Call Agenda, Thursday, July 29th, 11:00 AM EDT

 
 
 
This is a reminder to those who are available that on Thursday July 29th 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, July 29th 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. Thank You to the Participants of our July 22nd Stakeholders' Working Group Meeting

We would like to thank everyone that participated in our recent PCPCC Stakeholders' Working Group Meeting in Washington, D.C on July 22nd.  We also would like to thank our Event Planning Committee for their hard work over the past few months in making this event successful.  A special Thank You goes to our volunteers at the conference as well.

In addition, we captured the entire day's events on video, and we will be posting this to our website in the near future.  

A full list of all of our expert presenters, their presentation materials and biographies is available here.

B. PCPCC Announces Release of Two Task Force Resources at Stakeholders' Meeting

At our July 22nd Stakeholders' Working Group Meeting, the Collaborative released two guides from our PCPCC Task Forces.  If you were unable to attend our conference and wish to download a copy of the guides, please find them here.

"The Patient-Centered Medical Home (PCMH): Integrating Comprehensive Medication Management  to Optimize Patient Outcomes" was developed by the PCPCC Medication Management Task Force under the Center for Public Payer Implementation (CPPI), whose charge is to promote the PCMH concept in all facets of the public payer system. The Center believes that critical to the success of the PCMH is the ability to maximize the appropriate use of medications to prevent and control disease.  

"Payment Reform to Support High-Performing Practice"  was developed by the Payment Reform Task Force and represents the work of a diverse group of PCPCC stakeholders and collaborators interested in exploring payment reform as a means of supporting the PCMH and transforming primary care in the U.S. Many other organizations are examining payment reform proposals; the PCPCC’s task force is focusing on them from the unique perspective of their impact on the PCMH.  The task force’s goal was not to identify a “best” payment reform proposal, but rather to point out the strengths and shortcomings of available models so that PCMH advocates could choose the model that best suits their needs and circumstances. 

C.  New PCMH Website Unveiled by the Agency for Healthcare Research and Quality

The day of our PCPCC Stakeholders' Meeting also was the day that the Agency for Healthcare Research and Quality (AHRQ) released their highly anticipated website on the Patient Centered Medical Home.  The website is aimed at providing objective, evidence-based information to policymakers and researchers on the PCMH.  

Key features include:

  • Searchable citations database for journal articles, reports, policy briefs, and position statements pertaining to the PCMH.
  • Listing the top Web sites on the PCMH and the variety of content covered.
  • Exclusive access to white papers and issue briefs on various aspects of the PCMH.

You can visit the site, by visiting the link: pcmh.ahrq.gov.

D. URAC Patient Centered Health Care Home Education and Evaluation Program Now Open For Public Comment

Washington, D.C. – June 29, 2010 – URAC today announced a call for public comment on the design and content of its new Patient Centered Health Care Home (PCHCH) Education and Evaluation Program. The program is comprised of three complementary toolkits, which are geared to help health care practices follow a step-wise process in their journey to becoming a PCHCH.

URAC will be soliciting public comment on the three PCHCH toolkits in two stages, with the first, the Health Care Practice Assessment toolkit, available for public comment starting today. The remaining two toolkits, one on Performance Measures and a Patient Experience/Satisfaction survey, will be available for public comment later this summer.

The Patient Centered Health Care Home Education and Evaluation Program’s definition, guiding principles, and Health Care Assessment toolkit are available for review and comment at http://www.urac.org/publiccomment/. The deadline for public comment is August 12, 2010.

“The continued growth of patient centered health care home programs across the country, as well as their inclusion in health reform legislation will mean rapid growth in this innovative system,” commented Alan P. Spielman, President and CEO of URAC. “URAC is uniquely positioned to assist programs in meeting the goals of cost effectiveness and efficacy, while protecting consumers and ensuring quality.”

The Patient Centered Health Care Home Education and Evaluation Program is intended to be used by health care practices for their education and self-assessment, as well as by health plans, insurers, and pilot programs in defining and deciding which practices under their purview meet the sponsoring organization’s requirements for a PCHCH, and any incentives which may be linked to achieving this status.

