PCPCC Past, Present, Future

1
PCPCC Past, Present, Future

• Organize Operationalize
  Ongoing Expansion
  

Demonstrate
Year 1
Year 2
Year 3
? Annual Public Meeting (Oct/Nov) ? April
July Stakeholder Mtg ? Hill Briefings/
organization outreach ? Web casts NASHP/PCPCC
Year 1
Year 3
? Work of Centers ? Release of Purchasers
Guide ? Demonstration Site Guidance Technical
Advice
? Organized around a set of principles ?
Aggressive outreach to multistakeholder groups to
include providers, purchasers and consumers ?
Showed evidence of cost reduction ? Developed pmt
reform model ? Defined Medical Home ? Showed
evidence of quality improvement ? Began targeted
Hill briefings ?Started weekly national call
? Congressional testimony and aggressive Hill
briefings ? Health reform proposal/ education
outreach ? Ongoing demonstration of quality
improvement ? Expansion of reach- health
insurance industry ? Joint Medicaid State Task
Force ? Development of 4 Centers ?Creation of
Purchasers Guide ? Tracking and support- over
20 States with various PCMH requirements
? Legislative activity ? Continue public sector/
private sector outreach ? Physician practice
transformation ? Adoption of purchaser- payer
buying principles and standards ? Demonstration
of quality and cost savings- evaluation ?Health
reform efforts ?Membership outreach
2
Patient Centered Primary Care CollaborativeOngoin
g Work of the PCPCC

• ?4 Centers that are focused on demonstration,
  design, implementation and expansion of the
  medical home involving
• Payers- health plans
• Purchasers - employers
• Providers
• Consumers (weak link)

3
Patient Centered Primary Care Collaborative
Center
Leadership
?Sally Bleeks, Co-Chair, Managing Director of
Clinical Affairs, BCBSA ?Julie
Schilz, Co-Chair, IPIP and PCMH Manager, Colorado
Clinical Guidelines Collaborative ?Shari
Erickson, Co-Chair, Senior Associate, Practice
Advocacy and Improvement, American College of
Physicians ?John Swanson, Co-Chair, Director,
American Academy of Family Physicians
Rohan Beesla, Staff
Center for Multi-Stakeholder Demonstration
Function Identify community-based sites to test
and evaluate the concept share information and
best practices about pilots within a
collaborative community and serve as the
connector to technical, quality improvement and
education resources to facilitate ongoing
demonstrations.
4
Patient Centered Primary Care Collaborative
Center
Leadership

Center to Promote Public-Payer Demonstration
- State Medicaid Working Group
- Federal Program Group
?Terry McInnis, Co-Chair, Medical Director,
GlaxoSmithKline ?Allen Dobson, Co-Chair, North
Carolina Department of Health and Human Services,
retired ? Lesley Reeder, Chair, State Medicaid
Working Group, Quality Specialist, Colorado
Department of Health Care Policy and Financing ?
Joe Grundy, Staff
Function Assist public payers as they implement
and refine programs to embed the Patient
Centered Medical Home model by offering technical
assistance sharing best practices and giving
guidance on the development of successful
funding models.
5
Patient Centered Primary Care Collaborative
Center
Leadership
Center for Health Benefit Redesign and
Implementation
? Cecily Hall, Co-Chair, Microsoft ? Duane
Putnam, Co-Chair, Pfizer ? Mark Ugoretz,
Co-Chair, President, The ERISA Industry Committee
? Helen Darling, Co-Chair, President, National
Business Group on Health ? Andrew Webber,
Co-Chair, President, National Business Coalition
on Health ? Rohan Beesla, Staff ? Jim Murray,
Ph.D. Executive Director, U.S. Outcomes Research

Function Create standards and buying criteria to
serve as a guide and tool for large and small
employers/purchasers in order to build the market
demand for adoption of the Medical Home model.
6
Patient Centered Primary Care Collaborative

• Center
  Leadership

? John Agwunobi, Co-Chair, Wal-Mart ? David
Nace, Co-Chair, McKesson Corporation
Subcommittees ? Thom Kuhn, Chair, Information
Transformation, ACP ? Terry McGeeney, Chair,
Practice Transformation, TransforMED Inc. ? David
Kibbe, Chair, Supplier Interface, AAFP ? Joe
Grundy, Staff ? Chris Nohrden, IBM (Staff)

• Center for eHealth
• Information
• Adoption and
• Exchange
• Information Transformation
• Practice Transformation
• Supplier Interface

Function Act as a clearinghouse for information
concerning the national development of various
Health Technology system platforms and electronic
delivery platforms for medical records,
coordinate national education concerning the
importance of HIT/EMR developments to both
providers and consumers of health care elucidate
the integral role of HIT/EMR development within
the specific context of the Joint Principles
7
Ongoing ExpansionYear 3 Focus of PCPCC
Educate
Demonstrate
Advocate
? Annual Public Meeting (Oct/Nov) ? April
July Stakeholder Mtg ? Hill Briefings/
organization outreach ? Web casts NASHP/PCPCC
? Work of Centers ? Dissemination and adoption
of Purchasers Guide ? Demonstrate site
guidance Technical advice
? Inclusion of the Medical Home Health Reform
Proposals ? Payment Reform ?Lobbying
State/Federal
Ongoing evaluation- support of national
quality standards
Advance adoption of the Patient-Centered Primary
Care Medical Home concept to encourage payment
reform and fundamental restructure of delivery
system
8
Center for Benefit Redesign and
Implementation TODAY! Release of Purchaser Guide

• Over 6 months in development written by Michael
  Bailit, Bailit Health Purchasing with input from
  the Centers Advisory Board through a grant to
  the National Business Coalition on Health (NBCH)
• Includes 5 case studies and 21 summary examples
  of PCMH
• Outlines 6 strategies employers can implement now
  to get started
• Answers questions for employers such as
• What is a medical home?
• Why should employers support the medical home?
• What actions can employers take now, and in the
  future to support community activities?