This is a reminder to those who are available that on Thursday Sept. 4 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, Sept 4, 11:00 am Eastern Daylight Time
Call in number 218.339.2626
Passcode 754440
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.
Please note that all of the attachments are linked at the bottom of the agenda.
To check the audio recording of last week's National Weekly Call please check this link. You will be directed to a short archive of PCPCC National Weekly Call Agendas (as well as a few other miscellaneous newsletters). Click on the last call, July 31st, and you can find the download link at the very top of the agenda just beneath the PCPCC logo. All audio recordings will be hosted on the corresponding week's agenda on this archive page.
Collaborative Announcements
Annual PCPCC Summit
Friday, October 17, 2008 in Washington, DC – Renaissance Hotel. This is the PCPCC’s annual fall meeting where members and stakeholders from across the country gather in Washington D.C. The Summit will feature a series of panel discussions on topics ranging from financial models to support the PCMH, its role in the health reform debate and electoral politics, its benefits to the consumer, and an international perspective on primary care.
For more information on the Annual Summit please click here to view the agenda and register.
National Academy for State Health Policy Annual State Health Policy Conference
http://www.nashp.org/_docdisp_page.cfm?LID=17ACE1E2-5462-480C-A535A0BB01C897D7
October 5-7, 2008
Tampa Marriott Waterside Hotel and Marina
Tampa, Florida
Day-long seminars on Sunday, October 5, will immerse you in critical issues with in-depth presentations, dialogue, and idea exchange. Complete program and speaker details for the preconference seminars will be available soon.
Separate registration fee applies, or combine your preconference and conference registration.
Building a Medical Home: Issues and Decisions for State Policy Makers
Draft Agenda Available: Click here to view this seminar's agenda
On Monday, September 8, from 10am to 1130 EDT, DMAA: The Care Continuum Alliance is hosting an audio forum featuring keynote speakers Bruce Bagley, MD and Chairman of the PCPCC Paul Grundy, MD. The forum will address how population-based health care strategies, such as wellness and disease management, complement care in the patient-centered medical home.
Participation is FREE, to register click this link: www.dmaa.org/forum08/index.asp
Important Links
PCPCC Purchasers' Guide http://www.pcpcc.net/content/purchaser-guide
PCPCC Brochure http://www.pcpcc.net/files/PCPCCbrochure.pdf
July 16 Meeting Materials http://www.pcpcc.net/content/july-16-pcpcc-stakeholders-working-meeting-agenda-and-presentation-files
2009 Patient Centered Primary Care Collaborative Meeting Dates
Wednesday, April 22, 2009
Thursday, July 16, 2009
Thursday October 22, 2009
Collaborative Outreach
The Collaborative would like to welcome:
Georgia Medical Care Foundation
Alliant ASO
Metcare of Florida, Inc
Association of Maternal and Child Health
Access HealthColumbus
North Texas Specialty Physicians
Texas ACP
Health Sciences Institute
Johnson & Johnson
CSI Solutions LLC
Cerner Corporation
Oregon Coalition of Health Care Purchasers
ProActive Health Management Group, Inc
MD Click
MDRx
Penn Center for Primary Care
Health Policy Source, Inc
Swedish Medical Center
RCT Medical Associates, Inc.
Lakeshore Health Network
SHPS, Inc
The Collaborative Family Healthcare Association
Family Practice of Winchester, PCCC
University of Michigan Center for Value Based Insurance Design
Louisiana Healthcare Quality Forum
Palmetto AccessNET
National Pharmaceutical Council
URAC
as the newest signing members of the PCPCC. We now have 213 signing members.
Additionally, please find the newest Signers document attached at the bottom of this week’s agenda.
PCMH in the Press
Linked below, please find the press tracking documents for the past few months. As you will notice, we have received far too much press coverage to report every story published, so we will be focusing on the major national publications for this section of the National Weekly Call.
· Home Sweet Medical Home, Dimich, C. Journal of AHIMA
· New Health Care Purchasing Guide Promotes Medical Home, Arvantes, J. AAFP
· Trying to Save by Increasing Doctors' Fees, Freudenheim, M. New York Times
PCPCC 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.
For more information please contact Rohan Beesla at rbeesla@eric.org or call 202.789.2577.
· 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 Health Benefit Redesign and Implementation: 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 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. For more information please contact Rohan Beesla at rbeesla@eric.org or call 202.789.2577.
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.
We will send notices to the larger PCPCC in order to garner additional members in the three new subgroups. For more information please contact Rohan Beesla at rbeesla@eric.org or call 202.789.2577.
