March Month in Review: Spring Has Sprung! Primary Care Fresh in Bloom; Don't Miss Employer Investment in Primary Care webinar @ 1 ET TODAY!

Spring Has Sprung! Primary Care Fresh in Bloom 
Thursday, March 31st

Dear Members and Friends, 

As the beautiful, historic cherry blossoms in Washington DC indicate, spring has sprung in our nation’s Capitol, as well as in many places across the country. For many of us, spring signifies rebirth, renewal, and growth. A fresh beginning. Energy.

As we welcome spring, I can’t help but notice the great energy across our Collaborative as we continue to work in partnership with our executive members and other stakeholders. 

I am pleased to share with you a new employer issue brief that we published this month in partnership with the National Business Group on Health. “The Primary Care Imperative: New Evidence Shows Importance of Investment in Patient-Centered Medical Homes” outlines the capabilities of the patient centered medical home (PCMH) model, addresses common employer concerns, and provides seven specific recommendations for employers and benefit managers regarding how they can support comprehensive primary care and the PCMH. Special thanks to the executive members who serve in our Employers and Purchasers Stakeholder Center for leading the charge on this valuable new publication.
I also had the honor and pleasure last week of attending a special announcement by HHS Secretary Burwell in Washington DC featuring the incredible work that the YMCA of the USA (a PCPCC executive member organization) is doing to help prevent type 2 diabetes, improve overall health, and reduce health care costs among Medicare beneficiaries. The room was packed with primary care and public health stakeholders, all applauding this historic effort.

The Y’s Diabetes Prevention Program marks the first time a preventive service pilot, funded by the Center for Medicare and Medicaid Innovation, has been proven to reduce costs and prevent type 2 diabetes for those at high risk. When compared with similar beneficiaries not in the program, Medicare estimated savings of $2,650 for each enrollee over a 15-month period, more than enough to cover the cost of the program. 

This serves as another great example of what we can accomplish in partnership with each other. As a national Collaborative, our whole is most definitely greater than the sum of our parts. We look forward to continued synergy this spring and beyond. 

Happy Spring!

Marci Nielsen, PhD, MPH
President & Chief Executive Officer

National Briefing Webinar TODAY: New Issue Brief Makes Case for Employer Investment in Comprehensive Primary Care
What can employers do to support comprehensive primary care? 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 addresses common employer concerns and lays out convincing evidence that investing in PCMHs is a valid strategy for improving employee health and reducing costs. The brief also includes seven specific recommendations for employers to support comprehensive primary care transformation.

Be among the first to hear about this new paper and join us TODAY, March 31st at 1:00 pm ET for our March National Briefing Webinar!

This Month's Top 5 Must Reads
Transforming Care: Reporting on Health System Improvement
The Commonwealth Fund | 03/24/16

Diabetes Prevention Program Will Save Medicare Money, HHS Says
NPR | 03/23/16

Mental health reform bill heads to Senate, still without funding
Modern Healthcare | 03/16/16

Measures That Matter — But To Whom?
Health Affairs Blog | 03/10/16

Patients Must be Part of Defining Quality and Increasing Value
Health Affairs Blog | 03/01/16
View additional recent PCMH-related news articles and studies on our website at
New Behavioral Health Integration Framework

The Eugene S. Farley, Jr. Health Policy Center, with support from the Robert Wood Johnson Foundation, recently published a new report, "Creating a Culture of Whole Health: Recommendations for Integrating Behavioral Health and Primary Care," which provides specific recommendations to address six interrelated areas:
  • organizing the movement;
  • workforce, education, and training;
  • financing;
  • technology;
  • care delivery;
  • and population and community health.
The full report identifies in detail what needs to be done to help advance the integration of behavioral health and primary care, and a complementary brief prioritizes these recommendations for a variety of stakeholders that include policymakers, payers, providers, and educators. Both reports can be found here
Please feel free to use these reports to advance and scale behavioral health and primary care integration efforts.

