February Month in Review: Unlocking the PCMH Evidence

Unlocking the Evidence 
Thursday, February 25th

Dear Members and Friends,

Thanks to the co-chairs of the bipartisan Congressional Primary Care Caucus – Rep. Joe Courtney (D-CT) and Rep. David Rouzer (R-NC), pictured at left – for helping us launch our latest PCMH evidence report, "The Patient-Centered Medical Home's Impact on Cost and Quality: Annual Review of Evidence, 2014-2015." Details on the report and the 30 PCMH studies within it can be found here.

Here are the key findings to help guide our collective future efforts:

  • PCMH controls costs by providing the right care: Positive, consistent trends show that advanced primary care improves quality and helps decrease costs. By providing the right primary care “upstream,” we can make a positive impact on how care is used “downstream” such as decreased emergency department (ED) visits and avoidable hospitalizations. Up next: consistent assessment of total cost of care that simultaneously measures better care, better health, and clinician satisfaction.
  • Payment and performance BOTH must be aligned: Payment reform is necessary but not sufficient for clinician buy-in. Alignment of performance measures across payers is critical too. The most impressive cost and utilization outcomes came from multi-payer collaboratives that aligned payment and incentivized performance measures linked to quality, utilization, patient engagement and/or cost savings. No single payment model best supported the PCMH, but moving away from fee-for-service is a must. Up next: implementation of Medicare payment reform through MACRA. 
  • Assessing and promoting the value of PCMH is needed: Significant variation in PCMH initiatives/programs makes for challenging evaluations and expectations. Up next: measurement and recognition of PCMHs must be better aligned with value as defined by patients, providers, and payers.

Thanks too to impressive state leaders from Colorado who are demonstrating how multi-payer collaboratives drive change. Bert Miuccio, CEO of HealthTeamWorks, and to Vatsala Parthy, Director of Colorado’s State Innovation Model (SIM) and Practice Transformation Network (PTN), shared their valuable insight during our February monthly executive member briefing – providing the “inside scoop” from one of the nation’s leading states in multi-payer PCMH innovations. If your organization is not currently an executive member, we’d love to have you on board. For more information, please reach out to Amanda Holt on our team ([email protected]).

Lots of news to share below – and thanking each of you for your continued support to primary care, our primary cause!


Marci Nielsen, PhD, MPH
President & Chief Executive Officer

This Month's Top 5 Must Reads
CMS and AHIP's quest to tame the wilds of healthcare quality measures
Modern Healthcare| 2/16/2016


Health care 'homes' save Minnesota $1 billion
Minnesota Star Tribune | 2/09/2016

Patient-Centered Medical Home Keeps Spending Low, Quality High
HealthIT Analytics | 2/03/2016

Bon Secours Richmond Latest to Offer Virtual Doctor's Visits
Richmond Times-Dispatch | 2/13/2016

 
The Diversity of Providers on the Family Medicine Team
The Journal for the American Board of Family Medicine | February 2016

View additional PCMH-related news articles and studies from January on our website at pcpcc.org/news.
PCPCC Learning Events


What can employers do to support primary care transformation? The PCPCC and the National Business Group on Health will unveil a new issue brief, "The Primary Care Imperative: New Evidence Shows Importance of Investment in Patient-Centered Medical Homes," which lays out convincing evidence that investing in the PCMH is a valid strategy for improving employee health, reducing costs, and addresses common employer concerns.

Be among the first to hear about this new paper and join us Thursday, March 31st at 1:00 pm ET for our March National Briefing Webinar!
AAAHC Opens Public Comment Period for Behavioral Health Standards


The Accreditation Association for Ambulatory Health Care
(AAAHC) is seeking public comment on proposed revisions to the standards for organizations offering behavioral health services. All interested parties, including AAAHC-accredited organizations, surveyors, representatives of member organizations, medical specialty groups, regulatory agencies, and the public at large are encouraged to review and provide comments on these proposed revisions.

The comment period will close at 5 PM CSTMarch 23, 2016.

Click here to view and comment electronically on the standards. 

    Welcome New Executive Members!

