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Call Agenda, Thursday, June 3rd, 11:00 AM EDT
(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)
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. Submit Your PCMH Pilot Demonstration Information on our Site Today!
With the release of last year's PCPCC Pilot Guide, 'Proof in Practice', the Collaborative has received increased demand from new pilot project sites across the country who wish to share their information on our website. The PCPCC is now happy to offer that option to our members through the new pilot submission process, located here. Pilots of all sizes are encouraged to submit. The questions are optional so only ones that apply need to be filled out. All pilot submissions and edits are moderated by the PCPCC staff so you are always in control of your own pilot's information. Once approved, your pilot demonstration will formally be announced on our website and national weekly call.
Recently Submitted Pilots:
Doctors Family Clinic and Immediate Care PCMH Pilot
The project is designed to convert two commercial privately held urgent care centers to fully functioning PCMH . Primary care will be provided by cells consisting of one physician team leader and as many mid-level providers as that team leader can effectively manage. Every effort will be made to document performance of key clinical and financial measures.
Metrics will be sought to established the appropriate ratio of physician to mid level provider. The mission of the PCMH is to proactively manage the patient population as well as the total healthcare dollars allocated for them.
Guided Care
Guided Care provides many aspects of a “patient-centered medical home” for the growing number of older adults with complex health needs. It is a model of proactive, comprehensive health care provided by physician-nurse teams for patients with several chronic conditions. It was designed to improve the quality of life and quality of care, as well as the efficiency of their treatment, for complex patients.
Guided Care was developed by an interdisciplinary team of health care professionals at Johns Hopkins University in 2002. In creating the Guided Care model, the group infused the most current evidence-based guidelines for managing chronic conditions and the most effective principles from case management, disease management, self-management, transitional care, geriatric evaluation, and caregiver support models into primary care. Guided Care integrates these successful innovations into primary care to make evidence-based, state-of-the-art chronic care available from professionals the patient trusts.
In Guided Care, a registered nurse, who is based in a primary care office, works closely with 3-4 physicians and health information technology to provide state-of-the-art care for 50-60 chronically ill patients.
Encouraged by results of a 1-year pilot, the Lipitz Center secured grant funding from the John A. Hartford Foundation, the Agency for Healthcare Research and Quality (AHRQ), the National Institute on Aging (NIA), and the Jacob and Valeria Langeloth Foundation to conduct a cluster-randomized controlled trial (cRCT) of Guided Care in 8 community-based primary care practices in the Baltimore-Washington DC region. The primary objective of the cRCT is to evaluate the effects of Guided Care on the quality, efficiency and clinical outcomes of health care for chronically ill older patients and their informal caregivers.
C. New Article from the Annals of Internal Medicine - Patient Protection and Affordable Care Act: Promise and Peril for Primary Care
The Patient Protection and Affordable Care Act (PPACA) of 2010 brings both promise and peril for primary care. This Act has the potential to reestablish primary care as the foundation of U.S. health care delivery. The legislation authorizes specific programs to stabilize and expand the primary care physician workforce, provides an immediate 10% increase in primary care physician payment, creates an opportunity to correct the skewed resource-based relative value scale, and supports innovation in primary care practice.
Nevertheless, the peril is that the PPACA initiatives may not alter the current trend toward an increasingly specialized physician workforce. To realize the potential for the PPACA to achieve a more equitable balance between generalist and specialist physicians, all primary care advocates must actively engage in the long rebuilding process.
"The professional workforce of the U.S. health care system has become oddly distorted. In countries with mature, similar economies, 50% to 60% of physicians practice in the primary care disciplines of general internal medicine, geriatrics, family medicine, or pediatrics. In contrast, only about 30% of U.S. physicians practice in primary care, whereas 70% are specialists. International studies show that better health is associated with a more equally split physician workforce (2). Therefore, we face the needs of the newly insured with a skewed workforce."
To read more, click here.