“This program provides clear guidance to meet the needs of this important new area,” said Bernard Mansheim, MD, URAC Board Immediate Past Chair. “These toolkits were developed in collaboration with an advisory group of over 60 experts across all stakeholders. This program is the first national program to identify and help guide health care practices in adopting the key essential characteristics of a truly patient-centered health care home.”

The principles and characteristics open for public comment include:

  • Enhanced access 
  • Personal relationship between patients, families, and caregivers and their assigned and accountable care team members 
  • Shared decision-making that actively engages the patient and respects his/her personal health goals cultural needs 
  • Direct and ongoing care team oversight and coordination of all patient care and social needs 
  • Smooth and timely care transitions and follow-up 
  • Dedication to providing the highest quality care possible, eliminating care disparities, and driving down care costs 

“As a doctor putting the health care home program into practice, I know that this model can provide quality care with positive patient experience at a lower total cost,” explained Dr. Rushika Fernandopulle, Co-Founder of Renaissance Health. “The URAC program is innovative and necessary, because it truly puts the patient and their family at the center of care, while providing clear goals for caregivers and providers.”

“URAC has a history of recognition and focus on care coordination as a vital quality component in the health care continuum, and care coordination is a central tenet of health care practice transformation to the medical home,” said Edwina Rogers, executive director of the Patient-Centered Primary Care Collaborative. “We are encouraged that URAC's emphasis on access, patient involvement in the care process and the central role of care coordination in these tools will promote adoption of the medical home model to caregivers across the nation.”

The final program is expected to be reviewed by the URAC Board of Directors in December and launched in January 2011.

To learn more, please click here.

E.  New Interactive Website from ACP and Its Partner Cientis Technologies

On July 13, 2010, ACP and its partner, Cientis Technologies, released a new, free interactive website to help medical practices compare, select, and implement electronic health records.  AmericanEHR Partners’s mission is to develop a vibrant online community to support physicians and other health care professionals as they adopt and use health IT.  It will help medical practices meet the new meaningful use requirements released by the Centers for Medicare and Medicaid Services (CMS). You can find the press release at:  http://www.acponline.org/pressroom/ehr_community.htm?hp and the direct link to the program is:  http://www.americanehr.com. 
 
In addition, AmericanEHR Partners is holding a free, national webinar, “Meaningful Use and Its Implications For Your Practice,†featuring Dr. David Blumenthal, National Coordinator for Health Information Technology and Dr. Michael Zaroukian, FACP, Chief Medical Information Officer for Michigan State University. The webinar is scheduled for August 4, 2010 at 7:00 p.m. EST. Registration information is posted at: www.americanehr.com/education/webinars. Funding to support the webinar has been provided by Hewlett-Packard.

F.  National Committee for Quality Assurance Recognizes 51 Practice Sites in the Hudson Valley with Top Patient-Centered Medical Home Status

An innovative quality initiative in the Hudson Valley has resulted in National Committee for Quality Assurance (NCQA) Recognition of 51 primary care practice sites as Level 3 patient-centered medical homes, the highest level achievable. This groundbreaking accomplishment was achieved by 236 physicians within 11 primary care practice groups (7 medical groups with multiple practice locations and 4 single site practices) and represents 44 percent of total Level 3 clinicians in New York, and nearly 10 percent of all practices at this level across the country. 

The practices were supported in their transformation by the Taconic Independent Practice Association (TIPA), the nearly 4,000-member strong physician leadership organization focused on innovative initiatives to transform medical practices and improve health care quality in the Hudson Valley. Physician practices were selected for the project based on their known commitment to quality improvement efforts in the past and their advanced, robust use of health information technology. Although NCQA Level 2 Recognition was the initial project goal, all 11 practices exceeded the goal to reach NCQA Level 3 status.

Three federally-funded community health centers were among the Hudson Valley practices to achieve this recognition. Importantly, the project included two solo practitioners and several small practices, demonstrating that physician practices of all sizes and types can become patient-centered medical homes.

