September Month in Review + National Briefing Today!
"It Ain't Over Till It's Over." - (RIP Yogi Berra, 1920-2015)
Thursday, September 24
Dear Members and Friends, 

MACRA (Medicare Access and CHIP Reauthorization Act) may be the law of the land, but the work on payment reform is far from over. This month, we submitted comments to CMS on Medicare physician payment, advocating for risk-adjusted, comprehensive primary care payment while the proposed regulations for implementing parts of MACRA are expected soon. Payment reform is just getting warmed up!
 
If primary care – defined as first-contact, comprehensive, coordinated, and compassionate care – is a home run for patients and families, then team-based primary care, empowered by data and connected to the community and medical neighborhood, is how we win the population health game.
 
As a panelist at the Data and the Future of Patient Care event sponsored by The Atlantic, we agreed that while data is important, we need to use it to engage patients and providers to drive population health – and partnerships between patients and their care teams are critical. That team includes home health and hospice care for many who are critically and chronically ill, which I emphasized at the Public Policy Conference for the Visiting Nurse Associations of America (VNAA), a longtime PCPCC executive member and supporter of the PCMH. The importance of team-based care and the role of patients and families was also highlighted this week by the Institute of Medicine, in its recently released report, Improving Diagnosis in Healthcare. 

The PCPCC is also proud to endorse a new Oral Health Delivery Framework that emphasizes the importance of oral health and helps delineate those oral health activities that primary care teams can begin to integrate into practices, like many community health centers and pediatric practices do today. Join our National Briefing today at 1pm ET to learn more about the framework.

As we continue our work to increase investment in advanced primary care that partners with patients and families, our Annual Fall Conference is right around the corner! It is our premier networking event of the year, convening hundreds of the most knowledgeable and influential people in primary care to discuss the priorities of patients, professionals, and payment. Register by Oct. 1st at a reduced rate; and join us also for the Barbara Starfield Awards Dinner. Learn more here and see our full list of awards dinner sponsors.

We hope to see you in November!


Marci Nielsen, PhD, MPH
Chief Executive Officer
National Briefing Today!
Today at 1 p.m. ET, Kathryn Phillips, MPH and Jeff Hummel, MD, MPH from Qualis Health, will join the PCPCC's National Briefing to provide an overview of the new Oral Health Delivery Framework that helps delineate the oral health activities that primary care teams can help complete. 
Oral Health in Primary Care: A Framework for Action
TODAY Sept. 24 at 1 p.m. EST
Register (for free!) here
Top 5 Must Reads
PCPCC Favorite Blog

Breaking The Fee-For-Service Addiction: Let’s Move To A Comprehensive Primary Care Payment Model | Health Affairs Blog | 08/17/15

View additional PCMH-related news articles and peer-reviewed studies from August and September on our website at www.pcpcc.org.
Register Now for PCPCC's Annual Fall Conference!

Join us for the PCPCC 2015 Annual Fall Conference Nov. 11 – Nov. 13, 2015, at the Grand Hyatt in Washington, DC. 

Now more than ever we have the opportunity to set a new vision for the future of our health care system. #PCPCC2015 offers the opportunity for you and your colleagues to participate in dozens of panel discussions and workshops that will focus on three key areas in need of increased investment including:
  • Payment reform in primary care 
  • Bolstering and expanding the primary care workforce 
  • Activating patients and families in their care, quality improvement and policy development 
This year our program will not only includes high-level policy discussions from primary care and medical home thought leaders, but also “how to” discussions led by experts in the field in our workshops and break-out sessions. 