D. National Survey of Community Health Centers Finds Those Closely Affiliated with Hospitals Report Fewer Problems Obtaining Specialty Care for Patients
Commonwealth Fund Report Shows Most Centers Have Difficulties Getting Follow-Up Care and Tests for Patients, Regardless of Insurance; Enhancing Health Information Technology and Medical Home Competencies Should Be Key Targets For $11 Billion in Affordable Care Act Funds
Community health centers that are closely affiliated with hospitals have fewer difficulties getting their patients appointments for specialty procedures like x-rays, diagnostic tests, and visits with specialist physicians, according to a new Commonwealth Fund survey of community health centers released today. Centers without hospital affiliations reported they had more difficulty getting off-site specialty appointments regardless of a patient's insurance status—pointing to the need for incentives that will promote connections between health centers and specialty care providers.
The report, Enhancing the Capacity of Community Health Centers to Achieve High Performance, is a comprehensive national survey of nearly 800 Federally Qualified Health Centers across the country. It examines centers' capacity to provide high quality health care and function as patient-centered medical homes.
Coming on the heels of health reform legislation that will increase community health centers' funding by $11 billion dollars over the next five years—a doubling of current funding—the report spotlights areas where improvements can be made, including: payment incentives to encourage high quality care; policies and incentives that encourage centers to take the necessary steps to function as patient-centered medical homes; and infrastructure support like health information technology (IT) that will allow health centers to better meet patients' needs.
A critical component of the health care safety net, community health centers serve an estimated 16 million patients who are predominantly low-income, uninsured, or insured through Medicare or Medicaid. According to the report, many community health centers already provide high quality, well-coordinated care, but the passage of the Patient Protection and Affordable Care Act could increase demand for their services nationwide, much as it did after Massachusetts passed comprehensive health reform.
"Community health centers are a vital component of our health care system and this survey gives us a comprehensive picture of their current capacity to provide patient-centered, high-quality care," said Commonwealth Fund President Karen Davis. "Moving forward, we should continue to invest in strategies—payment reform, health IT, and partnerships—that will strengthen community health centers' ability to provide comprehensive care to patients and reduce barriers to obtaining needed specialty care."
For more information, please click here.
E. The Commonwealth Fund - A Nationwide Survey of Patient-Centered Medical Home Demonstration Projects
Synopsis
The medical home has been promoted by many experts as a model for delivering comprehensive, coordinated, patient-centered health care. In interviews with leaders at 26 demonstration sites around the country where the patient-centered medical home is being pilot-tested about payment structure, practice transformation, practice requirements, and other characteristics, researchers found substantial diversity in terms of size, scope, and design. Most of the projects use a payment approach that combines fee-for-service payments with a fixed, monthly case management fee and bonuses based on clinical performance. Future research should focus on evaluation plans, as interest in the model grows.
Key Findings
- The researchers identified two models for transforming the way practices provide care to their patients: the consultative model, in which external facilitators are hired to assess and transform care processes, and quality improvement collaboratives, many of which focus on implementing the chronic care model, focusing on conditions such as asthma and diabetes.
- Most of the demonstrations have adopted the "three-part" payment model: fee-for-service payments, a fixed, monthly case management fee, and potential bonuses based on clinical performance.
- Upfront funding for practice transformation was available in over half of the demonstrations, ranging from small lump-sum payments of $1,000 to $6,000 per practice to grants of over $100,000 intended for infrastructure investments.
- The monthly fixed fees ranged from $0.50 to $9, yielding $720 to $91,146 per physician, with a median of $22,834 in additional revenue per physician annually.
- About 60 percent of the demonstration practices had not yet developed plans for conducting an evaluation. When practices did have evaluation plans, they often had not yet selected specific measures or other assessment tools.
