Call Agenda - Thursday, October 6th, 11:00 AM ET

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Patient-Centered Primary Care Collaborative
Weekly Thursday Call Agenda 10/06/11

Thursday, October 6th at 11:00am ET we will hold a call for the Patient-Centered Primary Care Collaborative.

Call in number is 712.432.0900
Passcode is 868853
Please press *6 on your phone to mute and *6 to unmute.

Please mute your telephone unless you are speaking.

If you have not registered to receive this newsletter, follow this link and there is an easy registration process on our website.  Additionally, the previous national Thursday call agendas are listed on this page.

Collaborative Announcements

1. REGISTER! PCPCC Annual Summit - SPACE STILL AVAILABLE!

Five Years Making Healthy Connections: Collaborating to Improve Care in the PCMH 

  • DATE:  Friday, October 21, 2011
  • LOCATION:  Ronald Reagan Building
    International Trade Center
    1300 Pennsylvania Avenue, NW
    Washington, DC 20004 

Keynotes: Dr Richard Baron, Director of Seamless Care Models Group at the CMS Innovation Center and Dr Carolyn Clancy, Director of the Agency for Healthcare Research and Quality (AHRQ)

Panel topics will include:

  • Workforce training and education in the PCM
  • Outcomes of the PCMH - A closer look at the data
  • Purchasers and payers in the ACO landscape
  • Integrating behavioral health into the PCMH
  • Team-based care in the PCMH
Exhibiting/Sponsorship Opportunities - Click HERE


Upcoming Webinars

The PCPCC Medication Management Taskforce is pleased to announce a free webinar from11:00am – 12:00pm EST on Wednesday, October 12th, entitled “Comprehensive Medication Management as a Critical Component in Coordinated Care Systems”. Our featured speakers will be Dr. Brian Isetts,  professor, pharmacist and Policy Fellow with the CMS Innovation Center.

Register Free Now
 
You are invited to hear Dr. Brian Isetts, professor, pharmacist and Policy Fellow with the CMSInnovation Center share what is happening at CMS in the area of Comprehensive Medication Management as a critical component in coordinated care systems, including a view of the inter-agency collaborations, key priorities and how we can continue to collaborate closely with CMS.  Following the talk there will be a Q and A period.

Dr. Brian Isetts is a Professor, Department of Pharmaceutical Care & Health Systems, University of Minnesota College of Pharmacy. Dr. Isetts' field of expertise is in the scholarship of caring, specifically studying the outcomes of medication therapy management services provided in integrated, team-based care settings. Research interests focus on the exchange of electronic health information to redesign the nation's medication use system. Also serving as Co-Investigator on a three-year National Library of Medicine HIT grant titled, "Semantic Relatedness for Active Medication Safety and Outcomes." Currently serving as a Health Policy Fellow at the Centers for Medicare and Medicaid Innovations inWashington, D.C.
 
Dr. Isetts’s research interests include team-based health care, patient-centered health homes, accountable care organizations, drug-related morbidity and mortality, clinical decision support.
 
PCMH Happenings 


1.  CMS Announces New Comprehensive Primary Care Initiative 


The Comprehensive Primary Care (CPC) initiative is a new CMS-led, multi-payer initiative fostering collaboration between public and private health care payers to strengthen primary care for all Americans. Primary care is critical to promoting health, improving care, and reducing overall system costs, but it has been historically under-funded and under-valued in the United States. Without a significant enough investment across multiple payers, independent health plans-- covering only their own members and offering support only for their segment of the total practice population-- cannot provide enough resources to transform entire primary care practices and make expanded services available to all patients served by those practices. The CPC initiative offers a way to break through this historical impasse by inviting payers to join with Medicare in investing in primary care in 5-7 selected localities across the country.

The CPC initiative will test two models simultaneously: a service delivery model and a payment model. The service delivery model will test comprehensive primary care, which is characterized as having the following five functions:

  1. Risk-stratified Care Management;
  2. Access and Continuity;
  3. Planned Care for Chronic Conditions and Preventative Care;
  4. Patient and Caregiver Engagement;
  5. Coordination of Care Across the Medical Neighborhood.

