Call Agenda, Thursday, July 1st, 11:00 AM EDT

 
 
 
This is a reminder to those who are available that on Thursday July 1st 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 1st 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.  Leveraging Health IT to Achieve Ambulatory Quality: The Patient-Centered Medical Home (PCMH)

The Healthcare Information and Management Systems Society (HIMSS) and the National Committee for Quality Assurance (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.

F.  Massachusetts Patients Assess Their Experiences with Primary Care in First Comprehensive Survey since State Health Reform Implementation
 
BOSTON--(BUSINESS WIRE)--A report released by Massachusetts Health Quality Partners (MHQP) provides the first comprehensive assessment of how patients rate their experiences with primary care since the state's groundbreaking health reform law was implemented.
Almost 80,000 commercially insured patients responded to the statewide survey and reported overall improvements in several dimensions of the doctor-patient relationship, such as communication and knowledge of their patients, compared to prior MHQP survey results. Similar improvement trends, however, were absent in organizational features of care such as access, and there continue to be important aspects of doctor–patient communications that present opportunities for improvement.  
 
There is broad agreement that there are important dimensions of care that patients and their families should expect to receive from their primary care practice. Key findings in MHQP's latest patient experience survey highlight where there continues to be room for improvement in these aspects of care, including:
 
  • Knowledge of the patient: When asked if their primary care physician seemed to know their medical history and to know them as a person, both adults and the parents of pediatric patients reported improvements compared with 2007; but 30 percent of adult patients and 25 percent of parents say their primary care physicians do not always know important medical history information.
  • Informed of test results: The survey found that about 30 percent of adult and pediatric patients did not always receive follow-up reports on test results from their doctor’s office, unchanged from 2007.
  • Coordination between primary care doctors and specialists: About 40 percent of adult patients and 35 percent of parents of pediatric patients reported that their physician did not always seem well-informed about the care they received from specialists to whom they had been referred. Pediatric results were slightly better than two years ago, while adult ratings were unchanged.
 
To learn more about this survey, please click here. 

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.  Massachusetts Patient-Centered Medical Home Initiative Starting in Massachusetts Soon

Public payers and private insurers ("payers") in Massachusetts are joining in support of the multi-payer Patient Centered Medical Home Initiative. The Initiative is being undertaken to:

  • implement and evaluate the Patient Centered Medical Home (PCMH) model as a means to achieve accessible, high quality primary care;
  • demonstrate cost-effectiveness in order to justify and support the sustainability and spread of the model, and
  • attract and retain primary care clinicians into practice in Massachusetts by increasing resources available to practices and improving the quality of clinician work life.

Participating practices will make the three-year transformation into a PCMH through provision of technical assistance including:

  • participation in a Learning Collaborative, consisting of nine days of training over a 24-month period;
  • working with medical home facilitators;
  • reporting monthly progress towards achieving specific goals based on patient registry data and receiving written feedback, and
  • assistance with applying for National Committee for Quality Assurance (NCQA) PCMH recognition within 18 months after the start of the Initiative.

Two groups of participating practices will be selected for the PCMHI:

  • Technical Assistance Plus Practices
  • A significant proportion of each practice's revenue in this group must be from MassHealth (traditional fee-for-service or its Primary Care Clinician Plan), one of MassHealth's contracted managed care organizations (MCOs) 1, and/or the Health Safety Net administered by the Division of Health Care Finance and Policy.
  • Practices selected for this group will generally receive compensation from participating payers as described below.
  • Technical Assistance-Only Practices
  • Practice revenue sources for practices in this group may vary.
  • Practices not selected as Technical Assistance-Plus practices but interested in being considered as a Technical Assistance-Only practice must be able to describe how the practice could meet PCMHI requirements with provision of technical assistance only (and no additional financial compensation).

Both groups of practices must currently have a contract with MassHealth or one or more of MassHealth's contracted MCOs.

For Technical Assistance Plus Practices, participating payers will, generally, provide practices with:

  • start-up payments, which will recognize practice time spent populating a patient registry or programming new EMR reports, developing a transition team, developing new office practices, etc. These payments would primarily occur in the first year, with decreased payments in the second year;
  • supplemental payments, which will recognize on-going costs associated with a) providing non-billable medical home services and b) providing care management services via a hired or contracted care manager. Separate payment streams will be defined for each purpose, with care management funding only to be spent on care management, and
  • bonus payments based on shared savings and achievement of quality metrics, which recognize the participating practice's increased quality and savings achieved as a result of medical home transformation.

