We are working to incorporate key elements of the medical home into various projects, including a national tobacco cessation collaborative in which we partner with several AFP state chapters. In addition, we recently launched a statewide project to help family physicians and their staff improve the functioning of their clinical team, streamline office processes, and enhance their capacity both to improve the patient experience and their ability to manage patient panels.
www.familydocs.org/practice-resources/pcmh.php
How Chapters are Leading the Way
Examples of how some of our Chapters are helping to forward the PCMH movement.
California
Colorado
The CAFP was awarded a grant (start date July 1, 2009) to change the culture towards the PCMH in Colorado. The Chapter is collaborating with the Colorado Medical Society, The Colorado Society of Osteopathic Medicine, the Colorado Chapter of the American Academy of Pediatrics and the Colorado Clinical Guidelines Collaborative. The 2-year grant will involve researching the barriers towards the PCMH among all specialties, marketing and promoting PCMH to all specialists and education. In addition, multiple Colorado AFP members are participating in a Multi-Payer, Multi-State PCMH pilot. And to help members better understand how to transform their practices, the Chapter produces a monthly PCMH newsletter, CAFP Medical Home Muse.
www.coloradoafp.org/cafp/pages/medicalhome.asp
www.coloradoafp.org/cafp/pages/medicalhome.asp
Florida
The Florida Chapter continues to work with Blue Cross Blue Shield of Florida in the development of a multi-pilot Primary Care Patient Centered Medical demonstration project. The pilots are expected to begin training exercises in the fall of 2009. The Chapter also presented Dr. Paul Grundy as the FAFP Foundation Guest Lecturer at its annual meeting on July 17 in Boca Raton. In addition, the FAFP is co-hosting, along with Dr. Paul Grundy, the development of the Florida Primary Care Patient Medical Home Collaborative. Joining the FAFP at the meeting were representatives from the Florida Chamber of Commerce and Florida-based businesses.
www.fafp.org/pcmh.htm
www.fafp.org/pcmh.htm
Georgia
The GAFP has embarked on a "3E" campaign for advocacy for the PCMH: Engaging membership and health policy leaders in the state; Educating them about the fundamentals and advantages of this model; and Empowering them to become advocates through a series of videos, educational materials, related links, and strategic workshops. To learn more of these exciting initiatives, visit the GAFP website: www.gafp.org.
Idaho
The Idaho Academy of Family Physicians is effecting change in the primary care delivery system in Idaho by urging the involvement of business leaders, policy makers, healthcare providers and administrators to direct health care reform. The IAFP, along with the Governor’s Select Committee on Health Care are sponsoring a one-day conference, featuring Dr. Paul Grundy from IBM along with representatives from the PCPCC and TransforMed to discuss “Health Care System Transformation, The Patient-Centered Medical Home” on June 29, 2009.
www.idahofamilyphysicians.org
www.idahofamilyphysicians.org
Illinois
Family physicians are the medical directors for both Medicaid programs that incorporate many of the medical home principles and have resulted in cost savings to the Medicaid system and better outcomes for chronically ill patients. One is a primary care case management program, the other provides disease management services. We continue to educate lawmakers, providers and the public about the benefits of the patient-centered medical home.
www.iafp.com/PCMH/index.htm
www.iafp.com/PCMH/index.htm
Indiana
The Indiana Academy of Family Physicians encourages its members to consider adopting the Patient Centered Medical Home Model. Although the IAFP is advocating for increased medical home payments currently there are no increased payment rates for medical home certification in Indiana. During the 2009 Annual Meeting. the IAFP is hosting a Town Hall on the Patient Centered Medical Home where members can ask questions on the PCMH, NCQA, and TransforMED, and receive immediate answers from physicians and staff.
Learn more at www.in-afp.org/i4a/pages/index.cfm?pageid=3351.
Learn more at www.in-afp.org/i4a/pages/index.cfm?pageid=3351.
Maryland
The Maryland Chapter was instrumental in the Maryland/DC area being identified by HHS/CMS for that agency’s National Electronic Medical Records Demonstration Project (one of 12 communities awarded grants nationwide). The Chapter worked with the Maryland Healthcare Commission in identifying family physician practices for participation in the project. The Chapter also continues to monitor and work toward statewide PCMH legislation. For example, a joint resolution to the Maryland General Assembly will be introduced in the 2010 legislative session. The resolution, naming several sponsors and drafted with input by MD-AFP, is entitled, “Joint Principles of the Patient-Centered Medical Home.”
For more, see http://www.mdafp.org.