Addressing the Problem
The substantial diversity in the size, scope, design, and concept of the demonstration pilots "suggests an urgent need to incorporate evaluation in programs' designs," the authors conclude. Evaluations are needed to determine the impact on costs and utilization; quality of care as measured by patient experiences, processes, and outcomes; and physician and staff experiences. Yet, less than half of the programs had well-specified evaluation plans, and many had neither secured funding to support a robust evaluation nor adequately identified control groups with which to compare the demonstrations. Because of the upfront investments required, adoption of the medical home approach may not necessarily lead to immediate direct cost savings, the authors say. But wider use of this rational model for delivering health care is likely to help decrease the rate of cost growth in the future and promote better patient experience and quality outcomes.
For more information and a link to the study results, please click here.
F. Ohio Legislation Passes Medical Home Pilot Project Package
The Ohio General Assembly completed a legislative package recently that will establish 44 existing primary care practices as training centers for patient-centered medical homes. The bill, which passed both the Ohio House and Senate unanimously, is expected to be signed by Gov. Ted Strickland. The bill sets up a large advisory group, which consists of various physicians and other medial professionals, to administer the pilot project. Primary care practices “with educational affiliations” from across the state can apply for inclusion in the project, according to the bill. Of the 44 practices included in the project, 40 are to be led by primary care physicians, while four are to be led by advanced practice nurses. Practices selected for participation would be eligible to be reimbursed for up to 75 percent of the costs of new information technology needed to convert to a medical home. Practices would also receive “comprehensive training” on how to operate as medical homes. The advisory group is charged with working with the state’s medical and nursing schools to develop training plans. One drawback of the bill may be that it doesn’t identify any specific sources of funding for the medical homes project. Instead, the advisory group is charged with finding grants, federal funds or private donations to pay for the program.
G. Health Affairs May Publication: Reinventing Primary Care
The May 2010 issue of Health Affairs examines what it will take to reinvent primary care in the United States. Operational, payment, regulatory, legal, and educational reforms will be necessary to improve care and achieve savings —and to prepare for the influx of millions of Americans who will be insured for the first time as of 2014.
The primary care system in the United States is in crisis. Sixty-five million Americans live in primary care shortage areas. Partly due to a considerable pay gap between primary care physicians and other practitioners, U.S. medical school graduates are increasingly avoiding careers in primary care, and a major shortage of all types of primary care providers looms. A system that is already strained will face an influx of patients in 2014, when 32 million Americans will have health insurance for the first time. A larger primary care workforce is essential, but new strategies and models are also needed to address the country’s imminent primary care access problem.
Restructuring primary care practice teams can help meet this challenge. For example, barriers to practice that face nurse practitioners and physician assistants in many states must be removed. Updating and modernizing the primary care system is also essential. For example, implementation of the medical home model—a delivery model that is patient-centered and focuses on integrated care—has been proven to improve quality and reduce costs.
The full issue is now available for purchase. Please click here to download.
There was a briefing held on May 4th in Washington, D.C. for the release of this issue. Health and Human Services Secretary Kathleen Sebelius gave the keynote address on how the recently passed health care law can be implemented to improve primary care.
If you wish to view the video please click here.
H. New American Academy of Physician Assistants and American College of Physicians Study - “Internists and Physician Assistants: Team-based Primary Care”
HealthCare Policy News - The American Academy of Physician Assistants and American College of Physicians have released a study that supports the roles played by physicians and physician assistants in improving access to high-quality primary care.
“Internists and Physician Assistants: Team-based Primary Care” argues that the Patient Protection and Affordable Care Act will result in additional patients, while at the same time the number of primary care and other healthcare professionals is shrinking.
Officials say new treatment paradigms are emerging and the collaborative effort strongly supports the patient-centered medical home, an interdisciplinary team-based model for care delivery that facilitates partnerships among individual patients, their personal physicians and other healthcare professionals and, when appropriate, the patient’s family.
The AAPA and ACP both support national and state legislation that allows full use of PAs in clinical teams and promotes flexible team decision-making at the practice level.
