  • Documented improvements in process and outcome measures
  • The role of the medical home in reducing racial disparities
  • Challenges and successes in building the clinical team
  • Managing workflow disruptions in the transformation period
  • Emerging roles for non-clinical workers on the medical home team
  • Medical homes for the Medicaid population
  • Experience with different medical homes payment models
  • Creating the necessary 21st century primary care workforce
  • Safety Net Clinics as medical homes for the under- and uninsured
  • Changing medical school curricula and residency programs
March 1 - 2, 2010 Philadelphia, PA.  For more information, please click here.

Q.  Data Niche Drug Rebate Conference, March 10-12, 2010, San Antonio, TX

In 1995 Data Niche began sponsoring Medicaid rebate conferences. The primary purpose was to provide a forum in which all parties involved in the Medicaid rebate program could meet and collectively attempt to clear up rebate disputes and arrive at mutually acceptable solutions. Then in 1999, they expanded the agenda to include privately sponsored managed care rebate programs. This addition allowed for the exchange of ideas between personnel involved in fee-for-service Medicaid rebate programs with privately sponsored managed care rebate programs. The formal portion of the program includes a keynote speech by a nationally well known speaker, followed by presentations from experts in various aspects of the Medicaid rebate program and managed care industry. In addition, about three or four state agency speakers are invited to showcase their state's Medicaid program and exchange ideas with the audience. Panel discussions are also included which cover controversial subjects to help uncover issues and seek a fair, logical solution. The conferences provide ample opportunities for informal interactions among all participants while meeting face-to-face with colleagues during coffee breaks, lunch breaks, and our special evening event. The friendly, relaxed, environment promotes goodwill and cooperation among all participants.  Executive Director of the PCPCC, Edwina Rogers, will be presenting on March 12th, regarding the PCMH.  For more information on this event, please click here.

R. The 7th Annual World Health Care Congress - April 12-14, 2010, Washington, D.C.

The World Health Care Congress (WHCC) is the most prestigious meeting that convenes global thought leaders and key decision-makers to share global best practices in an elite networking forum resulting in an exchange of valuable strategies to improve quality and cost-effectiveness. The 7th Annual World Health Care Congress held April 12-14, 2010 will convene over 2,000 CEOs, senior executives and government officials from all sectors of health care including the nation's largest employers, hospitals, health systems, health plans, pharmaceutical and biotech companies, and leading government agencies. For more information on this event, including speakers, please click here.

S. How to Facilitate Patient-Centered Medical Home Recognition™: A Hands-On Approach and Analysis Through NCQA's Eyes, April 15 - 16, 2010 - Redondo Beach, CA

Join NCQA on April 15th and 16th as expert faculty guides participants in this interactive workshop. The conference will examine how practices can demonstrate that they meet NCQA’s PPC®-PCMH™ requirements and discuss sample submissions for PPC-PCMH Recognition. Participants will learn how to identify documentation that does (and does not) meet the requirements and practice scoring each element. The group will identify strategies for enhancing and improving valid content and clarity of the application towards a Recognized Patient-Centered Medical Home and identify the aspects of the survey and evaluation process that may challenge or facilitate an efficient application and survey submission in a variety of practice environments.

This program is designed for any health care professional or consultant interested in getting the inside perspective directly from expert faculty from NCQA in evaluating a primary care practice and their ability to become Recognized as a Patient-Centered Medical Home by NCQA.  To learn more and to register, please click here.

T. How to get Involved with the PCMH National Movement and the PCPCC

The Executive Director of the Patient Centered Primary Care Collaborative (PCPCC), Edwina Rogers, recently held a breifing over the phone for any organization or individual who wishes to learn more about the Patient Centered Medical Home (PCMH) and our Collaborative.  The next briefing will be held on Tuesday, March 9, 2010 - 11:00 AM EST.  If you wish to participate, please dial into our call-in number: 712.432.3900 and enter passcode 471334#.  To download our PCPCC presentation materials please click here and download the document entitled "General PCPCC PowerPoint".
 