For more, see http://www.mdafp.org.
Michigan
The Michigan Academy of Family Physicians is involved in PCMH initiatives on
a state level through several large stakeholder coalitions and continues to
advocate for the PCMH model in the state legislature. The MAFP has formed a
PCMH Task Force in an effort to educate the public as well as members on the
model and help members implement elements of the PCMH into their practice
settings.
To learn more, visit: www.mafp.com/online/mi/home/practice.html.
a state level through several large stakeholder coalitions and continues to
advocate for the PCMH model in the state legislature. The MAFP has formed a
PCMH Task Force in an effort to educate the public as well as members on the
model and help members implement elements of the PCMH into their practice
settings.
To learn more, visit: www.mafp.com/online/mi/home/practice.html.
Minnesota
Everything you ever wanted to know about the Medical Home, Health Care Home or Patient-Centered Medical Home, with a focus on Minnesota and family medicine. The MNAFP is monitoring activities by the Minnesota Department of Health and the Department of Human Services in the development of Health Care Home certification requirements and payment methodologies.
For resources and most current information, visit
www.mafp.org/medhomemainpage.asp
For resources and most current information, visit
www.mafp.org/medhomemainpage.asp
Nebraska
Nebraska Gov. Heineman signed LB 396 in April 2009. LB 396 was introduced by Sen. Gloor during the 2009 session, adopting the Medical Home Pilot Program Act. Drs. Thomas Werner, Grand Island, and Robert Wergin, Milford, have been appointed by the Governor to the Medical Home Pilot Project Council. This advisory committee consists of two family physicians, two general internists, two pediatricians and a representative from a hospital or health plan. This bill will create a Medicaid medical home pilot project in a medium-sized city in Nebraska.
For more, http://www.nebrafp.org/support.
For more, http://www.nebrafp.org/support.
New Hampshire
Several PCMH pilots are underway in New Hampshire, including New Hampshire's Citizens Health Initiative Multi-Stakeholder Medical Home pilot and a pilot between CIGNA and Dartmouth-Hitchcock. In addition, the New Hampshire Endowment for Health is providing grant support to the Center for Medical Home Improvement to advance medical home efforts within the state.
Learn more at: http://www.nhafp.org/practicemanagement.html
Learn more at: http://www.nhafp.org/practicemanagement.html
North Carolina
The North Carolina Academy of Family Physicians has long supported the PCMH concept, particularly through support and involvement in the state’s nationally acclaimed Medicaid care managementprogram, Community Care of North Carolina. Additionally, for the past three years, NCAFP has housed the state’s Improving Performance in Practice (IPIP) grant project, a national effort to implement quality initiatives in primary care practices. Finally, the NCAFP leadership has agreed to make educating its members about the importance of the PCMH model a top priority for the organization. For more information about PCMH initiatives in North Carolina, please visit www.ncafp.com/medicalhome.
Ohio
The Ohio Chapter is providing up-to-date, PCMH information, news coverage, resources and updates on pilot projects/initiatives throughout the state of Ohio. We are also participating in discussions and connecting members with various PCMH initiatives in Ohio.
Learn more: www.ohioafp.org/medicalhome
Learn more: www.ohioafp.org/medicalhome
Oregon
The OAFP has formed a Medical Home Task Force with 3 main components: Research, Education and Advocacy.
To learn more, visit www.oafp.org/MedicalHomes1.php
To learn more, visit www.oafp.org/MedicalHomes1.php
Texas
TAFP hosts the site of a national PCMH effort: A compendium of explanatory videos and video interviews describing the medical home concept and its importance to patients, employers and physicians, plus a rich list of resources for use by anyone wanting to know more about the patient-centered medical home.
www.medicalhomeforall.com
www.medicalhomeforall.com
Washington
The Washington Academy of Family Physicians is leading the way in transforming the delivery of primary care in Washington State. Through the adoption of the Patient Centered Medical home model, Washington State is seeing improved patient health outcomes and improved performance in practices.
Learn more: www.wafp.net/programs/PCMH-IPIP.aspx
Learn more: www.wafp.net/programs/PCMH-IPIP.aspx
Wisconsin
The Wisconsin Academy of Family Physicians is pursuing a strategy of promoting public policy as well as providing education to members about PCMH and helping them with implementation of PCMH components.
Find out more at their website: www.wafp.org/pcmh
Find out more at their website: www.wafp.org/pcmh
How the AAFP and Chapters Are Supporting the PCMH Movement
How the AAFP is Supporting the PCMH Movement
How Chapters are Leading the Way
