Podcasts about patient centered medical home pcmh

In this episode, we explore the Patient-Centered Medical Home (PCMH) model with our guest, Liz Pierce, MD, pediatric regional medical director for the Vanderbilt Health Affiliated Network. With over 30 years of experience in pediatrics, Dr. Pierce shares her invaluable insights into how this physician-led, team-based care model can enhance patient outcomes.   The PCMH model, rooted in the principles of coordinated and comprehensive care, seeks to centralize the patient's medical journey and make health care more accessible and effective. Because implementing the model can be a challenge, Dr. Pierce discusses the pivotal role of PCMH champions within organizations and highlights state programs that offer financial aid and coaching to ease the transition.   For those eager to embark on the journey toward PCMH designation, Dr. Pierce walks us down the path of achieving and maintaining PCMH certification, a designation granted by the National Committee for Quality Assurance (NCQA). We also invite listeners to use the resources from this episode to learn more. 

To apply for the ACA Healthcare Policy Fellowship - Visit the ACA members section and go to the volunteer opportunities link: https://www.acatoday.org/wp-content/uploads/2023/08/Syllabus.pdfDr. Kris Anderson graduated from Palmer College of Chiropractic's Davenport campus with his DC degree in 2007. He followed that with a master's Fellowship in Clinical Research at the Palmer Center for Chiropractic Research, where he attained his MS degree in 2010. In 2012, Dr. Anderson joined his wife, Dr. Stacy Hallgren, in her practice in Grand Forks, ND, and they continue to operate Performance Chiropractic together. In 2018, Dr. Anderson began work with Valley Community Health Center, now Spectra Health, a Federally Qualified Health Center (FQHC) and Patient-Centered Medical Home (PCMH), to add chiropractic services to their scope of practice. He became their first DC, splitting his time between private practice and Spectra Health. In his role with Spectra Health, he continues seeking new treatment pathways for underserved communities, those who typically lack access to chiropractic services, and especially those in non-traditional living environments or treatment programs for substance use or other disorders.Beyond patient care, Dr. Anderson serves the chiropractic profession in multiple other ways. He has been a board member of the ND Chiropractic Association (NDCA), including serving as president from 2019-2021, and continues to represent the NDCA in various ways as the Insurance Liaison. He was honored as the NDCA Chiropractor of the Year in 2019. Dr. Anderson has twice served on the State of ND Board of Chiropractic Examiners' subcommittees to draft rules and regulations for the Chiropractic Practice Act, once for dry needling and the other for certified chiropractic clinical assistants. Additionally, Dr. Anderson has been a member of the Clinical Compass Board since 2018, now serving as Vice-Chair. Since 2019, Dr. Anderson has represented the ACA as the Advisor for the American Medical Association (AMA)/Specialty Society Relative Value Scale Update Committee (RUC) Healthcare Professionals Advisory Committee (HCPAC). His experience in health policy has led to opportunities to represent the profession at national meetings convened by organizations such as CMS and PCORI. He currently serves as Vice-Chair of the ACA Health Policy and Advocacy Commission and serves multiple subcommittees as either chair or member. He became the House of Delegates Alternate Delegate for ND in 2022 and is a member of the ACA Governors Advisory Cabinet (GAC) and the ACA-PAC Capitol Club. In addition to the NDCA, Clinical Compass, and ACA, Dr. Anderson is a member of the World Federation of Chiropractic (WFC), the North American Spine Society (NASS), the American Public Health Association (APHA), and the National Strength and Conditioning Association (NSCA) where he maintains an active supporting credential as a Certified Strength and Conditioning Specialist (CSCS). He is also a Certified Medical Examiner.Dr. Anderson's commitment to research has followed him from his fellowship into his practice setting. He maintains an ongoing collaboration with colleagues at multiple chiropractic institutions, which has resulted in multiple publications and posters at research conferences. He has contributed to public health with work with the ND State University School of Nursing on a tobacco cessation project and as a grantee of the ND Department of Health to improve hypertension and pre-diabetes identification and management in chiropractic practice. He is also a peer reviewer.Dr. Anderson and his wife, Stacy, have four children and live on a small hobby ranch in rural Grand Forks County, ND. They are members of their local Lions Club International Chapter and serve their community in various other ways as well, such as church council and coaching youth sports. They enjoy spending time with family, working on their hobby ranch with their many animals, camping, and being outdoors as much as possible.

The eCW Podcast speaks with Geli King-Brown, senior director of quality management at Healing Hands Ministries (HHM), about how her organization is expanding its locations and services to extend healthcare to those who can't afford it. Geli discusses how the Patient-Centered Medical Home (PCMH) program has helped the organization standardize the care it provides by establishing policies, procedures, and workflows. By using eClinicalWorks® PCMH and HEDIS analytics, HHM can identify subgroups of their patient population with specific conditions or diseases and see the quality improvement process around them. With the embedded reports, Geli and her team can efficiently track and monitor their progress, share those results with their patients, and highlight healthcare champions at work. The game-changing result is that Geli and her team can identify what works and what doesn't while continuously striving to improve their care.

