Call Agenda, Thursday, July 8th, 11:00 AM EDT

 
 
 
This is a reminder to those who are available that on Thursday July 8th 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 8th 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! July 22nd PCPCC Stakeholder's Working Group Meeting

Don't hesitate in registering for the upcoming PCPCC conference, held on July 22nd, in Washington, D.C.  The PCPCC Stakeholder's Working Group Meeting: "The Patient Centered Medical Home in the Community" 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. 

Panel Topic Include:  

  • The Employer's Role in Building a PCMH Community  
  • Federal Initiatives: Extending the PCMH Community 
  • Connecting Providers with Medication Management 
  • The Patient Centered Medical Home in the Community: Case Studies from Practices and Pilots 
  • Demonstrating Value to the Community: PCMH Measurement and Evaluation 

We have secured two Keynote Speakers!

  • Mary Wakefield, Ph.D, R.N. Administrator, Health Resources and Services Administration U.S. Department of Health and Human Services
  • Anthony Rogers, Deputy Administrator and Director, Center for Strategic Planning, Center for Medicare & Medicaid Services

We have a limited block of discounted rooms available at The Madison, a Lowes Hotel, 1177 Fifteenth St, NW, Washington, DC 20005. To secure a room at $179 the evening of July 21st, please contact the hotel at 800-424-8577 prior to June 21st. Please click here to register. 

B. 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, will hold 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 on Tuesday, July 13, 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 "PCPCC PowerPoint 2010".

2010 Breifing Dates - Monthly - Tuesday, 11 AM EST: 7/13, (no August call) 9/14, 10/5, 11/2, (no December call)

C.  Webinar - E-Health Records Enhanced Quality Improvement Insights from NYC Department of Health - July 8th 1:00 PM ET

Please join us for a special free Patient-Centered Primary Care Collaborative (PCPCC) webinar on Thursday, July 8, from 1:00-2:30pm ET, co-sponsored by the Center for Multi-Stakeholder Demonstrations and the Center for eHealth Information Adoption and Exchange. Josyln Levy of Joslyn Levy & Associates, LLC (formerly with the NY City Department of Health and Mental Hygiene [NYC DOHMH] and Nadine Nikas with NYC DOHMH will present "Electronic Health Record Enhanced Quality Improvement: Insights from the NY City Department of Health and Mental Hygiene Experience with the Primary Care Information Project." To register for this webinar, please click here.

Description:

The Primary Care Information Project

The Primary Care Information Project seeks to improve population health through health information technology and data exchange. The program supports the adoption and use of Electronic Health Records (EHRs) among primary care providers in New York City's underserved communities. There are more than 2,500 providers currently using the system, making it the largest community EHR extension project in the country. 

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.  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.

F.  Maryland Health Care Commission and the State of Maryland Promotes Patient Centered Medical Home Pilot
 
Pilot will reward primary care providers for improvements in patient care and lowered costs.
 
Dr. Paul Grundy, President of the PCPCC, was the keynote speaker at symposia recently in Bethesda Columbia. These symposia marked the second week of meetings with primary care providers to discuss the pilot program and to convey its advantages for both patients and primary care providers. This summer, the Maryland Health Care Commission will hold symposia throughout the State. The first two meetings were held in Baltimore and Cambridge. Following these recent symposia, the next two will take place in Hagerstown and Fallston during July. Under the direction of the Maryland Health Care Commission, the State aims to involve 50 practices, with 200 physicians and at least 200,000 patients in this initiative.
 
Legislation creating a three-year Patient Centered Medical Home Pilot program passed the General Assembly earlier this year and was championed by Lieutenant Governor Anthony G. Brown. The legislation grew out of the Maryland Health Quality and Cost Council, established by Governor Martin O’Malley and chaired by Lt. Governor Brown and Maryland Department of Health and Mental Hygiene Secretary John M. Colmers.
 
