Call Agenda, Thursday, June 10th, 11:00 AM EDT

 
 
 
This is a reminder to those who are available that on Thursday June 10th 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, June 10th 11:00 am Eastern Standard Time
 
Conference Call-In Phone Number
Call in number is 712.432.3900
Passcode is 471334
Moderator code is 406354.
Please press *6 on your phone to mute and *7 to unmute.
(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)
 
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.
 
If you have not registered to recieve 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.
 
Please note that all of the attachments are linked at the bottom of the agenda.
 
I. Collaborative Announcements
 

A. Register Now! July 22nd PCPCC Stakeholder's Working Group Meeting

Don't hesitate in registering for the upcoming PCPCC conference, held on July 22nd, in Washington, D.C.  The PCPCC Stakeholder's Working Group Meeting: "The Patient Centered Medical Home in the Community" will convene hundreds of CEOs, senior executives and government officials from the nation's largest employers, hospitals, health systems, physician practices, health plans, pharmaceutical companies and leading government agencies. 

Panel Topic Include:  

  • The Employer's Role in Building a PCMH Community  
  • Federal Initiatives: Extending the PCMH Community 
  • Connecting Providers with Medication Management 
  • The Patient Centered Medical Home in the Community: Case Studies from Practices and Pilots 
  • Demonstrating Value to the Community: PCMH Measurement and Evaluation 

We have secured two Keynote Speakers!

  • Mary Wakefield, Ph.D, R.N. Administrator, Health Resources and Services Administration U.S. Department of Health and Human Services
  • Anthony Rogers, Deputy Administrator and Director, Center for Strategic Planning, Center for Medicare & Medicaid Services

We have a limited block of discounted rooms available at The Madison, a Lowes Hotel, 1177 Fifteenth St, NW, Washington, DC 20005. To secure a room at $179 the evening of July 21st, please contact the hotel at 800-424-8577 prior to June 21st. Please click here to register. 

B. Medicare to Participate in State Multi-payer Health Reform Efforts to Improve Quality and Lower Costs

The Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) invited states to apply for participation in the Multi-payer Advanced Primary Care Practice Demonstration, an initiative in which Medicare will join Medicaid and private insurers in state-based efforts to improve the delivery of primary care and lower health care costs.

“Advanced Primary Care practices are one of our most promising models for improving the quality of care and bringing down health care costs across the country,” said HHS Secretary Kathleen Sebelius. “By having Medicare participate in these demonstration projects, for the first time ever, we’ll help these innovative models spread and take another big step towards building a health care system that works better for all Americans.”

An Advanced Primary Care (APC) practice, commonly referred to as the patient-centered medical home, is a leading model for efficient management and delivery of quality health care services. APC practices promote accessible, continuous, and coordinated family-centered care utilizing a team approach and emphasizing prevention, health information technology, care coordination and shared decision making among participating patients and their providers.

The demonstration is an opportunity to assess the effect of advanced primary care practice, when supported jointly by Medicare, Medicaid, and private health plans, on:

  • The safety, effectiveness, timeliness, and efficiency of health care;
  • Assuring access and appropriate utilization of services covered by Medicare, Medicaid, and private health plans, while lowering expenditures;
  • The ability of beneficiaries to participate effectively in decisions concerning their care; and,
  • The delivery of care consistent with evidence-based guidelines.

“This demonstration will mark the first time that Medicare, Medicaid and private insurers will join in a partnership with states to transform health care delivery,” said Marilyn Tavenner, acting CMS administrator and chief operating officer.  “Enabling public and private providers to work together will provide a valuable opportunity to strengthen our health care system and improve the quality of care for people with Medicare, Medicaid, and private insurance. Improved efficiencies in the system could mean providers will be able to spend more time with their patients, provide higher quality care, and better coordinate that care with other medical professionals.”

To be eligible, states will need to demonstrate that they can meet certain requirements, including having a state agency responsible for implementing the program, being ready to make payments to participating practices six months after being selected for participation, and having mechanisms in place to connect patients to community-based resources.

CMS anticipates making awards to up to six states and will perform an independent evaluation of the projects conducted under this demonstration.

Demonstrations like the Multi-Payer Advanced Primary Care Practice allow CMS to test and validate innovative new models of health care delivery and to translate insights and lessons learned into future policy and program redesign. This demonstration is an example of the sort of programs that CMS will carry out under the Center for Medicare and Medicaid Innovation, which was authorized in the Affordable Care Act and will be in place no later than Jan. 1, 2011. The new center will allow CMS to significantly expand the portfolio of innovative demonstrations that will drive cost effectiveness and quality improvement in the health care system during the coming years. To learn more, please click here.

