Care Coordination

Primary Care Integration into Behavioral Health Settings: Supporting Individuals with Serious Mental Illness

On Feb. 26,  Martha Gerrity, MD, MPH, PhD, Clinical Epidemiologist at the Center for Evidence-based Policy at Oregon Health & Science University, joined the PCPCC to discuss her latest Milbank Memorial Fund report, “Integrating Primary Care into Behavioral Health Settings: What Works for Individuals with Serious Mental Illness.”

PCPCC Webinar: An Overview of Key Findings from PCPCC's Evidence Report

PCPCC Chief Executive Officer, Marci Nielsen, provides an overview of the PCPCC's latest evidence report titled, The Patient-Centered Medical Home's Impact on Cost and Quality: Review of Evidence 2013-2014. The publication highlights evidence from primary care PCMH initiatives taking place in both public and private markets across the country. The report looks at selected outcomes from 28 peer-reviewed studies, state government evaluations, and industry reports published between September 2013 and November 2014.

Interprofessional Primary Care Training: Seven Champion Programs

Marci Nielsen, PhD, MPH and Barbara Brandt, PhD discuss a new PCPCC publication that focuses on interprofessional primary care training. The publication takes a deeper dive into seven exemplary programs that train medical students, residents, nurse practitioners, nurses, physician assistants, social workers, psychologists, and other health professionals for work in patient-centered medical homes. 

October National Briefing: Transforming Primary Care Through Payment Reform

We are learning two things about restructuring health care in the United States in the post-Affordable Care Act (ACA) environment: Primary care transformation is essential to a well-performing health care delivery system and payment reform works best when it is consistent across payers.

PCPCC October Webinar: Patient-Centered Best Practices

Learn how two very different primary care practices approached their transformation to a patient-centered medical home and employed new strategies to improve outcomes for their patients, especially those with diabetes. These practices are among the 52 practices in the Maryland Multi-payer PCMH Pilot (MMPP), which Discern administers for the Maryland Health Care Commission (MHCC). 

Guest Speakers

Patients and Families as Partners in Care Delivery Transformation

Patients, families and consumer advocates are the great untapped resource in our quest to achieve the Triple Aim of better health, better care and lower costs. Only patients and their families/caregivers live at the intersection of all aspects of the health care system, giving them unique experiences and insights to help improve care quality and outcomes while reducing health care costs.

Centralizing Care around the PCMH

WellSpan Health, a community-owned not-for-profit health system and a leader in population health management, knows what it takes to align health care services with the Patient Centered Medical Home (PCMH). WellSpan's leadership has committed to a complete re-design of care team roles, not just in primary care, but throughout the hospital, specialty practices and community-based services. Their innovative model builds on the trusted relationship between patients and their primary care team to ensure high-quality, coordinated care, based on the needs of the patient and family.

Innovations in Comprehensive, Team-based Medication Management

Medications are involved in 80 percent of all treatments and impact every aspect of a patient's life. Drug therapy problems occur every day and represent a public health challenge that add substantial costs to the health care system. In recent years, Minnesota has established exemplary practices that incorporate medication management and has seen improvements in outcomes of care and reduced costs. This webinar provided an overview and a look at lessons learned from Minnesota's experience using comprehensive team-based medication management to delivery efficient and effective care.

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