Call Agenda, Thursday, May 13th, 11:00 AM EDT

 
 
 
This is a reminder to those who are available that on Thursday May 13th at 11:00am EST we will hold a call for the Patient Centered Primary Care Collaborative. Welcome to those who are on the list for the first time this week. Please forward this on to anyone we may have omitted.
 
Thursday, May 13th 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. Roll Call Magazine Article - Grumbach & Grundy: Multistakeholder Movement Needed to Renew and Reform Primary Care

Kevin Grumbach is a professor and chairman of the Department of Family and Community Medicine at University of California, San Francisco. Paul Grundy is global director of health care transformations at IBM in Somers, N.Y. He is president of the Patient-Centered Primary Care Collaborative.They teamed up to write a special article for the Roll Call Newspaper on the urgent and pressing issue of restoring the nation's crumbling foundation of primary care.  To veiw this article, please click here.

C.  Article from the New England Journal of Medicine - 'Specialist Physician Practices as Patient-Centered Medical Homes'

In an article publised on April 21, 2010 by authors, Lawrence P. Casalino, M.D., Ph.D., Diane R. Rittenhouse, M.D., M.P.H., Robin R. Gillies, Ph.D., and Stephen M. Shortell, Ph.D., M.P.H., the NEJM examines the specialist physicians role in the PCMH.  According to the article, 'This model [PCMH] is a prominent component of the health care reform bill recently signed by President Barack Obama and is being tested in dozens of pilot projects around the country; it has been promoted by the Patient-Centered Primary Care Collaborative, a coalition of more than 500 large employers, consumer groups, health plans, labor unions, and physician and hospital organizations.

Some specialist physicians are raising concerns about the medical home's implications for their practices. Proponents of the model advocate reforms that would increase payments to practices that qualify as medical homes; these payments might well come, directly or indirectly, from funds that would otherwise have been used to pay specialists. In addition, some specialists who see patients frequently for a chronic disease believe that their practice should be able to serve as the medical home for those patients. For example, in recent testimony before a Senate committee, a representative of the Alliance of Specialty Medicine criticized the planned medical home demonstration project of the Centers for Medicare and Medicaid Services (CMS) for excluding surgeons and argued that a urology practice may be the most appropriate PCMH for patients with prostate cancer or bladder-control problems. The AMA House of Delegates recently passed a resolution in support of permitting specialist practices to serve as medical homes. The ACP Council of Subspecialty Societies has produced a detailed statement arguing that specialist practices that provide long-term "principal care" for a chronic condition should be eligible to serve as medical homes.'

To read more and to download this article, please click here.

D.  Another New England Journal of Medicine Article - 'Health Care Reform and Primary Care — The Growing Importance of the Community Health Center

During the debate over U.S. health care reform, relatively little attention was paid to the long-established network of community health centers (CHCs) in the United States. And yet this unique national asset constitutes a critical element of any reform intent on expanding access to health care through a primary care portal. With an eye toward meeting the primary care needs of an estimated 32 million newly insured Americans, the recently passed Patient Protection and Affordable Care Act underwrites the CHCs and enables them to serve nearly 20 million new patients while adding an estimated 15,000 providers to their staffs by 2015. The “new” CHCs have arrived.

Launched in 1965 by the Office of Economic Opportunity as a component of President Lyndon Johnson’s War on Poverty, the very first CHCs — in urban Columbia Point (Boston) and rural Mound Bayou (Mississippi) — were designed to reduce or eliminate health disparities that affected racial and ethnic minority groups, the poor, and the uninsured. The CHCs were to constitute a key component of the national public safety net, focused simultaneously on the care of individual patients and on the health status of their overall target populations. With their host communities involved in their governance, the centers were to be “of the people, by the people, for the people.”

Now operating at more than 8000 sites, both urban and rural, in every state and territory, run by about 1200 CHC grantees, the centers are the medical home to 20 million Americans, 5% of the current U.S. population. To read the full article, please click here.

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E. And a Third Article from the New England Journal of Medicine - 'What's Keeping Us So Busy in Primary Care? A Snapshot from One Practice'

In addition to seeing patients, a primary-care physician each day must address more than three dozen urgent but uncompensated tasks, according to a study that provides a rare, quantitative look into the mechanics of office practice.  This article, by Dr. Richard Baron, documents the every-day activities of five primary care physicians in Philadelphia.