“This monograph highlights the commitments of both AAPA and ACP to enhancing the strong partnership between PAs and internists,” said ACP President J. Fred Ralston, Jr., MD. “We will continue to work together to improve healthcare for patients and the practitioners who serve them.” To view the policy monograph, please click here.
I. Microlife Medical Home Solutions, Inc. Launches the “Fast Track to the Patient-Centered Medical Home” Program Assisting Physicians with the Patient Protection & Affordable Care Act
Microlife Medical Home Solutions, Inc. (MiMHS) released the first edition of “Fast Track to the Patient-Centered Medical Home” at the American College of Physicians Scientific Meeting in Toronto, Canada. This new program is a turn-key approach for all physicians and providers seeking to become a National Commission for Quality Assurance (NCQA) Physician Practice Connections ® --- Patient-Centered Medical Home (PPC-PCMH™) in 6 months or less. R. Scott Hammond, M.D., FAAFP, is the Author & Editor of this “Fast Track” program. Dr. Hammond states, “this program is the beginning of a journey that will provide better health outcomes for our patients and bring more practice satisfaction to primary care physicians. Together, by joining the many PCMH pioneers, we can achieve meaningful healthcare reform.”
The “Fast Track to the Patient-Centered Medical Home" program is currently available to all physicians and providers seeking NCQA PPC-PCMH recognition. The package includes a comprehensive binder and CD with all the reproducible templates needed to submit for NCQA PPC-PCMH Level 1 recognition. Since two important medical conditions must be identified as MUST PASS criteria by the medical practice to achieve PCMH recognition, the package also includes two evidence-based, practice-tested programs for hypertension and obesity/metabolic syndrome.
These programs are.
- 1. WatchWT™ Practice Solutions – a turn-key program for the initiation, assessment and implementation of a treatment program for overweight and obese patients in a primary care practice. Using the MedGem ® , an indirect calorimeter that determines a patient’s resting metabolic rate (RMR), the WatchWT solution-based program provides physician-guided, individualized nutrition and physical activity strategies to promote patient self-management.
- 2. WatchBP ® Practice Solutions – a solution-based program for comprehensive in-office and out-of-office blood pressure measurement to advance hypertension diagnosis and treatment to improve patient self-management. The turn-key program includes the WatchBP Office device, a dual cuff clinical blood pressure device for in-office measurement; the WatchBP O3, a 24-hour, ambulatory device; and the WatchBP Home, a home blood pressure device embedded with the 7-day American Heart Association guidelines for proper home blood pressure monitoring.
To learn more, please click here.
J. HANYS’ Webconference to Discuss Medical Home Model - June 11th, 2010
HANYS and Primary Care Development Corporation (PCDC) will host a Webconference Friday, June 11, from 10 to 11:30 a.m., on Understanding and Undertaking Medical Home Recognition.
State and federal health care reform laws are expected to reward providers who meet standards for access and performance in primary care. Indeed, New York’s Medicaid program has already chosen to provide enhanced reimbursement to providers that achieve National Committee for Quality Assurance Physician Practice Connections®--Patient-Centered Medical Home (PPC-PCMH™) standards. Hospitals will find it increasingly important to understand the Patient-Centered Medical Home (PCMH) model and its impact on the delivery system. Experts from PCDC will focus on the PCMH model as it relates to hospital executives and decision-makers. Participants are encouraged to review PCDC’s latest publication, Obtaining Patient-Centered Medical Home Recognition: a How-to Manual, before the session.
The speakers for the program are Regina Neal, M.P.H.-M.S., Director of Practice Redesign, and Senior Program Managers Cari Reiner, M.P.A., and Vanessa Rudin, M.S., M.A., who are members of PCDC’s practice redesign team. Together, they have worked with hundreds of teams in New York and throughout the United States to reduce patient wait times, advance access to appointments, and establish patient-centered facilities and systems of care. For more information, click here.
