Call Agenda- Thursday, October 28th, 11:00 AM EDT

(Moderators/Speakers use #0 to mute all participant lines and #1 to unmute.)
A. Thank You to the Participants of our October 21st Annual Summit!
We would like to thank everyone that participated in our recent PCPCC Annual Summit in Washington, D.C on October 21st. We also would like to thank our Event Planning Committee for their hard work over the past few months in making this event successful. A special Thank You goes to our volunteers at the conference as well.
In addition, we captured the entire day's events on video, and we will be posting this to our website in the near future.
A full list of all of our expert presenters, their presentation materials and biographies is available here.
B. Patient-Centered Medical Home/PCPCC Briefing, Friday, November 5th - 11:00 AM EST
This is a reminder that our next PCPCC/PCMH briefing will be held on Friday, November 5th, from 11:00 AM to 12:00 PM EST. The Executive Director of the Patient-Centered Primary Care Collaborative (PCPCC), Edwina Rogers, will speak over the phone for any organization or individual who wishes to learn more about the Patient-Centered Medical Home (PCMH) model and our Collaborative. This briefing is free of charge.
If you wish to participate, please dial our call-in number: 712.432.3900 and enter passcode 471334#. To download our PCPCC presentation materials please click here and download the recently updated document entitled "PCPCC PowerPoint Slides 2010".
C. American College of Physicians says Subspecialist “Neighbors” Vital Part of Patient-Centered Medical Home
In order to realize the full potential of the Patient-Centered Medical Home (PCMH) model of patient care to improve coordination and integration, the cooperation of subspecialist physicians and other health care professionals must be ensured, says a new policy paper from the American College of Physicians (ACP).
The paper, The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices, defines the concept of the PCMH neighbor and lays out a framework for how improved collaboration can be fostered between the PCMH and its medical neighbors. Delineating the concept of the PCMH neighbor allows the PCMH model of patient care to take an important step forward as it gains wider acceptance.
“For a patient, the PCMH practice operates as the central hub for their health care information, providing both primary care and care coordination across different health care settings,” said J. Fred Ralston, Jr., MD, FACP, president of ACP. “For a PCMH to be functioning properly it must have an effective relationship with specialty/subspecialty physicians, hospitals, pharmacists, care managers, and others; making these “neighboring” physicians and other health care providers of the utmost importance to patient care.”
A PCMH neighbor is defined as a specialty or subspecialty medical practice that:
- Ensures effective communication, coordination, and integration with PCMH practices in a bidirectional manner to provide high-quality and efficient care.
- Ensures appropriate and timely consultations and referrals that complement the aims of the PCMH practice.
- Ensures the efficient, appropriate, and effectively flow of necessary patient and care information.
- Effectively guides determination of responsibility in co-management siturations.
- Supports patient-centered care, enhanced care access, and high levels of care quality and safety. And,
- Supports the PCMH practice as the provider of whole person primary care to the patient and as having overall responsibility for ensuring the coordination and integration of the care provided by all involved physicians and other health care professionals.
“Unfortunately, our current system of care doesn’t facilitate strong collaboration between the patient’s source of primary care and these medical neighbors, While the exact details still need to be determined, it is reasonable to believe the incentives, both financial and non-financial, need to be aligned to encourage the support of the PCMH neighbors and to compensate them for any additional work needed to provide the high level of care coordination,” continued Dr. Ralston.
The conclusions of the paper, developed by a workgroup of ACP’s Council of Subspecialty Societies (CSS), are widely supported by subspecialist physicians.
For more informaton and to download a copy of this paper, please click here.
D. TransforMED and RelayHealth Align to Provide Patient-Centered Health Care Connectivity Solutions
TransforMED, the national leader in patient-centered medical home transformation, and RelayHealth, a leader in clinical, financial and administrative health care connectivity, announced a strategic alliance to offer solutions that will improve health care delivery within the PCMH model of care.
Recognizing that the alignment of people, processes and technology is essential to the PCMH model, TransforMED and RelayHealth are committed to helping primary care practices implement patient-centered technology to address the complex communication needs of patients, doctors, payors and pharmacies. RelayHealth and TransforMED offer the most comprehensive and experienced support on the market to practices working to become patient-centered medical homes, while also helping them streamline time-consuming administrative tasks, such as appointment scheduling and prescription fill requests. TransforMED will support providers as they work to achieve PCMH accreditation through hands-on facilitation, team-building and collaborative retreats, and tailored training to help practices measurably improve in three critical areas: patient care, financial sustainability, and increased physician and staff satisfaction. RelayHealth’s web-based solutions provide a secure and interoperable platform to support the developing HIT infrastructure necessary to fundamentally change the delivery of care going forward. To learn more, please click here.
E. New NASHP Publication - Evaluating the Patient-Centered Medical Home: Potential and Limitations of Claims-Based Data
This State Health Policy Briefing summarizes the advantages and disadvantages of using claims-based data to evaluate patient-centered medical home initiatives. A Medicaid-based medical home initiative in Oklahoma and a multi-payer medical home pilot in Rhode Island are highlighted. Both states are using a mixture of claims-based data and supplementary resources like patient or provider surveys and data collected from electronic medical records to evaluate their medical home programs. Understanding the potential uses and limitations of both claims data and other data sources that can aid evaluators will help states to design appropriate evaluative criteria for their medical home programs. To download the report, please click here.
