Center Call Agenda, Tuesday May 18th, 3:00PM EST

Center to Promote Public Payer Implementation
Tuesday, May 18, 2010
3:00pm-4:00pm, EST
Call in number: 712.432.3900   Code -  471334#    Moderator/Speakers - *406354

Please press *6 to mute your line and *7 to unmute.
(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)

Call Agenda

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 - Richard C. Wender, MD, Alumni Professor and Chair, Department of Family & Community Medicine, Thomas Jefferson University (Presentation Material Attached)
 
Beginning with his residency in Family Medicine in 1979, Dr. Wender has spent his entire career at Jefferson. He directed the Family Practice residency here from 1985 to 1995 at which time he was named Vice Chair of the Department and Clinical Professor of Family and Community Medicine at JMC.
 
Dr. Wender is best known for his work in cancer prevention and screening. He is co-author of several of the American Cancer Society's screening guidelines and has worked with the Centers for Disease Control, Cancer Research Foundation Of America, and the National Colorectal Cancer Roundtable to develop ways to reach more Americans with preventive services. He is past president of both the Philadelphia and Pennsylvania Divisions of the American Cancer Society, (ACS), and is currently one of seven at-large members of the National Board of Directors of ACS. Dr. Wender currently chairs that organization's Cancer Control Committee. Dr. Wender also has a clinical focus in diabetes and has coordinated a large number of diabetes educational initiatives for primary care clinicians.
 
Noted for his humor and entertainment skills, Dr. Wender believes in the positive impact of humor in the healing process. Admired and well respected by students, colleagues and patients, in 1999 Dr. Wender served as Class Day Speaker at JMC and, in 1997, he was the Parents Day Speaker. More recently, in 2000, he was honored by the Pennsylvania Division of the American Cancer Society with the Order of the Sword of Hope. In 1996, the Philadelphia Division of the Cancer Society presented him with their National Division Award.
 
Dr. Wender received a Doctor of Medicine degree from the University of Pennsylvania School of Medicine.

III.  NASHP Update

New NASHP Publication - A Tale of Two Systems: A look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings

Integrated behavioral health and primary care occurs when behavioral health specialty and general medical care providers work collaboratively to address patients' physical and behavioral health needs. Federal community health centers are uniquely positioned to partner with the community mental health system to deliver integrated care, and to address behavioral health issues as part of a comprehensive medical home. This report focuses on how Tennessee and Missouri - two states that NASHP works with under our National Cooperative Agreement with the federal Health Resources and Services Administration, Bureau of Primary Health Care (HRSA/BPHC) - have approached integration and provides lessons for states seeking to integrate health care delivery systems.  To download the report, please click here.

IV. Open Discussion

Next call is: Tuesday June 15, 2010; 3:00 PM EST

Resources
Center to Promote Public Payer Implementation Website
http://www.pcpcc.net/content/center-promote-public-payer-implementation

Purchasers Guide: http://www.pcpcc.net/content/purchaser-guide
Pilot Guide: http://www.pcpcc.net/content/pcpcc-pilot-projects
 

 

Deliverables' Timeframe

 

Goal/Deliverable

Estimated Resources Required

Inform callers on “hot topics,” such as:

–        Return on investment projections

–        Health information technology infrastructure

–        Best practices for care coordination

–        Help navigating new federal legislation with regard to effect on Medicaid and SHIP programs

–        Identifying federal funding opportunities

 

CPPI leadership time; staff support; recruiting speakers for calls

More information on the publicly funded world

-     Private client/Investment Drives

-     How does Stimulus fund match state funding to clinics, how can this engage state and private insurance

-     How can we plan hospital investments on Meeting new patients needs in underserved areas (places of disparity)

-     Where are the medical homes from the legislature aspects? How is it going forward?

CPPI leadership time; staff support; recruiting speakers for calls

What is the Defense Military Perspective?

-     Some of these things are already paid for by the VA

-     Questions about how to see where there is overlap in the State Department

PCPCC staff time investigating speakers; CMD leadership time

Address the many permutations of payment reform seen in Medicare RUC recommendations, state Medicaid and SCHIP programs as well as other reimbursement methodologies related to supporting PCMH. This includes:

-     FFS Medicare, reimbursement that pays for quality of quantity

-     What are the pay-fors for demonstration projects?

-     Rural areas- how do you define meaningful care in these areas.

-     What are the resources necessary to become a medical home

CPPI leadership time; PCPCC research; recruiting speakers for calls; NASHP support

Advocating for PCMH model in Federal and State programs

-     Support states in developing legislation

-     Support PCMH Medicare demonstration pilot

-     Foster Medical Homes as a key element of Health Reform

Support from PCPCC in lobbying efforts at federal level; CPPI leadership time

Continue Medication Management Taskforce

      - Regular calls with all stakeholders

      - Develop Comprehensive Medication Management in the   PCMH Guide as PCPCC Publication

CPPI leadership time, staff and resources for guideline development publication

Develop and implement a process for seeking feedback on the CPPI calls so that they will continue to provide the participants with relevant and timely information*

CPPI leadership time; staff support

Update the CPPI portion of the PCPCC website to more accurately reflect the goals and expected deliverables of the CPPI, including the implementation of some interactive sections to better engage participants, if feasible

Staff support; limited CPPI leadership time

 

 

AttachmentSize
medical_home_talk_2010.ppt1.05 MB