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The Michigan Primary Care Transformation (MiPCT) Project: December PGIP Meeting Update. MiPCT T eam December 2, 2011. Agenda. Introduction MiPCT Participation Care Management Update Funding Update MiPCT Next Quarter Timeline Invitational Launch Meeting

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the michigan primary care transformation mipct project december pgip meeting update

The Michigan Primary Care Transformation (MiPCT) Project: December PGIP Meeting Update

MiPCTTeam

December 2, 2011

agenda
Agenda
  • Introduction
  • MiPCT Participation
  • Care Management Update
  • Funding Update
  • MiPCT Next Quarter Timeline
  • Invitational Launch Meeting
  • Care Manager Practice Integration
mipct care management update
MiPCT Care Management Update
  • Self Management Training programs
  • MiPCT Implementation Guide Part 1
  • Complex Care Manager Training Update
self management and moderate risk care management mcm training programs
Self Management and Moderate Risk Care Management (MCM) Training Programs

A summary of Self Management and Moderate Risk Care Manager training programs

  • training programs reviewed by MiPCT team

Self Management training

  • programs must be MiPCT approved
  • required for all Care Managers
self management training program mipct criteria
Self Management Training Program- MiPCT Criteria
  • Self management support – background
  • Motivational Interviewing and/or Empowerment skills
  • Individualized patient assessment
  • Collaborative goal setting
  • Problem solving
  • Systematic follow up, support
  • Minimum 6 hours didactic
  • Opportunity for learner to practice new skills
    • Post didactic - trainer facilitated webinar, conference call, face to face meetings to discuss case studies
self management and moderate risk care management mcm training programs1
Self Management and Moderate Risk Care Management (MCM) Training Programs

MCM and self management training programs “at a glance”

  • Programs vary: some are specific to self management training, a few address both MCM and self management training
  • Program objectives/content
  • Program contact
  • Resources
  • Modality
  • Duration, location
  • Trainer qualifications
  • Certification, CEs
  • Statewide or regional
  • Cost

“Self Management and MCM Training Programs" posted: mipctdemo.org

self management and moderate risk care management mcm training programs2
Self Management and Moderate Risk Care Management (MCM) Training Programs
  • The self management and MCM training document will continue to expand
      • MiPCT will continue to review and add training programs
  • How you can help
      • Contact [email protected]
        • if you have an existing self management or MCM training program you would like reviewed or
        • find another one that you are interested in pursuing
self management resources
Self Management Resources
  • Self Management resources – summary document
      • May be used as a supplement to a self management training program
      • Ex. toolkits, videos, modules
  • How you can help

“Self Management Resources” posted: mipctdemo.org

mipct implementation guide part i
MiPCT Implementation Guide – Part I
  • Background
      • Overview of care management
      • Successful components of care management
  • Care Management Model and Staffing
      • Four models: travel team, integrated, hybrid and central
        • Description of models
        • Pros and cons of each model
      • Steps to identify a care management model that is a good fit
        • Includes table with potential models to consider based on patient population, CCM & MCM FTE, and practice locations
mipct implementation guide part i cont
MiPCT Implementation Guide – Part I cont.
  • Roles - Care Managers, Panel Management
  • Hiring Care Managers
mipct implementation guide part i cont1
MiPCT Implementation Guide – Part I cont.