Dr. Baron's group is tech-forward; he and his colleagues adopted an electronic records system in 2004. The study assessed the volume and types of electronic medical documents of the practice, Greenhouse Internists, in 2008. The doctors participate in a pilot Patient Centered Medical Home project.  The published details cover a typical workday starting around 7AM. On average, each doctor sees 18 patients and fields some 23 phone calls, 17 emails, 11 imaging reports, 20 lab panels and 14 consult notes per day. In addition, the physician provides 12 prescription refills, besides writing new orders for patients seen in the office. Other sorts of paperwork the physicians routinely complete, like physical exam records for work or camp, didn't count in the analysis because they're not standard electronic documents.  The article highlights why primary care physicians need more support and payment for the work they do. To read the article, 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. The Group Health Medical Home At Year Two: Cost Savings, Higher Patient Satisfaction, And Less Burnout For Providers

As the patient-centered medical home model emerges as a key vehicle to improve the quality of health care and to control costs, the experience of Seattle-based Group Health Cooperative with its medical home pilot takes on added importance. This paper examines the effects of the medical home prototype on patients’ experiences, quality, burnout of clinicians, and total costs at twenty-one to twenty-four months after implementation. The results show improvements in patients’ experiences, quality, and clinician burnout through two years. Compared to other Group Health clinics, patients in the medical home experienced 29 percent fewer emergency visits and 6 percent fewer hospitalizations. The Group estimates total savings of $10.3 per patient per month twenty-one months into the pilot. They also  offer an operational blueprint and policy recommendations for adoption in other health care settings.  To read the full article, please click here.

H. New Study from the Medical Care Research and Review - "Relationship Between Presence of a Reported Medical Home and Emergency Department Use Among Children With Asthma"

This study examined data from the 2005-2006 National Survey of Children with Special Health Care Needs to assess the relationship among children with asthma between a reported medical home and emergency department (ED) use. The authors used 21 questions to measure 6 medical home components: personal doctor/nurse, family-centered, compassionate, culturally effective and comprehensive care, and effective care coordination. Weighted zero-inflated Poisson regression analyses assessed the independent effects of having a medical home on annual number of child ED visits while controlling for child and parental characteristics, and the differential likelihood of securing a medical home. Nearly half (49.9%) of asthmatic children had a medical home. Receiving primary care in a medical home was associated with fewer ED visits (incidence rate ratio = 0.93; 95% confidence interval = 0.89-0.97). A medical home in which physicians and parents share responsibility for ensuring that children have access to needed services may improve child and family outcomes for children with asthma. To purchase this article, 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. Interview with Paul Grundy MD, MPH, President, PCPCC - "The Medical Home: How It's Transforming Healthcare Delivery"

Paul Grundy, MD, MPH, originator and President of the Patient-Centered Primary Care Collaborative at IBM, champions the Medical Home, a practice concept where physicians deliver care through personal relationships with their patients. As a former senior diplomat in the US State Department and in his current responsibility to oversee the purchase of healthcare for IBM employees worldwide, Dr Grundy discusses how physicians in other countries with primary-care-based systems are using electronic records to deliver better care at lower prices. Dr Grundy describes how empowered primary care physicians will change the US health system for the better in this interview with ModernMedicine’s Richard Reece, MD.

To read the interview, please click here.

K.  An Expert Interview on the Patient Centered Medical Home with Michael S. Barr, MD, MBA, FACP

Patient-centered medical homes (PCMH) might improve patient outcomes and public health by enhancing patient-centeredness, according to a presentation at Internal Medicine 2010: American College of Physicians (ACP) Annual Meeting, held April 22 to 24 in Toronto, Ontario.

To learn more about PCMH, Medscape Internal Medicine interviewed presenter Michael S. Barr, MD, MBA, FACP, who is ACP vice president of practice advocacy and improvement. Dr. Barr presented 3 courses: building a PCMH, determining whether patient-centeredness enhances practice performance, and reports from the field on the implications of PCMH projects. To read the interview transcript, please click here.

L. NCQA to Soon Recognize Physician Assistants in Medical Home Practices

Physician Assistants names will soon be added to the patient-centered medical home (PCMH) recognition directory of the National Committee for Quality Assurance (NCQA). This philosophical shift by NCQA will encourage integration of PAs into medical home practices and expand primary care access for patients. Raising the profile of PAs in the patient-centered medical home is part of the American Academny of Physician Assistants's 2010-2012 Strategic Plan to strengthen PAs' ability to provide patient care. 