PCPCC to Cohost 2016 National Medical Home Summit

Discount for PCPCC Members!
PCPCC President and CEO Marci Nielsen is pleased to chair the 2016 National Medical Home Summit June 6-7 in Washington, DC. This year's agenda is one of the best yet, including esteemed faculty from across the country.

The Summit will begin with a morning-long preconference featuring leading researchers who will describe their recent work and what we are learning about medical homes in solo or collaborative models. The plenary sessions feature presentations by the leading figures in the medical home movement, the three most critical organizations concerned with patient and family engagement, and successful health care system and ACO models. Two concurrent sessions on Day 2 highlight innovative local models and new roles and players in medication management, respectively.

PCPCC members have access to a special discounted registration rate ($900 in savings!). Scholarships are also available.  

    Harvard Center for Primary Care Offers Unique Opportunity for Primary Care Leaders
    The Harvard Medical School Center for Primary Care (a PCPCC executive member organization) invites you to a first-of-its-kind program intended to introduce primary care and health system leaders to cutting-edge approaches to primary care from leading practices around the world. Using original cases, done in the style of Harvard Business School, participants will engage in discussions led by world-class faculty from Harvard Medical School, MIT's Sloan School of Management and Copenhagen Business School. Through these cases, participants will step into the shoes of leaders in primary care, analyzing and evaluating their decisions, challenges, and outcomes.
    Attendees will engage and network with leaders from the high performing organizations profiled in the cases including:
    • Alaska's Southcentral Foundation (Katherine Gottlieb)
      Camden Coalition of Healthcare Providers (Jeff Brenner) 
    • Martin's Point Health Care-Bangor
    • Gezondheidscentrum de Roerdomp from the Netherlands.
    Importantly, the learning won't end at the conclusion of the conference. When participants return to their organizations and tackle the challenges facing their teams, they will continue to receive support. Completion of the program will grant them access to an alumni network of respected leaders and ongoing learning through webinars and other offering.

    Learn more here 

      Camden Coalition of Health Care Providers Announces New National Center to Improve Care for Patients With Complex Needs
      On March 8, the Camden Coalition of Healthcare Providers in Camden, New Jersey, announced a new national center to improve care for high-need patients who experience poor outcomes despite extreme patterns of hospitalizations or emergency care.

      The Center is funded by an $8.7 million grant from AARP, The Atlantic Philanthropies, and the Robert Wood Johnson Foundation. It aims to connect and convene communities, providers, and organizations working to develop new ways to deliver better care at lower cost to some of our most vulnerable citizens.

      For more than a decade, the Coalition and its partners have been working to identify the neediest patients, striving to improve their care through coordinated, data-driven, and patient-centered approaches—including addressing needs that have traditionally been considered “non-medical,” such as addiction, housing, transportation, hunger, mental health, and emotional and educational support.  Read the complete press release here.

      Practice Transformation Corner

      The PCPCC Support & Alignment Network (SAN) is part of the larger Transforming Clinical Practices Initiative (TCPI), a new federal initiative launched in 2015 to guide and support practices as they transform the way they deliver care. This month, our SAN has several new tools and resources to share!
      Access the TCPI Change Package

      The TCPI Change Package describes the changes needed to transform clinical practice and meet TCPI goals, including Patient and Family-Centered Care Design and patient and family engagement. Click here to learn more! 
      Find a Practice Transformation Network (PTN) in your area!