Practices interested in applying will need to respond to a Request for Response process to be managed by the Massachusetts Executive Office of Health and Human Services (EOHHS) and posted on the state's procurement website, Comm-PASS ( http://www.comm-pass.com/ ). The Request for Response will be issued by EOHHS in July 2010 and practices will have approximately five weeks to submit an application. Practices will be selected in the fall and begin their participation in fall/winter 2010 in preparation for the first Learning Collaborative session in early 2011.

I.  Premier HealthCare Earns Patient-Centered Medical Home National Certification

Premier HealthCare, a medical practice with doctors, dentists and specialist trained to treat patients with developmental disabilities, has been designated a Patient-Centered Medical Home (PCMH) by the National Committee for Quality Assurance(NCQA). Premier HealthCare is a member of the YAI Network. All of Premier HealthCare’s five practices – located in Manhattan, Brooklyn (2), Queens and the Bronx -- received the certification.

Established in 1997, Premier HealthCare provides medical, dental, mental health, rehabilitation and specialty care to 10,000 patients, children and adults with disabilities and their families. Recognized by the U.S. Surgeon General as a national model for the provision of health care for people with intellectual and other developmental disabilities, Premier HealthCare is a leader in the field. Premier HealthCare was cited in a 2009 National Council on Disability Research Report to President Obama, as one of only four examples of effective health care programs for people with developmental disabilities nationwide. 

To learn more, 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. News Feature on the PCMH - Video
 
"Medical home" a new concept in primary care - A professor from the U.T. Health Science Center is helping study how to transform primary care from doctor-centered to patient-centered medical home.  To veiw this news feature, 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
 
"‘Medical home’ idea aims at making primary care work better",  Ray Segebrecht, KansasCity.com, 'When Mariah Thomas, a returning Shawnee Mission Primary Care patient, booked an appointment for back pain recently, she expected a long wait and a tall stack of forms. Neither occurred. Thomas just needed to scribble her name and the time of day, and within minutes she was being seen by Tiffany Vetter, an internal medicine physician.  Vetter had already read electronic files containing Thomas’ medical history and just scrolled through them briefly on her laptop before assessing Thomas’ back.  Vetter diagnosed the pain as muscular and in seconds prescribed two medicines through an online system new to the office that week. The prescriptions would be ready for Thomas to pick up on her way home.  Efficiency for doctor and patient is one of the goals for Shawnee Mission and 12 other metro area primary care practices that are shifting to this new model of care. The 13 practices began the switch in November as part of a two-year pilot program, the first in Kansas or Missouri.  The doctors are among thousands trying to join the roughly 3,700 of 365,000 U.S. primary care physicians who have adopted the model, said Terry McGeeney, a doctor who is CEO and president of TransforMED. His company was hired by Blue Cross Blue Shield of Kansas City to help make the shift.  To read the full article, please click here.
 
"Medical Home: New patient care program at clinic",  Cpl. Meloney R. Moses, Marine Corps Base Quantico, ' In September Marine Corps Base Quantico’s mainside clinic, Naval Health Clinic Quantico, will transfer its patient care concept to a new one known as‘‘Medical Home.” The Medical Home Pilot Program is a one-year pilot designed to give service members and their dependents better care quicker. According to the National Naval Medical Center website, Medical Home is a team ofprimary care providers, nurses and support staffwho partner with the patient to coordinate the services specific to the needs of that patient. ‘‘I have been here since ’97,” said Dr. Douglas Schulte, chief of professional staff. ‘‘This is the biggest change I’ve seen since the building opened. We’re trying to change around how medicine is delivered.” The Navy Surgeon General, Vice Adm. Adam M. Robinson, mandated all clinics to transition to Medical Home by June 2011.  To read the full article, please click here.
 
"All For One Home Health Care: Medical vs. Non-Medical Home Health Care", HubPages.com, 'Home health care is the latest trend when it comes to the health care industry. Unlike nursing homes, you don’t need to enroll your older adults to far away locations and contribute more on their emotional baggage. Home health care means you can now answer all your older adult needs right at the comfort of your own home.' 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 July 6th 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 2nd 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 -  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 -  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]