Center for Health Benefits Redesign and Implementation
At the July 16th Stakeholders' Working Meeting the Collaborative released the final version of the Purchaser Guide that we have been working on for the past few months. The Purchaser Guide is a handbook for understanding the medical home model and taking action to advance its implementation. Please find the press release and download link here. We have had over 2000 downloads over the past week since we released this Purchasers Guide.
We released the newest version of the PCPCC Brochure at the Stakeholders' Working Meeting. Unlike last time we have included all PCPCC members that had signed onto the Collaborative Principles by June 26th of this year. Please find the latest version linked here.
The Center for Health Benefits Redesign and Implementation has developed a very short survey to assist in the dissemination and implementation of the Purchaser Guide. Please take a few minutes to fill out the survey, which can be found linked here, and send the completed versions to Rohan Beesla (rbeesla@eric.org) or fax it in to 202.789.1120.
Check here to access two new important documents about making the business case for models such as the Patient-Centered Medical Home provided to the Collaborative from the National Business Group on Health. For more information please contact Rohan Beesla at rbeesla@eric.org or call 202.789.2577.
Center for eHealth Information Adoption and Exchange
The Center for eHealth Information Exchange and Adoption will serve a number of related functions. The first will to be 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.
We encourage any interested Collaborative members to join us every other week on Wednesdays from 2-3pm EDT for our regularly scheduled conference calls.
For those who are interested in participating with this Center, please contact Chris Nohrden (nohrden@us.ibm.com).
Meetings
Upcoming
· Susan Edgman-Levitan, PA, Executive Director, The John Stoekle Center for Primary Care innovation, Massachusetts General Hospital, Sept. 8 2pm, PCPCC- 1400 L St. NW, Suite 350, Washington, D.C.
· Judy Cahill, Academy of Managed Care Pharamacy and Cindy Pigg, Foundation of Managed Care Pharmacy, Sept 8, 4pm 100 N. Pitt St., Suite 400 Alexandria, VA
· Dr. Samuel Lin, American Medical Group Association, September 18, Lunch at Indigo
· Dr. Elizabeth Duke, Administrator, HRSA Sept 30 2pm, Rockville, MD
· Kavita Patel, Health Policy Advisor, Obama campaign office - TBA
· Katherine Drats, Senate Finance Health Subcommittee - TBA
· Betsy Bartlett, National Community Pharmacists Association - TBA
Recently Completed Meetings
· National Academy of Specialty Health Organizations, Aug 19, 2008
· Academy of Managed Care Pharmacy/Foundation of Managed Care Pharmacy— 10:00 am EDT, Tuesday, August 19
· Mark Fenrick - University of Michigan Institute of Value Based Insurance Design - Conference Call - Dial in 218.339.2626 Passcode 754440 - 12:00 pm EDT, Thursday July 31
· Tim Fry, Manager, Government Affairs - National Rural Health Association - 1108 K St. NW 2nd Floor - 202.639.0550 - 2:00 pm EDT, Friday, July 25
· Mark Miller, Executive Director - MedPAC - 3:30 pm EDT, Wednesday July 23
· Wes Matheny – PhRMA – 950 F St. NW – 2pm EDT, Tuesday July 22nd
· Pat Ford-Roegner, CEO - American Academy of Nursing - 888 17th St. NW Suite 800 - 3:00pm EDT, Monday, July 21
· Crystal Riley, Director of Professional Affairs, National Community Pharmacists Association, 100 Dangerfield Road, Alexandria, VA – 3:00 pm EDT, Thursday, July 10
· James A. Stockman III, MD, President - American Board of Pediatrics - Conference Call 9:30 am EDT, Monday July 14
· Mary Grealy, President – Health Leadership Council – 1001 Pennsylvannia Ave. NW – 2pm EDT, Monday July 14
· Janet Corrigan, President & CEO, Helen Burstin, Senior VP of Performance Measures, and Karen Adams, VP of National Priorities - National Quality Forum - 601 13th St. NW 5th Floor - 3 pm EDT, Tuesday, July 8
· Mike O'Reilly - Office of Senator Sununu - 111 Russel Senate Office Building - 2 pm EDT, Monday July 7
To Be Arranged / Follow Up
· Sylvia Johnson, Legislative Representative – UAW
· Council of State Governments
· National Conference of State Legislators
· Mario Lopez, Congressional Hispanic Conference
· Andrew Crowshaw, HHS, integrating Secretary Leavitt’s Value Driven Health Care Program
· Association of State and Territorial Health Organizations
· National Association of County & City Health Officials
· Massachusetts Cost and Quality Council (Health Reform)
· NBGA – Bill Jessie, Small Practices
· National Rural Health Association
· American Board of Family Medicine
· American Board of Pediatrics
General PCPCC Call Schedule
Below please find the dates for the various weekly Collaborative phone calls. We are currently in the process for finding the best times to hold the conference calls for both the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation.