“Our newly established Patient Centered Medical Home program will allow Maryland to move forward with health care reform, improve the quality of care, and reduce costs by offering primary care providers responsible incentives to spend more time with patients, coordinate care, and promote prevention and wellness,” said Lt. Governor Brown. “We are incredibly grateful that Dr. Grundy has joined our efforts and is sharing his expertise with our primary care providers.”
 
"Primary care is the foundation of high-performing health systems," said Dr. Paul Grundy, IBM's director of healthcare transformation. "Maryland is leading the nation with a new approach that has proven to be good both for people’s health and their pocketbooks, preventing disease, assisting patients to navigate a complex health system, helping patients to manage chronic conditions — and the associated high costs of hospital care."

G.  Blue Cross Names 1,800 Physicians for Medical Home Project

Blue Cross Blue Shield of Michigan now has 1,800 physicians in about 500 practices across the state designated as patient-centered medical home providers, compared with 1,200 designated physicians a year ago.

Another 5,000 physicians are working toward designation as medical home practices, according to the Detroit-based Blues plan.

In the second year of a five-year project, Blue Cross’ medical home program is intended to provide financial incentives to primary care physicians to work more closely with patients to improve their health and monitor their care in the often fragmented health care delivery system.

The medical home program in Michigan extends to patients in a practice regardless of whether they have Blue Cross insurance. Consequently, the plan believes the model is reaching nearly 2 million residents.

Data from the project’s first year indicates physicians have made steady improvement in reducing patient admissions, emergency department visits and imaging procedures, said Tom Simmer, M.D., Blue Cross’ chief medical officer.

In a review of 2009 claims data, Blue Cross found medical home-designated physicians:

  • Have a 2 percent lower rate of adult radiology usage than other non-designated primary care physicians and a per member per month cost that is 1.2 percent lower.
  • Have a 1.4 percent lower rate of adult emergency department visits than non-medical home practices and a per member per month cost that is 0.6 percent lower. 
  • Have a 2.2 percent lower rate of pediatric emergency department visits than non-medical home practices and a per member per month cost that is 4.2 percent lower.
  • Have a 2.6 percent lower rate of adult inpatient admissions than non-medical home doctors and a per member per month cost that is 2.6 percent lower. 

To learn more, please click here.

H.  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.

I.  Webinar from the American Pharmacists Association - Thursday, July 15th, 8:00 PM EST

Immunizing Pharmacists’ Participation Within the Medical Home - Registration is Now Open!

Please join speaker, Dennis D. Stanley, RPh, Associate Clinical Professor of Pharmacy, Virginia Commonwealth University-Medical College of Virginia, School of Pharmacy as he speaks with pharmacists on their role of immunizing their patients in a medical home can benefit the effectiveness of the PCMH model.

Learning Objectives

After participating in this webinar, pharmacists will be able to:

  • Identify current gaps in immunization rates across patients’ lifespan that pharmacists can help address.
  • Describe the current concept of the immunization medical home and the various players that are part of the caregiving team.
  • Discuss the various approaches for establishing relationships and credibility within the medical home.
  • Describe practice examples for how pharmacists can effectively serve patients’ immunization needs and maintain continuity of care and communications among the patient’s other providers of care.
  • Explain how technology can help facilitate and support pharmacists’ immunization role within the medical home.

Registration Information

  • Pre-registration for all webinars is required. There is no fee to participate. 
  • Event registrants may cancel their registration without penalty anytime prior to the start of the event.
  • You should receive an e-mail with instructions on how to access the webinar at least 24 hours before the start of the activity.

For more information, please click here.

J.  TransforMED’s Delta-Exchange Teams with Group Practice Forum to Present Free Webinar Series on Diabetes Population Management

TransforMED, a national leader in patient-centered medical home transformation, and Group Practice Forum (GPF), an independent network of physician group experts and education professionals, announced a partnership to deliver patient-centric clinical education to primary care medical practices. Beginning in June, TransforMED and GPF will launch a three-part webinar series titled “The Patient Journey: Aiming for Excellence in Diabetes Care.” The 60-to 90-minute, live and interactive webinars will be hosted on TransforMED’s professional online learning community for primary care, Delta-Exchange. The series is free of charge to members and non-members of Delta-Exchange, however, advance registration is required.

