Month in Review: Stop, Innovate and Listen | Plus, National Briefing Today!

Stop, Innovate and Listen
Thursday, April 24th
Dear Members & Friends:

As we wrap up our month-long dedication to state innovations in patient-centered medical homes (PCMH), we are thrilled to report on the impressive work happening in states across the country.

First, we are excited to share our new resource that documents state-level PCMH activity and legislative language within state health insurance exchanges. You'll note that there are many more opportunities for states to include PCMHs into their health reform efforts! This chart was developed in collaboration between PCPCC's Advocacy & Public Policy Center and the National Academy for State Health Policy (NASHP). You can access the chart on State Refor(u)m's website here.

For a more detailed look at state-level medical home activity, we encourage you to check out PCPCC's recent webinar, "State Innovations: Updates from the Minnesota Health Care Home Initiative," which featured an in-depth look at Minnesota's medical home program, and included key findings from the program's evaluation report. You can access the webinar here.

Finally, we hope you'll join us today for our Monthly National Briefing, "Medical Home Innovations at the State Level." Dr. Richard Snyder, Chief Medical Officer at Independence Blue Cross (IBC), will provide an inside look at the Pennsylvania Chronic Care Initiative, which was found to reduce hospitalizations and medical costs for patients with multiple chronic conditions. Dr. Lisa Dulsky Watkins, Principal, at Granite Shore Consulting and former Deputy Director of the Vermont Blueprint for Health, will share insights on various state multi-payer primary care transformation efforts.   

National Briefing Information:
April 24 | 1PM ET - 2PM ET
Register (for free!) here.
Download presentation slides here.

* As a reminder, our National Briefings now take place via webinar and require registration. 

Also, we want to remind folks that the first PCPCC Western Regional Conference is just six weeks away! Please register today to join us in Denver on June 9th and 10th and .


Marci Nielsen, PhD, MPH
Chief Executive Officer
This Month in Medical Home News....
Newspapers & Press
Maryland's Patient-Centered Medical Homes, Lowering Costs, Improving Care, MD BIZ News, 04/23/2014
Focus on Sickest in Medical Homes Saves Costs in Pilot Test, D Healthcare Daily, 04/23/2014

Patient-Centered EHR Journey at the Community Health Level, Healthcare Informatics, 04/22/2014
Origins in Oregon: The Alternative Payment Methodology Project, Health Affairs Blog, 04/14/2014
Medical Home Must-Dos for Population Health Management, FierceHealthPayer, 04/11/2014
Medicare Records Provide Tantalizing New Details of Payments to Doctors, Kaiser Health News, 04/09/2014

Survey: Older Patients Like, Want Medical Homes, Health Journalism, 04/03/2014

Peer Review
Health Reform and Physician-Led Accountable Care: The Paradox of Primary Care Physician LeadershipThe Journal of the American Medical Association, 04/10/2014
Transforming Specialty Practice — The Patient-Centered Medical Neighborhood, The New England Journal of Medicine, 4/10/2014
Structuring Payment to Medical Homes After the Affordable Care Act, Journal of General Internal Medicine, 04/07/2014 (summarized by Commonwealth Fund)

April Supplement: on VA Patient Aligned Care Teams (PACT)Journal of General Internal Medicine, 04/2014

Industry, Gov't & Nonprofit
Peer Support in Health: Evidence to Action, Peers for Progress and the National Council of La Raza, 04/2014
Public Poll: "On Your Team: What Older Adults Think About Team Care and Medical Home Services, John A. Hartford Foundation, 03/21/2014

PCPCC in the News
#TexasHIMSS: "Godfather of PCMH" & the Future of Medicine, Health IT, 04/22/2014
Federation of State Medical Boards Offers Free Webcast of Annual Meeting, Newswise, 04/21/2014
Promoting the Patient-Centered Medical Neighborhood: Because All Health Care Is Local, The Medi Awards, 03/25/2014
Oregon Leading the Trail to Payment Reform
A consistent innovator in the field of state health reform, Oregon launched the Alternative Payment Methodology (APM) demonstration project as a means to shift the payment structure in Oregon from fee-for-service to one that rewards value over volume. The APM pilot provides community health centers (CHCs)  a monthly payment to incentivize a care delivery system that is value-driven, team-based, and patient-centered.