2010 Breifing Dates - Monthly - Tuesday, 11 AM EST: 3/9, 4/13, 5/4, 6/1, 7/13, (no August call) 9/14, 10/5, 11/2, (no December call)
  
U. PCPCC Officer and Speaker List
 
Please click here to find a list of the Collaborative's Officers and those who have agreed to speak on behalf of the PCPCC.  If you wish to have your name and organazation added to the Speaker List, please click here and complete the sign-up form.  If you have any questions, please email Relja Ugrinic, at [email protected].
 

II. Important Links

October 22 Annual Summit Materials - click here

July 16 Meeting Materials - click here
 
April 28th Stakeholders' Working Meeting - click here
 
PCPCC Meaninful Use Letter - click here
 
'Meaningful Connections' IT Resource Guide - click here
 
PCPCC - Emmi Solutions, 'Introduction to Patient Centered Medical Home' video - click here
 
PCPCC - Merck & Co. Patient Education Brochure and Checklist - click here
 
PCPCC Purchasers' Guide - click here
 
The Pilot Project Guide is now online and available for download.  Please click here to sign-up and download the document. 
 
PCPCC Brochure - click here
 
October 17 Healthy Momentum: The Patient-Centered Medical Home Summit
July 24/25 Medicaid Summit Materials:
 
III. 2010 Patient Centered Primary Care Collaborative Meeting Dates
 
All three meetings will be held at the Ronald Reagan Building and International Trade Center, 1300 Pennsylvania Avenue, NW Washington D.C. 20004 
  • PCPCC Stakeholders' Working Group Meeting - Tuesday, March 30, 2010
  • PCPCC Stakeholders' Working Group Meeting - Thursday, July 22, 2010
  • PCPCC Annual Summit - Thursday, October 21, 2010 
     
IV. Collaborative Outreach
 
The Collaborative would like to welcome the following groups as the newest signing members of the PCPCC: 
  • Children's Diagnostic & Treatment Center
  • EMR Technical Solutions
  • Medical Society of the State of New York
  • Riedel & Associates Consultants, Inc.
  • Shelving Inc.
     
We now have 673 signing members.  Please find a full list of PCPCC's signing members attached at the bottom of the agenda.
 
V. PCMH in the Press
 
"Dr. Darst advises unicameral on medical home concept", by Paul Baltes, The Nebraska Medical Center, 'As a primary care physician for nearly 30 years, Donald Darst, M.D., has had a front row seat to the changes in the American health care system. "The face of primary care has changed," said Dr. Darst, a clinical associate professor of medicine at UNMC. "The current climate ... has to change."In the future, what some now call the "doctor's office" may become the "medical home." Dr. Darst serves on a legislative advisory council resulting from LB 396, the Medical Home Pilot Act. The bill's goal is to improve health care access and outcomes, and contain the costs of Medicaid.' To read the full article, please click here.
 
"Patient-centered medical home concept to benefit pharmaceutical industry", The Medical News, 'HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that the pharmaceutical industry stands to gain from the patient-centered medical home concept that continues to gain traction across the country. According to the recent New England Health Plan Analysis, medical home projects seek to maintain costs and improve health through better treatment compliance, including prescription drug regimens.' To read the full article, please click here.

"NH Medical Home Acknowledged for Excellence", Advance for Nurses, 'Life Long Care of New London, NH, (www.lifelongcare.net) scored 92 out of a possible 100 points on a quality assessment of its performance as a Patient-Centered Medical Home. This score is the equivalent of the National Committee for Quality Assurance's (NCQA) highest, or Level 3, recognition.' To read the full article, please click here.
 
Collaborative Centers
 
In order to make best use of our membership base and resources the Collaborative has restructured, our various task forces and projects into more formal Centers. This transition has shifted the scope of work for the Collaborative and expanded the mandates for the various subgroups. Below, please find a brief list of the functions for the Centers, for a more detailed descriptions and goals of each Center please follow the linked Center names.
 