Please note that all Collaborative calls except the Executive Committee are held on the same conference call line. Call in number Dial in 218.339.2626 Passcode 754440.
· PCPCC Call – Thursday, 11 AM EDT - This weekly call will continue to serve as the general Collaborative update. We will continue to use this call to provide PCPCC members with information drawn from all Collaborative efforts, and the efforts of our members. We will also be providing information on all upcoming PCPCC events on this call. 09/04, 09/11, 09/18, 09/25, 10/02, 10/09, 10/16, 10/23, 10/30, 11/06, 11/13, 11/20, 11/27, 12/04, 12/11, 12/18
· Center for Multi-Stakeholder Demonstration - Bi-weekly – Tuesday, 2 PM EDT 09/09, 09/23, 10/07, 10/21, 11/04, 11/18, 12/02, 12/16
· Center for Public Payer Implementation - Bi-weekly – Tuesday, 3 PM EDT - 09/16, 09/30, 10/14, 10/28, 11/11, 11/25, 12/09
· Center for Health Benefits Redesign and Implementation – Bi-weekly - Wednesday, 3 PM EDT - 09/17, 10/01, 10/15, 10/29, 11/12, 11/26, 12/10, 12/24
· Center for eHealth Information Adoption and Exchange – Bi-weekly – Wednesday, 2 PM EDT - 09/10, 09/24, 10/08, 10/22, 11/05, 11/19, 12/03, 12/17
· Legislative Committee – (Thursday, 3 PM EDT) Dates TBA
· Executive Committee Call – Monthly – 4:00-5:30 pm EDT, 09/23, 10/28
· Strategic Planning
Executive Committee
There are 33 members of the Executive Committee: Aetna, AAFP; AAP; ACP; AOA; BlueCross BlueShield; The Capital District Physicians’ Health Plan, Inc.; CIGNA; CVS Caremark; DMAA: Care Continuum Alliance; the Dow Chemical Company; EHE International; ERIC, GlaxoSmithKline; Health Care Services Corporation; Humana, Inc.; IBM; Kaiser Permanente; McKesson Corporation; Medco; Merck; Microsoft; Novartis; Pfizer; Priority Health; Sanofi-Aventis; Taconic IPA, Inc.; TransforMED; UnitedHealthcare; Walgreens; Wal-Mart; WedMD; and Wellpoint.
·
Officers
· Chair – Paul Grundy, IBM
Vice Chairs
· American Academy of Family Physicians: Doug Henley
· American Academy of Pediatrics: Fan Tait
· American College of Physicians: John Tooker
· American Osteopathic Association: John Crosby
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
Center to Promote Public Payer Implementation
· Co-Chairs: Terry McInnis, GlaxoSmithKline & Allen Dobson, North Carolina Department of Health and Human Services, retired ; Jijo James, MD, MPH Medical Director Pfizer Health Solutions
· Subgroup Chair: Lesley Reeder, Colorado Department of Health Care Policy and Financing
Center for Health Benefit Redesign and Adoption
· Co-Chairs: Cecily Hall, Microsoft and Duane Putnam, Pfizer, Inc.
· Co-Vice Chairs – Mark Ugoretz, The ERISA Industry Committee, Helen Darling, National Business Group on Health, and Andrew Webber, National Business Coalition on Health
· Executive Director - Jim Murray, Merck & Company
Center for eHealth Information Adoption and Exchange
· Co-Chairs: John Agwunobi, Wal-Mart & David Nace, McKesson Corporation
· Subgroup Leaders: Thom Khun, American College of Physicians, David Kibbe,American Academy of Family Physicians, and Terry McGeeney, TransforMED Inc.,
Collaborative Directors
· Executive Director – Edwina Rogers erogers@eric.org, 202.789.2577
· Director of Policy - Rohan Beesla, rbeesla@eric.org, 202.789.2577
· Director of Membership - Kelli Pedas, kpedas@pcpcc.net
Advisory Board
There are 10 member organizations of the advisory board and they are: AARP, American Board of Internal Medicine, Bridges to Excellence, The Center for Excellence In Primary Care, The Commonwealth Fund, HR Policy Association, the Massachusetts Health Data Consortium, National Business Coalition on Health, National Business Group on Health, and the National Committee for Quality Assurance. We are considering additional advisory board representatives from state based groups and labor organizations.
