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Call Agenda, Thursday, June 17th, 11:00 AM EDT
(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)
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. Obama Administration and HHS Announce New $250 Million Investment to Strengthen Primary Health Care Workforce - Administration Investments Will Help Train and Develop 16,000 New Providers
WASHINGTON – U.S. Department of Health and Human Services Secretary Kathleen Sebelius announced a series of new investments worth $250 million to increase the number of health care providers and strengthen the primary care workforce. The new investments were made possible by the Affordable Care Act. Sebelius was joined for the announcement by U.S. Representative Lois Capps, Health Resources and Services Administration (HRSA) Administrator Dr. Mary Wakefield, and HHS Assistant Secretary for Health Dr. Howard K. Koh.
Communities across the country have long suffered from a shortage of primary care providers. Without action, experts project a continued primary care shortfall due to the needs of an aging population and a decline in the number of medical students choosing primary care. The Association of American Medical Colleges estimated that the nation would have a shortage of approximately 21,000 primary care clinicians in 2015. Building on the earlier investments made by the American Recovery and Reinvestment Act of 2009 and the Affordable Care Act, particularly for the National Health Service Corps, the investments announced today will support the training and development of more than 16,000 new primary care providers over the next five years.
“These new investments will strengthen our primary care workforce to ensure that more Americans can get the quality care they need to stay healthy,” said Secretary Sebelius. “Primary care providers are on the front line in helping Americans stay healthy by preventing disease, treating illness, and helping to manage chronic conditions. These investments build on the Administration’s strong commitment to training the primary care doctors and nurses of tomorrow and improving both health care quality and access for Americans throughout the country.”
“The Affordable Care Act's goal of increasing access to quality, affordable care can only be accomplished if we train the next generation of health professionals to provide it,” said Representative Capps. “This critical investment will help alleviate the current shortage of primary health care providers including physicians, physician assistants and nurses. Increasing the number of primary care professionals will allow us to place an increased emphasis on preventive care and wellness – something I’ve devoted my life to as a public health nurse -- making this country healthier in the long run. I applaud the President, Secretary Sebelius, Assistant Secretary Koh and Administrator Wakefield for swiftly working to roll out this important provision of health care reform."
The investments announced today in the primary care workforce are the first allocation from the new $500 million Prevention and Public Health fund for fiscal year 2010, created by the Affordable Care Act. Half of this fund – $250 million – will be used to boost the supply of primary care providers in this country by providing new resources for:
Creating additional primary care residency slots: $168 million for training more than 500 new primary care physicians by 2015;
Supporting physician assistant training in primary care: $32 million for supporting the development of more than 600 new physician assistants, who practice medicine as members of a team with their supervising physician, and can be trained in a shorter period of time compared to physicians;
Encouraging students to pursue full-time nursing careers: $30 million for encouraging over 600 nursing students to attend school full-time so that they have better odds of completing their education;
Establishing new nurse practitioner-led clinics: $15 million for the operation of 10 nurse-managed health clinics which assist in the training of nurse practitioners. These clinics are staffed by nurse practitioners, which provide comprehensive primary health care services to populations living in medically underserved communities.
Encouraging states to plan for and address health professional workforce needs: $5 million for states to plan and implement innovative strategies to expand their primary care workforce by 10 to 25 percent over ten years to meet increased demand for primary care services.
“With these health care workforce investments, we have a unique opportunity to further strengthen our primary care workforce for the future,” said Dr. Wakefield. “Today’s announcement is a strong indication of our commitment and one of many steps in the right direction.”
A fact sheet can be found at: http://www.healthreform.gov/newsroom/primarycareworkforce.html
The breakdown of the $250 million:
- $168 million to expand the number of primary care residency training slots, to produce about 500 additional primary care providers by 2015;
- $32 million to increase the number of physician assistants by 600 by 2015;
- $30 million to increase the number of nurse practitioners by 600;
- $15 million to add 10 new nurse managed health centers, settings in which nurse practitioners provide primary care services and undergo their clinical training;
- $5 million in grants to encourage states to address their healthcare work force needs.
C. 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.
D. Physician Assistants Now Eligible For NCQA Recognition in PCMH Programs
Ohio Gov. Ted Strickland on Tuesday, June 8, signed into law House Bill 198, which creates a patient-centered medical home (PCMH) education pilot project for the state, a spokeswoman said.
The project will focus on converting 44 practices in Ohio — 40 led by physicians and four led by advanced practice nurses — to the patient-centered medical home (PCMH) model of care. Ten of those practices will be affiliated with Wright State University’s Boonshoft School of Medicine; one APN primary care practice affiliated with the university’s college of nursing and health also will be included.
