Engagement and Innovations: Lesson Community Transformation

 Hear from our two speakers as they discuss the how community collaboration, partnerships and engagement are promoting patient-centered medical home and continuous transformation in care delivery in New Jersey. Kevin Maher, Director Clinical Innovation from  Horizon Healthcare Innovation, a subsidiary of Horizon Blue Cross Blue Shield of New Jersey whose mission is to change and improve the health care system. Mr. Maher is responsible for the creation and launch of the various pilots with our providers, consumers and hospital.  Dr. Bob Eidus,  a board certified family physician.

Medication Management as a Critical Component in Coordinated Care Systems

You are invited to hear Dr. Brian Isetts, professor, pharmacist and Policy Fellow with the CMS Innovation Center share what is happening at CMS in the area of Comprehensive Medication Management as a critical component in coordinated care systems, including a view of the inter-agency collaborations, key priorities and how we can continue to collaborate closely with CMS.  Following the talk there will be a Q and A period.

Affinity's Medical Home Journey - Operational, Clinical, and Financial Perspectives

How do you take a major concept—the medical home—and successfully roll it out to a medical group with more than 1,000 employees and 26 locations? After more than a year of research and planning, Affinity Medical Group launched its first medical home pilot site in 2009. Looking for creative, local solutions to the national shortage of primary care physicians and dedicated to continuously improving quality, outcomes, and patient satisfaction, Affinity chose the medical home.

Health Information Technology and the PCMH Model for Indian Health

American Indians and Alaskan Native people face high rates of illness, disability and death from chronic and preventable diseases. In 2008, the Indian Health Service launched the Improving Patient Care (IPC) program to address these health disparities. The Indian Health Service is also adopting primary care medical homes to focus on delivery of patient-centered care. Learn more about how health information technology helps support the Indian Health Service medical homes and other healthcare programs.

Patient-Centered Medical Home Infrastructure: Current and Future Landscape - Webinar

The patient-centered medical home (PCMH) is an approach that evolved from the understanding that a well-organized, proactive clinical team working in a tandem with well-informed patients is better able to address the preventive and disease management needs in a guideline-concordant manner. This approach represents a fundamental shift from episodic acute care models and has become an integral part of health reform supported on a federal level.

Christine Hunter on the Military Heallth System and the PCMH

This discussion will begin with an historical overview of the conditions within the Military Health System (MHS) that led to the policy decision from senior leadership to explore and develop the Patient-Centered Medical Home (PCMH). It will point out that stressors associated with multiple deployments and sustained military operations led to increased pressures on access and continuity with the MHS's primary care portals, particularly in the direct care military treatment facilities (MTFs).

ACOs: What is all the noise about?

There has been much press and even more debate in policy circles about how to qualify organizations to act as ACOs and how to evaluate their performance.   What do ACOs say they can offer employers and their employees?  Why should employers learn about ACOs and how can employers become educated ACO consumers?   Dana Safran, co-chair of the PCPCC Center for Accountable Care and Emma Hoo, (Director of Value-Based Purchasing) at the Pacific Business Group on Health will address these questions and more on The Center for Employer Engagement July 13th Webinar.  Please mark your calendar and plan

Health Literacy and HIT: Implications for the New Communication LandscapeThursday

This webinar was co-sponsored by the PCPCC Center for eHealth Information Adoption and Exchange and the Center for Consumer Engagement and will feature Dr. Christine Zarcadoolas from the CUNY School of Public Health at Hunter and Dr. Sylvia Chou from the National Cancer Institute. At least half of all adults in the US are low literate and/ have inadequate health literacy (struggle to find, understand and use health information). Dr. Zarcadoolas will discuss health literacy, referring to her current research investigating patient usability of electronic medical records (EMRs).  Dr.

Practical Approaches to Enhance Communication and Coordinated Care in the PCMH

This Webinar is hosted by the Center for Multi-stakeholder Demonstration and feature Dr Jennifer Lail from Chapel Hill Pediatrics and Adolescents, P.A. Dr Lail will present some of the steps they took on their journey to becoming a patient-centered medical home with special emphasis on how they coordinate care for their patients with special health care needs. Dr Lail will discuss the critical factors related to coordinating care which include Relationships, Ready Access, Registry/Records, Resources (including Care Coordination services) , Reimbursement and Recruitment.

HIT Enablement of Medication-Related Care Coordination

Overview: As healthcare organizations adopt the electronic health record (EHR), the pharmacists’ role in using technology for medication management outside the prescription process will expand to the “Medical Neighborhood”. The Pharmacy e-Health Information Technology Collaborative (Collaborative) is an organization focused on influencing the structure, development and implementation of the U.S. Health Information Technology (HIT) infrastructure to assure the pharmacists’ role in medication-related care coordination is part of the patient-centered medical home model.


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