A number of people have informed me that the agenda that went out earlier had formatting issues please use this updated version for the 11 am call today.

 

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This is a reminder to those who are available that on Thursday March 13th 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, March 13th, 11:00 am Eastern

Call in number: 641.715.3200
Passcode: 421814#

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 find a draft agenda below, and if you have any items to include please just reply to this email.

Reminder

Please note that over the last few weeks we have switched entirely over to a listserve system housed on www.pcpcc.net. Attachments can be found as links at the bottom of these emails.

If you are having any difficulties receiving the attachments, or if you are having any issues with the formatting of the agendas please contact our webdesigner, Loren Vandegrift (Loren@songlinedesign.com) and Joe Grundy (jgrundy@eric.org).

2008 PCPCC Meetings

The meeting dates for the Collaborative for 2008 are below:

• Wednesday, April 16, 2008 in Washington, DC – International Trade Center, Ronald Regan Building
• Wednesday, July 16, 2008 in Washington, DC
• Wednesday, October 8, 2008 in Washington, DC (Summit)

Attached please find the agenda for the meeting on 04/16.

Additionally, we currently have hotel space blocked for the April 16th meeting at the Four-Points Sheraton in Washington, DC. For additional information on rates or how to secure a room please contact Joe Grundy (jgrundy@eric.org).

Collaborative Outreach

We are happy to announce that the Health Alliance Plan, Borgess Ambulatory Care, and Marathon Health have all joined the Collaborative. Also, McKesson Corporation has agreed to serve on the Executive Committee.

This brings us to 110 signing members.

Please find the latest version of the Signers Document attached.

PCPCC Restructuring

In order to best make 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. Please find a concise overview of the Centers below:

• Center for Multi-Stakeholder Demonstration (Formerly Multi-Payer/Multi-Player Demonstration Task Force): Identify community-based pilot sites in order to test and evaluate the concept; offer hands-on technical assistance, share best practices, and identify funding sources to advance adoption.
• Center to Promote Public Payer Implementation (State Medicaid Working Group): Assist state Medicaid agencies and other 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 (Large Employer Health Benefit Design Working Group): 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 (Infrastructure and Technology): 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.

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 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.

Attached, please find the Health Proposal PCMH Insert language. Many of the health proposals that we have reviewed focus primarily on large-scale reforms in financial and reimbursement systems and include some language that acknowledges the fact that there must be a corresponding restructuring of the health care delivery system. However, most of these proposals do not delve into how the delivery system should be changed - which is precisely where we intend to insert the PCMH model which, as a delivery system, has been shown to both greatly increase quality of care while reducing overall costs.

Meetings

Upcoming

• Carol Kelly, Edith Rosato, Sandra Guckian, and Christina Thompson - National Association of Chain Drug Stores - ERIC office 1400 L St. NW Suite 350 Washington, DC - 03/18/08
• Pat Ford-Roegner, CEO - The American Academy of Nursing - 888 17th Sr. NW, STE 800 - Rescheduled, new details TBD

To Be Arranged / Follow Up

• Mayo Clinic – entering the retail clinic business
• Dan Leonard concerning AHIP’s restructuring of the Plans
• Allied Health Groups, i.e. Physician Assistants, the Pharmacists, Mental Health Ophthalmologists, etc
• Sylvia Johnson, Legislative Representative – UAW
• Council of State Governments
• National Conference of State Legislators
• Mario Lopez, Congressional Hispanic Conference
• Jon Sheiner, Representative Rangel’s Office
• Michael Graham, American Dental Association
• Newt Gingrich, The Center for Healthcare
• Andrew Crowshaw, HHS, integrating Secretary Leavitt’s Value Driven Health Care Program
• NFIB and other small business organizations
• AQA - Carolyn Clancy’s Task Force
• Association of State and Territorial Health Organizations
• National Association of County & City Health Officials
• Massachusetts Cost and Quality Council (Health Reform)
• Medical Network One, BCBS Michigan
• American Medical Group Association
• NBGA – Bill Jessie, Small Practices
• Revolution Health (Rosi to help)
• National Rural Health Association
• American Board of Family Medicine
• American Board of Pediatrics

Completed

• Mark McClellan, The Brookings Institution – 1775 Massachusetts Ave., NW, Washington DC. – 202.741.6567 – 03/12/08 11 AM EST
• Linda Magno, CMS, Medicare Demonstration Group - Conference Call - 03/11/08 4pm EST
• Randy Johnson, U.S. Chamber of Commerce - 1615 H St. NW - 03/06/08 4:30pm EST
• Britt Weinstock, Congressional Black Caucus - 1510 Longworth House Office Building - 03/06/08 12PM EST
• Jim Anderson, The National Association of Whole-Sale Distributors - 02/27/08
• Mayra Alvarez, Office of Senator Durbin – Hart Senate Office Building room 309 – 202.224.2152 – 02/25/08 3 PM EST
• Len Nichols, New America Foundation – 1630 Connecticut Ave. NW, Washington, DC – 202.986.2700 - 02/13/08, 11 AM EST
• Francois de Brantes & Edison Machado, Bridges to Excellence – Tue Feb 12th: 10-11am EST – Conf. Call: 641.715.3200, 421814#
• House Committee on Ways and Means - Hearing on the President’s Fiscal Year 2009 Budget for the U.S. Department of Health and Human Services – Longworth 1100 - 02/13/08 2:00 PM EST
• Bob Moffit and Nina Owcharenko, The Heritage Foundation – January 24, 2008
• Michael J. Correia, American Legislative Exchange Council – Jan. 23, 2008
• The Jeffersonian Health Policy Foundation – January 14, 2008
• HRPA – January 7, 2008

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 eHealthInformation Adoption and Exchange and the Center for Health Benefit Redesign and Implementation.

