Greater Cincinnati Aligning Forces for Quality Medical Home Pilot

Region Within State: 
Greater Cincinnati
Project Category: 
Insurer-Based
PROJECT STATUS
Target Start Date: 
Saturday, September 12, 2009
Pilot/Demo Length: 
2-3 years

Evaluating the effectiveness of the PCMH.

CONVENING ENTITY/PROJECT CONTACTS
Convening Organization Name: 
Health Improvement Collaborative of Greater Cincinnati
Primary Contact: 
Robert Graham, MD
E-mail: 
[email protected]
Phone: 
513/558-5004
Additional Contact
Name: 
Craig Brammer
Phone: 
513/558-2772
Participating Stakeholders: 

Health Improvement Collaborative of Greater Cincinnati; UnitedHealthCare; Anthem (WellPoint); Humana; HealthBridge; multiple primary care provider groups.

EXPECTED OR ACTUAL DEMOGRAPHICS OF PARTICIPATING PRACTICES
Number of Practices: 
11
Number of Participating Physicians: 
35
Physicians per practice: 
1-6
Types of Practices: 
Internal Medicine, Family Medicine,
Health Plan Lines of Business Included: 
Commercial Medicare Advantage, ASO
Overall Number of Covered Lives: 
30000
Technology Characteristics at Start of Pilot: 

Estimated % of practices with practice management systems: Unknown
Estimated % of practices with electronic medical record: 76-95%
Estimated % of practices with registry software: Unknown

PRACTICE TRANSFORMATION SUPPORT (INCLUDING TECHNOLOGY)
Focal areas of transformation: 

TransforMED “virtual” TA

Payment Model: 

Fee-for-service, care management fee, and quality incentive.

PROJECT EVALUATION
Types of data to be collected : 

Clinical Quality Cost/Efficiency Patient Experience/Satisfaction Provider Experience/Satisfaction

Which of the data types are being shared?: 

Clinical and quality/performance

Are the practices involved in the demonstration participating in any data sharing arrangements? If so please describe.: 

Yes, Health insurance providers involved in the demonstration; Demonstration project convening organization Practice transformation consultant(s).