The payment model includes a monthly care management fee paid to the selected primary care practices on behalf of their fee-for-service Medicare beneficiaries and, in years 2-4 of the initiative, the potential to share in any savings to the Medicare program. Practices will also receive compensation from other payers participating in the initiative, including private insurance companies and other health plans, which will allow them to integrate multi-payer funding streams to strengthen their capacity to implement practice-wide quality improvement.

The Innovation Center is now accepting letters of intent from public and private health care payers for the Comprehensive Primary Care initiative.

The first step is for public and private payers (including states) to indicate their interest to CMS, including the level and type of support for primary care practices being offered. Interested payers must submit a nonbinding letter of intent and a completed Geographic Service Area Worksheet by November 15, 2011 via email to CPCi@cms.hhs.gov. Applications from payers that do not submit a timely letter of intent will not be considered.

Final applications, to be completed only after the letter of intent has been submitted, must be received on or before January 17, 2012. Once CMS evaluates these proposals and selects the markets, a second solicitation will be issued for primary care practices in those markets.

For more information, please send your questions to CPCi@cms.hhs.gov

2.  Special Registration Discount for the 2nd National ACO Congress Featuring PCPCC Vice Chairman David Nace, MD
 
Patient-Centered Primary Care Collaborative Vice Chairman David Nace, MD will be featured in a session on The Medical Home: The Foundation of Accountable Care at the upcoming National ACO Congress, November 1-3, 2011, at the Hyatt Regency Century Plaza in Los Angeles. Sponsored by the Integrated Healthcare Association (IHA) and the California Association of Physician Groups (CAPG), this year’s Congress has a special emphasis on the burgeoning commercial ACOs that are springing up all over the country and, according to some experts, defining the future of the ACO movement.
 
Patient-Centered Primary Care Collaborative members and friends can register for the Congress at the deeply discounted price of $995. The regular Congress price is $1,695. In addition, PCPCC members and friends can choose to attend one of the Congress Pre-Conference sessions at no additional charge (regular cost is $495). To receive the discounted rate, enter PCPCC in the discount code box on the Congress registration form athttp://acocongress.com/registration.php. The $995 rate is good anytime up to the Congress date but we encourage you to register early. For more information and complete agenda go towww.acocongress.com.
 
FEATURED SESSION
 
The Medical Home: The Foundation of Accountable Care

http://www.acocongress.com/faculty/nace_sm.jpg David Nace, MD
Vice President & Medical Director, McKesson Corporation / Relay Health
Vice Chairman, Patient-Centered Primary Care Collaborative (PCPCC)
Malvern, PA

http://www.acocongress.com/faculty/grumbach_sm.jpg Kevin Grumbach, MD
Professor and Chair, UCSF Department of Family and Community Medicine
Chief, Family and Community Medicine, SF General Hospital
San Francisco, CA

This pre-conference session will be dedicated to participants who need to receive the latest information related to the Primary Care Medical Home Initiative. Taught directly by Joint Commission faculty with primary knowledge of this new option, you will learn about the additional standards, integration into the on-site survey process, and other related accreditation activities. Get your questions answered and learn the latest updates to the Primary Care Medical Home option.
 
3.  American College of Physicians Free Webinar on Medical Home Builder 2.0  
 Tuesday, October 18, 2011; 6:30 pm, ET
Thursday, November 3, 2011; 8:00 am, ET
Thursday, November 17, 2011; 6:30 pm, ET
Tuesday, November 29, 2011; 5:00 pm, ET
Thursday, December 15, 2011; 8:00 am, ET
Thursday, December 29, 2011; 7:00 pm, ET

Do you want to see how the Medical Home Builder works? Participate in a free, 30 minute live/interactive demonstration webinar and learn how to improve patient care and office efficiency!

Medical Home Builder 2.0 is an online practice support tool from the American College of Physicians (ACP) that provides primary care practices with an affordable, self-paced means to improve office operations, quality, and/or transition to a Patient-Centered Medical Home model.  Medical Home Builder 2.0 features 13 modules, an online community and hundreds of online resources in a virtual library.