The state will compare the pilot's payment data from March 2013 - March 2014 against the payment that each site would have received under the fee-for-service payment structure. Health Affairs will continue to report on the APM pilot as part of its series on payment and delivery reforms in Oregon and Oklahoma.

Access full article here.
Lessons Learned 

This month's Journal of General Internal Medicine includes a supplement with 19 peer reviewed articles, focused on the many lessons learned by the Veteran's Affairs Administration as they roll out the Patient Aligned Care Team (PACT) model to more than 7,000 primary care teams across the nation.

Access articles here.
*Subscription Required
Upcoming PCPCC Conferences
Health Care Transformation:
Overcoming Challenges to Reach the Summit
June 9 - 10, 2014  |  Denver, CO
Register Today!
Hotel Rates End May 9th

Patient-Centered Primary Care:
At the Heart of Value and Quality

November 12-14, 2014 | Washington, DC
Learn more here.
Upcoming Events
March 27 - April 24
April National Briefing
April 24 | PCPCC

Fostering Partnerships and Teamwork in the Pediatric Medical Home
April 24 | NCMHI

Presentation by Dr. Paul Grundy on the Medical Home 
April 29 | UNCW

IMPaCTing Meaningful Improvements in Primary Care Practice
May 5 | NASHP

The Interactive Survey System (ISS) for NCQA Accreditation: A Hands-On Workshop
May 8 | NCQA

For additional events, click here.
PCPCC on the Road
You can catch PCPCC CEO, Marci Nielsen at the following events: 
FSMB Annual Meeting | April 24th  

Colorado Association of Family Physician Scientific Conference  | April 25th
Wichita Business Coalition on Health Care Roundtable Conference | May 7th  
Motion Picture & Television Fund Healthcare Summit | May 14th. 
Older Adults Like Medical Home Model
Earlier this month, the John A. Hartford Foundation released results from its public poll, "On Your Team: What Older Adults Think About Team Care and Medical Home Services." The survey found that key components of the medical home, including team-based care, can improve the health of adults over the age of 65. Of the number of adults who reported receiving team-based care, 83% said it improved their health. Of those who are not receiving team-based care, 73% reported they want such care and 61% reported that it would improve their health.

The survey measured responses from 1,107 adults over the age of 65 and has a margin of sampling error of 3.9 percentage points. 

Read more about the survey here.
May Preview:
Medication Management

Medications are involved in 80 percent of all treatments and impact every aspect of a patient's life. The widespread use of medications in our health care system can result in problems that add substantial costs to the health care system.

The PCPCC is thrilled to dedicate the month of May to the important topic of medication management and we hope you'll join us for our upcoming webinars focused on the integration of medication management into the medical home.

Webinar: Incorporating Clinical Pharmacists into the Medical Home 
Thursday, May 15th | 12:00PM - 1:30PM ET
Register here.

National Briefing: Innovations in Comprehensive, Team-based Medication Management - Lessons from Minnesota
Thursday, May 22nd | 1:00PM - 2:00PM ET
Registration Coming Soon!
In Case You Missed It:
PCPCC Webinars
Our most recent webinar featured representatives from Minnesota's Health Care Homes Initiative who provided an overview of the program and shared key findings from the 2014 Health Care Home Evaluation Report. Access webinar slides and recording here.

Our March National Briefing focused on overcoming HIPAA barriers to collaboration among behavioral health and primary care providers. Access slides and listen to the webinar recording here.
Welcome New PCPCC Members!

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