Community-based organizations provide a wide-range of services and supports to seniors and people living with chronic illness. Experts join this panel to describe collaborations between self-management support programs and primary care practices.
Moderator: Albert Terrillion, National Council on Aging; Self-Management Alliance
Team-based care is a fundamental component of the patient-centered medical home (PCMH) and can take many forms. Primary care teams can be office-based or geographically disparate and include a number of different types of professionals working in partnership with patients and families. Panelists will describe different models of team composition and function in the PCMH and advanced primary care.
Moderator: C. Edwin Webb, American College of Clinical Pharmacy
This session will focus on how primary care teams are embracing Community Health Workers (CHW) to provide peer support to patients for daily management of health conditions, social and emotional needs, linkages to clinical care, and ongoing availability. Panelists from both public and private health care settings will engage in a dialogue on the value of peer
support, training needs, models for setting guidelines/standards, building CHWs into the care team, strategies for reimbursement, and long-term sustainability.
Moderator: Manuela McDonough, National Council of La Raza
Many tools and resources have been developed to assist primary care practitioners in leading their own quality improvement efforts. Hear from a panel of providers and experts who will each describe how they acquired the necessary skills to lead their staff in transforming their practice into a patient-centered medical home.
Moderator: Jeff Halbstein-Harris, Patient/Advocate
Medications are involved in 80% of all treatments and require a significant amount of time and investment by the care team. Join this session to learn how primary care practices are integrating comprehensive medication management as part of care redesign in the patient-centered medical home in order to address the needs of patients and families.
Moderator: Lucinda Maine, American Association of Colleges of Pharmacy
As a significant amount of health delivery reform happens at the state and local level, there is an increasing need to unify multi-payer efforts around primary care investment. This session will feature leaders from Ohio who will describe their success in bringing together patients, providers, employers, insurers, health systems, and community-based organizations, to achieve better health for Ohioans through improved access to patient-centered medical homes.
Moderator: Ted Wymyslo, Ohio Association of Community Health Centers
Practice coaches can provide a wide range of expertise in areas such as team-building, electronic medical record use, patient scheduling, and quality improvement strategies. This session will include a panel of primary care practitioners who will describe their experiences working with practice coaches to accelerate their transformation to a patient-centered medical home.
Moderator: Julie Schilz, WellPoint
Presentation slides coming soon
Patients are more than the sum of their parts, and it is important that primary care clinicians address and coordinate needs for both medical and non-medical services. A panel of experts will describe ways to incorporate non-traditional care into the patient centered medical home and strategies for the primary care provider to collaborate with specialists and other community-based partners.
Moderator: Mary Minniti, Institute for Patient and Family Centered Care
Come learn about innovative training models being used to prepare health professionals for team-based primary care settings. Panelists have been selected from exemplary programs featured in PCPCC’s forthcoming publication on interprofessional education and training programs.
Moderator: William Warning, Crozer-Keystone Family Medicine Residency Program
Population health management is a key feature of the patient-centered medical home. It is aided by the adoption of technology that enables practices to rapidly identify the health care needs of their patients and quickly deploy appropriate resources to address those needs. This session will describe several ways that technology is expanding the ways practices partner with their patients and families, as well as better manage the needs of their entire patient population.
Moderator: Karen Handmaker, Phytel