To read more about the PCMH transformation project, see the issue brief, "A Revolution in Collaboration: The Hudson Valley Initiative" here.

G.  Mathematica Policy Research, Inc. Brief - “Medical Homes: Will They Improve Primary Care”

Medical homes are part of our nation’s overall efforts to reform the health care system. Effective primary care, the cornerstone of the medical home concept, may enhance quality of care and reduce costs by improving prevention and continuity of care and reducing unnecessary treatment, avoidable hospitalizations, duplicative testing, and other inefficient care. For decades, medical homes have been a model for coordinating health care for children, particularly those with special health care needs. This brief looks at federal and state efforts to establish medical homes and notes considerations for policymakers seeking to improve access to services and the quality of care.

This brief is the sixth in a series highlighting issues related to health care reform that policymakers may want to consider as they implement the federal health reform law. The list of series titles is on page 4.

To download this brief, please click here.

H. New Report Projects Savings for Community Health Centers
 
A new report projects that the U.S. health care system will save up to $122 billion in total health care costs between 2011 and 2015 with the expansion of Community Health Centers under health reform. The report from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at the George Washington University School of Public Health and Human Services (“Strengthening Primary Care to Bend the Cost Curve: The Expansion of Community Health Centers Through Health Reform”) finds that as more patients gain access to primary care through health centers total medical costs could be reduced by $181 million between 2010 and 2019. That cost savings includes $52 billion in federal Medicaid savings, and $33 billion in state Medicaid savings. The study also predicts that that if health centers receive the higher authorized levels prescribed under the new health reform law, the number of patients served could reach 44.1 million by 2015 and national medical savings could total $316 billion over the decade.
 
“These findings demonstrate that health centers are prepared to expand to meet the demand for services under health reform and their growth will generate benefits and savings that are immediate and widely distributed across all segments of society,” said Dan Hawkins, Senior VP for Policy and Research at the National Association of Community Health Centers. “Health reform’s investment in the health centers program will assure that along with insurance coverage, patients will receive affordable access to primary care, improved quality, and cost-effective care.”
 
To view more information, please click here.
 
I. New Commonwealth Fund Study - Colorado Children’s Healthcare Access Program: Helping Pediatric Practices Become Medical Homes for Low-Income Children

The Colorado Children's Healthcare Access Program is a nonprofit organization created to address barriers that have prevented private pediatric and family practices from accepting children enrolled in Medicaid and providing them with a medical home. CCHAP helps pediatric practices to meet the state's medical-home certification and receive enhanced reimbursement from Medicaid, while providing them with an array of support services, including care coordination, a resource hotline, and billing assistance. CCHAP also connects practices and families to community organizations and state and county agencies, and trains practice staff on how to identify children's needs and refer families to appropriate resources. A recent evaluation shows children covered by Medicaid and with a medical home in a private pediatric practice supported by CCHAP visit the emergency department less often, have more preventive care visits, and are less expensive for the state Medicaid program than children in non-CCHAP-affiliated practices.

To access the case study, please click here.

J.  New Report from the Annals of Family Medicine - Journey to the Patient-Centered Medical Home: A Qualitative Analysis of the Experiences of Practices in the National Demonstration Project

PURPOSE: The report describes the experience of practices in transitioning toward patient-centered medical homes (PCMHs) in the National Demonstration Project (NDP).

METHODS: The NDP was launched in June 2006 as the fi rst national test of a model of the PCMH in a diverse sample of 36 family practices, randomized to facilitated and self-directed intervention groups. An independent evaluation team used a multimethod evaluation strategy, analyzing data from direct observation, depth interviews, e-mail streams, medical records, and patient and practice surveys. The evaluation team reviewed data from all practices as they became available and produced interim summaries. Four 2- to 3-day evaluation team retreats were held during which case summaries of all practices were discussed and patterns were described.