  • Center for Multi-Stakeholder Demonstration: Identify community-based sites to test and evaluate the concept; share information and best practices about pilots within a collaborative community; and serve as the connector to technical, quality improvement and education resources to facilitate ongoing demonstrations.
  • Center to Promote Public Payer Implementation: Assist public payers as they implement and refine programs to embed the Patient Centered Medical Home model by offering technical assistance; sharing best practices and giving guidance on the development of successful funding models.
  • Center for Employer Engagement: Create standards and buying criteria to serve as a guide and tool for large and small employers/purchasers in order to build the market demand for adoption of the Medical Home model.
  • Center for eHealth Information Adoption and Exchange: Evaluate use and application of information technology to support and enable the development and broad adoption of information technology in private practice and among community practitioners.
  • Center for Consumer Engagement: Engage the consumer in  awareness activities through three ways: day-to-day operations, messaging and pilots.  The center will continue the use of “Patient Centered Medical Home”, but focus on how the concept and its components are communicated to the public and partner with large consumer groups to capitalize on their visibility and existing efforts.
A. Center for Multi-Stakeholder Demonstration
 
So far on these calls, we have received updated information from medical home projects in various stages of development across the country. Some groups have been working on practice transformation, and assisting physicians to provide services called for in the joint principles. Others have involved payers and are working to develop a system of reimbursement that uses quality measurement tools to combine a performance component to physician reimbursement.
 
On Tuesday, February 2nd, CMD had a call, featuring:
 
I.  Introduction
 
II. Presentation Topic:  The Adirondack Medical Home Demonstration - A project involving 8 public and private payers, over 40 primary care practices in 4 New York counties, and the State of New York. 
 
SPEAKERS:
 
  • Foster Gesten MD, Medical Director, New York State Department of Health, Office of Health Insurance Programs - Dr. Gesten will provide an overview of the pilot, issues, and next steps.
  • Robert DuBois, Director, Employee Benefits Division, New York State Department of Civil Service - Mr. Dubois will provide the rationale of an employer/insurer for engaging in the pilot.
  • John Rugge MD, CEO, Hudson Headwaters Health Network - Dr. Rugge will provide the rationale of a provider for engaging in the pilot and will also speak to practice transformation issues.
 
Additionally, all of the speakers will touch on work to position the pilot for CMS participation.
 
  
The agenda and presentation materials from the last CMD call can be found here.
 
To register to recieve CMD emails, please click here, and look under the newsletter subscription section.
 
The Center will have its next call on March 2nd at 2PM EST.

B. Center to Promote Public Payer Implementation
 
With the expansion of the former State Medicaid Working Group this Center is currently in the process of reassessing our short and long-term goals. We plan to retain our current focus on state Medicaid programs, however we also plan on approaching implementation of the PCMH model in public payer programs from the perspective of the state as an employer, and federal health programs such as Medicare and the Veterans Administration.
 
On Tuesday, January 19th, the Center to Promote Public Payer Implementation had their monthly call. 
The call featured:

I. Introductions

Co-Chairs: Terry McInnis, GlaxoSmithKline; Allen Dobson, North Carolina Department of Health and Human Services, retired; Donna Lichti, Pfizer Health Solutions; Gary Jacobs, Universal American Corp.; Lesley Reeder, Colorado Department of Health Care Policy and Financing
PCPCC Executive Director: Edwina Rogers
 
II. Speaker Presentation - Roy Ramthun, President, HSA Consulting
 
Roy Ramthun, President of HSA Consulting, will give an overview on high risk insurance pools and the variety of roles they may play to support states in implementing elements of health care reform. He will also talk about models for care management of very high risk clients.  You can find more information and background on Mr. Ramthun, by clicking here.

To view the full agenda and presentation materials, please click here.

If you are interested in learning more about current medical home projects within the Medicaid systems please click this link for a resource produced by our partners at the National Academy for State Health Policy.
 