Operations

  • Training CCMs, MCMs
  • Integration of care manager into practice setting
  • Team roles
  • Identification of patients for care management

“MiPCT Implementation Guide Part I” posted: mipctdemo.org

mipct implementation guide part ii planned topics
MiPCT Implementation Guide – Part II planned – topics
  • G codes
  • Geisinger specific CCM curriculum
  • Care Management Software
  • MiPCT Data reports, Patient Lists
  • Team roles
complex care manager ccm training
Complex Care Manager (CCM) Training
  • MiPCT will provide required training for CCMs
    • Tentative - MiPCT partnership with Geisinger
    • Expect plan to be finalized within 1 - 2 weeks
  • Train the Trainer Model
  • MiPCT Webinar 12/9 3-5 pm
    • Update CCM training
mipct training for complex care managers ccms and hybrid cms
MiPCT Training for Complex Care Managers (CCMs ) and Hybrid CMs
  • CCMs and Hybrid Care Managers
    • Mandatory completion of MiPCT CCM training
      • MiPCT team provides standardized CCM training
      • CCM training will take place in Michigan
  • Time line -tentative
    • CCM Master Trainers – training occurs Jan/Feb 2012
    • Group 1 CCM - training occurs (ideally) Feb 2012
    • Plan rolling training for several months
complex care manager ccm training1
Complex Care Manager (CCM) Training
  • CCM train the trainer model
    • 10 – 15 Master CCM Trainers
    • Master Trainers
      • Located Regionally
      • Receive training directly from Geisinger
    • Master Trainer role
      • Preceptor for new MiPCT CCMs
      • Patient caseload
    • Cost
      • Some salary subsidized by MiPCT
mipct clinical resources
MiPCT Clinical Resources
  • MiPCT clinical content
    • temporary location - mipctdemo.org
  • Michigan Care Management Resource Center website - live Jan 2012
    • micmrc.org
    • will transition MiPCT clinical content from mipctdemo.org to the micmrc.org website - Jan 2012
funding update
Funding Update
  • BCBSM – off-cycle payment for portion of first three months funding will be sent next week (tentative date December 9)
    • Purpose is to “jump-start” care management
    • Balance of first quarter payments will be sent in January PGIP payment, represents $3 PMPM payment
  • BCN – will determine within the next week when they will start G-codes/CPT codes
    • Understand that POs/PHOs/practices need ramp up time to begin G-code billing
    • Committed to paying $3 PMPM until that time
michigan primary care transformation project mipct launch invitational meeting
Michigan Primary Care Transformation Project (MiPCT) Launch Invitational Meeting

Supporting Your Success in Partnering with Patients to Improve Care Experience, Outcomes, and Value

launch meeting
Launch meeting
  • Goal of Meeting
    • To advance our practice unit’s and organization’s capabilities to implement the MiPCT program in their networks.
      • Provide a motivational kick off to the program
      • Create network opportunities and best practice sharing
      • Develop the knowledge and skills necessary for success
  • Multiple Meetings (2 or 3)
    • Located in South, West, North Regions
  • Who should attend
    • 1 Representative from each PO/PHO
  • Dates:
    • March-April 2012
one day program
One Day Program
  • Key Note Speaker
    • Motivational
  • MiPCT Overview and Updates
  • Skill Building Session
    • Change management and practice transformation
  • Breakout sessions
    • Transitions in Care
    • Medication Reconciliation
    • Extended Access and Patient Awareness
    • Patient Advisory Council
    • Data Collaborative Update
    • Care Management Resource Center: An In-depth Look
  • Sharing our stories
    • Our Practice’s Best Practice for PCMH
    • What Do We Do Well?
    • Identifying Our Opportunities for Improvement
care management models
Care Management Models

Travel Team

Consists of MCM and CCMs that are responsible for a patient caseload at multiple practices

Integrated

Consists of MCMs and CCMs that are located on site at the practice

Hybrid

The role of the CCM and MCM is filled by one individual

Central

The Care Manager is located off-site and supports multiple practices

Care Manager spends at least 50% FTE onsite at practice location

The role of the CCM and MCM may be filled by one individual or may be separate individuals

integrating care management into primary care
Integrating Care Management into Primary Care

Care Management Resource Center

Experience of the 5 pilot BCBSM PDCM physician organizations

Henry Ford

U of M

Genesys

Lakeshore Health Network

Integrated Health Partners

Participation in learning opportunities in 1st to 2nd quarter 2012

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