Patient Centered Primary Care Collaborative Cultivate the PCMH

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Patient Centered Primary Care CollaborativeC
ultivate the PCMHWhat Really Matters Edwina
Rogers, Executive Director, PCPCC
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PCPCC Membership and Activity Overview

• National Convener on the PMCH
• Legislative and Regulatory Advocacy
• Develop PCMH Policy

• More than 700 members
• 54 Executive Committee Members
• 20 Advisory Board Members
• 5 Centers
• 7 Task Forces
• 3 Annual Conferences Summits

• Monthly Calls (National PCMH Movement Briefings,
  CMD, CPPI, CCE)
• Bi-Weekly Calls (CEE, CeHIA)
• National Weekly Call (Thursday, 11AM EDT)
• Host Regular Webinars

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PCPCCs Focus Areas 2010 Strategic Plan
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PCPCC Center and Task ForceDeliverables

• Value Based Insurance Design Report
• Payment Reform Task Force Report
• PCMH Transformation Resource Guide
• Medication Management Guide
• Emmi Solutions PCMH Video (soon to be available
  in Spanish)
• Pilot Activity Tracking from CMD website
• Letters to Congress
• Letters Regarding Meaningful Use

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PCMH Implementation Tools- Report
ReleaseAligning Incentives and
SystemsPromoting Synergy Between Value-Based
Insurance Design and the Patient Centered Medical
Home

• Makes the business value case for PCMH showing
  link to VBID
• Case studies Whirlpool Company, the State of
  Washington, the City of Battle Creek, Mich., IBM,
  Roy O. Martin Lumber, CIGNA, Universal American,
  Geisinger Health System/Health Plan, Aetna and
  the State of Minnesota.
• Authored by the Center for Employer Engagement in
  partnership with the National Business Coalition
  on Health and the University Michigans Center
  for Value-Based Insurance Design

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Test Drive the New PCPCC Website !

• Soft Launch 3.18.2010
• Membership Webinar to be held 4.08.2010
• Major features include
• Master calendar listing all PCPCC events
• On-line and interactive Pilot Guide
• User portals (consumer patients, employer
  health plans, providers clinicians, federal
  state government
• Center portals and updates

http//www.pcpcc.net
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Encouraging Movement White House, Senate and
House

• Major provisions of the Health Care Reform bills
  relevant to Primary Care and PCMH
• State option to provide health homes for
  enrollees with chronic conditions. Provide States
  the option of enrolling Medicaid beneficiaries
  with chronic conditions into a health home.
• Pediatric Accountable Care Organization
  demonstration project. Establishes a
  demonstration project that allows qualified
  pediatric providers to be recognized and receive
  payments as Accountable Care Organizations (ACO)
  under Medicaid.
• Establishment of Center for Medicare and Medicaid
  Innovation within CMS. The purpose of the Center
  will be to research, develop, test, and expand
  innovative payment and delivery arrangements to
  improve the quality and reduce the cost of care
  provided to patients in each program.
• Training in family medicine, general internal
  medicine, general pediatrics, and physician
  assistantship. Provides grants to develop and
  operate training programs, provide financial
  assistance to trainees and faculty, enhance
  faculty development in primary care and physician
  assistant programs, and to establish, maintain,
  and improve academic units in primary care.
• Expanding access to primary care services and
  general surgery services. Beginning in 2011,
  provides primary care practitioners, as well as
  general surgeons practicing in health
  professional shortage areas, with a 10 percent
  Medicare payment bonus for five years.
• Payments to primary care physicians. Requires
  that Medicaid payment rates to primary care
  physicians for furnishing primary care services
  be no less than 100 of Medicare payment rates in
  2013 and 2014.
• Other Items
• Grants to Establish Community Health Teams to
  Support a Medical Home Model the Secretary of
  HHS would establish a grant program to creating
  the community health team which is
  community-based, multi disciplinary,
  interprofessional teams (on the model of medical
  home) to increase access to comprehensive
  coordinated care.
• Enhancing Health Care Workforce Education and
  Training -. Priority is given to programs that
  educate students in team-based approaches to
  care, including the patient-centered medical
  home. Authorization is set at 125 million.

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CMS Activity and the PCMH
Planned Demonstrations Medicare Medical Home
Demo Status - on hold pending recent health care
reform legislation Multi-Payer Advanced Primary
Care Practice Demo Status - invitation to
states and solicitation in clearance Federally
Qualified Health Centers Advanced Primary Care
Practice Demo Status - under development
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Recognition Programs for PCMH Developed or Under
Development
Quality Organizations PCMH Standards Activity
2010
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Contact Information

• Visit our website http//www.pcpcc.net
• To request any additional information on the PCMH
  or the Patient Centered Primary Care
  Collaborative please contact
• Edwina Rogers
• Patient Centered Primary Care Collaborative
• Executive Director
• 202.724.3331
• 202.674.7800 (cell)
• erogers_at_pcpcc.net
• The Homer Building
• 601 Thirteenth St., NW, Suite 400 North
• Washington, DC 20005