Additionally, if you visit the CPPI site, you can view information on CMS' Medicare Medical Home Demonstrations, or you can click here to view the information.
To register to recieve CPPI emails, please click here and look under the newsletter subscription section.
 
The next Center call  is scheduled for March 16th at 3PM EST. 

C. Center for Employer Engagement
 
On the February 24th phone call, the Center conducted a meeting and tackled a number of important issues, including:

I.  Introductions

Co-Chairs: Duane Putnam, Pfizer, Inc.; Bruce Sherman, MD, The Goodyear Tire & Rubber Company; Robert Dribbon, Merck & Co., Inc.

II. Update on PCMH/VBID white paper

III.  Scheduling of Guest Speakers for 2010   -- (Please find spreadsheet of confirmed speakers attached)

IV.  Speaker Presentation: Safety Net Medical Home Initiative, Kathryn E. Phillips, MPH, Project Director, Safety Net Medical Home Initiative, Qualis Health

NOTE: Attached, please find the presentation materials for the call's speaker.

V.  Reminder to attend the PCPCC's Stakeholder's Working Group Meeting - March 30, 2010 - Washington, D.C.

To view the agenda for the CEE call, please click here

To register to recieve CEE emails, please click here and look under the newsletter subscription section.
 
The Center will have its next call on March 10th at 3PM EST.
 
D. Center for eHealth Information Adoption and Exchange

The Center for eHealth Information Adoption and Exchange will serve a number of related functions. The first will be to act as a clearinghouse for information concerning the national development of various Health Technology system platforms and electronic delivery platforms for medical records. The second task is to coordinate national education concerning the importance of HIT/EMR developments to both providers and consumers of health care. The final task of the Center will be to elucidate the integral role of HIT/EMR development within the specific context of the Patient Centered Medical Home model and expand upon the provision with the Joint Principles of the Patient-Centered Medical Home as agreed to by the ACP, AAFP, AOA, and AAP.
 
The Center for eHealth Information Adoption and Exchange will meet on Thursday, February 25th, at 1:00PM EST.  
 
  • Welcome and introductions - Dr. David Nace
  • Presentation – F. Daniel Duffy, MD, MACP – Dr. Duffy is Senior Associate Dean for Academic Programs at the Oklahoma University School of Community Medicine.  He will describe the challenges associated with transforming the teaching clinics at the UO School of Community Medicine into a PCMH model.
  • Presentation – Deidre Gifford, MD, MPH – Dr. Gifford is the Project Director for the Rhode Island Chronic Care Sustainability Initiative.  She will discuss her experiences with HIT integration in their PCMH demonstration project that is convened by the RI Office of the Health Insurance Commissioner. Please find presentation materials from Dr. Gifford attached.
  • Open discussion
  • Wrap-up

To view the agenda for the CeHIA call, please click here

To register to recieve CeHIA emails, please click here and and look under the newsletter subscription section.
 
The Center will be having its next call on February 25th at 1:00 PM EST. 
 
E.  Center for Consumer Engagment
 
 
On the Center's previous call, on February 5th, the following occured.

I. Introductions

Co-Chairs (bios attached)

Julie J. Martin, MS - Stoeckle Center for Primary Care Innovation ([email protected])
Warwick Charlton, MD - Medfusion ([email protected])

Christine Bechtel - National Partnership for Women & Families ([email protected])
II.  Wrap-up and Group Discussion on Incorporating Pediatric Issues to the New PCPCC Website.

Our call featured a discussion on the addition of pediatric content on the soon to be released updated PCPCC Website.  Over the past couple months, we have worked closely with members of the American Academy of Pediatrics to gather pediatric information and resources to enhance this content on the Web site and conduct initial public launch/dissemination of the content/resources to key users.  The Center also reviewed and integrated navigation to and from the pediatric content/pages within the broader PCPCC website design and navigational assessment

 
The agenda can be found here.
 
The Center will be having its next call on February 26th at 12:00 PM EST.
 