The webinar series will be led by Len Fromer, M.D., FAAFP, Assistant Clinical Professor of Family Medicine at University of California at Los Angeles School of Medicine. Dr. Fromer also serves as Executive Medical Director of GPF. The three-part series on diabetes is designed to provide primary care physicians with simple solutions that can be incorporated into their practices immediately to improve patient care. Future webinars developed through this partnership will explore additional areas of chronic disease management for primary care group practices.

Dates and times for the “The Patient Journey: Aiming for Excellence in Diabetes Care” webinars are as follows:

  • The Patient Experience

12-1 p.m. CDT, Wednesday, July 21

Participants will learn tips and techniques for motivating and empowering patients with diabetes to take better control of their health.

  • Transitions in Care

12-1 p.m. CDT, Wednesday, Sept. 8

Primary care physicians and their patients face many challenges when navigating diabetes care from the emergency department to the office setting. Participants will learn strategies to improve patients’ transitions across settings.

The webinars are free of charge and open to all who wish to attend. To register, click here.

K. Medical Home Audioconference - Outcomes and Lessons from a Primary Care - Health Plan Partnership - the New Jersey Academy of Family Physicians and Horizon BCBS New Jersey - Wednesday July 28, 2010
 
In 2009 the New Jersey Academy of Family Physicians (NJAFP) and Horizon Blue Cross/Blue Shield of New Jersey (Horizon BCBSNJ) began partnering to assist primary care practices achieve recognition as Patient-Centered Medical Homes (PCMHs). At the outset, only one practice in New Jersey was recognized. Both partners knew the important role that the PCMH concept played in health care delivery and also acknowledged that functioning as a PCMH should go well beyond recognition alone. Therefore, NJAFP and Horizon BCBSNJ worked together to begin to transform office-based care from an acute episodic care model to the PCMH model for project practices.
 
Primary care practices participated in a NJAFP-developed and-directed educational program that included a weekly curriculum, delivered via conference call/WebEx. Participants were provided with templates, processes, guidelines, samples, resources, web links, and one-on-one consultation to help them meet or surpass the recognition standards. NJAFP consultants also provided technical direction to assist practices with the on-line survey submission. Practice physicians and staff shared experiences and best practices, including tips and ideas about their particular EHRs for those with the same systems.
 
After achieving NCQA PCMH recognition, practices have begun to receive a care coordination fee for Horizon members with diabetes, and are now actively involved in a quality metric reporting component, which is designed to support cost savings and cost sharing element. In addition, additional PCMH transformation activities are currently in process and will be discussed during the presentation.
 
To learn more about this audioconference and to register, please click here.
 
L.  World Congress 6th Annual Leadership Summit on Medicare - July 19-21, 2010
 
Impacts of Reform on Medicare Parts A, B, C & D – Strategies to Survive and Prosper
As the only industry event scheduled immediately before the congressional recess, The World Congress 6th Annual Leadership Summit on Medicare is the leading forum guaranteed to present up-to-the-minute legislative developments from the Hill. This Executive Summit is designed to maximize your understanding of how current reform initiatives will impact your organization's short and long term strategic plans.  To view more information and to register for the event, please click here.
 
M. 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.
 
N.  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. 
 
O.  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: 
  • Alliance for Home Health Quality and Innovations
  • Allscripts
  • Bon Secours
  • Healthcare Facilities Accreditation Program
  • Hooper Holmes
  • King Pharmaceuticals
  • Lilly, USA
We now have 721 signing members.  
 
V. PCMH in the Press
 
"Renovating Care", Harvard Medical School, 'A core theme that emerged from this year’s minority health policy conference at HMS was the concept of the “medical home” and the role it can play in reducing health disparities. A medical home is an approach to primary care that facilitates partnerships between the patient and his or her care team and family.' To read the entire article, please click here.
 
