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Thursday, Sept. 25 - 11am EST Call

Wed, 09/24/2008 - 10:17am — Joe Grundy

 

 
This is a reminder to those who are available that on Thursday Sept. 25 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 25, 11:00 am Eastern Standard 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).  All audio recordings will be hosted on the corresponding week's agenda on this archive page.
 
Collaborative Announcements
 
This week we will be joined by Lee Partridge, who is a senior policy advisor for the National Partnership for Women and Families.  Ms. Partridge specializes in methods and manners to improve the quality of healthcare for lower-class families and individuals. Lee will discuss all of the exciting initiatives underway to educate and include the consumer in the Patient Centered Medical Home.
 
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.
 
The agenda for this event has been updated on our website.  Please click here to view the changes.  If you have yet to register for the event, please click here to do so. 
 
We have secured a number of hotel rooms at the Renaissance at a discounted rate for all conference attendees. Please contact the hotel and reserve a room, and be sure to mention the PCPCC Summit, before September 25th.  There are very few left, so make sure to contact PCPCC if you have any questions or concerns.
 
National Academy for State Health Policy Annual State Health Policy Conference
 
 
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
 

Important Links

 
 
 
July 24/25 Medicaid Summit Materials http://www.nashp.org/_catdisp_page.cfm?LID=A9F8E314-5768-4F18-BC88B06093F71C24
 
2009 Patient Centered Primary Care Collaborative Meeting Dates
 
  • Wednesday, April 22, 2009 (Note: The April 22nd meeting will be rescheduled on a date TBA)
  • Thursday, July 16, 2009
  • Thursday October 22, 2009
Collaborative Outreach
 
The Collaborative would like to welcome: 
  • Services Center for Independent Living
  • Zarb Consulting
  • Physician's Organization of Western Michigan
As the newest signing members of the PCPCC. We now have 235 signing members.
 
Additionally, please find the newest Signers document attached at the bottom of this week’s agenda.

PCMH in the Press
 
A recent article in The Salt Lake Tribune by Lisa Rosetta, " 'Medical home' concept would bring new kind of health care", briefly discusses the Patient-Centered Medical Home model and the preliminary actions taken toward its implementation in Utah by way of a PCMH pilot project slated to begin in 2010. For a link to the full article please click here.
 

*Correction:  It was brought to our attention that previous newsletters incorrectly summarized Dr. Robert Berenson et al.'s article A House Is Not A Home: Keeping Patients At The Center of Practice Redesign in the September/October Health Affairs issue (Volume 27, Number 5).  We apologize to the authors of the article and everyone working on this important project.  The article is not the final report on the costs associated with implementing the PCMH model as we may have implied, but rather outlines what the research team learned through literature review and interviews with practicing physicians.  The final results of the project are expected to be released in November.  The study is funded by both the Commonwealth Fund and the ACP.

 
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.
 
The last CMD call featured a presentation from Heather Staples, a consultant to the New Hampshire Citizens Health Initiative, regarding their Multi-Stakeholder Medical Home Pilot Project started in January 2008.
 
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.
 
On October 1, 3pm EST, Michael Bailit with be holding a FocusOnCall concerning the new PCMH Purchasers Guide. 
 
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.
 
The Center for eHealth Information Adoption and Exchange is currently in the process of finalizing a new monthly conference call schedule. Currently the calls are held twice a month, but we will be moving to holding a single monthly call either on the first or second Thursday. Once the Center has agreed upon a final day and time we will announce here.
 
CeHIA will be holding its next call today at 1:00pm EST - 218.339.2626, 754440#. Please find the agenda attached.
 
For those who are interested in participating with this Center, please contact Chris Nohrden (nohrden@us.ibm.com).
 
Meetings
Upcoming
  • Dr. Elizabeth Duke, Administrator, HRSA Sept 30 2pm, Rockville, MD
  • Beverly Johnson, Institute for Family-Centered Care, October 9th 3pm, 7900 Wisconsin Ave, Suite 405., Bethesda, MD.  Phone Number: 301-652-0281
  • William Jessee, President and CEO of the Medical Group Management Association, October 15th 3pm; (Call-in Number: 218.339.2626; Passcode: 809212)
  • 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  
  • Dr. Samuel Lin, American Medical Group Association, September 18, Lunch at Indigo
  • Billy Wynne, Senate Finance Committee, Sept 17, 3pm
  • 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.
  • National Academy of Specialty Health Organizations, Aug 19, 2008
  • Mark Fenrick - University of Michigan Institute of Value Based Insurance Design - Conference Call - 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)
  • 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 EST - 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. 09/25, 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  10/07, 10/21, 11/04, 11/18, 12/02, 12/16
  • Center for Public Payer Implementation - Bi-weekly – Tuesday, 3 PM EST - 09/30, 10/14, 10/28, 11/11, 11/25, 12/09
  • Center for Health Benefits Redesign and Implementation – Bi-weekly - Wednesday, 3 PM EST - 10/01, 10/15, 10/29, 11/12, 11/26, 12/10, 12/24
  • Center for eHealth Information Adoption and Exchange – Monthly - Thursday, 1 PM EST - 10/02, 11/06, 12/04 
  • Legislative Committee – (Thursday, 3 PM EST) Dates TBA
  • Executive Committee Call – Monthly – 4:00-5:30 pm EST, 10/28
Strategic Planning  
    • Thursday, June 5th - Staff held strategic planning meeting
    • Tuesday, July 15th - 2:00 - 5:00 pm EDT - Chair and Vice-Chairs met - 1400 L St. NW Suite 350, Washington, DC
    • Tuesday, September 23 - Collaborative officers meeting with facilitation at the offices of Covington and Burling LLP, 1201 Pennsylvania Ave, NW, Washington D.C. 20004
    • Tuesday, September 23 - 4:00 - 5:30 pm EST - Full Executive Committee
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, MD, 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 and Robert A. Dribbon, 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.
 
For the full presentations and the resources from the July 24-25th meeting please check NASHP's website here.

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 Grou

To read the online version of the health reform insert please click here.

Website

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.
 
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 and Bookkeeping

Jon B. Deane
Murphy Deane & Company, PLC
703.796.1041
jon.dean@mdctax.com
 
Evelyn DeBardelaben
 
Hearings
 
Sept. 16, 2008:  The Senate Finance Committee held a hearing entitled “Aligning Incentives: The Case for Delivery System Reform.”  There were a number of witnesses at the hearing including Mark E. Miller of the Medicare Payment Advisory Comission, Robert Berenson of the Urban Institute in Washington DC and Eric G. Campbell of Harvard University's School of Medicine.  Also speaking at the hearing was Glenn Steele, the President and CEO of Geisinger Health System.
 
 
A link to a Real Audio recording of the hearing can be found here.  Statements by the members and witnesses may be obtained here.
 
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:
 
 
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
  • 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.
  • November 23-25 - DMAA: The Care Continuum Alliance will be holding The Forum 08 in Hollywood, Florida at the Westin Diplomat Resort and Spa. For more details 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.
  • January 22; February 27 - The Health Action Council Ohio has invited Edwina Rogers to give the keynote address at their two annual meetings to be held in Ohio.  For more information please click here.

 

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PCPCC Signers 09-25-08.pdf341.6 KB
PCPCC Annual Summit Agenda Revised.doc40 KB