VII. General PCPCC Call Schedule

Below please find the dates for the various weekly Collaborative phone calls.
Please note that all Collaborative calls except the Executive Committee are held on the same conference call line.
The call-in number is: 712-432-3900.  The passcode is 471334.  The moderator code is 406354.
    • PCPCC National Thursday Calls Phone Number: 712.432.3900 Pass Code: 471334– Thursday, 11 AM EST: 2010 -  2/18, 2/25, 3/4, 3/11, 4/8, 4/15, 4/22, 4/29, 5/6, 5/13, 5/20, 6/3, 6/10, 6/17, 6/24, 7/8, 7/15, 7/29, (no August calls) 9/9, 9/16, 9/23, 9/30, 10/7, 10/14, 10/28, 11/4, 11/18, 12/2, 12/9, 12/16
    • General PCPCC Briefings Phone Number: 712.432.3900 Pass Code: 471334 – Monthly - Tuesday, 11 AM EST: 2010 - 3/9, 4/13, 5/4, 6/1, 7/13, (no August call) 9/14, 10/5, 11/2, (no December call)
    • Center for Multi-Stakeholder Demonstration Phone Number: 712.432.3900 Pass Code: 471334 – Bi-weekly - Tuesday, 2 PM EST: 2010: 3/2,  4/6, 5/4, 6/15, (no August calls) 10/5, 11/6, 12/7
    • Center for Public Payer Implementation Phone Number: 712.432.3900 Pass Code: 471334 – Monthly - Tuesday, 3 PM EST: 2010 -  3/16, 4/20, 5/18,6/15, 7/20, (no August calls) 9/21, 10/19, 11/16, 12/21 
    • Center for Employer Engagement Phone Number: 712.432.3900 Pass Code: 471334 – Bi-weekly - Wednesday, 3 PM EST: 2010 - 2/24, 3/10, 4/14, 4/28, 5/12, 6/9, 6/23, 7/14, 7/28, (no August calls) 9/15, 9/29, 10/13, 10/27, 11/10, 12/15
    • Center for eHealth Information Adoption and Exchange Phone Number: 712.432.3900 Pass Code: 471334 – Monthly - Thursday, 1 PM EST – 2nd and 4th Thursday of the Month: 2010 -  2/25, 3/11, 4/15, 4/29, 5/13, 6/10, 6/24, 7/15, 7/29, (no August calls) 9/16, 9/30, 10/14, 10/28, 12/16
    • Center for Consumer Engagement Phone Number: 712.432.3900 Pass Code: 471334 – Last Friday of the month, 12pm EST: 2/26, 3/26, 4/30, 5/28, 6/25, 7/30, 9/24, 10/29, 12/3
    • Taskforce Activity Calls
    • Mobile Health Communication and Technology in the PCMH Taskforce - Bi-weekly - Thursday, 2pm EST: 2/25, 3/11, 3/25, 4/8, 4/22, 5/6, 5/20, 6/3, 6/17
    • Training the Workforce and the PCMH - Bi-weekly - Wednesday, 4pm EST: 2/24, 4/7, 4/21, 5/5, 5/19, 6/16, 6/30, 7/14, 7/28, 9/8, 9/22, 10/6, 10/20, 11/3, 11/17, 12/8
    • Care Coordination and the PCMH (to include Transitions in Care, Home Health, Hospice, and Long Term Care) - Bi-weekly - Wednesday 4pm EST: 2/17, 3/31, 4/14, 4/28, 5/12, 5/26, 6/9, 6/23, 7/21, 9/15, 9/29, 10/13, 10/27, 11/10, 12/1, 12/15
    • Integrating Behavioral Health into the PCMH - Bi-weekly - Thursday 10am EST: 2/25, 3/11, 3/25, 4/8, 4/22, 5/6, 5/20, 6/3, 6/17
    • Payment Reform and the PCMH - Bi-weekly - Monday/Tuesday 4pm EST:  2/22, 3/2, 3/9, 3/15, 3/23
    • Medication Management and the PCMH - Calls are scheduled as needed
       