Don't miss the early bird discount. Register today before the Oct. 1st early bird deadline!
Recently Released
Papers and Reports

Innovative Approach to Patient-Centered Care Coordination in Primary Care Practices
American Journal of Managed Care | Sept. 2015

Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment 
The Commonwealth Fund | August 2015

State Auditor Report: Community Care of North Carolina 
Office of the State Auditor | August 2015

Enriching Patient-Centered Medical Homes Through Peer Support
Annals of Family Medicine | August 2015

Exploring the Patient and Staff Experience With the Process of Primary Care
Annals of Family Medicine | July/August 2015
Upcoming Events
Sept. 24 - Nov. 13
Medicare Advantage: Value-Based Insurance Design Model Webinar
Sept. 24 | Center for Medicare and Medicaid Innovation

Tom Bodenheimer Symposium and Gala
Sept. 25 | UCSF Center for Excellence in Primary Care

PCPCC Executive Member Monthly Briefing
Sept. 29 | PCPCC

Teen Depression Webinar
Sept. 30 | Families for Depression Awareness

AHRQ Research Conference
Oct. 4 - 6 | Crystal City, VA

National Primary Care Week
Oct. 5 - 9 | American Medical Student Association

National Health IT Week
Oct. 5 - 9 | HIMSS

National Association of ACOs 2015 Fall Conference
Oct. 8 - 9 | Capital Hilton, Washington, DC

NCQA PCMH Congress
Oct. 9 - 11 | San Francisco, CA

PCPCC National Briefing Webinar
Oct. 29 | PCPCC

PCPCC Annual Fall Conference
Investing in Primary Care: Patients, Professionals, & Payment
Nov. 11 - 13 | Grand Hyatt, Washington, DC

Barbara Starfield Primary Care Leadership Awards Dinner
Nov. 11  l  Grand Hyatt, Washington, DC

For additional events, click here.
PCPCC Comments on the Proposed 2016 Medicare Physician Fee Schedule
On September 8th, we submitted comments to CMS on the proposed rule for the 2016 Medicare Physician Fee Schedule. We commented on several issues related to high-performing primary care including care management, behavioral health, advance care planning, the Comprehensive Primary Care Initiative, and specific provisions within the Medicare Access and CHIP Reauthorization Act (MACRA). Click here to view our letter. 
New IOM Report Suggests Teamwork is Key to Reducing Medical Diagnostic Errors

Released this week, a new IOM report, "Improving Diagnosis in Healthcare," aims to facilitate more effective teamwork in the diagnostic process, which hinges on successful collaboration among health care professionals, patients, and their families. Patients and their families are critical partners in this process. In addition, all health care professionals need to be well prepared and supported to engage in diagnostic teamwork.
New PCMH Program Results
Check out the PCPCC Primary Care Innovations and PCMH Map for recently published outcomes for the following PCMH programs: 
PCPCC on the Road
Tomorrow, Sept. 25, PCPCC Founding President, Paul Grundy, MD, MPH, heads to San Francisco to speak at the Tom Bodenheimer Symposium and Gala. In mid-October, he will present the evening keynote at the Forum on Healthcare Innovation in Farmington, CT. Dr. Grundy will then attend the National Academy of Medicine annual meeting in Washington, DC, on Oct. 19, which will focus on "Aging: Complexities, Opportunities, And Impacts On Society." Oct. 21st, he heads to Columbus, Ohio, to assist with a HRSA grant titled, "The Patient-Centered Medical Home: Adaptable Curriculum Models, Instructional Modules, and Implementation Plans." On Oct. 27th, he will present the opening keynote at the Open Minds Technology & Informatics Institute in Washington, DC. Follow Paul @Paul_PCPCC to stay in touch!

PCPCC CEO Marci Nielsen, PhD, MPH will spend the first few days of October at the American Board of Family Medicine's board meeting in Kentucky. Following that, she will serve as a keynote speaker Oct. 8th at the Partners' Conference on Nevada's Expanded Medicaid Program at the University of Nevada, Las Vegas. Later that week, she will present the opening keynote at NCQA's PCMH Congress in San Francisco on Friday, Oct. 9. Afterward, she will participate in NASHP's Annual Conference and fall board meeting in Dallas, Texas. To keep up with Marci and her travels, follow her on Twitter @Marci_PCPCC!
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