NASHP/PCPCC Joint Medicaid Taskforce
Before the recess, the PCPCC and the National Academy for State Health Policy, funded by a grant from the Commonwealth Fund successful convened a two-day meeting of state public health teams interested in sharing experiences and learning about the patient-centered medical home. The meeting featured a series of expert speakers on topics ranging from HIT support, to orchestrating pilots, and involving private sector partnership. Materials from the meeting and further details are available at NASHP’s website.
In the month of October, we will schedule the third joint webcast, which will be focused on private sector demonstration projects, and how state public health programs can and should participate. Stay tuned for a finalized agenda and date for this third in the series of four webcasts.
Inclusion of the Medical Home Concept in Health Reform Efforts
One of the major projects PCPCC staff is engaged in at the moment is meeting with advocates of various health reform proposals in this election year, and discussing the role that the Medical Home might play in those proposals. This includes meeting with a variety of organizations and advocates, including:
· Employer Trade Associations such as HR Policy Association, the Federation of American Hospitals, the Business Round Table, and the ERISA Industry Committee;
· Think Tanks such as The Brookings Institution, The Heritage Foundation, The New America Foundation, The Urban Institute, The Hudson Institute, and the American Enterprise Institute;
· Presidential Candidates;
· Plans developed by Congressional representatives: The Healthy Americans Act sponsored by Senators Wyden and Bennet, H.R.5348 introduced by Representatives Langevin and Shays, or Representative Pete Stark;
· Midwest Regional Reform Effort – 8 states; each state has a group and there is a Regional Group.
To read the online version of the health reform insert please click here.
Website
There has been extensive work to bring the PCPCC website completely up to date over the past week. We are happy to announce that in terms of general content and structure, we have finally accomplished this goal. Additionally, we have been refining the site navigation to make it far more intuitive and easy for users to access any information they may need.
Currently we are completely reworking our Center Working Rooms. Please stay tuned as we begin rolling out a much more user friendly functional system to track data from across the nation, where subscribed users will be able to communicate with one another to learn more about the Collaborative's various projects, demo sites, and initiatives.
We will continue to expand upon the site and define the appropriate role that it will play within the Collaborative as well as to non-members who are seeking to learn more about the Patient Centered Medical Home model.
If you have any questions, concerns, or difficulty in using the website please contact our webdesigner Loren Vandegrift (Loren@songlinedesign.com).
Legal
We are happy to announce that the Patient Centered Primary Care Collaborative has received notification on approval for our 501(c)(6) tax exempt status.
We are still waiting on confirmation for the nonprofit foundation 501(c)(3) Patient Centered Primary Care Foundation. Both entities have the appropriate papers filed in DC for incorporation, IRS employer identification numbers received and bank accounts opened at Eagle Bank on K Street.
The Collaborative has retained Robin Johnson, of Balch & Bingham LLP (rjohnson@balch.com), as legal counsel.
Public Relations
Health2 Resources is our public relations firm for the PCPCC. They have already done significant work to promote the activities of the Patient Centered Primary Care Collaborative.
Please give us any comments or feedback concerning the PCPCC brochure as we are updating it for the July 16th Stakeholders Meeting.
If you have any questions concerning our PR work please feel free to contact any PCPCC staff member or Katie Capps at (kcapps@health2resources.com).
Membership
As members of the Collaborative, you are aware of the amazing rate of growth the PCPCC has undergone over the past year. To assist us in maximizing our efforts to expand our membership base, and to reach out to other major organizations dealing with health reforms or new reimbursement systems we have hired Kelli Moler Pedas as our membership consultant. Kelli Pedas can be reached at kpedas@pcpcc.net.