RESULTS The 6 themes that emerged from the data reflect major shifts in individual and practice roles and identities, as well as changes in practices’ management strategies. The themes are (1) practice adaptive reserve is critical to managing change, (2) developmental pathways to success vary considerably by practice, (3) motivation of key practice members is critical, (4) the larger system can help or hinder, (5) practice transformation is more than a series of changes and requires shifts in roles and mental models, and (6) practice change is enabled by the multiple roles that facilitators play.

CONCLUSIONS: Transformation to a PCMH requires more than a sequence of discrete changes. The practice transformation process may be fostered by promoting adaptive reserve and local control of the developmental pathway.

To view the report, click here.

K.  New Resource from the Healthcare Intelligence Network

As more organizations road-test the patient-centered medical home (PCMH) model of care, the need for a PCMH quick-reference intensifies. Enter Medical Home Improvement Guide Vol. III: Even More FAQs on Patient-Centered Care.

Picking up where Volumes I and II leave off, the queries in Volume III reflect the PCMH's newly minted status as a preferred care delivery model — one frequently touted in the 2010 Patient Protection and Affordable Care Act.

The 35-page Medical Home Improvement Guide Vol. III: Even More FAQs on Patient-Centered Care provides insight on emerging reimbursement models such as the accountable care organization (ACO) and bundled or episodic payments. It also delves more deeply into the PCMH's care coordination responsibilities for its elderly patients with complex chronic illnesses — including the management of care transitions, medication reconciliation and reducing the possibility of readmission to the hospital.

Responses are provided by such medical home heavy hitters as Group Health Cooperative, Geisinger Health Plan, Baptist Health System, Aetna Medicare, and many others.

To learn more and obtain a copy of the report, please click here.

L.  NCQA-HIMSS Fact Sheet on the PCMH

National Committee for Quality Assurance (NCQA) and Healthcare Information and Management Systems Society) HIMSS have prepared a joint fact sheet entitled “Leveraging Health IT to Achieve Ambulatory Quality: The Patient-Centered Medical Home (PCMH).” 

HIMSS and the NCQA created this fact sheet for practices interested in becoming recognized patient-centered medical homes. NCQA worked with the four national organizations representing primary care physicians – the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Physicians and the American Osteopathic Association – and other stakeholders to develop a set of standards known as the Physician Practice Connections® – Patient-Centered Medical Home™ (PPC®-PCMH™). NCQA, through the PPC®-PCMH™ program, identifies and recognizes medical practices that demonstrate the standards for patient-centered medical homes (PCMH). HIMSS focuses on the optimal use of information technology (IT) and management systems for the betterment of healthcare. Health information technology (health IT) that supports high-quality patient care (including electronic recordkeeping, electronic disease registries, Internet communication with patients and electronic prescribing) is crucial to a fully functioning medical home. This fact sheet provides an informational overview of PCMH from the healthcare practice viewpoint, highlights the beneficial use of health IT and how health IT helps practices in the function of PCMH.

To view the fact sheet, please click here.

M.  Primary Care Initiatives Help Save State Medicaid Program Millions
 
By incorporating concepts from two complementary programs that emphasize patient-centered primary care and chronic disease management to reduce costs and improve the quality of care, the Illinois state Medicaid program was able to save a total of $500 million in fiscal years 2008 and 2009. That's according to Margaret Kirkegaard, M.D., M.P.H., of Downers Grove, Ill., a family physician and medical director of Illinois Health Connect, or IHC, which runs the Medicaid medical home program.
 
The IHC program that Illinois adopted uses a patient-centered medical home model to deliver care to 1.8 million of the state's 2.6 million Medicaid recipients. In addition, another program, called Your Healthcare Plus, provides care to 260,000 Medicaid medical home recipients with one or more chronic conditions.
 
Together, the programs saved $180 million during the 2008 fiscal year and $320 million in the 2009 fiscal year, according to Kirkegaard. Medicaid savings were calculated by looking at the costs per patient before and after the launch of the programs, said Kirkegaard.
 
To learn more, please click here.
 
