a private foundation working toward a high performance health system gauging the safety net medical...
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A Private Foundation Working Toward a High Performance Health System
Gauging the Safety Net Medical Home Initiative's Impact on
Primary Care
Melinda Abrams, M.S. Vice President, Patient-Centered Coordinated Care
The Commonwealth Fund
Commonwealth Fund WebinarJuly 9th, 2013
A Private Foundation Working Toward a High Performance Health System
Learning Objectives
1. Briefly review the rationale for the Safety Net Medical Home Initiative and its goals/objectives
2. Summarize key achievements of the Safety Net Medical Home Initiative and its enduring contributions
3. Present key lessons from the initiative regarding sequencing, practice coaching and the value of learning communities
4. Learn about PCMH transformation from a Safety Net Medical Home site: challenges, benefits, lasting impact 2
A Private Foundation Working Toward a High Performance Health System
Impetus for the Safety Net Medical Home
Initiative• New data in 2007 showed patient-centered
medical homes could reduce disparities by race, income and insurance– Preventive care– Coordination of care– Chronic disease management
• However, the research also showed that safety net clinics were less likely than private physician offices to have the indicators of medical home
Source: Beal A. et al. Closing the Divide, Commonwealth Fund New York, 2007.
A Private Foundation Working Toward a High Performance Health System
National Context
• Solid evidence base on the impact of primary care on costs and outcomes (Starfield et al., 2005, Friedberg et al., 2010)
• Joint Principals of Patient-Centered Medical Home published March 2007
• CHC Leadership
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A Private Foundation Working Toward a High Performance Health System
Safety Net Medical Home Initiative: Goals
• To develop and demonstrate a replicable and sustainable implementation model to transform safety net primary care practices into patient-centered medical homes (PCMH)
• To achieve benchmark performance in quality, patient experience and efficiency in safety net primary care practices
• To build support with key stakeholders to help sustain efforts in each region
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A Private Foundation Working Toward a High Performance Health System
Funders of Safety Net Medical Home Initiative
A Private Foundation Working Toward a High Performance Health System
Panelists
Jonathan Sugarman, M.D., M.P.H.Principal Investigator, Safety Net Medical Home Initiative (SNMHI) President and CEO, Qualis Health
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A Private Foundation Working Toward a High Performance Health System
Ed Wagner, M.D., M.P.H., M.A.C.P. Director Emeritus, MacColl Center for Health Care Innovation at the Group Health Research Institute, Group Health Cooperative
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A Private Foundation Working Toward a High Performance Health System
Stephen Weeg, M.Ed.Former Executive Director, Health West (participating SNMHI site)
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Impact, Diffusion and Spread of SNMHI
A Private Foundation Working Toward a High Performance Health System
SNMHI Shaped Several CMMI Initiatives
• Medicare FQHC demonstration
• Comprehensive Primary Care Initiative (CPCi)
A Private Foundation Working Toward a High Performance Health System
Influence on State Policy • Massachusetts: multi-payer medical home demonstration
wrapped around SNMHI
• Idaho: multi-payer medical home initiative underway; the SNMHI Idaho leadership shaped state demo as well as state payment policy
• Colorado: ensured FQHC participation in a number of state‐wide payment demonstrations and pilots, including regional ACOs.
• Oregon: new Alternative Payment Model (currently tested in 3 CHCs) grew out of Oregon SNMHI project
• Pittsburgh: long-standing multi-payer demonstration across the state; now Medicaid agency taking on more leadership role and SNMHI an example of how to incorporate FQHCs
A Private Foundation Working Toward a High Performance Health System
Several Providers and Health Systems Using SNMHI Resources• National Association of Community Health
Centers• Several primary care associations (PCAs)• Academic Medical Centers (e.g., Harvard
Medical School, UCSF) • Veteran’s Health Administration• Institute for Clinical Systems Improvement
(Minnesota)• Private health systems (e.g., Methodist, Texas
Health System)• Indian Health Service• Multiple state Medicaid programs
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Question & Answer Session
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ResourcesWebinar Presentations:
http://www.commonwealthfund.org/Events.aspx
Commonwealth Fund SNMHI page:http://www.commonwealthfund.org/Resources/2010/The-Safety-Net-Medical-Home-Initiative.aspx
Initiative Resources on Qualis Health’s Website:http://www.safetynetmedicalhome.org/
A Private Foundation Working Toward a High Performance Health System
THANK YOU!
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Jamie Ryan, M.P.H.Program AssociateThe Commonwealth Fund
Kathryn Phillips, M.P.H.Director, SNMHIQualis Health
Christine Haran, M.A.Assistant Vice President of Online InformationThe Commonwealth Fund