K. TransforMED Launches New Service Offering to Accelerate Medical Home Adoption in Small Practices
TransforMED, a wholly-owned subsidiary of the American Academy of Family Physicians, recently announced a new service offering aimed at helping small primary care practices implement the TransforMED patient-centered medical home model of care. TransforMED's "Small Practice Package" program (located here) bundles together the necessary tools and components, and streamlines the process to enable practices with four or fewer physicians to implement the components of the TransforMED PCMH model in two years.
For $1,250 per practice per quarter, practices can engage with TransforMED's expert facilitators in a two-year PCMH implementation support program. Using "virtual engagement" via Web-based assessments, the Delta-Exchange online learning community for primary care, video conferencing and teleconferencing, TransforMED will assess each practice's current state, determine the necessary changes to become a PCMH and then provide them with a comprehensive transformation plan and time line. Each practice will also be assigned a designated facilitator to provide virtual support throughout the entire transformation process. Practices begin their transformation by first completing an online assessment in which baseline practice metrics are established and change readiness is assessed for both leadership and staff.
For more information, please click here.
L. 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 Journey
12-1:30 p.m. CDT, Wednesday, June 16
Participants will learn practical ways to improve patient care by creating motivated, engaged and informed patients. Attendees will explore concepts that can improve the quality of the patient-physician relationship and help foster a practice culture that supports improvement in diabetes care.
- 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.
M. New Learning Collaborative to Prepare Clinicians for Better Chronic Care
HealthSciences Institute will sponsor a new learning collaborative for health care professionals, teams and organizations who serve individuals at risk of, or affected by, chronic diseases in employer, health plan, medical home and other provider settings.
The collaborative will offer free, noncommercial webinars on topics, solutions and case studies in chronic disease prevention, management and care improvement. Each webinar will include a brief presentation, ask-the-expert segment, and targeted discussion on the application of new learning to participant job roles. Discussion will continue online between sessions.
The collaborative is a component of a new HealthSciences Institute-sponsored Partners in Improvement initiative that will offer free online chronic care improvement resources and tools to health care organizations and professionals.
“Nurses and other professionals who serve at-risk individuals—in settings from health plans to medical homes—want affordable, noncommercial learning activities that prepare them for the real-world challenges of chronic care. They also understand that some of the most valuable lessons are learned through collaboration and problem-solving with peers,” cites Blake Andersen, PhD, President and CEO of HealthSciences Institute.
Learning Collaborative Event Schedule
- 6/4/2010 Community-Based Strategies for Primary Prevention of Diabetes with David Marrero, Ph.D., Professor of Medicine, Indiana School of Medicine.
HealthSciences Institute will host its sixth monthly Population Health Improvement Learning Collaborative meeting on Friday June 4th from 10:30 to 11:30 AM (CT) featuring a free webinar and discussion with Dr. David Marrero, Professor and Director of the Translation Research Center at Indiana University School of Medicine and proponent of community-based approaches to prevent diabetes. In April, United Health Group announced they would reimburse YMCAs offering the Diabetes Prevention Program.
Dr. Marrero was a leader in the landmark Diabetes Prevention Program (DPP) and the TRIAD study evaluating diabetes care delivery strategies in managed care settings. The National Institutes of Health (NIH)-funded DPP trial studied more than 3,000 adults at high risk for developing type 2 diabetes due to elevated blood sugar levels and being overweight and found that the DPP lifestyle intervention reduced the risk of diabetes by 58 percent through modest weight loss (five to seven percent of body weight) and 30 minutes of exercise, 5 times weekly.
Dr. Marrero’s work, recently featured in the Wall Street Journal, shows that it may be possible to develop a nationally scalable community-based model to support evidence-based, cost-effective primary prevention in small and large communities across the US. He recently adapted the DPP model for use in community YMCAs, addressing key implementation barriers while significantly reducing the cost of the original DPP program delivery from $1,476 to $205 per participant. The YMCA program features a group-based version of the DPP lifestyle intervention led by YMCA staff and has the potential to reach over 46 million people in the United States who live near a YMCA.