M. The Commonwealth Fund - Evaluating Models of Medical Home Payment Within the Pennsylvania Chronic Care Initiative

The Pennsylvania Chronic Care Initiative, the most extensive multipayer medical home demonstration program in the nation, is testing the effectiveness of four models for financially rewarding primary care sites that function as patient-centered medical homes. RAND and Harvard researchers will assess the differential impact of these payment approaches-which range from per-member per-month care management fees to 'shared savings' to one-time grants-on health care utilization, efficiency, cost, and quality of care. In addition, the team will compare the results in Pennsylvania with those from the Colorado, Ohio, and Rhode Island medical home initiatives, which the researchers are evaluating under other Fund grants.  For more information, please click here.

N. New Learning Collaborative to Prepare Clinicians for Better Chronic Care

HealthSciences Institute will sponsor a new learning collaborative for health care professionals, teams and organizations who serve individuals at risk of, or affected by, chronic diseases in employer, health plan, medical home and other provider settings.
The collaborative will offer free, noncommercial webinars on topics, solutions and case studies in chronic disease prevention, management and care improvement. Each webinar will include a brief presentation, ask-the-expert segment, and targeted discussion on the application of new learning to participant job roles. Discussion will continue online between sessions.
The collaborative is a component of a new HealthSciences Institute-sponsored Partners in Improvement initiative that will offer free online chronic care improvement resources and tools to health care organizations and professionals.
“Nurses and other professionals who serve at-risk individuals—in settings from health plans to medical homes—want affordable, noncommercial learning activities that prepare them for the real-world challenges of chronic care. They also understand that some of the most valuable lessons are learned through collaboration and problem-solving with peers,” cites Blake Andersen, PhD, President and CEO of HealthSciences Institute.
Learning Collaborative Event Schedule

  • 6/4/2010 Community-Based Strategies for Primary Prevention of Diabetes with David Marrero, Ph.D., Professor of Medicine, Indiana School of Medicine.

 

HealthSciences Institute will host its sixth monthly Population Health Improvement Learning Collaborative meeting on Friday June 4th from 10:30 to 11:30 AM (CT) featuring a free webinar and discussion with Dr. David Marrero, Professor and Director of the Translation Research Center at Indiana University School of Medicine and proponent of community-based approaches to prevent diabetes. In April, United Health Group announced they would reimburse YMCAs offering the Diabetes Prevention Program. 

Dr. Marrero was a leader in the landmark Diabetes Prevention Program (DPP) and the TRIAD study evaluating diabetes care delivery strategies in managed care settings. The National Institutes of Health (NIH)-funded DPP trial studied more than 3,000 adults at high risk for developing type 2 diabetes due to elevated blood sugar levels and being overweight and found that the DPP lifestyle intervention reduced the risk of diabetes by 58 percent through modest weight loss (five to seven percent of body weight) and 30 minutes of exercise, 5 times weekly. 

Dr. Marrero’s work, recently featured in the Wall Street Journal, shows that it may be possible to develop a nationally scalable community-based model to support evidence-based, cost-effective primary prevention in small and large communities across the US. He recently adapted the DPP model for use in community YMCAs, addressing key implementation barriers while significantly reducing the cost of the original DPP program delivery from $1,476 to $205 per participant. The YMCA program features a group-based version of the DPP lifestyle intervention led by YMCA staff and has the potential to reach over 46 million people in the United States who live near a YMCA.

According to Dr. Blake Andersen, President and CEO of HealthSciences Institute, “Recent studies show that while 25% of U.S. adults are pre-diabetic, only 4 percent of cases are diagnosed by physicians. Further, only 42 percent of diagnosed pre-diabetics attempt the key lifestyle changes that prevent or delay diabetes or diabetes-related complications. Community-based programs such as this are essential to combating one of our biggest threats to health and sustainable health care spending. At the same time, we need to routinely apply the evidence-based health coaching interventions that best impact participant engagement, lifestyle change and treatment adherence in pre-diabetes programs.” 

  • 8/6/2010 Minimally Disruptive Medicine with Victor Montori, MD, Endrincrinologist and Professor of Medicine, College of Medicine, Mayo Clinic.
    All events held 10:30 to 11:30(CT); CCP Community Calls 11:30 to Noon (CT).

To learn more, please click here.