C.  A Study from The Commonwealth Fund, the Agency for Healthcare Research and Quality, and the American Board of Internal Medicine Foundation - 'Defining and Measuring the Patient-Centered Medical Home'

The patient-centered medical home (PCMH) is emerging as a critical tool in reforming U.S. health care. However, it is not widely known what a medical home is or how it can function effectively. In an article appearing in a supplement to the Journal of General Internal Medicine, researchers led by Kurt C. Stange, of Case Western Reserve University define the PCMH as team of people committed to improving the health and healing of individuals in a community. Transforming a medical practice to a PCMH requires a focus on the fundamental tenets of primary care (e.g., accessibility, comprehensiveness, coordination and integration, and relationships), new ways of organizing care (e.g., electronic visits and team-based care), developing internal capabilities (e.g., leadership and management structure), and making reimbursement changes (e.g., blended payments and care management fees). The authors also outline principles for measuring PCMHs. Among other recommendations, they suggest measuring the quality and function of relationships with patients and health care system and community partners, and using both numbers and narratives to measure aspects of the PCMH. Evaluation efforts, they warn, should recognize that a five- to 10-year time horizon is needed to see the full health and economic effects of the PCMH.

For more information, please click here.

D.  TransforMED National Demonstration Project Finds Most Practices Need Support to Make Changes

The long-awaited analysis of a massive patient-centered medical home, or PCMH, national demonstration project, or NDP, conducted from June 2006 to May 2008 now has been published in a special supplement to the May/June Annals of Family Medicine.  The demonstration project, which was designed by TransforMED, a wholly owned subsidiary of the AAFP, tested the ability of family medicine practices to implement and sustain the medical home model of care.

Thirty-six diverse family medicine practices were chosen to participate; however, only 31 completed the project. The practices were split into two groups: one had the benefit of experienced practice facilitators to guide them, and the other, nonfacilitated, group worked through practice changes on their own.The final report on the project, titled "Evaluation of the American Academy of Family Physicians' Patient-Centered Medical Home National Demonstration Project," comprises eight manuscripts written by an independent evaluation team. Topics range from methods for evaluating practice change to implementing the PCMH and assessing patient outcomes. To learn more about this report and to view the special supplement, please click here.

E. Care Coordination in Medical Homes, Accountable Care Systems Forecasts Pivotal Role For Case Managers

Two new issue briefs explore the value of case manager certification as an indicator of quality and the role case managers will play in emerging team-based health care delivery models. The issue briefs were released today by the Commission for Case Manager Certification (CCMC), the first and largest nationally accredited organization that certifies case managers.  

Over the past decade, two models of care delivery -- the patient centered medical home (PCMH) and accountable care organizations (ACOs) -- have emerged as promising mechanisms to eliminate fragmentation and “connect the dots” through a common structural element: care coordination. In an article in this month's health policy journal Health Affairs, the Obama White House pegged care coordination as one of four elements critical for creating value in the PCMH and necessary for developing a scalable model that can expand to meet the nation's primary care needs.

In the CCMC brief, 'Care Coordination: Case Managers "Connect the Dots" in New Delivery Models', Geisinger Health Plan's Janet Tomcavage, RN, MSN links her program's case managers as "one of the keys to success for the medical home."  Geisinger's ProvenHealth Navigator(sm) program, a nationally-recognized medical home success story, uses 61 "embedded case managers" at 37 practice sites, coordinating care for some 20,000 Medicare Advantage members. Subject matter expert Michael B. Garrett, MS, CCM, vice president of business development for Seattle-based Qualis Health, also lends his voice to the issue brief as he discusses his organization's community health center medical home project.

The second issue brief, 'Growing Trend: Case Management Certification Desired—and Paid For--by More Employers' explores the employer's view of professionalism in the case management industry and the use of certification as a quality indicator.  The genesis of the issue brief was a key finding of CCMC's 2009 Role & Functions Survey of nearly 7,000 case managers, which found that a growing number of employers require case management certification (36 percent, compared to 26 percent in 2004) and more employers offer additional compensation for certification (27 percent in 2009 compared to 20 percent in 2004). To view more information and to obtain a copy of the two briefs, please click here.

F.  Health Affairs May Publication: Reinventing Primary Care

The May 2010 issue of Health Affairs examines what it will take to reinvent primary care in the United States. Operational, payment, regulatory, legal, and educational reforms will be necessary to improve care and achieve savings —and to prepare for the influx of millions of Americans who will be insured for the first time as of 2014.

The primary care system in the United States is in crisis. Sixty-five million Americans live in primary care shortage areas. Partly due to a considerable pay gap between primary care physicians and other practitioners, U.S. medical school graduates are increasingly avoiding careers in primary care, and a major shortage of all types of primary care providers looms. A system that is already strained will face an influx of patients in 2014, when 32 million Americans will have health insurance for the first time. A larger primary care workforce is essential, but new strategies and models are also needed to address the country’s imminent primary care access problem.

Restructuring primary care practice teams can help meet this challenge. For example, barriers to practice that face nurse practitioners and physician assistants in many states must be removed. Updating and modernizing the primary care system is also essential. For example, implementation of the medical home model—a delivery model that is patient-centered and focuses on integrated care—has been proven to improve quality and reduce costs.

The full issue is now available for purchase.  Please click here to download.