When you hear about value-based care, do you get tired of hearing about concepts without tangible best practices?  Do you ever wish you could just acquire insights from a leader who navigated a successful value journey?  If you want to learn from one of the best in the “value game”, look no further than Dr. Bill Wulf, the CEO of Central Ohio Primary Care (COPC). Dr. Wulf is a respected leader in the value movement and leads the largest physician-owned primary care group in the United States.  During his leadership tenure, COPC has grown to over 480 physicians and 83 locations in central Ohio. The growth of the practice has empowered a successful value journey, with COPC caring for 75,000 senior patients in full-risk arrangements with Medicare Advantage and ACO REACH in partnership with Agilon Health (and the current move to full-risk in commercial plans with employers in partnership with Vera Whole Health). Dr. Wulf describes a value journey that has been over two decades in the making.  It started with a merger in the late 90's to create a fully-integrated primary care practice platform. And then in 2010, a Patient-Centered Medical Home (PCMH) transformation led to unprecedented success in full-risk Medicare Advantage.  COPC has built upon their MA success to now partner with large employers in full-risk programs, and they are also one of the new participants in the ACO REACH program. In this interview, Dr. Wulf goes into great depth on the care delivery innovations that were made possible by prospective payment and capital investment. He discusses hospitalist and ER care coordination programs, home-based care delivery, after-hours primary care access, telehealth, onsite clinics at employer locations, and the importance of data-driven insights from a unified EHR. You will also hear about how COPC has benefited from successful partnerships to build an even more effective infrastructure for population health outcomes. Most importantly, you will hear how COPC playing the “value game” helps their independent physicians take better care of patients! Episode Bookmarks: 03:30 The origin story of Central Ohio Primary Care (COPC) – the nation's largest independent primary care practice that is leading in VBC 05:30 Dr. Wulf describes how a practice merger in the late 90's led a successful hospitalist program, contracting strategy, and ancillary services model 07:00 Post-merger growth of practice because of better contracting rates and ancillary services revenue 07:30 “Our growth in the last 10 years has been a result of us playing the “value game” in helping physicians take better care of patients.” 08:00 This year COPC is integrating 3 practices (30 physicians) at a time when there aren't as many independent PCPs available. 09:00 COPC's commitment to physician independence, where physicians have the freedom to care for their patients without interference. 09:30 Beginning the value journey through the decision to transform into a Patient Centered Medical Home (PCMH) 11:00 How physician independence leads to freedom to make data-driven referrals that improve population health outcomes. 12:00 A unified Electronic Health Record (EHR) led to the identification of the “best” doctors in the practice. 13:00 “The best physicians in the practice were not the busiest ones…but these physicians (pre-value journey) were making the least income.” 13:45 “Our best physicians were creating value for the payer, employer, and the government, but they were not recognized for value in a FFS world.” 14:30 Dr. Wulf describes how Level 3 PCMH recognition led to value creation (“a stepping stone”) 16:00 PMPM payments from commercial and MA plans led to programs that improved outcomes with high-risk patients. 16:30 COPC's Hospitalist Program (100 physicians) and ER Care Coordination Program 17:00 Nursing care coordination that leads to effective post-discharge planning and transitions of care from the hospital.

Primary care is not emphasized in the U.S. health system—the current health care model is not designed to help people with multiple chronic conditions, especially those who also have mental health problems. Dr. Kyle Bradford Jones says Patient-Centered Medical Home (PCMH) models are the solution. Dr. Jones talks about the University of Utah’s Neurobehavior HOME Program, a type of PCMH, and how it is helping in the delivery of health care for people with chronic and complicated medical problems.

Join us Wednesday, July 15th 2015 at 3 PM Eastern/12 PM Pacific for another deep dive into the role of primary care in population health. Our special guest is Jay Lee, MD, (@FamilyDocWonk) Associate Medical Director of Practice Transformation at MemorialCare Medical Group and Director of Health Policy at the Long Beach Memorial Family Medicine Residency Program. Dr. Lee was also recently honored by his peers and elected as incoming President at California Academy of Family Physicians (@cafp_familydocs). As Associate Medical Director of Practice Transformation at MemorialCare Medical Group, Dr. Lee is responsible for leading implementation of the Patient-Centered Medical Home (PCMH) model in practice locations from Long Beach to San Clemente.

Host: Brian P. McDonough, MD, FAAFP How has the Patient-Centered Medical Home (PCMH) model for primary care evolved since its inception? Speaking on this subject is Dr. William Warning, Program Director of the Crozer-Keystone Family Medicine Residency Program in Philadelphia, PA. Dr. Warning is also the Faculty Chair of the Pennsylvania Academy of Family Physicians Residency Program PCMH Collaborative, the largest Family Medicine Residency collaborative in the country. He is a speaker both regionally and nationally on PCMH implementation and interprofessional team-based care.

A year into the Colorado multi-payor medical home pilot whose practices provide care to 30,000 patients, Julie Schilz, B.S.N., M.B.A., prescribes a single tool that can help transform practices, improve quality and deliver evidence-based care. It's NOT an EHR, says the manager of the Improving Performance in Practice and Patient-Centered Medical Home (PCMH) initiatives for the Colorado Clinical Guidelines Collaborative, who lists this tool's four key functionalities. Also in this interview, Schilz describes the influence of other reimbursement models on the Colorado pilot and identifies two opportunities for NCQA to enhance its PCMH recognition process. Schilz shared Colorado's experience to date in creating this multi-payor initiative --- from the development of the program to the challenges of working with multiple payors --- during the January 20, 2010 webinar, "Multi-Payor Medical Home Programs: Addressing Funding and Organizational Challenges."