"Legacy Health's CEO revitalizes with reform", Oregon Business, 'Preparing for health care reform meant more than talking to Congress and switching over to electronic records. Brown is co-chair of a task force of Oregon health care professionals that has produced innovation and cost savings in administration, payment and treatment. He’s also a strong proponent of an experiment in primary care that improves patient and staff satisfaction and quality of care and will hopefully cut costs: the patient-centered medical home.' To read the entire 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, May 18th, 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 - 
Vince Keenan, Executive Vice President & Gordana Krkic, CAE Deputy Executive Vice President of Communications, Government Relations, and Marketing, Illinois Academy of Family Physicians
 
The Illinois Academy of Family Physicians (IAFP) is a state chapter of the American Academy of Family Physicians.
 
In Illinois, the IAFP work closely with the Medicaid program's primary care case management model and disease management program. The two Illinois Medicaid Medical Home programs, Illinois Health Connect, the primary care case management program, and Your Healthcare Plus, the disease management program saved $320 million in FY2009, up from $180 million in FY2008.
 
As part of their effort to spread the word on medical home and make Illinois' model programs replicable for other states, the IAFP is working with the Robert Graham Center to develop a case statement of the Illinois Health Connect - IHC (www.illinoishealthconnect.com) and Your Healthcare Plus - YHP (www.yourhealthcareplus.com) programs. The case statement will describe IHC and YHP from a healthcare and social system perspective. 
 
The evaluation will describe Illinois Health Connect and Your Healthcare Plus so that future policies can determine which parts of the programs to change or expand.  Additionally, IAFP intends to use this qualitative evaluation to create a foundation for a larger evaluation to look specifically at clinical and financial outcomes of both programs. The IAFP expects the case statement to be completed by August 2010.
 
Gordana and Vince joined the group to discuss these affairs and IAFP's involvement in the PCMH movement.
 
III. Speaker - Angela Tobin, MA, LSW, Manager, Technical Assistance, National Center for Medical Home Implementation, American Academy of Pediatrics; Rebecca A. Malouin, Ph.D., M.P.H., Assistant Professor, Director of International Programs, Department of Family Medicine and Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University
 
The speakers joined the call to discuss the development of a monograph titled “Measuring Medical Homes: Tools to Evaluate the Pediatric Patient- and Family-Centered Medical Home”.  The purpose of this monograph is to present various tools available and in use to identify, recognize, and evaluate a practice as a pediatric medical home. With increasing national interest in health care reform, the provision of medical homes for all is seen as a method to improve population health as well as reduce health inequities and health care expenditures. Because no one tool is recognized as the de facto tool to assess pediatric practices, a review of the relative merits of existing tools will help inform purchasers, payers, providers, and patients in evaluating pediatric practices. Many of the multi-stakeholder and single-payer medical home demonstration projects focus on adult populations and adult outcomes. An understanding of tools to assess pediatric practices may assist such pilots in incorporating and evaluating pediatric practices in both practice transformation and payment reform. The National Center for Medical Home Implementation contracted with Rebecca Malouin, PhD, MPH on the development of same.
 
The speakers also gave a brief, 5-10 minute informational overview about their "Building Your Medical Home" tool kit and its content.

III.  NASHP Update
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 July 20th at 3PM EST.

C. Center for Employer Engagement
 
On the June 9th 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 Presentation: Aligning employer strategies: Value-based insurance design and the patient-centered medical home”    Bruce Sherman, MD, FCCP, FACOEM   PCPCC - Center for Employer Engagement 

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 July 14th 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 June 25th, the Center conducted t a meeting featuring:

  • Welcome and introductions 
  • Presentation – Dr. David Bates, MD, MsC, Medical Director of Clinical and Quality Analysis, Partners Healthcare and Chief, Division of General Medicine, Brigham and Women’s Hospital. Dr. Bates discussed the future role of health information technology in the medical home. 
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 July 8th 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]