There was a briefing held on May 4th in Washington, D.C. for the release of this issue.  Health and Human Services Secretary Kathleen Sebelius gave the keynote address on how the recently passed health care law can be implemented to improve primary care.

If you wish to view the video please click here.

G. Find the Tools that You’ll Need to Help Transform your Practice into a Medical Home with the AAP/MCHB Building Your Medical Home Toolkit!

Brought to you by the American Academy of Pediatrics (AAP) and the Maternal and Child Health Bureau (MCHB) on behalf of the National Center for Medical Home Implementation, the Building Your Medical Home toolkit supports the primary care practitioner's development and improvement of a pediatric medical home. This free online toolkit contains numerous customizable practice tools, such as the Pediatric Care Plan which can be used to coordinate comprehensive communication surrounding all pertinent, current and historic, medical and social aspects of a child and family’s needs. 

The toolkit also helps to prepare a pediatric office to apply for, and potentially meet, the National Committee for Quality Assurance (NCQA) Physician Practice Connections® Patient Centered Medical Home™ (PPC®-PCMH™) Recognition program requirements. One of the toolkit features is a crosswalk between each of the toolkit building blocks and the NCQA PPC®-PCMH™ Recognition program 'must pass' elements. 

To learn more about the Building Your Medical Home toolkit, join the PCPCC Center to Promote Public Payer Implementation Call on Tuesday, June 15, 2010 from 3 to 4pm EST. Angela Tobin, AM, LSW, Medical Home Policy and Education Analyst, National Center for Medical Home Implementation, American Academy of Pediatrics will give a brief, informational overview of the toolkit and its content. Rebecca Malouin, PhD, MPH will also discuss the monograph titled Measuring Medical Homes: Tools to Evaluate the Pediatric Patient- and Family-Centered Medical Home on this call. The monograph can be downloaded on the National Center for Medical Home Implementation Web site, by linking here

For more information on the Building Your Medical Home toolkit, contact the National Center for Medical Home Implementation at medicalhometoolkit@aap.org or 800/433-9016, ext 4311. 

H. Michigan BCBS Reporting Success in Their Medical Home Model

Blue Cross Blue Shield of Michigan has reported that early data from its patient-centered medical home program shows "measurable progress" in keeping patients healthy and lowering costs.

According to executives at Blue Cross Blue Shield of Michigan, the patient-centered medical home (PCMH) program is meeting its goals for improved care and cost management. In addition, physicians have made great progress on implementing capabilities into their practices to allow them to operate as patient-centered medical homes, they said.

According to the BCBSM, preliminary analysis of 2009 claims data showed:

  • PCMH practices have a 2 percent lower rate of adult radiology usage than non-PCMH practices, and a per member per month cost that is 1.2 percent lower;
  • PCMH practices have a 1.4 percent lower rate of adult ER visits than non-PCMH practices, and a per member per month cost that is 0.6 percent lower;
  • PCMH practices have a 2.6 percent lower rate of adult inpatient admissions than non-PCMH practices, and a per member per month cost that is 2.6 percent lower;
  • PCMH practices have a 2.2 percent lower rate of pediatric ER visits than non-PCMH practices, and a per member per month cost that is 4.2 percent lower.

This PCMH program is the largest in the nation, with 1,200 designated doctors in 45 communities across the state.  In total 5,800 doctors have been working toward designation.

To learn more information, please click here.

I. HANYS’ Webconference to Discuss Medical Home Model - June 11th, 2010

HANYS and Primary Care Development Corporation (PCDC) will host a Webconference Friday, June 11, from 10 to 11:30 a.m., on Understanding and Undertaking Medical Home Recognition.

State and federal health care reform laws are expected to reward providers who meet standards for access and performance in primary care. Indeed, New York’s Medicaid program has already chosen to provide enhanced reimbursement to providers that achieve National Committee for Quality Assurance Physician Practice Connections®--Patient-Centered Medical Home (PPC-PCMH™) standards. Hospitals will find it increasingly important to understand the Patient-Centered Medical Home (PCMH) model and its impact on the delivery system. Experts from PCDC will focus on the PCMH model as it relates to hospital executives and decision-makers. Participants are encouraged to review PCDC’s latest publication, Obtaining Patient-Centered Medical Home Recognition: a How-to Manual, before the session.

The speakers for the program are Regina Neal, M.P.H.-M.S., Director of Practice Redesign, and Senior Program Managers Cari Reiner, M.P.A., and Vanessa Rudin, M.S., M.A., who are members of PCDC’s practice redesign team. Together, they have worked with hundreds of teams in New York and throughout the United States to reduce patient wait times, advance access to appointments, and establish patient-centered facilities and systems of care.  For more information, click here.

J. New Resource - Medical Home State Data Pages

The Data Resource Center—funded by the Maternal and Child Health Bureau, Health Resources and Services Administration—is partnering with the American Academy of Pediatrics to help state and family leaders quickly access data on how children and youth in each state experience receiving care within a medical home.