According to Dr. Blake Andersen, President and CEO of HealthSciences Institute, “Recent studies show that while 25% of U.S. adults are pre-diabetic, only 4 percent of cases are diagnosed by physicians. Further, only 42 percent of diagnosed pre-diabetics attempt the key lifestyle changes that prevent or delay diabetes or diabetes-related complications. Community-based programs such as this are essential to combating one of our biggest threats to health and sustainable health care spending. At the same time, we need to routinely apply the evidence-based health coaching interventions that best impact participant engagement, lifestyle change and treatment adherence in pre-diabetes programs.”
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8/6/2010 Minimally Disruptive Medicine with Victor Montori, MD, Endrincrinologist and Professor of Medicine, College of Medicine, Mayo Clinic.
All events held 10:30 to 11:30(CT); CCP Community Calls 11:30 to Noon (CT).
To learn more, please click here.
N. New Report from the Milbank Memorial Fund, 'Evolving Models of Behavioral Health Integration in Primary Care'
The U.S. mental health system fails to reach and/or adequately treat the millions of Americans suffering from mental illness and substance abuse. This report offers an approach to meeting these unmet needs: the integration of primary care and behavioral health care. The report summarizes the available evidence and states’ experiences around integration as a means for delivering quality, effective physical and mental health care. For those interested in integrating care, it provides eight models that represent qualitatively different ways of integrating/coordinating care across a continuum—from minimal collaboration to partial integration to full integration—according to stakeholder needs, resources, and practice patterns. Each model is defined and includes examples and successes, any evidence-based research, and potential implementation and financial considerations. Also provided is guidance in choosing a model as well as specific information on how a state or jurisdiction could approach integrated care through steps or tiers. Issues such as model complexity and cost are provided to assist planners in assessing integration opportunities based on available resources and funding. The report culminates with specific recommendations on how to support the successful development of integrated care.
The Milbank Memorial Fund commissioned this report to provide policymakers with a primer on integrated care that includes both a description of the various models along the continuum and a useful planning guide for those seeking to successfully implement an integrated care model in their jurisdiction.
The Milbank Memorial Fund is an endowed operating foundation that works to improve health by helping decision makers in the public and private sectors acquire and use the best available evidence to inform policy for health care and population health. For more information on the report, please click here.
II. Important Links
October 22 Annual Summit Materials - click here
- PCPCC Stakeholders' Working Group Meeting - Tuesday, March 30, 2010
- PCPCC Stakeholders' Working Group Meeting - Thursday, July 22, 2010
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PCPCC Annual Summit - Thursday, October 21, 2010
The Collaborative would like to welcome the following groups as the newest signing members of the PCPCC:
- Arlington Pediatric Center
- Healthy Humans
- Think IT Solution
- Qliance Medical Management Inc.
V. PCMH in the Press
- Center for Multi-Stakeholder Demonstration: Identify community-based sites to test and evaluate the concept; share information and best practices about pilots within a collaborative community; and serve as the connector to technical, quality improvement and education resources to facilitate ongoing demonstrations.
- Center to Promote Public Payer Implementation: Assist public payers as they implement and refine programs to embed the Patient Centered Medical Home model by offering technical assistance; sharing best practices and giving guidance on the development of successful funding models.
- Center for Employer Engagement: Create standards and buying criteria to serve as a guide and tool for large and small employers/purchasers in order to build the market demand for adoption of the Medical Home model.
- Center for eHealth Information Adoption and Exchange: Evaluate use and application of information technology to support and enable the development and broad adoption of information technology in private practice and among community practitioners.
- Center for Consumer Engagement: Engage the consumer in awareness activities through three ways: day-to-day operations, messaging and pilots. The center will continue the use of “Patient Centered Medical Home”, but focus on how the concept and its components are communicated to the public and partner with large consumer groups to capitalize on their visibility and existing efforts.