    Community Catalyst’s mission is to organize and sustain a powerful consumer voice to ensure that all individuals and communities can influence the local, state and national decisions that affect their health. It partners with organizations in 40 states by offering policy, legal, communications and advocacy expertise to quip advocates with the right strategies, information and tools to succeed. Community Catalyst has a major new initiative on payment and delivery system reform called the Center for Consumer Engagement and Health Innovation.  
     


    The Harvard Medical School Center for Primary Care envisions caring, effective systems built on a foundation of strong primary care. As they work to achieve this vision, they focus on three areas: transforming education, transforming care systems, and creating new approaches to primary care and health.



    The mission of National Association of Chain Drug Stores (NACDS) is to advance the interests and objectives of the chain community pharmacy industry, by fostering its growth and promoting its role as a provider of healthcare services and consumer products. 


    The Virginia Commonwealth University (VCU) Department of Family Medicine has helped train thousands of medical students and approximately 1,400 family medicine residents. Today, almost 1,300 of these individuals are practicing in rural, suburban, and urban Virginia communities and provide care for an estimated 2 million Virginians. 
    Practice Transformation Corner


    Sharing Best Practices 
    We are excited to announce the second webinar in our new patient, family, and community engagement series, hosted by the PCPCC's Support and Alignment Network (SAN). Our SAN is part of the larger Transforming Clinical Practices Initiative (TCPI), the new federal initiative launched in 2015 to help practices transform. 

    Topic: Assessing the Practice in Partnership with Patients & Families - Opportunities to Improve Patient and Family-Centered Care

    Training Faculty: 
    • Mary Minniti, Sr. Policy & Program Specialist, Institute for Patient and Family-Centered Care
    • Patty Black, Program Coordinator, Patient Advisory Council, PeaceHealth Medical Group, IPFCC Faculty Member
    • Juliette Schlucter, Family Caregiver & Director of the Center for Child and Family Experience, New York University Langone Medical Center
    When: March 24, 1 - 2 pm ET with optional "office hours" for 1-on-1 Q&A with faculty from 2 - 2:30 pm ET 
      This event is free of charge but advanced registration is required.
     
    Want to Get Involved? 
     
     

    The PCPCC Support & Alignment Network is working to enroll patient and family partners in the online Patient and Family Advisors & Leaders (PFAC) Network.

    Join this free online community to access expert advice and share best practices, training events, and tools with other patient/family advisors and health care practices across the country.

     
    Primary Care Measures that Matter:
    New Survey for Patients
    What do patients think about primary care? What does good care mean to them?

    The Virginia Commonwealth University (VCU) Department of Family Medicine and Population Health is conducting a study to better understand primary care metrics that matter to employers, patients, and primary care providers, and they want to make sure patient voices are heard in this important research.

    For those of you who have direct access to patients, or would like to offer your own patient voice, we invite you to participate and/or help distribute a brief 3-question survey to patients. 

     
    Any questions regarding this survey may be directed to Dr. Rebecca Etz in the Department of Family Medicine and Population Health at Virginia Commonwealth University: [email protected].


    This research study has been approved by the VCU IRB (HM20004302).
    PCPCC on the Road
    PCPCC President & CEO Marci Nielsen, PhD, MPH, will make the rounds next month as she fulfills several speaking engagements. On March 10, she will speak at The Johns Hopkins Department of Pharmacy Grand Rounds with a presentation titled "Primary Care & Pharmacy: The Future of Better, More Cost-Effective Care for Patients & Families." The next day, on March 11, she will speak at the University of Kansas about innovations in rural health. During the latter part of the month, she will speak March 21 at the American Association of Nurse Practitioners 2016 Health Policy Conference about "Working Together to Define the Medical Home and Medical Neighborhood and their Role in the Health Care System." Then, she will close out March by moderating a patient-centered medical home (PCMH) panel at the National Association of ACOs Spring Conference on March 29th. Follow Marci on Twitter @Marci_PCPCC to stay in touch!

    Upcoming Events

    Feb. 25 - March 31

    Save The Date: PCPCC 2016 Annual Fall Conference 

    PCPCC 2016 Annual Fall Conference
    Nov. 9 - 11  l  Washington, DC, Grand Hyatt Washington



    For additional events, click here.
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