Click on the US Maps, located here, to see your state’s medical home performance profile for all children or children with special health care needs. You can also compare across all states or view state ranking maps by clicking on the green map of the US.

Additionally, located here, search for more information about measuring medical home and creating your own personalized medical home data search using the Data Resource Center.

K.  TransforMED’s Delta-Exchange Teams with Group Practice Forum to Present Free Webinar Series on Diabetes Population Management

TransforMED, a national leader in patient-centered medical home transformation, and Group Practice Forum (GPF), an independent network of physician group experts and education professionals, announced a partnership to deliver patient-centric clinical education to primary care medical practices. Beginning in June, TransforMED and GPF will launch a three-part webinar series titled “The Patient Journey: Aiming for Excellence in Diabetes Care.” The 60-to 90-minute, live and interactive webinars will be hosted on TransforMED’s professional online learning community for primary care, Delta-Exchange. The series is free of charge to members and non-members of Delta-Exchange, however, advance registration is required.

The webinar series will be led by Len Fromer, M.D., FAAFP, Assistant Clinical Professor of Family Medicine at University of California at Los Angeles School of Medicine. Dr. Fromer also serves as Executive Medical Director of GPF. The three-part series on diabetes is designed to provide primary care physicians with simple solutions that can be incorporated into their practices immediately to improve patient care. Future webinars developed through this partnership will explore additional areas of chronic disease management for primary care group practices.

Dates and times for the “The Patient Journey: Aiming for Excellence in Diabetes Care” webinars are as follows:

  • The Patient Journey

12-1:30 p.m. CDT, Wednesday, June 16

Participants will learn practical ways to improve patient care by creating motivated, engaged and informed patients. Attendees will explore concepts that can improve the quality of the patient-physician relationship and help foster a practice culture that supports improvement in diabetes care.

  • The Patient Experience

12-1 p.m. CDT, Wednesday, July 21

Participants will learn tips and techniques for motivating and empowering patients with diabetes to take better control of their health.

  • Transitions in Care

12-1 p.m. CDT, Wednesday, Sept. 8

Primary care physicians and their patients face many challenges when navigating diabetes care from the emergency department to the office setting. Participants will learn strategies to improve patients’ transitions across settings.

The webinars are free of charge and open to all who wish to attend. To register, click here.

L.  New Report from the Milbank Memorial Fund, 'Evolving Models of Behavioral Health Integration in Primary Care'

The U.S. mental health system fails to reach and/or adequately treat the millions of Americans suffering from mental illness and substance abuse. This report offers an approach to meeting these unmet needs: the integration of primary care and behavioral health care. The report summarizes the available evidence and states’ experiences around integration as a means for delivering quality, effective physical and mental health care. For those interested in integrating care, it provides eight models that represent qualitatively different ways of integrating/coordinating care across a continuum—from minimal collaboration to partial integration to full integration—according to stakeholder needs, resources, and practice patterns.  Each model is defined and includes examples and successes, any evidence-based research, and potential implementation and financial considerations. Also provided is guidance in choosing a model as well as specific information on how a state or jurisdiction could approach integrated care through steps or tiers. Issues such as model complexity and cost are provided to assist planners in assessing integration opportunities based on available resources and funding. The report culminates with specific recommendations on how to support the successful development of integrated care.

The Milbank Memorial Fund commissioned this report to provide policymakers with a primer on integrated care that includes both a description of the various models along the continuum and a useful planning guide for those seeking to successfully implement an integrated care model in their jurisdiction.

The Milbank Memorial Fund is an endowed operating foundation that works to improve health by helping decision makers in the public and private sectors acquire and use the best available evidence to inform policy for health care and population health. For more information on the report, please click here.

 
M. Nuts and Bolts of Patient Centered Medical Home - June 25-26th, Oak Brook, Illinois
Whether you are on your way to NCQA recognition, or not even sure what PCMH stands for, this conference will meet your needs. Attendees can take choose an education track and also choose from a wide range of breakout sessions on technology topics and practice innovations.
 
This conference is targeted to primary care physicians and their leadership team interested in implementing the medical home.
 
*Earn over 10 CME credits
 
*Talk with exhibitors about products for your practice
 
*Learning Lab assistance from Illinois Health Connect Department of Family and Healthcare Services
 
Early bird registration deadline is May 31st, so register today!
 
IAFP/AAFP members can register for only $150 prior to this date ($200 after May 31st). Non-members can register for $200 prior to May 31st ($250 after this date). 
 
**Discounts are available if you are registering more than one person from your practice. These registrations must be completed at the same time to receive the discount. Register one person at the full conference rate and each additional attendee on your registration will receive $50 off their registration fees. Please note that your group discount of $50 per additional attendee will be documented on the confirmation page.
 
If you require hotel accommodations, please contact the Marriott at 630-573-8555 and ask for the Illinois Academy of Family Physicians group rate, which is $89 single/double. This rate is available until Thursday, June 3rd.
 
To learn more and register for this event, please click here.
 
