September Month in Review/Last Chance to Sign Shared Principles 

 Friday, September 29

Message from the President and CEO 

Dear Colleagues and Friends,
In early September, I spoke at the U.K. National Health Services (NHS) EXPO in Manchester, England. I met with British leaders eager to re-invest in primary care and wanting to understand the successes and failures of the 10-year American effort to design, implement, and continuously evolve the Patient Centered Medical Home (PCMH). 

Simultaneously, American policy leaders are seeking to learn from their British counterparts about how their system links primary care to services in the community to better address the social determinants of health. 

The latest rendition of the NHS Five Year Forward View
has signaled an intention to move towards accountable care systems to foster medical and population health (social care) integration by better aligning their payer (commissioning) and provider functions. Much of the 2017 NHS Expo was devoted to delivery and payment system transformation as well as the health technology infrastructure needed to support this wholesale change.   

The newly launched Primary Care Home (PCH) model in the U.K. brings additional attention to primary care, with a model that has four characteristics: first contact for all healthcare needs, person-centered and continuous over a lifetime, comprehensive for all common population needs, and coordination with more uncommon integrated care (e.g., specialty or tertiary care).  

After being successfully piloted, the British PCH has been rolled out to nearly 200 sites in England, covering 14 percent of the population. Each PCH is focused on building a team of approximately 150 different types of caregivers and community service providers to serve a target population of between 30,000 and 50,000 patients. The idea is that this design is large enough to provide scale, particularly for population health–based efforts, but still small enough to provide personalized care. Initial results suggest reduced ED visits (accident and emergency) and prescribing, improved staff recruitment and retention, and enhanced patient satisfaction.
The creation of the U.K. PCH and the work to spread the model is being spearheaded by the National Association of Primary Care (NAPC), a U.K.-wide membership organization for primary care professionals. Leaders from the NAPC visited Washington, D.C. in May 2017 to meet with PCPCC members and leaders to learn in more depth about the PCMH and Accountable Care Organizations (ACOs). Their collective reflections comparing reform of the two health systems on either side of the Atlantic are captured in a report, Providing Accountable Care: Comparing the Delivery of Primary Care in the UK and USA through Accountable Care Systems and Organisations, which was released at the September EXPO.

My major takeaway from my trip across the pond is that although the healthcare of the U.K. and the U.S. differ in the way in which care delivery is organized and paid for, leaders from both continents are motivated to achieve better patient outcomes while making care more affordable, and they see primary care transformation as being foundational in doing so.  

Ann Greiner, MCP
President & CEO


Has your organization signed on to support the 2017 Shared Principles of Primary Care? Hundreds of organizations have agreed to work toward this aspirational vision for the future of primary care and will be recognized at the official release of the Principles during our annual conferenceSign on by October 4 - deadline extended - to join this extensive list of primary care supporters! 

Also make sure to register for our conference, organized around and featuring innovators working toward and exemplifying the Shared Principles. Join us in Washington, DC on October 11-12 as we work with the community to chart a new chapter for primary care that successfully engages patients in decision-making, relies on team-based care, incorporates population health, and commits to stewardship of scarce resources.

Barbara Starfield Awards Dinner 
October 11th from 6pm - 9pm

Don’t miss the networking event of the year where we celebrate the accomplishments of primary care champions. At this year's Barbara Starfield Awards Dinner --  immediately following the first day of our Fall Conference -- we will recognize Michael Fine, MD; Richard Bryce, DO; and the nursing-led Health Wagon. The Barbara Starfield Award is sponsored by Anthem. You can read the full press release on the PCPCC website
Buy Your Ticket Today!

PCPCC Statement from September 22
 Graham-Cassidy Health Care Bill

The Primary Care Collaborative advocates for high quality, affordable, and patient-centered primary care for all. We have evaluated the proposed changes to the health care legislation against these goals.

Several provisions contained in the Senate bill, crafted by Senators Bill Cassidy, Lindsey Graham, and Dean Heller, are problematic for advancing primary care and do not appear to align with the PCPCC mission. More specifically:
  • Allowing states to change what qualifies as an essential health benefit could disrupt access to health care services for millions of Americans, erode affordability, and hinder patient access to much needed health care services.
  • Penalizing states that expanded Medicaid -- by having the federal government pay the states a smaller portion of the cost -- will likely lead to reduced coverage for primary care in those states and harm vulnerable patients.
  • Enabling states to have broad flexibility to use funds through block grants could allow states to waive important existing requirements that protect patients, such as prohibiting higher premiums for those with pre-existing conditions.
  • Eliminating the individual mandate on the federal level will likely result in fewer individuals enrolled in the Exchanges and encourage healthy people to exit the market. This would likely lead to much higher costs for those that remain.  Research shows that when patients are faced with higher cost sharing, they forego essential care, especially primary and preventive care.  
This bill would negatively disrupt the Medicaid program, increase out-of-pocket costs, and financially burden Americans. In addition, this bill has the potential to harm those living with pre-existing conditions. We continue to be committed to working with Congress on modifying health care legislation that expands access to primary care while reducing cost.
Practice Transformation Corner

On behalf of the PCPCC Support & Alignment Network (SAN), we're happy to share with you the completion of the Patient & Family Engagement Bite-Sized Learning Series. This is a "starter track" that helps create a foundational level of knowledge about engagement strategies for quality improvement coaches and their practices.

This series is a creative resource that can be completed at anytime-- no webinars, no scheduling needed! This will allow you to spend more time helping quality improvement teams and patient advisors apply learning in more focused ways.

Get Started Here!
Less Than 2 Weeks Away
 PCPCC's Annual Conference
Don't miss the premier primary care education, strategy, and networking event that brings together public and private sector leaders focused on advancing primary care. Our annual conference, Primary Care Innovations: Putting Shared Principles into Practice, will take place October 11-12 in Washington, DC.

Attendees will learn how to chart a new course for primary care that incorporates population health, commits to stewardship of scarce resources, relies on team-based care, and successfully engages patients in decision-making. You can register and view the agenda on the PCPCC conference website.


Upcoming Events

 October - November
Conference: NAACOS Fall 2017 Conference
Oct 4-6 | hosted by NAACOS

: PCPCC Annual Conference - Innovations in Primary Care: Putting Shared Principles into Practice
Oct. 11-12 | hosted by the Primary Care Collaborative

Podcast: Episode 2: Family-Centered Care and Conversation Techniques
Oct. 24 | hosted by the American Academy of Pediatrics 

Course: Charting the Future of Primary Care: Change, Payment and Population Management
Oct. 26-27 | hosted by Harvard Center for Primary Care 

Course: Medical Assistant Professional Skills 
Nov. 2 and 9 | hosted by HealthTeamWorks

For additional events, click here.

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Primary Care Collaborative · 601 13th Street, NW, Suite 430 North · Washington, DC 20005 · USA

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