PCPCC PPT Template

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(No Transcript)
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Meaningful ConnectionsPatient Centered Medical
Home and Health IT

• David Nace, MD, VP, Chief Medical Officer,
  McKesson and Company Chair, Center for eHealth
  Information Adoption and Exchange (CeHIA)
• Ted Epperly, MD, Program Director CEO, Family
  Medicine Residency of Idaho, President, AAFP
  (Moderator)

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Health care Industry Environmental Factors

• 82 of Americans feel fundamental change is
  needed.
• Evidence is produced at an astonishing rate, but
  not effectively put into practice.
• System of care is fragmented, uncoordinated and
  inefficient.
• Primary care continues to be marginalized and
  threatened.

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Current Administration
Tools to Rebuild and Restructure Health Care
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Stimulus Plan OverviewHealth care provisions in
the stimulus bill

• ? Additional funding for state Medicaid programs
• ? Prevents additional state restrictions on
  Medicaid coverage

Medicaid 90 B
Health Insurance 25 B
? Extension of COBRA as gap coverage for early
retirees
? Additional funding for scientific research
grants
NIH 10 B
? Comparative effectiveness, wellness and
prevention initiatives ? Grants, loans and
training programs
Other HHS 10 B
Health IT 21 B
? Funding for health connectivity initiatives ?
Incentives for physicians and hospitals to adopt
EHRs
HITECH Act
ONCHIT 2 B
? New entities to establish standards, HIT
policy and certify ? New (and more restrictive)
privacy provisions
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Meaningful Use Meaningful Connections

• Identifies health IT as a critical platform of
  the PCMH.
• (Re) Conceptualizes health IT as an e-platform
  and set of tools.
• Health IT functional priorities to support a
  PCMH.
• Critical capabilities to engage consumers with
  health IT.
• Explores the current use of health IT by primary
  care physicians.

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Health IT Capabilities and Functionalities to
Support a PCMHOne Size (Does Not) Fit All
Measure Ability to measure and report on
processes of care.
Collaborate Ability for team members to
communicate among themselves. Team member
access to information during the
process of care and care delivery.
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Health IT Capabilities and Functionalities to
Support Meaningful Connections

• What do we mean by
• Meaningful Use
• Demonstrable management and e-exchange of health
  information that results in improved quality of
  care.
• Value of the Connected Medical Home
• Supports participatory medicine, reduces costs,
  improves outcomes and closes the collaboration
  gap.

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Importance of a Consumer FocusClosing the
Collaboration Gap- -Creating Real Time
Collaboration

• Patients forget 40-80 of information upon
  leaving the clinicians office.
• 75 of patients want on-line services now, but
  less than 5 have this capability.
• 55 of patients want to connect with clinicians
  via email.

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The Connected Medical Home Importance of a
Consumer Focus
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Boots-on-the-Ground Case ExamplesWhat We
Learned

• Current status
• Clinician to clinician communication is more
  established than clinician to patient
  communication.
• There is a wide spectrum of health IT adoption.
• Compelling quotes
• HIT is the tool, not the answer.
• Using HIT without rethinking patient flow and
  physician workflow is a waste.

• HIT adoption is leading to
• Better care coordination (team work)
• Better quality reporting with measureable results
• Implementation is expensive but can result in
• Fewer patient calls
• Increased satisfaction of patients and physicians
• Increased adoption of best practices and
  preventive care
• Higher quality and improved outcomes

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The PCPCC Center for eHealth Information Adoption
and Exchange (CeHIA) - An Open Invitation
Mission To evaluate the use and application of
health information technology to support and
enable its development and broad adoption to
support the patient centered medical home.
2009

• Release and distribute Meaningful Connections
• report
• Bring clarity and specificity to the term
  Meaningful Use
• Launch a participatory engagement strategy
• Develop and sustain a PCMH Health IT Resource
  Center

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PCPCC CeHIA Leadership and Call Schedule

• David Nace, MD, VP, Chief Medical Officer,
  McKesson and Company (Co-Chair)
• Janet Marchibroda, MBA, Chief Healthcare Officer,
  IBM (Co-Chair)
• James Crawford, MD, PhD, SVP, Laboratory
  Services, North Shore- Long Island Jewish Health
  System (Co-Chair)
• Chris Nohrden, MPH, Executive Director
• Calls Bi-Weekly - Thursday, 1 PM EST - 2nd and
  4th Thursday of the Month
• Schedule 5/14, 5/28, 6/11, 6/25, 7/9, 7/23, (No
  August Calls), 9/10, 9/24, 10/8, 10/22, 11/12,
  12/10
• Call in number [phone], Code 471334