N.  World Congress 6th Annual Leadership Summit on Medicare - July 19-21, 2010
 
Impacts of Reform on Medicare Parts A, B, C & D – Strategies to Survive and Prosper
As the only industry event scheduled immediately before the congressional recess, The World Congress 6th Annual Leadership Summit on Medicare is the leading forum guaranteed to present up-to-the-minute legislative developments from the Hill. This Executive Summit is designed to maximize your understanding of how current reform initiatives will impact your organization's short and long term strategic plans.  To view more information and to register for the event, please click here.
 
O. Medical Management in Medicare Advantage: Payer/Provider Collaborative Care Summit' - August 5-6 Loews Coronado Bay Hotel, Coronado Island, California
 
Opal Events is pleased to announce their latest exciting conference, 'Medical Management in Medicare Advantage: Payer/Provider Collaborative Care Summit', taking place August 5-6 at the Loews Coronado Bay Hotel on Southern California’s Coronado Island.
 
This event will focus on strategic implementation of “next generation” medical management tactics: Accountable Care Organizations, Medical Homes, Transitional Care and more! The U.S. healthcare debate has led to some serious re-thinking on behalf of health plans, physicians and hospitals on the management of the chronically ill, who by 2011 will make up 60% of the Medicare Advantage population. This will create significant financial challenges. To combat this and curb hospital readmissions, plans need to start now with strong business cases for medical management grounded in:
 
• Evidence-based clinical practices
• Predictive outcomes modeling
• Member engagement
• Multi-disciplinary professional collaboration
 
Until May 30, representatives from health plans, hospitals and physicians groups can take advantage of complimentary registration to this event. To sign up, just visit the conference registration page here.
 
P.  SYNChronicity (SYNC2010) - A National Meeting Connecting HIV and Health Networks - August 7-9, Washington, DC 
 
SYNC 2010, sponsored by HealthHIV, is a national meeting connecting primary care providers to HIV thought leaders, new technologies, and resources to expand their HIV practice.  SYNC2010 is also a forum for HIV care providers to interact with those in primary care to coordinate efforts developing HIV medical homes.  Primary care providers will learn strategies to care for, treat, and support people living with HIV, as well as ways of managing the multiple health care needs of medically underserved populations.  Scholarships are available.
 
For more information click here
 
Q.  PCPCC Officer and Speaker List
 
Please click here to find a list of the Collaborative's Officers and those who have agreed to speak on behalf of the PCPCC.  If you wish to have your name and organazation added to the Speaker List, please click here and complete the sign-up form.  If you have any questions, please email Relja Ugrinic, at rugrinic@pcpcc.net.
 

II. Important Links

October 22 Annual Summit Materials - click here

July 16 Meeting Materials - click here
 
April 28th Stakeholders' Working Meeting - click here
 
PCPCC Meaninful Use Letter - click here
 
'Meaningful Connections' IT Resource Guide - click here
 
PCPCC - Emmi Solutions, 'Introduction to Patient Centered Medical Home' video - click here
 
PCPCC - Merck & Co. Patient Education Brochure and Checklist - click here
 
PCPCC Purchasers' Guide - click here
 
The Pilot Project Guide is now online and available for download.  Please click here to sign-up and download the document. 
 
PCPCC Brochure - click here
 
October 17 Healthy Momentum: The Patient-Centered Medical Home Summit
July 24/25 Medicaid Summit Materials:
 
III. 2010 Patient Centered Primary Care Collaborative Meeting Dates
 
All three meetings will be held at the Ronald Reagan Building and International Trade Center, 1300 Pennsylvania Avenue, NW Washington D.C. 20004 
  • PCPCC Stakeholders' Working Group Meeting - Tuesday, March 30, 2010
  • PCPCC Stakeholders' Working Group Meeting - Thursday, July 22, 2010
  • PCPCC Annual Summit - Thursday, October 21, 2010 
     
IV. Collaborative Outreach
 
The Collaborative would like to welcome the following groups as the newest signing members of the PCPCC: 
  • Deborah L. Trout, Ph.D., LLC
We now have 713 signing members.  
 
V. PCMH in the Press
 
"A Chiropractic Vision for the 21st Century", Steven Kraus, Dynamic Chiropractic, 'If you have ever wondered what life would be like now if chiropractors could have had more influence on health care in the past, then please keep reading....In order to ascend to greater recognition on the national scene, our profession will need to achieve the three following things: universal adoption of electronic health records; sharing of electronically generated practice data; and a systematic mining of that data for information on patient outcomes under our care. These three achievements will prove without a doubt that our profession is technologically modern, collaborative and willing to prove our outcomes with clinical data. ' To read more, please click here.
 
"The medical home is a revolution that can work", Dana Blankenhorn, SmartPlanet, 'Reporting on an experiment involving 36 primary care practices, the creators of the National Demonstration Project have concluded that transformation is possible in “highly motivated” practices, even without major changes to payment structures. But such changes are needed to bring this patient centered medical home model into the mainstream.' To read more, please click here.
 