      PCPCC's SAN is working with TCPI's Practice Transformation Networks (PTNs) to engage patient and family partners in quality improvement.  This online map, hosted by the official TCPI healthcare communities portal, identifies where PTNs are operating nationwide. Sign up for the healthcare communities portal to learn more about enrolling your practice! 
      New Tools and Resources
      This month we hosted our second webinar in our new patient, family, and community engagement series focused on Assessing the Practice with Patients and Families- Opportunities to Improve Patient and Family-Centered Care. Access the Training Curriculum for the archived webinar, and view the Resource Library for relevant handouts and resources! 
      Welcome New Executive Members!
      Planetree, Inc. is a non-profit advocacy, education and membership organization that has been working to advance patient-centered care delivery across the healthcare continuum since its founding by a patient in 1978. Planetree partners with healthcare organizations across the care continuum to integrate the perspectives of patients and family members, providers and staff into the development of reliable and impactful patient-centered practices. Its methodology for supporting sustainable patient-centered culture change is documented in the award-winning Putting Patients First book series (Jossey Bass, 2003, 2008, 2013). 

      M3 Information provides primary/specialty & behavioral health care organizations with a secured mobile and web-based behavioral health assessment tool. M3 Clinician is:
      • A unique algorithm that is 1 Screen, 27 Questions that highlight 4 disorders that include: depression, anxiety, bipolar disorder & PTSD. Alcohol & substance misuse assessments are also available.
      • An overall score as well as sub-scores putting mental health on a clinical map much like other diseases.
      • The only validated, multi-dimensional, evidence-based, on-demand behavioral health assessment available in a cloud-based platform.
      The Maine Health Management Coalition (MHMC) is a non-profit organization whose over 70 members include public and private purchasers, hospitals, health plans, and doctors working together to measure and report health care value. MHMC helps employers and their employees use this information to make informed decisions.
      Technical Assistance to Help Make Care Coordination 'Work' in Your Program or Community

      Need help identifying, adapting and implementing tools to support care coordination capacity building and measurement? The National Center for Care Coordination Technical Assistance (NCCCTA) provides technical assistance (TA) on the Pediatric Care Coordination Curriculum, Care Coordination Measurement Tool, and the Pediatric Integrated Care Survey. The NCCCTA can also answer individual questions about making care coordination work in your program, community, or state. Visit the Center for more information and links to the above tools. Contact them for TA or questions. Join the NCCCTA Community of Learners listserv.

      PCPCC on the Road
      PCPCC President & CEO Marci Nielsen, PhD, MPH, will make the rounds next month as she fulfills several speaking engagements. On April 8-9, she will speak at APA Interprofessional Integrated Primary Care Alliance in Washington, DC. On April 11, she will speak at the Carefirst Safety Net/FQHC Summit, "Transforming Clinical Practice to Care for the Underserved." April 23-26, she will participate in the Starfield Primary Care Research Summit. Then, she will close out April by joining the American Board of Family Medicine board meeting on April 30th. Follow Marci on Twitter @Marci_PCPCC to stay in touch!

      Upcoming Events

      March 31 - April 30
      Webinar: PCPCC National Briefing - What Can Employers Do to Support Comprehensive Primary Care?
      March 31 | PCPCC webinar

      Moving Forward with Patient- and Family-Centered Care, Partnerships for Quality & Safety: An Intensive Training Seminar | Hosted By: Institute for Patient-and Family-Centered Care
      April 4 | Chicago, IL

      Patients' and Consumers' Use of Evidence
      April 7 | Health Affairs Issue Briefing, Washington, DC

      Transforming Clinical Practice to Care for the Underserved
      April 11 | PCPCC & Carefirst BCBS Safety Net Symposium, Washington, DC

      Planetree Regional Patient Centered Performance Improvement Competency Training
      April 12 | Nashville, TN

      Assessing Suicide in Primary Care Behavioral Health | Hosted By: Collaborative Family Healthcare Association
      April 13 | Washington, DC

      CAPG Educational Series 2016: April's Symposium
      April 22 | Chicago, IL

      PCPCC Executive Member Monthly Conference Call
      April 26 | Washington, DC

      PCPCC National Briefing Webinar | Hosted By: Primary Care Collaborative
      April 28 | Webinar

      Save The Date! 

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

      For additional events, click here.

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