In addition to a task force that will implement the pilot project, the law requires the deans of Ohio medical schools, including the Boonshoft School of Medicine, to develop a proposal to create up to 50 scholarships each year for medical students who take part in PCMH training and agree to practice primary care for at least three years in Ohio after residency.
F. 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.
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.
G. Milliman Report - "The Need for Better Hypertension Control: Addressing Gaps in Care with the Medical Home Model"
The treatment of hypertension presents challenges for physicians because of its high prevalence, its associated comorbidities, and its poor control rates. Medical homes that offer patient-centered care have been shown to be effective in the treatment of the condition. However, for the medical home model of care delivery to be feasible in the United States, physician practices and reimbursement structures will need to change. To learn more and download the report, please click here.
H. Archives of Internal Medicine Report - "Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods"
Background: Under current medical home proposals, primary care practices using specific structural capabilities will receive enhanced payments. Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care.
Methods: Via survey, 308 Massachusetts primary care practices reported their use of 13 structural capabilities commonly included in medical home proposals. Using geocoded US Census data, we constructed racial/ethnic minority and economic disadvantage indices to describe the neighborhood served by each practice. We compared the structural capabilities of "disproportionate-share" practices (those in the most sociodemographically vulnerable quintile on each index) and others.
Results: Racial/ethnic disproportionate-share practices were more likely than others to have staff assisting patient self-management (69% vs 55%; P = .003), on-site language interpreters (54% vs 26%; P < .001), multilingual clinicians (80% vs 51%; P < .001), and multifunctional electronic health records (48% vs 29%; P = .01). Similarly, economic disproportionate-share practices were more likely than others to have physician awareness of patient experience ratings (73% vs 65%; P = .03), on-site language interpreters (56% vs 25%; P < .001), multilingual clinicians (78% vs 51%; P < .001), and multifunctional electronic health records (40% vs 31%; P = .03). Disproportionate-share practices were larger than others. After adjustment for practice size, only language capabilities continued to have statistically significant relationships with disproportionate-share status.
Conclusions: Contrary to expectations, primary care practices serving sociodemographically vulnerable neighborhoods were more likely than other practices to have structural capabilities commonly included in medical home proposals. Payments tied to these capabilities may aid practices serving vulnerable populations.
To learn more, please click here.
I. HRSA Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) 3.0 Enrollment Kit
You are invited to be a part of an effort that is dramatically improving the health outcomes and medication safety of high-risk patients in your community. For the past two years, HRSA’s Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) has been helping teams across the nation transform how they deliver care to their patients to achieve impressive results in patient safety and health status. PSPC teams learn from the success of other teams and implement these practices through practical steps that provide integrated care in a primary health home, with sustainable and measurable delivery of clinical pharmacy services. Join other leaders across the country and become a part of this breakthrough movement! Enrollment for PSPC 3.0 is now underway. Please submit any questions to: patientsafety@hrsa.gov. For more information, please 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 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. AHRQ Health Care Innovations Exchange, 'Innovation Profile' - Primary Care Managers Supported by Information Technology Systems Improve Outcomes, Reduce Costs For Patients With Complex Conditions
The Care Management Plus program combines the care coordination services of a care manager with robust electronic tracking and reminder systems to deliver comprehensive medical care to seniors with multiple chronic illnesses in primary care clinics. The care manager helps patients and their caregivers manage a wide spectrum of medical and quality-of-life issues that may involve coordination with physicians, specialists, and community resources. The informatics tools document the care plan and provide reminders on appropriate best practices. In initial studies, the program was effective in reducing costs and improving outcomes for patients, including better blood sugar control and fewer complications, hospitalizations, and deaths for diabetes patients. To learn more, please click here.
II. Important Links
October 22 Annual Summit Materials - click here
- 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
The Collaborative would like to welcome the following groups as the newest signing members of the PCPCC:
- Trover Health System
V. PCMH in the Press
- 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.
B. Center to Promote Public Payer Implementation
I. Introductions
C. Center for Employer Engagement
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. Update on July 22nd Stakeholder's Working Group Meeting
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.
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 conducted t 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 led a discussion about how health information technology can enable better integration of behavioral health programs in the medical home.
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.
Below please find the dates for the various weekly Collaborative phone calls.
- 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
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.
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:
- Participatory Engagement - Lead: Steve Adams (sadams@rmdnetworks.com)
- HIT Resource Center - Lead: Jim Crawford (JCrawford1@NSHS.edu)
- Meaningful Use - Lead: William Rollow (jmarchibroda@us.ibm.com)
- Decision Support - Lead: Pete Martinez (pmartinez@quantummd.com)
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
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