"Turning a doctor’s office into a “medical home”", HealthCanal.com, 'A professor from The University of Texas Health Science Center at San Antonio is exploring how to transform a doctor’s office into a “patient-centered medical home” that offers team-based care, better use of technology and a more personal experience for the patient that may ultimately improve health. Carlos R. Jaén, M.D., Ph.D., chairman of Family & Community Medicine at the UT Health Science Center, is principal investigator for the first large-scale national demonstration project on patient-centered medical homes, launched in June 2006 by the TransforMED subsidiary of the American Academy of Family Physicians.' To read more, please click here.
 
Collaborative 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 Relja Ugrinic at rugrinic@pcpcc.net or call 703.724.3332.
  • 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 Employer Engagement: 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 Consumer Engagement: Engage the consumer in  awareness activities through three ways: day-to-day operations, messaging and pilots.  The center will continue the use of “Patient Centered Medical Home”, but focus on how the concept and its components are communicated to the public and partner with large consumer groups to capitalize on their visibility and existing efforts.
A. 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.
 
On June 1st the Center hosted a second webinar, entitled 'Colorado PCMH Multi-Payer, Multi-State Pilot - A Year in Review'.  Stakeholders from the Colorado pilot covered the structure of their pilot, milestones, measures, data, and the technical assistance provided to participating practices.   A patient spoke about her involvement in the pilot, a practice and hospital shared their work on strengthening communication between the hospital and practice/provider and a practice care coordinator talked about the work being done to improve coordination of care within their medical neighborhood.  There were over 150 participants on the webinar.  Video and audio recordings of the event are posted on the PCPCC website.
 
To register to recieve CMD emails, please click here, and look under the newsletter subscription section.
For more information please contact Relja Ugrinic at rugrinic@pcpcc.net or call 202.724.3332.
 
The Center will have its next call on July 6th at 2PM EST.

B. 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.
 
On Tuesday, May 18th, the Center to Promote Public Payer Implementation had their monthly call. 
The call featured:

I. Introductions

Co-Chairs: Terry McInnis, GlaxoSmithKline; Allen Dobson, North Carolina Department of Health and Human Services, retired; Donna Lichti, Pfizer Health Solutions; Gary Jacobs, Universal American Corp.; Lesley Reeder, Colorado Department of Health Care Policy and Financing
PCPCC Executive Director: Edwina Rogers
 
II. Speaker - Richard C. Wender, MD, Alumni Professor and Chair, Department of Family & Community Medicine, Thomas Jefferson University 
 
Beginning with his residency in Family Medicine in 1979, Dr. Wender has spent his entire career at Jefferson. He directed the Family Practice residency here from 1985 to 1995 at which time he was named Vice Chair of the Department and Clinical Professor of Family and Community Medicine at JMC.
 
Dr. Wender is best known for his work in cancer prevention and screening. He is co-author of several of the American Cancer Society's screening guidelines and has worked with the Centers for Disease Control, Cancer Research Foundation Of America, and the National Colorectal Cancer Roundtable to develop ways to reach more Americans with preventive services. He is past president of both the Philadelphia and Pennsylvania Divisions of the American Cancer Society, (ACS), and is currently one of seven at-large members of the National Board of Directors of ACS. Dr. Wender currently chairs that organization's Cancer Control Committee. Dr. Wender also has a clinical focus in diabetes and has coordinated a large number of diabetes educational initiatives for primary care clinicians.
 
Noted for his humor and entertainment skills, Dr. Wender believes in the positive impact of humor in the healing process. Admired and well respected by students, colleagues and patients, in 1999 Dr. Wender served as Class Day Speaker at JMC and, in 1997, he was the Parents Day Speaker. More recently, in 2000, he was honored by the Pennsylvania Division of the American Cancer Society with the Order of the Sword of Hope. In 1996, the Philadelphia Division of the Cancer Society presented him with their National Division Award.
 
Dr. Wender received a Doctor of Medicine degree from the University of Pennsylvania School of Medicine.

III.  NASHP Update

To view the full agenda and presentation materials, please click here.
 
If you are interested in learning more about current medical home projects within the Medicaid systems please click this link for a resource produced by our partners at the National Academy for State Health Policy.
 
Additionally, if you visit the CPPI site, you can view information on CMS' Medicare Medical Home Demonstrations, or you can click here to view the information.
For more information please contact Relja Ugrinic at rugrinic@pcpcc.net or call 202.724.3332.
To register to recieve CPPI emails, please click here and look under the newsletter subscription section.
 
The next Center call  is scheduled for June 15th at 3PM EST.

C. Center for Employer Engagement
 
On the June 9th phone call, the Center conducted a meeting and tackled a number of important issues, including:

Introductions

Co-Chairs: Duane Putnam, Pfizer, Inc.; Bruce Sherman, MD, The Goodyear Tire & Rubber Company; Robert Dribbon, Merck & Co., Inc.

