Learning Session 4 April 9, 2013 Hershey Lodge Hershey, PA
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Transcript of Learning Session 4 April 9, 2013 Hershey Lodge Hershey, PA
Learning Session 4April 9, 2013
Hershey LodgeHershey, PA
Welcome!Robert A. Gabbay, MD, PhDProfessor of Medicine, Penn State College of Medicine
Tonight is a Celebration!
CONGRATULATIONS for all your hard work!
Thank You For Joining Us! …We’re Pleased to See You!
• Robert Gabbay, MD, PhD – Principal Investigator• Alan Adelman, MD, MS – Co-Principal Investigator• Sharon Adams – SC AHEC Practice Facilitator• Laura Manley — Research Coordinator• Erin McGinley — Research Assistant• Pat Bricker — Research Coordinator• Jessica Wright – Research Coordinator• James Herman, MD, MSPH – Chair, Family &
Community Medicine• Linda Kanzleiter, MPsSc, Ded — PA AHEC Director
A Special “Hello” To Our Guests!• Michael Wolf, MBA – Secretary of Health• Marcela Myers, MD – Director of Center for Practice
Transformation and Innovation• David Kelley, MD – Chief Medical Officer of the Department of
Public Welfare• Holly Alexander – Director of the Office of Clinical Quality
Improvement• Craig Hillemeir, MD – Vice Dean for Clinical Affairs, Chair
Department of Pediatrics, Medical Director Penn State Hershey Children’s Hospital
• Yesenia Rosado Bane –Senator Teplitz’s Office• Frank Mazza –Senator Toomey’s Office• Page Babbit, MHSA, BSHIM – Director of Provider
Engagement, Performance and Partnerships at Highmark
Michael Wolf, MBAActing Secretary of Health
Introductions• Your name• Your practice/Your title• Your role in the practice and your role on the
improvement team/Your role within your company and how it relates to primary care improvement
Impactful Initiative
• Who have YOU reached?• 17 Practices• 85 Physicians• 18 Physician Assistants• 23 Advanced Practice Nurses• 30 Registered Nurses
•Over 160,000 Patients
Background• Pennsylvania is 1 of 4 states funded by the
Agency for Healthcare Research and Quality (AHRQ) to develop a Primary Care Extension Service (PCES) to support primary care transformation according to the Patient Centered Medical Home (PCMH) model• Other funded states: North Carolina, New
Mexico, Oklahoma• PA supports 3 dissemination states – New
Jersey, New York, and Vermont• A total network of 17 states are involved
Model for Primary Care Extension Service• Based on the Agricultural Cooperative Extension
Model, the most successful innovation spread program in the US• Helped farmers adopt best practices• Small farms parallel Small primary care
practices• Part of Affordable Care Act
Parallels Between Extension Services• Lots of small practices [farms]• Better evidence-based approaches
available• Limited adoption• Need local support
Primary Care Extension Service Vision• Create practice learning communities• Organized around state/regional hubs• Include university-based center of excellence and
state health department• Provide technical assistance to practices• Facilitate training for health professionals• Coordinate data collection and quality
improvement• Assist practices in engaging in community
resourcesSource: Grumbach K, Mold JW. JAMA. June 24, 2009. 301; 24, p. 2589-91.
Goals – Improve Quality, Reduce Cost!• Patients want more from the health system and
from their physician• Purchaser (individuals, employers, government)
are looking for quality and value• Bottom line: Improve quality of care and reduce
cost
Goals of PA SPREAD
• Develop infrastructure for supporting and spreading primary care transformation through PA AHEC• Primary Care Extension Service
• Apply lessons learned from state initiative to 2 new regional learning collaboratives (SC and NW)
• Disseminate model, lessons learned in 3 other states (NJ, NY, VT)
Regional Learning Collaboratives
• Southcentral and Northwest PA• Practice Facilitators (1 per region, PA AHEC Executive
Directors)• Quarterly Evening Learning Sessions• Monthly Data Reporting• Monthly Webinars• Daily correspondence with practice facilitators and
members of the PA SPREAD research team
BUILDING FROM SUCCESS
Building From Success
PA Chronic Care Initiative• Public-private partnership• Multi-stakeholder statewide effort• Staggered regional rollouts involving 150+ diverse,
but mostly small practices• Almost 1,000 providers involved caring for 1
million patients• Diabetes initial focus then spread to other
conditions
PA SPREAD Activities
• Website Dissemination (www.paspread.com)• Partners Meetings• National Advisory Group• Practice Facilitator Forum• Curriculum Development• Four State Meeting (PA, VT, NY, NJ)• Large 17 state meeting – National PCES• State Innovation Model
PA SPREAD Partners• Aetna• Aligning Forces for Quality South
Central PA• American College of Physicians• AmeriHealth• Capital Blue Cross Blue Shield• Gateway• Geisinger Health Plan• Highmark Blue Cross Blue Shield• Independence Blue Cross• Lehigh Valley Health Network• PA Academy of Family Physicians• PA American Academy of Pediatrics• PA Area Health Education Centers • PA Association of Community Health
Centers
• PA Department of Health• PA Department of Public Welfare• PA Pharmacists Association• PA Regional Extension and Assistance
Center for HIT• PA Medical Society• Pennsylvania State University• Pittsburgh Regional Health Initiative• Quality Insights of PA• The Wright Center• United Health• UPMC• Wellspan Medical Group
Tonight’s Agenda
• Practice Sharing: Best Practices• Data Discussion• Spread & Sustainability• CME & MOC Credit Explanation• Practice Sharing: How this initiative’s quality
improvement efforts have impacted a patient• Closing
Tonight is a Celebration!
CONGRATULATIONS on all your hard work!