November Month-in-Review: What the Election Results Mean to Primary Care

What the Election Results Mean to Primary Care
November 2016
Dear Members and Friends,

The election results are in, but the future for US health policy remains murky. How will the new Administration and Congress impact the health of patients, families, and communities? Will they continue to prioritize primary care? Will they promote the alignment of delivery and payment reform to help lower health care costs and improve care?

Part of President-Elect Trump's campaign was the repeal and replacement of the Affordable Care Act. Any changes that affect insurance coverage for millions of individuals will certainly have an impact on the primary care community. There are several Republican-authored replacement plans that can provide some potential insight into the direction this effort may take, and many policy experts say that this process will not be either an easy or quick task. The newly announced nominee for Secretary of Health and Human Services, Tom Price, MD is an orthopedic surgeon who supports overturning the ACA, and health experts believe that Republicans will use the budget reconciliation process to begin unraveling the law, along the lines of an action taken earlier this year

Meanwhile, although it appears MACRA and payment reform have received broader bipartisan support and are less likely to be overturned, support for the Centers for Medicare and Medicaid Innovation (CMMI) is threatened under an ACA repeal. Because CMMI is key to testing a range of reforms, it is both critical to payment reform as well as to primary care delivery reform -- especially through the important efforts of the Comprehensive Primary Care Initiative.

Regardless of what changes may come (and here's an article that provides more of the details), we need to continue to advocate for primary care and the needs of patients and a patient-centered approach. Several panels at our recent annual conference touched on the impact the election may have on primary care, and it will be a continued discussion through the upcoming months of the new administration. We at PCPCC will remain dedicated to providing you with the latest policy news and helping to ensure that your voices are heard. 

Marci Nielsen, PhD, MPH
Chief Executive Officer
Top 5 Must Reads 
Annual Fall Conference Recap

The PCPCC 2016 Annual Fall Conference held Nov. 9-11 in Washington, DC, drew more than 330 of the top leaders in primary care from across the country to discuss primary care post-election, sustainable payment for high-quality care, particularly in regards to the newly released MACRA final rule, best practices for scaling up primary care within and across communities, and more.   

Share Your Feedback
If you attended the conference at any point, please tell us about your experience, including feedback about the content, speakers, and format. Your insight will help us tailor future PCPCC programs to your areas of greatest interest: 
Integrating Oral Health 

Efforts to integrate oral health into comprehensive primary care have taken on increased urgency and the new Oral Health Integration Guide can help. This free resource providing instructions for integrating oral health into a primary care practice includes 22 tools developed in partnership with 19 field-testing sites.  It also includes: 

Recently Released Papers and Reports

Do Patient-Centered Medical Homes Enhance Patients' Medication Adherence? Findings on the Next Frontier in Quality Improvement
Annals of Internal Medicine
 | Nov. 2016

In New Survey of Eleven Countries, US Adults Still Struggle with Access to and Affordability of Health Care
Health Affairs 
| Nov. 2016

Culture of Health
Health Affairs 
| Nov. 2016

Incorporating Economic Policy into a "Health-in-all-Policies" Agenda 
Health Affairs 
| Nov. 2016

Patient-Centered Medical Home Exposure and Its Impact on PA Career Intentions Family Medicine 
| Oct. 2016

Upcoming Events
Population Health Colloquium Special Edition
Dec. 1
|  Thomas Jefferson University, Jefferson College of Public Health

Health Affairs Briefing: Oral Health
Dec. 7
|  Health Affairs

For additional events, click here.
TCPI Corner

The PCPCC's first Patient and Family Partner Training was a hit! On November 11, at the conclusion of our 2016 Annual Fall Conference, the PCPCC Support and Alignment Network (SAN) hosted almost 100 patients, families, and clinicians. They worked along with expert faculty from the Institute for Patient and Family Centered Care, Planetree, and YMCA of the USA to learn more about their roles in the process.

At the workshop, patient advisors, family caregivers, clinicians, and quality improvement teams emphasized the need for patient voices in designing effective patient-centered care approaches in ambulatory care settings. Participants discussed topics including:
  • The role of patient and family advisors in improving quality and safety at the practice level
  • Challenges relating to building and maintaining patient-clinician partnerships
  • Steps to strengthen partnerships that improve quality of care delivery
  • Best practices in primary and ambulatory care programs, focusing on both challenges and successes
  • Understanding how patient and family partnerships are integrally related to patient engagement and outcomes
At the end of the training, participants developed action plans for sustained engagement of patients, families and clinicians, and will continue to work with the PCPCC SAN through the process of practice transformation. We invite practices and patient partners to participate in future trainings, join a learning network, and more. Visit our website to access the training guide and presentations from the workshop and check out our interactive practice map to see what other practices are doing in patient engagement nationwide. Contact Jacinta Smith for more information.
New PCPCC Executive Members! 
Aida Health is a healthcare IT company that provides healthcare systems with a longitudinal care planning, management, and collaboration platform that allows physicians and care teams to optimize, coordinate, and execute collaborative care. 

Together with our millions of supporters, the American Cancer Society (ACS) saves lives by helping people stay well and get well, by finding cures, and by fighting back. ACS is a nationwide, community-based voluntary health organization dedicated to eliminating cancer as a major health problem.
Executive Membership 
Nearly all of the work we do at the PCPCC is made possible by the financial support, volunteer leadership, and expertise we receive from our dues-paying executive members.

If you are not already an executive member, we encourage you to consider joining us so that you can play a stronger role in influencing the work of the PCPCC and future direction of primary care, as well as reap valuable benefits for your organization.

We welcome the opportunity to collaborate with you and support your work as we move into the next exciting phase of the medical home movement! 
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