I.  Introductions

Co-Chairs: Duane Putnam, Pfizer, Inc.; Bruce Sherman, MD, Whirlpool Corporation; Robert Dribbon, Merck & Co., Inc.

II.  Scheduling of Guest Speakers for 2010   -- (Please find spreadsheet of confirmed speakers attached)

III. Speaker Presentation: Aligning employer strategies: Value-based insurance design and the patient-centered medical home”    Bruce Sherman, MD, FCCP, FACOEM   PCPCC - Center for Employer Engagement 

To view the agenda for the CEE call, please click here

To register to recieve CEE emails, please click here and look under the newsletter subscription section.
 
The Center will have its next call on June 23rd at 3PM EST.
 
D. Center for eHealth Information Adoption and Exchange

The Center for eHealth Information Adoption and Exchange will serve a number of related functions. The first will be to 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.
 

On June 10th, the Center will conduct a meeting featuring:

  • Welcome and introductions 
  • Presentation – Elaine Skoch, RN, is a Practice Enhancement Facilitator with TransforMED, the American Academy of Family Physicians’ subsidiary that supports medical home transformation processes.  Elaine will lead a discussion about how health information technology can enable better integration of behavioral health programs in the medical home.
To view the agenda, please click here.
 
To register to recieve CeHIA emails, please click here and and look under the newsletter subscription section.
 
The Center will be having its next call on June 25th at 1:00 PM EST. 
 
E.  Center for Consumer Engagment
 
The PCPCC has formed a fifth Center, the Center for Consumer Engagement.  If you are interested in representing your organization in this new Center, please email Relja Ugrinic, at rugrinic@pcpcc.net, and you will be added to the listserv.
 

On the Center's recent call, on May 28th, the following occured.

Presentation:  


Hear About & Discuss Promising Practices in the Field 

Susan Edgman-Levitan, PA, Executive Director of The John D. Stoeckle Center for Primary Care Innovation at the Massachusetts General Hospital. 

Susan is a constant advocate of understanding the patient’s perspective on healthcare. She is a member of the PCPCC Board of Directors and recently served as a guest editor for the Health Affairs journal on Primary Care. 


Summary of Last Call: 

Agreed on goals, domains, and general process for our work.

Discuss Definition of “Consumer Involvement” 

Review and discuss working definition of “consumer engagement”/”consumer involvement.”

Consumer involvement means ensuring patients and/or families provide input into the design, ongoing practice and evaluation of whole person, patient centered, accessible and coordinated medical care and services.  

 
The Center will be having its next call on June 25th at 12:00 PM EST.
 
VII. General PCPCC Call Schedule

Below please find the dates for the various weekly Collaborative phone calls.
Please note that all Collaborative calls except the Executive Committee are held on the same conference call line.
The call-in number is: 712-432-3900.  The passcode is 471334.  The moderator code is 406354.
  • PCPCC National Thursday Calls Phone Number: 712.432.3900 Pass Code: 471334– Thursday, 11 AM EST: 2010 -  5/6, 5/13, 5/20, 6/3, 6/10, 6/17, 6/24, 7/8, 7/15, 7/29, (no August calls) 9/9, 9/16, 9/23, 9/30, 10/7, 10/14, 10/28, 11/4, 11/18, 12/2, 12/9, 12/16
  • General PCPCC Briefings Phone Number: 712.432.3900 Pass Code: 471334 – Monthly - Tuesday, 11 AM EST: 2010 -  5/4, 6/1, 7/13, (no August call) 9/14, 10/5, 11/2, (no December call)
  • Center for Multi-Stakeholder Demonstration Phone Number: 712.432.3900 Pass Code: 471334 – Bi-weekly - Tuesday, 2 PM EST: 2010:  5/4, 6/15, (no August calls) 10/5, 11/6, 12/7
  • Center for Public Payer Implementation Phone Number: 712.432.3900 Pass Code: 471334 – Monthly - Tuesday, 3 PM EST: 2010 -  5/18,6/15, 7/20, (no August calls) 9/21, 10/19, 11/16, 12/21 
  • Center for Employer Engagement Phone Number: 712.432.3900 Pass Code: 471334 – Bi-weekly - Wednesday, 3 PM EST: 2010 - 5/12, 6/9, 6/23, 7/14, 7/28, (no August calls) 9/15, 9/29, 10/13, 10/27, 11/10, 12/15
  • Center for eHealth Information Adoption and Exchange Phone Number: 712.432.3900 Pass Code: 471334 – Monthly - Thursday, 1 PM EST – 2nd and 4th Thursday of the Month: 2010 -  5/13, 5/27, 6/10, 6/24, 7/8, 9/9, 9/23, 10/14, 10/28, 11/11, 12/9, 12/23.
  • Center for Consumer Engagement Phone Number: 712.432.3900 Pass Code: 471334 – Last Friday of the month, 12pm EST: 4/30, 5/28, 6/25, 7/30, 9/24, 10/29, 12/3
  • Taskforce Activity Calls
  • Mobile Health Communication and Technology in the PCMH Taskforce - Bi-weekly - Thursday, 2pm EST: 5/6, 5/20, 6/3, 6/17
  • Training the Workforce and the PCMH - Bi-weekly - Wednesday, 4pm EST: 5/5, 5/19, 6/16, 6/30, 7/14, 7/28, 9/8, 9/22, 10/6, 10/20, 11/3, 11/17, 12/8
  • Care Coordination and the PCMH (to include Transitions in Care, Home Health, Hospice, and Long Term Care) - Bi-weekly - Wednesday 4pm EST: 5/12, 5/26, 6/9, 6/23, 7/21, 9/15, 9/29, 10/13, 10/27, 11/10, 12/1, 12/15
  • Integrating Behavioral Health into the PCMH - Bi-weekly - Thursday 10am EST:5/6, 5/20, 6/3, 6/17
  • Medication Management and the PCMH - Calls are scheduled as needed
     
