The Patient-Centered Primary Care Collaborative: New Vision, … · The Patient-Centered Primary...

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1 Marci Nielsen, PhD, MPH Amy Gibson, MS, RN Executive Director Chief Operating Officer Patient-Centered Primary Care Collaborative September11, 2012 The Patient-Centered Primary Care Collaborative: New Vision, New Strategic Plan, New Organizational Structure
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Transcript of The Patient-Centered Primary Care Collaborative: New Vision, … · The Patient-Centered Primary...

  • 1

    Marci Nielsen, PhD, MPH Amy Gibson, MS, RN Executive Director Chief Operating Officer

    Patient-Centered Primary Care Collaborative

    September11, 2012

    The Patient-Centered Primary Care Collaborative:

    New Vision, New Strategic Plan, New Organizational Structure

  • The Patient-Centered Primary Care Collaborative

    Mission is to advance effective and efficient health system built on a strong foundation of primary care and patient-centered medical home (PCMH).

    1,000 members representing diverse stakeholders and growing

    2

    Paul Grundy, MD

  • Medical Home Term in Standards

    of Child Health Care by Council on

    . Ped. Practice

    Alma Alta

    Declaration

    Surgeon General Koop’s Conf. Report:

    MH for CSHCN

    PCPCC Founded

    Medical Home and Hawaii

    Child Health Plan

    (Calvin Sia, MD)

    Future of

    Family Medicine

    ACP & Advanced

    Medical Home

    1989 1967

    1967-2006 Milestones in PCMH Development

    1978 1979 2004 2002 2006

    AAFP & TransforMED

    3

  • Joint Principles of PCMH

    NCQA PCMH Recognition

    2008

    2006-Present Milestones in PCMH Development

    2007 2010. 2012

    Commonwealth Fund PCMH Programs

    State & Local PCMH

    Pilots

    Affordable Care Act

    Wellpoint PCMH National

    Launch

    National Business Group on Health Award

    4

  • Future Role of The Collaborative

    5

    Continue to Lead from the front Challenge the status quo Disseminate timely information Provide networking & educational

    opportunities Develop and promote innovations in

    patient-centered primary care

  • Delivery Reform

    Payment Reform

    Public Engagement

    Benefit Redesign

    Transformation requires…

  • Moving the PCPCC Forward

    1. Clarify roles and streamline activities through new Center structure

    2. Engage Executive Committee in visioning process

    3. Develop sustainable business plan

    4. Develop pro-active coordinated communications strategy

    7

  • Proposed Timeline/s

    8

    April June 2012

    Sept 2012

    Oct 2012

    Nov-Dec 2012

    Jan 2013

    Feb 2013

    Implement re-organization X X

    RFP bidding process X

    Board and Executive Committee visioning process

    X

    Business plan development (includes communications)

    X

    Business plan vetted with stakeholders

    X

    Board finalizes business plan X

    Begin implementation X

  • 9 9

    PCPCC Org Chart

    Board of Directors

    Patient, Family & Consumer

    Center

    Care Delivery and

    Integration Center

    Employer & Purchaser

    Engagement Center

    Advocacy & Public Policy

    Center

    Outcomes & Evaluation

    Center

    Special Interest Groups

    Event Planning (Annual Mtgs) Taskforces Publications

    Finance Committee

    Operations Committee

    Executive Committee

  • Employer and Purchaser Engagement Center

    10

    Increase implementation of the patient-centered medical home, built on a strong primary care foundation among employers, purchasers and payers • Assist employers, health plans, and labor unions

    and their employees/members in accessing PCMH

    • Assist human resource leaders, consultants, and brokers in various organizations about the value of primary care & the PCMH

    • Engage large and small employers, including corporate leaders, on the benefits of primary care & the PCMH

  • HIT Infrastructure: EHRs and Connectivity

    Primary Care Capacity: Patient Centered Medical Home

    Operational Care Coordination: Embedded RN Coordinator and Health Plan Care Coordination $

    Value/ Outcome Measurement: Reporting of Quality, Utilization and Patient Satisfaction Measures

    Value-Based Purchasing: Reimbursement Tied to Performance on Value Supportive Base for ACOs, PCMH Networks, and Bundled Payments

    Trajectory to Value-Based Purchasing It is a journey, not a fixed model of care

    34

  • Care Delivery and Integration Center

    12

    Across the health care delivery system, increase implementation of the PCMH and support the development of Accountable Care initiatives with PCMH at their core • Support integration of the PCMH into ACO’s and

    other models consistent with the medical neighborhood

    • Develop resources/strategies to educate the care team on PCMH implementation and ways to engage patients and their families in practice transformation