N. Medical Management in Medicare Advantage: Payer/Provider Collaborative Care Summit' - August 5-6 Loews Coronado Bay Hotel, Coronado Island, California
 
Opal Events is pleased to announce their latest exciting conference, 'Medical Management in Medicare Advantage: Payer/Provider Collaborative Care Summit', taking place August 5-6 at the Loews Coronado Bay Hotel on Southern California’s Coronado Island.
 
This event will focus on strategic implementation of “next generation” medical management tactics: Accountable Care Organizations, Medical Homes, Transitional Care and more! The U.S. healthcare debate has led to some serious re-thinking on behalf of health plans, physicians and hospitals on the management of the chronically ill, who by 2011 will make up 60% of the Medicare Advantage population. This will create significant financial challenges. To combat this and curb hospital readmissions, plans need to start now with strong business cases for medical management grounded in:
 
• Evidence-based clinical practices
• Predictive outcomes modeling
• Member engagement
• Multi-disciplinary professional collaboration
 
Until May 30, representatives from health plans, hospitals and physicians groups can take advantage of complimentary registration to this event. To sign up, just visit the conference registration page here.
 
O.  SYNChronicity (SYNC2010) - A National Meeting Connecting HIV and Health Networks - August 7-9, Washington, DC 
 
SYNC 2010, sponsored by HealthHIV, is a national meeting connecting primary care providers to HIV thought leaders, new technologies, and resources to expand their HIV practice.  SYNC2010 is also a forum for HIV care providers to interact with those in primary care to coordinate efforts developing HIV medical homes.  Primary care providers will learn strategies to care for, treat, and support people living with HIV, as well as ways of managing the multiple health care needs of medically underserved populations.  Scholarships are available.
 
For more information click here. 
 
P.  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 Medical Group of Saginaw Bay, PLLC
  • Medivo, Inc
  • National Coalition on Care Coordination
  • The Newborn Coalition
  • The Savvy Patient School
We now have 727 signing members.  
 
V. PCMH in the Press
 
"No place like home", Medical College of Wisconsin, 'Personal. Integrated. High quality. Comprehensive. Convenient. Cost-effective. Most patients would use these words when describing their vision of ideal patient care. The field of medicine, however, is littered with obstacles to this archetype, from office organization to payment structure to time. Recently, however, an older idea is being revived with the advent of new technology and new motivation to reform health care delivery around a primary care model that works for patients and physicians. It has been said that the patient-centered medical home is what patients think their doctor’s office has been doing all along – that they are guided throughout their life through all aspects of care, and that their doctors communicate with each other to coordinate care and monitor their status. Reality in a fee-for-service system, where primary care physicians are strapped for time, is that care is usually episodic. Unless a patient is in the office, they are seldom on the radar.' To read the full article, please click here.
 
"New health care model rewards doctors for efficiency", Lindy Washburn, NorthJersey.com, 'Horizon Blue Cross Blue Shield of New Jersey is launching a new company intended to slow the galloping increase in health insurAnce costs by paying doctors for the quality, not the quantity, of their care. The company, Horizon Healthcare Innovations, will roll out a series of pilot programs with family-practice doctors, cancer specialists, orthopedists, and a pharmaceutical company this year. Next year, 30 additional projects are planned. After tweaking these smaller demonstrations, the new company will expand over five years to absorb the majority of Horizon's 3.8 million members, executives said.' To read the full article, please click here.  
 
"Medical home a dedicated team of health professionals for your health care", Examiner.com, 'The Colorado Medical Home Initiative (CMHI) began in 2001 in response to the Title V/ Maternal and Child Health (MCH) national outcome measure; all children will receive comprehensive coordinated care within a Medical Home. The Colorado Medical Home Imitative is a systems-building effort to promote quality health care for all children in Colorado. The goal CMHI is to ensure that all children and youth, including children with special needs, have a medical home where health care services are accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally-competent.' 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 June 1st the Center hosted a second webinar, entitled 'Colorado PCMH Multi-Payer, Multi-State Pilot - A Year in Review'.  Stakeholders from the Colorado pilot covered the structure of their pilot, milestones, measures, data, and the technical assistance provided to participating practices.   A patient spoke about her involvement in the pilot, a practice and hospital shared their work on strengthening communication between the hospital and practice/provider and a practice care coordinator talked about the work being done to improve coordination of care within their medical neighborhood.  There were over 150 participants on the webinar.  Video and audio recordings of the event are posted on the PCPCC website.
 