Accounting
We are pleased to announce that the Collaborative has grown so large that we now require the expertise of a professional Certified Public Accountant to assist us is making the best use of PCPCC resources. Please find information on the Collaborative's new CPA below:
Jon B. Deane
Murphy Deane & Company, PLC
703.796.1041
jon.dean@mdctax.com
Hill Briefings
· September 13, 2007: Senate briefing co-sponsored by Senator Durbin (D-IL) and Senator Burr (R-NC) to educate Senate staffers on the concept of the Patient Centered Medical Home
· July 18, 2007: Senate briefing with Dr. Allen Dobson, Director of the North Carolina Medicaid program, presenting on the NC Access program
· July 18, 2007: House briefing with Dr. Allen Dobson, Director of the North Carolina Medicaid program, presenting on the NC Access program
· June 28, 2007: House briefing with Rep. Patrick Kennedy (D-RI) and Rep. Timothy Murphy (R-Pa) speaking in support of the Medical Home model
Hearings
· July 23, 2008: The Senate Special Committee on Aging held a hearing on Person-Centered Care which is care tailored to the specific needs and preferences of the patient. Person-Centered Care must be taken into particular regards with elderly populations to ensure that all individuals have the right to be decision makers in their own health, and that elders are crucially important in the health care of the nation of a whole. Facets of Person-Centered Care include models such as the Green House homes and the Medical Home concept. Melinda Abrams, of the Commonwealth Fund, testified on achieving Person Centered Care through the Patient-Centered Medical Home model. Senator Ron Wyden (D-OR) charged several of the witness to address how the concept of the medical home can get embedded in health reform efforts as he thinks that it is "... one of the best ways to follow up on this idea of a patient-centered universe in health care." To read through the submitted witness testimonies or to watch the webcast of the entire hearing please check here.
· May 6, 2008: The Senate Finance Committee held a full committee hearing entitled “Seizing the Opportunity for Health Care Reform.” There were only two witnesses at the hearing were former Secretaries of Health and Human Services Donna Shalala and Tommy Thompson. While the PCMH was not specifically cited by either witness both strongly emphasized that primary care was quickly entering a workforce crises and that the only means of realistically addressing the primary care shortage would be to reform the payment system, particularly in Medicare. Additionally, both witnesses agreed that one of the most promising means of addressing increasing health care expenditures is to establish systems of coordinated care.
· February 12, 2008: The Senate Committee on Health, Education, Labor, and Pensions held a hearing on Addressing Healthcare Workforce Issues for the Future. Included in this hearing was a witness testimony from Kevin Grumbach, M.D., Director, UCSF Center for California Health Workforce Studies Professor and Chair UCSF Department of Family and Community Medicine, San Francisco, CA, which we strongly recommend that all PCPCC members take the time to read through. http://help.senate.gov/Hearings/2008_02_12/2008_02_12.html.
· May 10, 2007: The House Ways and Means subcommittee on Health held a hearing on Options to Improve Quality and Efficiency Among Medicare Physicians. This was in large part the introduction for many Congressional members to the concept of the Medical Home. For full testimonies from the witnesses and Chairman Stark's announcement check the following link - http://waysandmeans.house.gov/hearings.asp?formmode=detail&hearing=558.
Grant Funding
The PCPCC looks forward to working with interested parties in constructing proposals to secure additional grant funding from institutions looking to support both public and private sector Medical Home research and demonstrations.
There may be an opportunity at CMS’s Health Resources and Services Administration (HRSA) for some community grants. The information is linked below, and we hope anybody with knowledge of the HRSA’s goals and projects, or people who have worked with that organization in the past can coordinate strategy with the PCPCC staff to submit a strong application for that grant. It seems they are specifically focused on the Medical Home:
www.hrsa.gov/patientsafety
ftp://ftp.hrsa.gov/patientsafety/pspcinformation.pdf
We are developing a target list of organizations such as the Commonwealth Fund, the Robert Wood Johnson Foundation, the Bill and Melinda Gates Foundation, and numerous employer foundations for future collaboration on projects surrounding the Medical Home concept.
We are currently looking to hire a professional grant writer to work with the PCPCC on these efforts.
Upcoming Conferences and Events
· September 7-8 - Paul Grundy and Bruce Bagley will be participating in the keynote presentation at DMAA: The Care Continuum Alliance's annual meeting which is focused on the Patient-Centered Medical Home model. For more information please check this link.
· October 5-7- NASHP Charting a Course for State Health Policy, Tampa, FL
· October 27-28 - The Collaborative has been asked to provide speakers for the Partners Center for Connected Health Symposium. We will be working closely with the Partners Center to coordinate the best possible presentation on the PCMH model and the PCPCC's work in supporting the concept. For more information please check this link.
· December 2-3 – World Health Congress Executive Forum on the Advanced Medical Home for Employers will be held in Washington, DC. For more information check the following link.
| Attachment | Size |
|---|---|
| NH Medicaid.pdf | 294.32 KB |
| Medicaid press release.pdf | 337.59 KB |
| Consumers on YellowBrick Road.pdf | 990.82 KB |
| PCPCC Signers 9-2.pdf | 83.35 KB |