VIII.  Executive Committee

There are 52 members of the Executive Committee: Aetna; Alere; American Academy of Family Physicians; American Academy of Nurse Practitioners, American Academy of Pediatrics; American College of Physicians; American Osteopathic Association; BlueCross BlueShield; Boehringer Ingelheim; CIGNA HealthCare; CVS Caremark; DMAA: Care Continuum Alliance; Community Health Collaborative;EHE International; Geisinger Health System; GlaxoSmithKline; Health Care Services Corporation; Humana, Inc.; IBM; Interim HealthCare; Johnson & Johnson; Kaiser Permanente; McKesson Health Solutions; MedAssurant; Medco; Medfusion; Merck; Microsoft; MVP Health Care; National Changing Diabetes Program; NextGen Healthcare Information Systems; Novartis; Nurse Practitioners Roundtable; Pfizer; PhRMA; Phytel; Priority Health; PRISM; The Quantum Group; Robert Bosch Healthcare; Robert Wood Johnson Medical School; Sanofi-Aventis; Taconic IPA, Inc.; Thomas Group; Thomson Reuters; TransforMED; UnitedHealthcare; Universal American Corp.; UPMC Health Plan; Walgreens; WellCentive, LLC and Wellpoint.
 
                     
IX. Officers
 
Chairman
John Crosby, American Osteopathic Association
 
President
Paul Grundy, MD, IBM
 
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; Guy Mansueto, Phytel
 
Center to Promote Public Payer Implementation
Co-Chairs: Terry McInnis, GlaxoSmithKline; Allen Dobson, North Carolina Department of Health and Human Services, retired; Donna Lichti, Pfizer Health Solutions, Gary Jacobs, Universal American Corp, Lesley Reeder, Colorado Department of Health Care Policy and Financing
 
Center for Health Benefit Redesign and Adoption
Co-Chairs: Duane Putnam, Pfizer, Inc., Bruce Sherman, MD, The Goodyear Tire & Rubber Company, Robert Dribbon, Merck & Co., Inc.
Co-Vice Chairs – Helen Darling, National Business Group on Health, and Andrew Webber, National Business Coalition on Health 
 
Center for eHealth Information Adoption and Exchange

Co-Chairs: Dr. David Nace, McKesson Health Solutions (David.Nace@mckesson.com), William Rollow, IBM (wrollow@us.ibm.com), Dr. James Crawford, North Shore-Long Island Jewish Health System (JCrawford1@NSHS.edu), and Jeff Hanson, Thomson Reuters (jeffrey.hanson@thomsonreuters.com)
Executive Director - Chris Nohrden (cnohrden@hughes.net)

Four New Center Task Groups:

 
Collaborative Directors
Executive Director – Edwina Rogers erogers@pcpcc.net, 202.724.3331
Director of Operations and External Affairs - Relja Ugrinic rugrinic@pcpcc.net 202.724.3332
 
XI. Advisory Board

There are 20 member organizations of the advisory board and they are: AARP, American Academy of Communication in Healthcare, American Board of Internal Medicine, American Department of Family Medicine, American Society of Consultant Pharmacists, Association of Medical Education and Research in Substance Abuse, Brian Klepper, Bridges to Excellence, The Center for Excellence In Primary Care, The Center for the Advancement of Health, The Commonwealth Fund, eHealth Initiative, HR Policy Association, the John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital, the Massachusetts Health Data Consortium, Medication Management Systems, National Association of County and City Health Officials, National Business Coalition on Health, National Business Group on Health, the National Council for Community Behavioral Healthcare. We are considering additional advisory board representatives from state based groups and labor organizations. 
 

Edwina Rogers
Executive Director
Relja Ugrinic
Director of Operations and External Affairs

Patient Centered Primary Care Collaborative
The Homer Building
601 Thirteenth Street, NW, Suite 400 North
Washington, DC 20005
Edwina Direct:  (202) 417-2081
Edwina Cell: (202) 674-7800
Relja Direct:  (202) 724-3332
Relja Cell: (703) 585-9165
Fax: (202) 393-6148

erogers@pcpcc.net

rugrinic@pcpcc.net