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Call Agenda, Thursday, February 4th, 11:00 AM EDT
(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)
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. 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.
C. New NASHP Publication - 'Opportunities and Recommendations for State-Federal Coordination to Improve Health System Performance: A Focus on Patient Safety'
The federal government and the states-as regulators, purchasers, and providers of health care-have various levers available to improve health care quality. When federal and state policies are designed to use these levers in a coordinated manner, the influence of both levels of government on the quality of care is enhanced. To explore potential topics where congruent policies may be developed and to consider ways to foster collaborative policy development going forward, the National Academy for State Health Policy (NASHP) convened a meeting of high-level state and national leaders in October 2009. To download the full report, please click here.
D. Florida Agency for Health Care Administration (Agency) Releases Medicaid Medical Home Task Force Report
Florida Agency for Health Care Administration (Agency) Secretary Thomas W. Arnold yesterday released the Medicaid Medical Home Task Force (Task Force) report to Governor Crist and the Florida Legislature. The report outlines the Task Force’s recommendations for designing and implementing a medical home pilot project for Florida Medicaid.
“We appreciate the work of the Task Force in developing recommendations for implementing a medical home model designed to promote better coordination of patient care,” said Secretary Arnold. “The Agency is always looking for new ways to improve the health care provided to Florida’s Medicaid recipients.”
Established by Senate Bill 1986 passed during the 2009 Legislative Session, the Medicaid Medical Home Task Force was made up of ten members representing medical and health care professional associations, advocacy groups, medical schools and Florida Medicaid health plans and networks. This group was tasked with reviewing medical home models and making recommendations for a Medicaid medical home pilot project in Florida.
The Task Force was provided with overviews on medical home concepts and models and heard presentations by Medicaid staff from other states that have implemented medical home programs, including North Carolina, Oklahoma, Pennsylvania and Washington. Based on these presentations and discussions among members, the Task Force made various recommendations for the Florida Legislature to consider during the 2010 Legislative Session. For more information, please click here.
E. The Kaiser Commission on Medicaid and the Uninsured Policy Brief: Medicaid and Managed Care: Key Data, Trends, and Issues
This policy brief provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services. The goal of this approach is to improve access to care and coordination of care by assuring that enrollees have a "medical home" with a primary care provider, and to rely more heavily on preventive and primary care. Adopting managed care also gives states more cost predictability and control over their Medicaid programs, and contracts with managed care plans offer states a mechanism, through quality measurement and improvement requirements, for holding plans accountable for the quality of care they provide to Medicaid enrollees.
Medicaid provides health and long-term care coverage to nearly 60 million low-income individuals, or roughly 1 in 5 Americans. About 70 percent of Medicaid enrollees receive some or all of their services through managed care.Managed care is an approach to delivering and financing health care that is aimed at both improving the quality of care and saving costs. To view this brief, please click here.
F. 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
- 2/5/2010 Applying Patient Activation with Judith Hibbard, Ph.D., Professor, Oregon Health & Science University.
- 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.
G. TransforMed and AMA Team Up on Webinars to Promote Health IT to Support the Doctor-Patient Relationship
In the wake of the American Recovery and Reinvestment Act (ARRA), more practices are considering implementing electronic health or medical records, e-prescribing, new practice management systems and other forms of health information technology (Health IT).
This winter, the American Medical Association (AMA) and TransforMED are hosting a series of weekly webinars to provide practices with a vision of how the practice of medicine is being transformed through Health IT — and the tools necessary for successful implementation.
- Hear from experts already working to transform physician practices through Health IT
- Learn the basics of successful Health IT system implementation plan
- Discover tips for tackling major milestones at each stage in the process
- Prepare your patients and practice for changes associated with Health IT
To learn more and register for these webinars, please click here.
H. Health Affairs Article on Boeing Company's Medical Home Pilot Project
A just-completed pilot project sponsored by the Boeing Company shows that enhancing care via a “medical home” designed explicitly for patients with severe chronic disease can improve quality of care and reduce per capita spending in well-led physician organizations without a long history of national clinical distinction. Although it was a small study, the pilot project’s findings align with other recently reported results from similar initiatives. To read more, please click here.
I. An Overview of the Blue Cross and Blue Shield of Alabama Sponsored Patient Centered Medical Home Pilot
The goal of this report was to analyze the medical home concept and to trend both process of care and patient outcome data over an 18-24 month period. At the conclusion of the pilot BCBS hoped to better understand the time and monetary efforts required by a practice to attain and maintain a medical home environment as well as being able to produce tangible data in favor of the medical home approach to care. To download the report, please click here.
J. SustiNet Workforce and Medical Home Webinars Scheduled
Two SustiNet webinars have been scheduled to date; all are available to the public to participate.
The first is February 2nd at 11am. They will be hearing from Mina Harkins, Assistant Vice President at NCQA about their patient centered medical home certification program. To register for that webinar, click here. The second will be February 22nd at 3pm. They will hear from Tanya Court of the Fairfield County Business Council, Margaret Flinter from the Primary Care Authority and Alice Pritchard and Mary Ann Hanley of the Allied Health Workforce Policy Board. To register, click here.