F. Interview with Health Resources and Services Administration (HRSA) Administrator Mary Wakefield, R.N., Ph.D.\
HRSA Administrator Describes Role of Family Physicians, PCMH in Health Care System
AAFP News Now recently interviewed Wakefield about the role of family physicians in the evolving health care system; the future of the patient-centered medical home, or PCMH; and workforce issues, among other topics. To read the full interview, please click here.
G. CIGNA and Holston Medical Group (HMG) Launch “Patient-Centered Medical Home” Pilot Program for the Tri-Cities and Southwest Virginia Region
CIGNA and Holston Medical Group have launched a pilot of the patient-centered medical home model, in which a primary care physician is responsible for monitoring and coordinating nearly all aspects of a patient's medical care. This is CIGNA's only such pilot in the Tri-Cities and southwestern Virginia area.
This pilot represents a collaborative approach between CIGNA and the 150 health care professionals of Holston Medical Group to improve patient access to care, to improve continuity, coordination and quality of care, and to lower medical costs. It encompasses:
- use of electronic medical records to track medical history
- case management/disease management within the practice
- onsite urgent care
- extended hours
- education to help people navigate their health care system
- better availability of appointments
- pay for performance – doctors will be rewarded for improving quality and lowering costs
The pilot program, which began August 1, focuses on individuals, especially those with chronic illness or ongoing medical needs, who receive care from Holston Medical Group's primary care physicians who practice family medicine, internal medicine and pediatrics.
To learn more, please click here.
J. Job Opening at American Academy of Family Physicians (AAFP)
The American Academy of Family Physicians is recruiting for a new position to take organizational lead for its patient-centered medical home activities. A qualified candidate will have excellent project management, communication and leadership skills and a passion for helping family physicians transform their practices in anticipation of a more value-driven future. Those interested in this exciting opportunity can learn more about the position and apply on line at: http://www.aafp.org/online/en/home/careers/staff/job22-10.html.
- Outline how health care reform rewards the PCMH model of care
- Evaluate pros and cons of the PCMH
- Debate payment reform and impacts on the PCMH
- Understand how to align incentives for collaboration and success
- Learn the importance of assessment and identifying gaps to see ways to eliminate waste using LEAN
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:
- Commission for Case Manager Certification (CCMC)
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 (Boeing and Whirlpool Presentations)
III. Update on September 1st Executive Strategic Planning Working Group Meeting
V. AHIP Link: Model For Primary Care May Cut Diagnostic Errors
A study from the Baylor College of Medicine finds that clinics that adopt the still-evolving patient-centered medical home model for primary care are less likely to perform diagnostic errors. [ RedOrbit | Aug 18, Medical Home, Clinical Affairs, Health & Wellness ]
VI. From AMA News Thursday August 12th - Use of "medical homes" saved Illinois $140 million in FY 2009.
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 July 8th, the Center co-sponsored a webinar with the CMD featuring:
- Joslyn Levy and Dana Stephenson of the NYC Dept. of Health presented on the innovative Primary Care Information Project. The webinar is now posted on the Collaborative's website. There were over 150 participants on the presentation.
On the Center's recent call, on September 24th, the following occured.
Bringing a Consumer Voice to the Work of the PCPCC
Speakers
Center for Employer Engagement [12:10-12:20]
- http://www.pcpcc.net/sites/all/themes/pcpcctheme/images/raquo.png); background-attachment: initial; background-origin: initial; background-clip: initial; background-color: initial; list-style-image: none; list-style-type: none; background-position: 0% 0.833em; background-repeat: no-repeat no-repeat; "> Robert Dribbon- Merck and Co., Inc.
Center for eHealth Information Adoption and Exchange [12:20-12:30]
- http://www.pcpcc.net/sites/all/themes/pcpcctheme/images/raquo.png); background-attachment: initial; background-origin: initial; background-clip: initial; background-color: initial; list-style-image: none; list-style-type: none; background-position: 0% 0.833em; background-repeat: no-repeat no-repeat; "> Jim Crawford- North Shore-Long Island Jewish Health
Center to Promote Public Payer Implementation [12:30-12:40]
- http://www.pcpcc.net/sites/all/themes/pcpcctheme/images/raquo.png); background-attachment: initial; background-origin: initial; background-clip: initial; background-color: initial; list-style-image: none; list-style-type: none; background-position: 0% 0.833em; background-repeat: no-repeat no-repeat; "> Lesley Reeder- Colorado Department of Health Care Policy and Financing
Center for Multi-Stakeholder Demonstration [12:40-12:50]
- http://www.pcpcc.net/sites/all/themes/pcpcctheme/images/raquo.png); background-attachment: initial; background-origin: initial; background-clip: initial; background-color: initial; list-style-image: none; list-style-type: none; background-position: 0% 0.833em; background-repeat: no-repeat no-repeat; "> Shari Erickson- American College of Physicians
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 - 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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