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FCMG and ACC Syracuse Whats going on

FCMG and ACC Syracuse Whats going on. David Page MD Medical director ACC Syracuse . FCMG short history . Founded 1995 EMR adopted 1999 Ancillary growth 1995-2008 First quality contract 2008 ACO 2013. Rules of the road . Transparency Economic Now quality Self sufficiency

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FCMG and ACC Syracuse Whats going on

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  1. FCMG and ACC Syracuse Whats going on

    David Page MD Medical director ACC Syracuse
  2. FCMG short history Founded 1995 EMR adopted 1999 Ancillary growth 1995-2008 First quality contract 2008 ACO 2013
  3. Rules of the road Transparency Economic Now quality Self sufficiency No real estate Data driven decisions Good corporate citizens Economic performance of the group trumps individual considerations
  4. Most important attribute Trust
  5. Successes Lab Physicians IPA First Quality contract Leadership transition (second attempt) PRL Partner engagement
  6. Failures Sleep lab rules of the road First attempt at leadership transition Personality conflict Imaging Market driven Invasive Cardiologist Rules of the road
  7. ACO Took many discussions before partner buy in First attempt at quality and cost Slow process
  8. ACO current focus areas ER use Getting pts to call primary first Surveying people as to why Urgicare Messaging to patients in the office and mailings Hospital D/C F/U daily reports Pushing use of TOC codes
  9. ACO current focus CHF and COPD Admits within 6m CC home visits and education Primary care visits and following treatment protocols Every other month
  10. ACO current focus GPRO reporting Monthly exception report Report cards by md to 19 metrics Offices manage the reports Nurses vaccinating patients Front end staff tracking down data Annual wellness exam Drop down boxes for Depression Pre HPTN Obesity Tobacco cessation Fall screening
  11. ACO future considerations Specialists Hospitals Move to capitation Treatment of low cost practices by CMS
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