The newly updated version features new elements and functions to help clinicians improve patient care, office efficiency, and move toward PCMH recognition and accreditation. Included in Medical Home Builder 2.0 are expanded patient-centered care modules, a new scoring methodology, module-specific resource libraries and a searchable master resource library.

Additionally, a robust reporting function is particularly suited for large practices, groups, institutions and regional programs.
Sign up today and see how Medical Home Builder 2.0 can help you provide quality patient care and achieve a well-managed practice.

To register, visit the ACP web site at:  http://www.acponline.org/running_practice/pcmh/help.htm  or contact Ayanna Wells at awells@acponline.org
 
4.  Webinar featuring Dr Paul Grundy:  Increase your understanding of Patient-Centered Medical Home (PCMH) and the possibilities for your organization.

Thursday, October 27, 2011 at 3:30 p.m. ET

Increase your understanding of Patient-Centered Medical Home (PCMH) and the possibilities for your organization. Health care costs are now a business issue and PCMH provides an opportunity to lower hospitalization rates, overall health care costs, as well as improve patient health. At its core, PCMH is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.

Dr. Paul Grundy, Director Health Care Transformation at IBM, drove transformation via broad coalition with other large employers to form the Patient-Centered Medical Home movement. Dr. Grundy's work has been covered by theNew York Times, Business Week, Health Affairs, The Economist, and The New England Journal of Medicine. Dr. Grundy will share his experiences at IBM and cover:
  • The Principles of Patient-Centered Medical Home
  • Statistics showing the impact of PCMH
  • Defining how care is centered on the patient
  • Steps to value based purchasing
  • Tools used to collaborate with patients
  • Health care trends in the U.S.
Webcast Registration Fee:
$195—International Foundation/ISCEBS Members
$255—Nonmembers

Click HERE for more information on how to register.

5.  New tools for employees to find PCMH clinicians

In co-operation with G.E. Aviation and Employers Health Coalition (EHPCO), http://www.YourCity.MD created new tools for employees to find credentialed PCMH doctors in their city. YourCity.MD websites have new advanced search features and new physician compare tools to help employees find high quality care by switching to PCMH credentialed doctors.

Employers and insurance payers are interested in reducing health care costs, maintaining high value and high quality care for their employees to keep them healthy, productive and on the job.

"By working closely with http://www.YourCity.MD,Employers Health Coalition brings a powerful health care search engine to its members' finger tips. Now finding a Patient-Centered Medical Home is just a click away," says Craig Osterhues, Health Care Executive, GE Aviation & Employers Health Coalition Board Member.

Both employers and payers are hoping to encourage the employees to make great health care decisions by financially incenting them to change doctors. At the same time, they are financially incenting doctors to get credentialed and to practice using high quality and efficient measures which will help reduce the patients need to visit an emergency room or other such facility. Millions of employees will seek new doctors over the next year to take advantage of these financial programs and those doctors who get in front of this new wave of new patients will benefit.

Click HERE for the full article.
 

6.  NCQA incorporates patient feedback into medical home recognition program

The National Committee for Quality Assurance (NCQA) has recently developed the Distinction in Patient Experience Reporting program to help practices capture feedback through a newly developed Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient-centered medical home (PCMH) survey.

The program details include:

  • Practices must use an NCQA-certified vendor to ensure a standardized method of data collection and reporting. A list of certified vendors will be available on the NCQA website in December, the Washington, D.C.-based organization stated.
  • NCQA-recognized practices, or practices applying for recognition, are eligible for the distinction. All practices may submit data, but may not be eligible for the distinction.

The distinction is effective for one year after NCQA receives the practice's data, the organization added. Practices must submit data annually (through the vendor) to maintain distinction. Practices have the option of submitting data during both data submission periods, but it is not required.

There are two data submission periods per year; the first is April 2012 and the second is September 2012.

Submitted data will be used to develop a benchmarking database that will allow comparison across practices. In addition to earning distinction and being listed in directories as having distinction, practices will receive credit in PCMH 2011, NCQA concluded.

For more information on the program, click here.