B. Center to Promote Public Payer Implementation
I. Introductions
III. NASHP Update
C. Center for Employer Engagement
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. Scheduling of Guest Speakers for 2010 -- (Please find spreadsheet of confirmed speakers attached)
III. Speaker Presentation: "A Proposal for a PCPCC PCMH Value Campaign", William Rollow, MD MPH Solutions Leader –Healthcare Value and Transformation, Strategy and Change Group, IBM Global Business Services
To view the agenda for the CEE call, please click here.
The Center for eHealth Information Adoption and Exchange will serve a number of related functions. The first will be to act as a clearinghouse for information concerning the national development of various Health Technology system platforms and electronic delivery platforms for medical records. The second task is to coordinate national education concerning the importance of HIT/EMR developments to both providers and consumers of health care. The final task of the Center will be to elucidate the integral role of HIT/EMR development within the specific context of the Patient Centered Medical Home model and expand upon the provision with the Joint Principles of the Patient-Centered Medical Home as agreed to by the ACP, AAFP, AOA, and AAP.
On May 27th, the Center conducted a meeting featuring:
- Welcome and introductions
- Presentation – “Healthy Teens Program” - Dr. Ardis Olson, Dartmouth Medical School. (Presentation Materials Attached)
- Ardis L. Olson, M.D., is a professor of pediatrics and community and family medicine at Dartmouth Medical School. Dr. Olson is the director of the Clinicians Enhancing Child Health network, a practice-based primary care research network of pediatricians and family physicians. She conducts research in primary care settings to give clinicians tools to assess health risks in teens and families and counsel more effectively . She will be speaking about the Healthy Teens program that has developed innovative tools to improve health risk screening, counseling, and support for targeted behavior change among adolescents in primary care practices.
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.
Below please find the dates for the various weekly Collaborative phone calls.
- PCPCC National Thursday Calls Phone Number: 712.432.3900 Pass Code: 471334– Thursday, 11 AM EST: 2010 - 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
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.
Co-Chairs: Dr. David Nace, McKesson Health Solutions ([email protected]), William Rollow, IBM ([email protected]), Dr. James Crawford, North Shore-Long Island Jewish Health System ([email protected]), and Jeff Hanson, Thomson Reuters ([email protected])
Executive Director - Chris Nohrden ([email protected])
Four New Center Task Groups:
- Participatory Engagement - Lead: Steve Adams ([email protected])
- HIT Resource Center - Lead: Jim Crawford ([email protected])
- Meaningful Use - Lead: William Rollow ([email protected])
- Decision Support - Lead: Pete Martinez ([email protected])
There are 20 member organizations of the advisory board and they are: AARP, American Academy of Communication in Healthcare, American Board of Internal Medicine, American Department of Family Medicine, American Society of Consultant Pharmacists, Association of Medical Education and Research in Substance Abuse, Brian Klepper, Bridges to Excellence, The Center for Excellence In Primary Care, The Center for the Advancement of Health, The Commonwealth Fund, eHealth Initiative, HR Policy Association, the John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital, the Massachusetts Health Data Consortium, Medication Management Systems, National Association of County and City Health Officials, National Business Coalition on Health, National Business Group on Health, the National Council for Community Behavioral Healthcare. We are considering additional advisory board representatives from state based groups and labor organizations.
Edwina Rogers
Executive Director
Relja Ugrinic
Director of Operations and External Affairs
Patient Centered Primary Care Collaborative
The Homer Building
601 Thirteenth Street, NW, Suite 400 North
Washington, DC 20005
Edwina Direct: (202) 417-2081
Edwina Cell: (202) 674-7800
Relja Direct: (202) 724-3332
Relja Cell: (703) 585-9165
Fax: (202) 393-6148
- Newsletter:
- CAC,
- CeHIA,
- CMD,
- CPPI,
- Payment Reform,
- PCPCC,
- PCPCC Board of Directors,
- TAC,
- [CCE],
- [CEE]
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