To register to recieve CMD emails, please click here, and look under the newsletter subscription section.
 
The Center will have its next call on September 7th 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, July 20th, 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. Update and Discussion on Federal Programs Activity in Regards to PCMH
 
In advance of the July 22nd, PCPCC Stakeholders' Working Group Meeting, the Center hosted a discussion on the efforts and activities being performed by various federal agencies on the Patient Centered Medical Home.  Lesley Reeder, from the Colorado Department of Health Care Policy and Financing, and Co-Chair of the Center, facilitated discussion at the start of the call.  The Center was also joined by members of other agencies, such as TRICARE, which has agreed to join the leadership group of the CPPI.  They will be represented by COL John Kugler, Deputy Chief Medical Officer, at the Office of the Chief Medical Officer of TRICARE Management Activity.  
 
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 September 21st at 3PM EST.

C. Center for Employer Engagement
 
On the July 14th phone call, the Center conducted a meeting and tackled a number of important issues, including:

Introductions

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

I.  Introductions

Co-Chairs: Duane Putnam, Pfizer, Inc.; Bruce Sherman, MD, Whirlpool Corporation; Robert Dribbon, Merck & Co., Inc.

II.  Update on July 22nd Stakeholder's Working Group Meeting

III. Speaker Link: IBM's CEO gave a speech on Friday. the 9th of July, to the National Governor’s Association meeting and mentioned the PCMH's role in transforming the model of today's health care system, starting at about 21 min.  http://www.c-spanvideo.org/program/294433-1

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 September 15th 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.
 

On July 8th, the Center co-sponsored a webinar with the CMD featuring:

  • Joslyn Levy and Dana Stephenson  of the NYC Dept. of Health presented on the innovative Primary Care Information Project.  The webinar is now posted on the Collaborative's website.  There were over 150 participants on the presentation.
To view the agenda, 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 September 9th at 1:00 PM EST. 
 
E.  Center for Consumer Engagment
 
The PCPCC has formed a fifth Center, the Center for Consumer Engagement.  If you are interested in representing your organization in this new Center, please email Relja Ugrinic, at [email protected], and you will be added to the listserv.
 

On the Center's recent call, on May 28th, the following occured.

Presentation:  


Hear About & Discuss Promising Practices in the Field 

Susan Edgman-Levitan, PA, Executive Director of The John D. Stoeckle Center for Primary Care Innovation at the Massachusetts General Hospital. 

Susan is a constant advocate of understanding the patient’s perspective on healthcare. She is a member of the PCPCC Board of Directors and recently served as a guest editor for the Health Affairs journal on Primary Care. 


Summary of Last Call: 

Agreed on goals, domains, and general process for our work.

Discuss Definition of “Consumer Involvement” 

Review and discuss working definition of “consumer engagement”/”consumer involvement.”

Consumer involvement means ensuring patients and/or families provide input into the design, ongoing practice and evaluation of whole person, patient centered, accessible and coordinated medical care and services.  

 
The Center will be having its next call on July 30th 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 -  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 -  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:  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 -  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 - 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 -  5/13, 5/27, 6/10, 6/24, 7/8, 9/9, 9/23, 10/14, 10/28, 11/11, 12/9, 12/23.
  • Center for Consumer Engagement Phone Number: 712.432.3900 Pass Code: 471334 – Last Friday of the month, 12pm EST: 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: 5/6, 5/20, 6/3, 6/17
  • Training the Workforce and the PCMH - Bi-weekly - Wednesday, 4pm EST: 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: 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:5/6, 5/20, 6/3, 6/17
  • 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]