K. 5th Annual Employer Health and Human Capital Congree - February 2-5, 2010, Washington, D.C.
The business case for effective management of corporate health programs has never been clearer. The Mission of the 5th Annual Employer Health & Human Capital Congress is to help our executive delegation of large employers:
- Control healthcare cost trend
- Improve employee health, wellness and productivity
- Implement creative benefits redesign strategies
The annual EHHC Congress agenda encourages our executive delegation to make strategic and specific actions to improve the management of employee benefits, health & wellness programs and the delivery of effective economic incentives for better employee health. The Congress annually attracts over 500 delegates across the country from the nation's fortune 1000 employers. Every year attendees network and discuss challenges with an exclusive audience of the most senior HR and benefits executives from the nation's leading companies. The PCPCC President, Dr. Paul Grundy, and Executive Director, Edwina Rogers, will be keynoting the 'Patient-Centered Innovations' segment of the meeting. To learn more, please click here.
L. 2010 National Health Policy Conference, Feburary 8-9th, Washington, D.C.
The National Health Policy Conference (NHPC), hosted by AcademyHealth and Health Affairs, provides clarity on the critical health care issues and priorities for the upcoming year. Now in its tenth year, the NHPC continues to deliver a program with insider perspectives from health policy leaders to an audience of more than 800 that includes researchers, policy experts, and advocates, who all share your concerns and interests. Topics include: Reforming Provider Payment to Promote Models of Integrated Delivery, State Roles in Health Care Reform: From Medicaid to Exchanges, From HIT to Actionable Knowledge: Building the Research Bridge and Special Session on Forming Accountable Care Organizations: Lessons Learned from the Group Employer Model. For more information, please click here.
M. 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
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
N. 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.
O. 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.
P. How to get Involved with the PCMH National Movement and the PCPCC
II. Important Links
October 22 Annual Summit Materials - click here
- 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
The Collaborative would like to welcome the following groups as the newest signing members of the PCPCC:
- Connecticut State Medical Society IPA
- Worn Jerabek Architects
V. PCMH in the Press
- 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.
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.
B. Center to Promote Public Payer Implementation
I. Introductions
To view the full agenda and presentation materials, please click here.
C. Center for Employer Engagement
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. Update on UAlbany PCMH Research paper
IV. Scheduling of Guest Speakers for 2010 -- (Please find spreadsheet of confirmed speakers attached)
V. Speaker Presentation: Center for Health Value Innovation Announces Strategic Health & Productivity Collaboration - Bill Molmen General Counsel and co-founder of the Integrated Benefits Institute (IBI).
VI. PCMH “EXTRA” http://healthaffairs.org/blog/2009/10/20/are-higher-value-care-models-replicable/
A just-completed pilot project sponsored by the Boeing Company shows that enhancing care via a “medical home” designed explicitly for patients with severe chronic disease can improve quality of care and reduce per capita spending in well-led physician organizations without a long history of national clinical distinction. Although it was a small study, the pilot project’s findings align with other recently reported results from similar initiatives.
To view the agenda for the CEE call, please click here.
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.
- Welcome and introductions – Jeffrey Hanson, MPH, CeHIA Co-Chair
- Presentation – Charles Kennedy, MD, VP Health Info Technology, Wellpoint, Inc. Dr. Kennedy will give an overview of the HITECH Act and also discuss Wellpoint’s integrated claims data views for primary care physicians
- Open discussion
- Wrap-up
To view the full agenda for this call, please click here.
I. Working Group Discussion on Incorporating Pediatric Issues to the New PCPCC Website.
- Stephanie Skipper and Michelle Z. Esquivel, of the American Academy of Pediatrics, will join the group to provide information on the pediatric content on their website, www.aap.org.
We will also discuss how 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.
TIMELINE: November 2009 – January 2010 - Review and integrate navigation to and from the pediatric content/pages within the broader PCPCC website design and navigational assessment.
TIMELINE: November 2009 – June 2010
And:
- What is being implemented on the PCPCC website in accordance with the conceptual development of the pediatric content that includes collecting content, materials and input from key user audiences to guide development and dissemination.
- What other resources can be brought forth to enhance the 'Consumers & Patient' section of the website.
Below please find the dates for the various weekly Collaborative phone calls.
- PCPCC National Thursday Calls Phone Number: 712.432.3900 Pass Code: 471334– Thursday, 11 AM EST: 2010 - 2/11, 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 - 2/16, 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 -2/10, 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 - 2/11, 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: 2/11, 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: 2/10, 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: 2/11, 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: 2/9, 2/16, 2/22, 3/2, 3/9, 3/15, 3/23
- Medication Management and the PCMH - Calls are scheduled as needed
There are 50 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; 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; 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.
- PRISM
- Community Health Collaborative
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:
- Participatory Engagement - Lead: Steve Adams ([email protected])
- HIT Resource Center - Lead: Jim Crawford ([email protected])
- Meaningful Use - Lead: William Rollow ([email protected])
- Decision Support - Lead: Pete Martinez ([email protected])
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
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