Please note that all Collaborative calls expect the Executive Committee are held on the same conference call line. Call in number 641.715.3200, Passcode: 421814#

• PCPCC Call – Thursday, 11 AM EST - This 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.

• Weekly – Thursday, 11 AM EST - 01/10, 01/17, 01/24, 01/31, 02/07, 02/14, 02/21, 02/28, 03/06, 03/13, 03/20, 03/27, 04/03, 04/10, 04/17, 04/24, 05/01, 05/08, 05/15, 05/22, 05/29, 06/05, 06/12, 06/19, 06/26, 07/03, 07/10, 07/17, 07/24, 07/31, 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 EST - 01/15, 01/29, 02/12, 02/26, 03/11, 03/25, 04/08, 04/22, 05/06, 05/20, 06/03, 06/17, 07/01, 07/15, 07/29, 09/09, 09/23, 10/07, 10/21, 11/04, 11/18, 12/02, 12/16

• Center to Promote Public Payer Implementation - Bi-weekly – Tuesday, 3 PM EST - 01/22, 02/05, 02/19, 03/04 03/18, 04/01, 04/15, 04/29, 05/13, 05/27, 06/10, 06/24, 07/08, 07/22, 09/02, 09/16, 09/30, 10/14, 10/28, 11/11, 11/25, 12/09

• Legislative Committee – As needed - Thursday, 3pm EST
• Executive Committee Call – Monthly – 4pm EST - 01/29, 02/26, 03/18, 04/29, 05/20, 06/20, 07/29, 09/30, 10/28

Executive Committee

There are 25 members of the Executive Committee: Aetna, AAFP, AAP, ACP, AOA, BlueCross BlueShield, CIGNA, CVS Caremark, the Dow Chemical Company, ERIC, GlaxoSmithKline, Health Care Services Corporation, Humana, Inc., IBM, McKesson Corporation, McKesson Corporation, Medco, Merck, Microsoft, Novartis, Pfizer, UnitedHealthcare, Walgreens, Wal-Mart, and Wellpoint.

Officers

• Chair – Paul Grundy, IBM
• Vice Chair – To be rotated by the Primary Care Physician organizations that signed the Joint Principles
• Chair, Center for Multi-Stakeholder Demonstration – Carole Flamm, BCBSA
• Co-Chairs, Center to Promote Public Payer Implementation – Terry McInnis, GlaxoSmithKline & Allen Dobson, North Carolina Department of Health and Human Services, retired
• Chair, Center for Health Benefit Redesign and Implementation, Cecily Hall, Microsoft
• Chair, Center for eHealth Information Adoption and Exchange – John Agwunobi, Wal-Mart
• Executive Director – Edwina Rogers, ERIC, erogers@eric.org, 202.789.1400

Advisory Board

There are 9 members on the advisory board and they are: National Committee for Quality Assurance, The Commonwealth Fund, National Business Group on Health, National Business Coalition on Health, AARP, Bridges to Excellence, The Center for Excellence In Primary Care, the National Academy for State Health Policy and the Massachusetts Health Data Consortium. We are considering additional advisory board representatives from state based groups and labor organizations.

Center for Multi-Stakeholder Demonstration

So far on these calls we have received update 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 p4p component to physician reimbursement.

In the coming weeks we will endeavor to integrate these two sets of efforts to apply a blended physician reimbursement model to a comprehensive medical home that meets the standards outlined in the new NCQA utilization tool.

This Task Force is begun to focus strongly on the following states: Maine, Washington state, Rhode Island, Pennsylvania, Michigan, Utah, Colorado, and Vermont.

For more information please contact Rohan Beesla at rbeesla@eric.org or call 202.789.1400.

Center to Promote Public Payer Implementation

With the expansion of the former State Medicaid Working Group this group 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, the state as an employers, and federal health programs such as Medicare and the VA.

For more information please contact Joe Yoon Grundy at jgrundy@eric.org or call at 202.789.1400.

Center for Health Benefit Redesign and Implementation

The Collaborative is working with the National Business Coalition on Health and the National Business Group on Health to develop a series of guidances for employers of all sizes to begin integrating the Medical Home model into their plans with health benefit companies. We will update Collaborative members as these efforts continue to develop.