Collaborative Centers

To receive Center emails, please signup here.

For more information please contact Amy Gibson at agibson@pcpcc.net .

A. Center for Multi-Stakeholder Demonstration
The primary objective of the Center for Multi-Stakeholder Demonstrations (CMD) is to serve as a clearing house for information on Patient-Centered Medical Home (PCMH) pilot efforts around the country that include multiple private sector payers. The CMD will aim to recruit payers to devote covered lives to demonstration projects, while assisting them with demonstrations efforts through sharing of lessons learned and best practices from existing PCMH demonstrations. This will be accomplished by the CMD serving as an information exchange where Plans can discuss innovative reimbursement models to test in pilots as well as program design. The CMD will also be responsible for working with local convening entities to support regional pilots. 

  • Care Coordination Taskforce -The Care Coordination Taskforce has reconvened their calls and will be discussing future activities and strategies for addressing care coordination in the PCMH. They have received input from PCPCC stakeholders toward the development of an outline for a PCPCC publication on care coordination.  The next Task Force call will be Thursday, October 27th at 10 a.m. 

B. Center for Public Payer Implementation
CPPI is tasked with a very broad mandate encompassing over 50% of all payors in the US Healthcare System. Growing out of the work that the Collaborative had undertaken within the Medicaid environment the CPPI is charged with promoting the Patient-Centered Medical Home (PCMH) concept in all facets of the public payer system.

  • Task Force on Education and Training - Participants continue to  work with co-chairs Cynthia Belar and Libby Baxley to define the goals and activities of this new Task Force. They are focusing on the training and educational needs around PCMH of both the incoming and current workforce, and that of academic faculty across multiple disciplines.The next call will be held on October 19th at 4 p.m. ET 
  • Task Force on Medication Management - The next call of the Medication Management Task Force will be held on Wednesday, October 12th at 11 a.m. ET.
C. Center for Employer Engagement 
The Center for Employer Engagement (CEE) promotes large and small employer interest in - and implementation of - the patient-centered medical home (PCMH) model through educational resources, sharing employer best practices, implementation tools, and evaluation measures to demonstrate the value of this strategy and build market demand. Their next call will be held on Wednesday, October 12th at 3 p.m. ET.
  • Task Force on Behavioral Health - This Taskforce is collecting best practices and behavioral health screening tools for use in primary care. They are looking for resources to publish a more comprehensive guide to Behavioral Health in PCMH and possibly an on-line database of resources. The Task Force co-hosted a presentation with the CeH on the integration of behavioral health in the PCMH through technology. The next call is scheduled for October 13th at Noon ET with a presentation by Dr Benjamin Miller entitled: “Inseparable: Mental Health and Primary Care”

D. Center for eHealth 
On Wednesday, September 22nd,  from 1:00-2:30pm ET, the Center for eHealth co-hosted a presentation with the Center for Public Payer Initiatives entitled: “Health Information Technology and the Indian Health Service ‘Improving Patient Care’ Program." This presentation is available for viewing on the PCPCC web site at:  www.pcpcc.net/media

E. Center for Consumer Engagement
The primary objective of the Center for Consumer Engagement (CCE) is to ensure the medical home model is truly patient-centered by: facilitating consumer involvement and leadership in the design and evaluation of the PCMH, strengthening the consumer voice in the PCPCC, and by developing a set of "Best Practices" for consumer engagement in PCMH. The CCE partners with large consumer groups to capitalize on their visibility and existing efforts. The most recent call for the CCE featured a presentation by Kait Roe, Consumer Advocate and PCMH advisor. The next call will be held on Friday, October 28th.

F.  Center for Accountable Care (CAC)
The CAC works to ensure that the Patient-Centered Medical Home (PCMH) serves as the foundation for all ACO’s, and that ACO’s thrive as a result of strong robust PCMH support. The center is tasked with strengthening the collaboration between the PCPCC and evolving ACO stakeholders, as well as espousing strategies and positions that strengthen the notion of a strong PCMH foundation for evolving ACO guidelines and practices. The next call of the CAC will be held on Monday,  October 24th at 2 p ET.

Register!



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