O.  Association of Departments of Family Medicine Forms PCMH Taskforce

The ADFM PCMH taskforce had its inaugural meeting in Tucson in February. At this meeting three functions for the Task-force were defined: (1) Mission Integration - Transformation of clini-cal care, education, and outcomes research, (2) Information Clearinghouse - Information distillation to ADFM membership, (3) Strike Force - Proactive leadership to shape policy and influence change among key stakeholders.  The Taskforce is comprised of members representing the leadership of our committees and organization with other interested parties to ensure that we have the right “touchpoints” to help track and disseminate findings from among the numerous entitiesnationally that are working on PCMH activities. Task Force members will also help to iden-tify stake holder activity in which we need more proactive involvement by ADFM mem-bers.  Please find a copy of ADFM PCMH Taskforce Newsletter attached.

P. Social Sciene & Medicine Article, 'Employment Change and the Role of the Medical Home for Married and Single-mother Families with Children with Special Health Care Needs'

One in five U.S. households with children has at least one child with a special health care need (USDHHS, 2004). Like most parents, those with children with special health care needs struggle to balance child-rearing responsibilities with employment demands. This research examines factors affecting married parents' and single-mother's employment change decisions focusing specifically on whether having a medical home influences these decisions. This study includes 38,569 children with special health care needs from birth through age 17 surveyed in the 2005–2006 National Survey of Children with Special Health Care Needs. The employment model is estimated using multinomial logistic regression with the choice of a parent to maintain their current level of employment, reduce work hours, or stop working as the dependent variable. Independent variables are those characterizing the needs of the child, the resources of the family, and the socio-demographic characteristics of the family. Components of the medical home variable include: 1) having a usual source of care; 2) care provided is “family centered”; 3) receipt of care coordination services; and 4) receipt of needed referrals. Half of the children in our sample met criteria in all four facets. If the child has a medical home, the relative risk of a parent choosing to cut hours rather than not change hours decreases by 51%. The relative risk of choosing to stop working rather than not change hours decreases by an estimated 64%. Care coordination services significantly reduce the odds of changing employment status. Our results suggest that the medical home is a moderating factor in parental decisions concerning change in employment status.To purchase the article, please click here. 

Q. National Accountable Care Organization Summit - June7-9, 2010 - Washington D.C.
 
The National Accountable Care Organization Summit (www.acosummit.com) in Washington, D.C. on June 7th - 9th will provide an unprecedented opportunity to discuss, dissect, and identify effective ways to implement ACOs, which are a key component of the recently passed health care reform. The ACO model focuses on achieving accountability for improving quality and efficiency through organizational development, transparent performance measurement, and payment reforms that align financial incentives with patients' best interests. The Summit will take place as the Department of Health and Human Services (HHS) takes steps to advance Medicare's participation in ACOs, and as many states and private payers take steps to implement ACOs as well. The Summit brings together leading policymakers, experts, and ACO implementers to provide unique and in-depth insights for moving forward at this critical point in health care reform and ACO implementation. To learn more information and register, please click here.
 
R. 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.
 
S.  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.
 
T. 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.
 
U.  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
 
V.  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: 
  • BBG, Inc.
  • MedPeds Medical Clinic P.A.
  • Quality Community Health Care, Inc.
 
We now have 705 signing members.  
 
V. PCMH in the Press
 
"Pilot programs look for way to coordinate patient care", The Columbus Dispatch, 'Suzanne Shelpman spent the last years of her parents' lives caring for them. That included trying to coordinate their medical care with about 13 doctors in three cities."It was an absolute maze of confusion because it was very difficult to get the primary-care physician communicating with the myriad of specialists that they both needed," she said. One way to cut down on the confusion is to coordinate through something called a "medical home," in which a patient's primary-care provider - a doctor or nurse practitioner - is the central point for all medical information.' To read the full article, please click here.
 
"New York's Primary Care Providers to Get Help Implementing Electronic Health Records to Improve Patient Care", NewsBlaze.com, 'New York's primary care providers now can get technical assistance from the two newly designated regional extension centers in the state which have received $48.2 million in federal grants to help them adopt electronic health records to improve patient care. Beginning immediately, providers can get step-by-step help implementing electronic health records in their practices, along with an opportunity to qualify for federal incentives of up to $63,750. Electronic health records allow clinicians to record patients' medical information in a digital format, giving them and their staff faster access to crucial information when needed.' For more information, please click here.
 