Commonwealth Funded NASHP-PCPCC Medicaid Project

Last week the Joint Taskforce held its first Webcast late on Thursday afternoon. We are pleased to announce that it was an incredible success with nearly 400 participants from across the country with attendees ranging from state Medicaid directors, to state legislative staff, private sector stakeholders, CMS/HHS officials, and many others. We will be housing the Webcast for download on www.pcpcc.net along with all the presentation materials.

Website

As we have stated on the past few weeks, there has been a significant amount of work to update www.pcpcc.net. However, there are a number of things that we still need to accomplish. The first priority is establishing a clear and easy way for interested organizations to join the Collaborative. Also, we are attempting to updated the long outdated content on the site, however, to date it has been a struggle to find the time to do so.

To rectify this situation we have hired the webdesigner to also act as a webmaster. Loren Vandegrift will be participating on all PCPCC calls and will be posting all new materials and event updates on the website stemming from our conversations. For those interested in contacting Loren with concerns or recommendation please contact at his email lorenvandegrift@gmail.com.

Finally, I am sure that you have noticed that we have had some issues with our outgoing listservs. To rectify this issue we have moved entirely to listservs hosted on www.pcpcc.net. As always, Collaborative staff will b updating the listservs on a daily basis.

Legislative Update

The Legislative Committee is currently in the process of fine tuning the best role for our lobbying efforts on a number of fronts. Please stay tuned, we will be informing the Collaborative as this effort progresses.

However, alongside with more specific lobbying strategies, we intend to restart our general educational effort to help bring the message of the Patient Centered Medical Home to Congressional staffers on both sides of the aisle in the House and the Senate.

Please note that we want to hold a special Leg. Committee call in the very near future. Please expect a separate email notice for scheduling details.

Legal

The Collaborative has retained Robin Johnson, of Balch & Bingham LLP (rjohnson@balch.com), as legal counsel. We are in the process of establishing a nonprofit business association 501(c)(6) called the Patient Centered Primary Care Collaborative and a 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 IRS nonprofit requests will be filed shortly. In addition, our lawyer will assist with drafting documents for the Center for Multi-Stakeholder Demonstration (i.e., confidentiality agreements, gain sharing guidelines, antitrust guidelines, etc).

Collaborative Brochure and Public Relations

The Collaborative has hired Katie Kapps and her firm Health2Resources to assist us with our public relations works in procuring press publications and our major national conferences. Katie and her firm have been working diligently to design us the perfect Collaborative brochure.

Hill Briefings

Completed

• September 13th - 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 18th - Senate briefing with Dr. Allen Dobson, Director of the North Carolina Medicaid program, presenting on the NC Access program
• July 18th - House briefing with Dr. Allen Dobson, Director of the North Carolina Medicaid program, presenting on the NC Access program
• June 28th – House briefing with Rep. Patrick Kennedy (D-RI) and Rep. Timothy Murphy (R-Pa) speaking in support of the Medical Home mode

Hearings:

On 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

On May 10th, 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.

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

March 9-11, 2008 - We have an attendee spot at the Mayo Clinic's National Symposium on Healthcare Reform in Leesburgh, Virginia. For more information on this event please check the following link: http://www.mayoclinic.org/healthpolicycenter/2008-symposium.html .

March 10-13, 2008 – World Health Congress is holding a Leadership Summit on Public Reporting and Disclosure of Healthcare Cost and Quality will convene opinion leaders who will debate and define innovative strategies for the collection and communication of healthcare quality and cost. For more information check the World Health Congress' website: http://www.worldcongress.com/ .

March 20-21, 2008 - A major convening organization lead by Chuck Kilo of Greenfield Health will be holding a seminal Summit on Primary Care Strategies in Denver, Colorado. We will be providing additional information to the Collaborative membership over the next few days so please stay tuned.

March 27-29th, 2008 - The Nebraska chapter of the AAFP will be hosting their 60th Annual Meeting and Scientific Assembly. They extended an invitation for the Collaborative to participate so if you are interested please check http://www.nebrafp.org/online/ne/home/cme/nafpmeetings/2008asa.html .

April 3rd, 2008 - The Medical Banking Project has recently formed a joint taskforce with the Automotive Industry Action Group to explore what role banks could play in the Patient Centered Medical Home system. In this regard they have asked the Collaborative to provide a speaker for their meeting on Thursday, April 3. For more information about the meeting or the Medical Banking Project as a whole please check their website at http://www.mbproject.org/ .

April 12th, 2008 - Edwina Rogers will be representing the Collaborative at the 2nd Annual Health Disparities Conference for Xavier University of Louisiana College of Pharmacy. For more information on this event please check the following link http://xula08.the1joshuagroup.com/ .

April 15th, 2008 - The New York Business Group on Health will be holding a conference and have invited Dr. Grundy to participate. We will be releasing more details as we receive them.

May 19, 2008 - Edwina Rogers will be speaking on behalf of the Collaborative at the Alliance for Health's Annual Meeting. For more information check http://www.afh.org/HCV%202020%20Main.htm .

August 4-5, 2008 - The PCPCC has been invited to speak at the 6th Annual Leadership Summit on Healthcare Quality, taking place in Boston. We will be providing additional details on who we will have speaking on behalf of the Collaborative and more precise details on the event in the near future.