VIII.  Executive Committee

There are 52 members of the Executive Committee: Aetna; Alere; American Academy of Family Physicians; American Academy of Nurse Practitioners, American Academy of Pediatrics; American College of Physicians; American Osteopathic Association; BlueCross BlueShield; Boehringer Ingelheim; CIGNA HealthCare; CVS Caremark; DMAA: Care Continuum Alliance; Community Health Collaborative;EHE International; Geisinger Health System; GlaxoSmithKline; Health Care Services Corporation; Humana, Inc.; IBM; Interim HealthCare; Johnson & Johnson; Kaiser Permanente; McKesson Health Solutions; MedAssurant; Medco; Medfusion; Merck; Microsoft; MVP Health Care; National Changing Diabetes Program; NextGen Healthcare Information Systems; Novartis; Nurse Practitioners Roundtable; Pfizer; PhRMA; Phytel; Priority Health; PRISM; The Quantum Group; Robert Bosch Healthcare; Robert Wood Johnson Medical School; Sanofi-Aventis; Taconic IPA, Inc.; Thomas Group; Thomson Reuters; TransforMED; UnitedHealthcare; Universal American Corp.; UPMC Health Plan; Walgreens; WellCentive, LLC and Wellpoint.
 
                      
IX. Officers
 
Chairman
John Crosby, American Osteopathic Association
 
President
Paul Grundy, MD, IBM
 
Center for Multi-Stakeholder Demonstration
Co-Chairs: Sally Bleeks, BCBSA; Julie Schilz, Colorado Clinical Guidelines Collaborative; Shari Erickson, American College of Physicians; John Swanson, American Academy of Family Physicians; Guy Mansueto, Phytel
 
Center to Promote Public Payer Implementation
Co-Chairs: Terry McInnis, GlaxoSmithKline; Allen Dobson, North Carolina Department of Health and Human Services, retired; Donna Lichti, Pfizer Health Solutions, Gary Jacobs, Universal American Corp, Lesley Reeder, Colorado Department of Health Care Policy and Financing
 
Center for Health Benefit Redesign and Adoption
Co-Chairs: Duane Putnam, Pfizer, Inc., Bruce Sherman, MD, The Goodyear Tire & Rubber Company, Robert Dribbon, Merck & Co., Inc.
Co-Vice Chairs – Helen Darling, National Business Group on Health, and Andrew Webber, National Business Coalition on Health 
 
Center for eHealth Information Adoption and Exchange

Co-Chairs: Dr. David Nace, McKesson Health Solutions ([email protected]), William Rollow, IBM ([email protected]), Dr. James Crawford, North Shore-Long Island Jewish Health System ([email protected]), and Jeff Hanson, Thomson Reuters ([email protected])
Executive Director - Chris Nohrden ([email protected])

Four New Center Task Groups:

 
Collaborative Directors
 
XI. Advisory Board

There are 20 member organizations of the advisory board and they are: AARP, American Academy of Communication in Healthcare, American Board of Internal Medicine, American Department of Family Medicine, American Society of Consultant Pharmacists, Association of Medical Education and Research in Substance Abuse, Brian Klepper, Bridges to Excellence, The Center for Excellence In Primary Care, The Center for the Advancement of Health, The Commonwealth Fund, eHealth Initiative, HR Policy Association, the John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital, the Massachusetts Health Data Consortium, Medication Management Systems, National Association of County and City Health Officials, National Business Coalition on Health, National Business Group on Health, the National Council for Community Behavioral Healthcare. We are considering additional advisory board representatives from state based groups and labor organizations. 
 

Edwina Rogers
Executive Director
Relja Ugrinic
Director of Operations and External Affairs

Patient Centered Primary Care Collaborative
The Homer Building
601 Thirteenth Street, NW, Suite 400 North
Washington, DC 20005
Edwina Direct:  (202) 417-2081
Edwina Cell: (202) 674-7800
Relja Direct:  (202) 724-3332
Relja Cell: (703) 585-9165
Fax: (202) 393-6148

[email protected]

[email protected]

 

 

 

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