"On The Same Team: Medical home model focuses on integrated approach to primary care", Pharmacy Choice, 'When Maricela Canales needs to speak with her family's doctor, she picks up the phone. If Dr. Javier Aceves isn't available, he calls back right away. When her 12-year-old daughter, Guadalupe Hitzel Canales, who has cerebral palsy, needs a specialist, Canales doesn't leave Aceves' office at Young Children's Health Center on San Pablo SE in Albuquerque without details about where to go and whom to see. In many cases, the appointment is made for her. "They make it easy," she says, in Spanish. "I don't have problems like, where do I go now?" The Young Children's Health Center, where Aceves is medical director, is one of a growing number of practices to adopt a patientcentered medical home model, which uses an integrated, team approach to primary care. While advocates say the medical home is in its infancy in New Mexico, that may change as providers and legislators push for the model and insurance companies work to pay for it. The medical home is being considered at the state and federal levels. The final version of the federal health care reform bill, which passed in March, created the Center for Medicare and Medicaid Innovation, which will study the medical home concept.' To read the full article, 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 Tuesday, May 4th, CMD had a webinar, featuring:
 
Presentation Topic:  West Virginia Medical Home Incentive Pilot - Christine St. Andre and Roger Chaufournier
 
CSpeakers: 

Doriane C. Miller, MD, Director, Center for Community Health and Vitality, University of Chicago Medical Center 

Judith Schaefer, MPH, Research Associate, MacColl Institute, Group Health Research Institute

Dr. Miller and Ms. Schaefer lead New Health Partnerships, a project funded by the Robert Wood Johnson Foundation, and built and supported by individuals and organizations that believe that patients and families, in partnership with health care providers, can transform care for long-term conditions.  They dicussed collaborative self-management support, and how clinicians, partnering with their patients, use tools and brief supportive interventions to systematically increase patients' skills and confidence in managing their health problems.  Dr. Miller and Ms. Schaefer provided the participants with an operational definition of collaborative self management support, the evidence base behind it, the business case for pursuing it, and how it can be implemented in office practice.  They also discussed some system change strategies, such as team-based care, shared care plans, and connecting with the community, that have been critical to practices’ success in implementing collaborative self management support.

 
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 June 1st 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, April 20th, 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 - Matthew Quinn, Agency For Healthcare Research & Quality (AHRQ) Center for Primary Care, Prevention and Clinical Partnerships (CP3)
 

Matthew Quinn will speak with the group briefly on what AHRQ is currently involved in regarding the medical home.  Mr. Quinn is a Special Expert in the Health IT Program.  Before joining AHRQ, Mr. Quinn was the Health Care Program Manager for Teradata, the global leader in data warehousing and analytic technologies, and was responsible for health care strategy and partnerships for the company. Prior to that, he led marketing for Quantros, a patient safety and clinical outcomes improvement software company, managed GE Healthcare's "Six Sigma for Healthcare" clinical outcomes performance improvement consulting services and data analytic products, helped build an early Personal Health Record company, and served as an Army Engineer Officer. Mr. Quinn's has published work in a variety of health care and technology publications and journals, and he has spoken at the World Health Care Congress, eHealth Initiative's Health IT Summit, and other national and international venues. Mr. Quinn earned a Bachelor's degree from the United States Military Academy at West Point and a Master's degree in Business Administration from Colorado State University.

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 May 18th at 3PM EST.

C. Center for Employer Engagement
 
On the May 12th 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: "A Proposal for a PCPCC PCMH Value Campaign", William Rollow, MD MPH Solutions Leader –Healthcare Value and Transformation, Strategy and Change Group, IBM Global Business Services

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 9th 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 May 13th, the Center will conduct a meeting featuring:

  • Welcome and introductions –David Nace, MD, CeHIA  Co-Chair and Vice President, Clinical Development, McKesson Health Solutions   
  • Presentation – Bill Russell, MD, VP, Clinical Informatics for Erickson Retirement Communties. Dr. Russell will speak on the evolving role of health information technology in the management of chronically ill patients
  • Open discussion 
  • Wrap-up  
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 May 27th 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 webinar, on April 30th, the following occured.

                  Christine Bechtel presented on the webinar.  She spoke to the group on issues prevalent to ensuring the medical home model is patient-centered and, among other items, encouraging consumer involvement and leadership in the design and evaluation of the PCMH.

 
The Center will be having its next call on May 28th 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