Check out three new on-demand videos recently posted by CMS' Center for Medicare & Medicaid Innovation (CMMI) that feature the work of primary care practices involved in the original Comprehensive Primary Care (CPC) initiative.
The videos -- part of a larger series -- run less than 10 minutes each, and two of the three focus on family medicine practices. Viewers might just take away a good idea or two for their own busy clinics.
First up is Harrison Family Practice Clinic in Harrison, Ark., a small rural clinic owned and operated by family physician Shannon Brownfield, M.D., who, along with clinic staff, provides health care to some 2,800 patients.
The video, "Creating and Sustaining a Culture of Improvement,"(www.youtube.com) details how the clinic worked to create a culture of change that then helped staff sustain the momentum they needed to reach certain goals.
"Change is the new normal" became the practice's mantra.
Next, hear how the Family Medical Group Northeast in Portland, Ore., took an innovative approach to strengthening shared decision-making between patients and physicians in a second video(www.youtube.com) titled "Shared Decision Making -- Informing Decisions and Decreasing Costs."
This independent clinic has a patient panel of about 7,700 active patients who receive health care from six health care professionals, including five family physicians: Steven Aguilu, M.D.; Jon Peters, M.D., M.S.; Anne Skinner, D.O.; Lonnie Smucker, M.D.; and Michael Booker, M.D.
Low back pain and frequent patient requests for costly MRI scans prompted the practice to create a decision aid for low back pain so that patients would have the right information to help choose treatment options.
Finally, take a look at a video titled "Using Cost Data to Support and Direct Comprehensive Primary Care"(www.youtube.com) that features Christ Hospital Health Network -- an extensive chain of physicians and health care providers in 100 locations throughout the greater Cincinnati area.
Learn how this health system retrieved patient-level data from practices, including that for more than 7,500 Medicare patients, from Oct. 1, 2014, to Dec. 31, 2014. The research focused on the impact of primary care on five ambulatory care conditions: congestive heart failure, chronic obstructive pulmonary disease, diabetes, hypertension and hyperlipidemia.
Bottom line: The data showed that as the percentage of spending on primary care increased, the total dollars spent on overall health decreased exponentially.
As background, readers may remember that CMMI rolled out the original CPC initiative(innovation.cms.gov) in 2012 for a four-year run that ended in December 2016. The project encompassed the participation of some 500 primary care practices and more than 2,000 health care professionals around the country.
The next generation of that program -- dubbed Comprehensive Primary Care Plus (CPC+) -- is currently underway in selected regions around the country and has the full support of the AAFP.
Related AAFP News Coverage
Leader Voices Blog: CPC+ Laying Groundwork for Value-based Payment