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Illinois AFP Focused on Helping Small Practices Meet Challenges of Health Care Reform
The four-part initiative consists of
- a communications strategy,
- an ambassador mentoring program,
- an enhanced CME program, and
- a small-practice pilot program.
The Four Components
- The Illinois AFP has launched a four-part initiative to educate family physicians about health care reform and help them transform their practices.
- The Practice Improvement Network, which primarily is geared toward solo and small family physician practices, includes a small-practice pilot program designed to help practices with eight or fewer physicians successfully transform their practices.
- Other parts of the initiative include a mentoring program and enhanced CME programs.
The second component -- the ambassador program -- is a mentoring project that gives practices with little or no experience in practice transformation access to family physicians who are well versed in that transformation process.
"The ambassadors are people who have thus far walked the walk on practice transformation," says family physician Donald Lurye, M.D., CEO of a multispecialty group in Elmhurst, Ill., who serves as one of the ambassadors for the Practice Improvement Network.
The ambassadors will mentor family physicians on the various changes occurring as a result of health care reform, focusing on health information exchanges, chronic disease management and accountable care organizations. But, they also will provide overall assistance to practices, says Keenan.
The Illinois AFP also plans to establish five to 10 CME sites around the state to give family physicians greater access to relevant CME programs and to provide them with a place to gather and develop strategies to manage the various changes taking place in medicine.
The first three components of the Practice Improvement Network are open to all Illinois AFP members, but the fourth piece of the initiative -- the small-practice pilot program -- involves only 30 small practices in the state. It is designed to provide services and assistance to small practices (i.e., those with eight or fewer physicians in the practice) who want to transform into medical homes; at least one of the physicians needs to be a member of the Illinois AFP.
Practices in the program are required to invest $2,500 of their own money to participate each year. The Illinois AFP matches that amount, resulting in a total investment of $5,000 each year for each participating practice.
Thus far, the Illinois AFP has enrolled 17 practices, according to Helen Kate Liebelt, a project manager for the Practice Improvement Network. "Recruitment began in the early summer months and continues to ramp up as fall draws near," says Liebelt.
As part of the small-practice pilot, the chapter has contracted with established practice management coaches to work with participating practices on transforming themselves. These coaches will serve as linchpins for the project by conducting practice assessments and helping physicians in areas that need improvement. The AAFP's TransforMED program also is available to physicians in the pilot who prefer a self-study approach rather than working face-to-face with a coach.
Participating practices are not required to become recognized medical homes, and they can choose the clinical and practice management projects they want to work on and how fast they want to change their practices. "This pilot is not supposed to add extra burdens for any practice," Keenan says. "But it is supposed to help practices transform the way they want to."
Anticipating the Rewards
"I felt as a solo doctor, I had a high chance of just being left out to dry without having a way of keeping up," she says. That was one of the key reasons why she joined the Practice Improvement Network and the small-practice pilot project, in particular.
"Things are not financially good in my practice, and I need someone to help me review (my finances)," says Winters.
She also expects the coach to help her meet the federal government's meaningful use criteria for using electronic health records. "I think I am going to have a coach who has more experience with meaningful use than I have, which is virtually none at this point," says Winters. "I have taken steps to fulfill some of the meaningful use criteria, but the coach will take a look at what I am doing and will tell me if I am on the right track or not."
Winters also wants her practice to become a recognized PCMH. She notes that this likely will help her stay ahead of the curve and remain viable. She acknowledges, however, that she gritted her teeth when paying the $2,500 to participate in the pilot project. "As I said, finances are not great in my practice," Winters says. "But I anticipate the rewards will be greater than the expense."
In time, Winters expects that she will have a more efficient practice as a consequence of the Practice Improvement Network and the small-practice pilot. This "will benefit both me and my patients," she says.
Winiger identifies time as the biggest impediment to achieving PCMH recognition. "It is hard to find the time to do it all," she says, "especially when you are a solo doctor, and you do most things yourself."
She expects the practice coach will help her become a medical home. "I really want a person who can help look at my practice and make it better. I am a solo practitioner trying to stay solo and be independent, which is difficult in this world," says Winiger.
The $2,500 initial investment in the small-practice pilot led to some hesitation on Winiger's part. "But over the long term, I felt it was a reasonable investment," she says. "The Illinois chapter is actually matching our funds, so we get double what we have put in."
By becoming a recognized medical home, Winiger eventually expects to earn more money. She notes that public and private payers are likely to pay more to PCMH practices and says that becoming a recognized medical home will better position her in the future.
Number of chapter members: 3,800
Year chapter was chartered: 1948
Location of chapter headquarters: Lisle, Ill.
2012 annual meeting date/location: Not yet determined
"We need to provide our members with the family physician viewpoint on health care reform," he says. "They need to know we are working for them and with them in this journey. That is probably the No. 1 thing that every chapter can do.
"Beyond that, I think every chapter needs to take a look at their marketplace and their members and figure out what is the best way they can go about helping their members take advantage of all the changes that are going on within health care reform."
AAFP Chapter Spotlight series
Illinois AFP Initiative Drives Small Practice Transformation