    • Improve utility of HIT functionality for the care delivery system, administrative staff and patients, families & consumers

  • Health IT Infrastructure

    PCMH and Accountable Care: Two Sides of the Same Coin

    Accountable Care

    PCMH

    PCMH

    PCMH

    PCMH

    PCMH Hospitals

    Public Health

    Shared Services Care Coordination

    Care Managers Specialists

  • Patients, Families & Consumers Center

    14

    Among patients, families and consumers, increase engagement and support for primary care and the patient-centered medical home • Define patient engagement and include the

    perspective of patient • Develop resources/strategies for patients regarding

    the role of primary care and the PCMH in health system transformation

    • Develop strategies that include patients in PCMH evaluation and quality improvement

    • Develop resources/strategies to address health disparities, health literacy, and cultural competency as part of the PCMH.

  • Patient = Consumer = Voter

    15

    IOM (2002); modified from Dahlgren and Whitehead (1991)

  • Advocacy and Public Policy Center

    16

    Increase adoption of policies that advance primary care and support implementation and sustainability of the PCMH. • Develop advocacy and public policy agenda • Advocate for and assist in the development of

    strategies to drive health system reform • Promote primary care and the PCMH as the

    foundation for the medical neighborhood, Accountable Care Organizations (ACOs), and health system integration

    • Promote the PCMH as part of federal and state health insurance exchanges, Medicaid, Medicare, and other federal, state, regional and local government health programs

  • State and Federal Public Policy

    17

  • Outcomes and Evaluation Center

    18

    Demonstrate the value of primary care and the patient centered medical home, using appropriate data analysis and evaluation methods • Develop resources/strategies to obtain, aggregate,

    track, trend and analyze information from a variety of sources on medical home cost, quality, and population health outcomes

    • Disseminate outcome data specific/relevant to the Centers, general members, and the public through a variety of resources/strategies

    • Advance the refinement of outcome measures to promote PCMH continuous improvement

  • New PCPCC Publication Provides nationwide

    results from 34 recent peer reviewed and industry reports health care costs acute care services quality of care

    Provides additional information on 23 case studies outlining specific features of a PCMH 19

  • Task Forces

    20

    Task Forces will address specific activities or tasks on a time limited basis • Proposed Task Forces include:

    • Education and Training • Wellness and Prevention • Meaningful Use • Data and Resource Mapping

  • Special Interest Groups

    21

    SIG’s will provide informal networking and educational opportunities on major functional areas/sectors Proposed SIG’s include:

    • Behavioral health • Medication Management • eHealth

  • Continue to Deliver Resources and Networking Opportunities

    Publications Website Webinars In-person Conferences and Meetings

    22

  • 23

    Event Planning Committee

    Full-Day Workshop October 25, 2012 Networking Reception Wednesday, October 24th

    Millennium Knickerbocker Hotel - Chicago, IL Early Bird Registration Ends September 15th!

    The Journey to a PCMH: Choose your path

  • New Center Kick-Off Dates

    24

    • Sept 12th (Wed), 10-11 a.m. ET: Patients, Families & Consumer Center

    • Sept 13th (Thur), 10-11 a.m. ET: Advocacy and Public Policy Center Sept 18th (Tues), 1-2 p.m. ET:

    • Care Delivery and Integration Center [Dial-in number:

    • Sept 19th (Wed), 3-4 pm ET: Outcomes and Evaluation Center

    • Sept 26th (Wed), 4-5 p.m. ET: Employer/ Purchaser Engagement Center

  • 25

    Contact Information

    www.pcpcc.net Marci Nielsen, PhD, MPH Amy Gibson, MS, RN Executive Director Chief Operating Officer [email protected] [email protected] Patient Centered Primary Care Collaborative The Homer Building 601 Thirteenth St., NW, Suite 430 North Washington, DC 20005 (202) 417-2081

    ��������������������The Patient-Centered�Primary Care Collaborative:�New Vision, New Strategic Plan, New Organizational Structure��The Patient-Centered Primary Care CollaborativeSlide Number 3Slide Number 4Future Role of The CollaborativeTransformation requires…Moving the PCPCC Forward Proposed Timeline/sSlide Number 9Employer and Purchaser Engagement CenterSlide Number 11Care Delivery and �Integration CenterSlide Number 13Patients, Families & �Consumers CenterPatient = Consumer = VoterAdvocacy and Public Policy CenterState and Federal Public PolicyOutcomes and �Evaluation CenterNew PCPCC Publication�Task Forces�Special Interest GroupsContinue to Deliver Resources and Networking OpportunitiesSlide Number 23�New Center Kick-Off DatesSlide Number 25