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Illinois Academy of Family Physicians. Practice Transformation Plans 2011-12. David J. Hagan, MD, President February 12, 2011. Why Illinois AFP is doing this project.

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Practice Transformation Plans 2011-12

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    1. Illinois Academy of Family Physicians Practice Transformation Plans2011-12 David J. Hagan, MD, President February 12, 2011

    2. Why Illinois AFP is doing this project • Illinois AFP investigating options to assist members and the Illinois family medicine community in transforming their practices.  • To ensure all Illinois family physicians take full advantage of the opportunities available.   • To find out what the geographic and professional community needs are during this turbulent/chaotic time in medicine.

    3. Pathway to this project 2006 – AAFP annual meeting in Washington, DC 2007 – worked to increase presence with Illinois delegation to U.S. Congress 2008-09 Illinois AFP president, Javette Orgain, M.D., concentrates chapter efforts on moving federal legislative issues 2009-2010 Illinois AFP president, Patrick Tranmer, M.D., refocuses chapter to implement medical home principles in family medicine practices

    4. 2010 Illinois AFP and PCMH • Illinois AFP endorses TransforMED to members in 2009 • Holds PCMH conference, June 2010 • Website grows PCMH resources, • Comments made on drafts of medical home criteria for NCQA, URAC, Joint Commission; testified before Congress on Family Medicine workforce and Health Insurance Exchange • September-October issue of Family Physician dedicated to PCMH • November-December issue: “meaningful use”

    5. AAFP Member Satisfaction Survey

    6. What to do about PCMH? • Unless/until we can demonstrate that their monetary investment will be met with higher reimbursements from payers, we’re unlikely to convert those who aren’t already on board. • Re-examine our messaging: “we’re in this together” vs. “what you should do” • New physicians may be more receptive. Perhaps more targeted messaging is needed

    7. Practice Improvement Network Illinois 2011-2012

    8. Four part project • Communications • Communities • Ambassadors • Pilot project

    9. Communications • Leadership training at December 2010 chapter annual meeting by Len Fromer, MD • *Enhanced website resources • *Templated presentation for use as self-study, or presentation by IAFP leaders to members • *Newsletter updates *subject to successful funding

    10. Communicate to members about where the money is • “Meaningful use” in Medicare or Medicaid • Medicaid’s Illinois Health Connect bonus payments • Medicare’s increasing payments for primary care services • Chapter communications to focus on where practices can get revenues from existing programs or reduce expenses.

    11. Communities • Build regional CME sites for practice transformation • Offer about 30 hours of CME on practice transformation and clinical topics • Potential partnerships with other organizations (Regional Extension Centers, Health Information Exchange, Medicaid PCCM project) • Opportunity for peer support or E H R user groups

    12. Possible CME Content • Medicare and Medicaid “meaningful use” and Illinois Health Information Exchange • Medicare PQRI, now Physician Quality Reporting System (PQRS) • Medicare bonuses • Medicaid Primary Care Case Management/Disease Management (Illinois Health Connect and Your Healthcare Plus) performance measures • Open access scheduling • Conducting group visits

    13. Ambassadors • Chapter leaders locally based • Help choose community site for CME • Engage other members • Coordinated communication to chapter and to members • 2 to 5 hours in first month to get started • about 1 hour per month to maintain

    14. Pilot project • 30 practices, 8 or fewer providers per practice • Contract 2011-12 with chapter to cost share practice coach, 50% up to $5,000 each • Each practice completes assessments (like TransforMED’sMedical Home IQ) • Based on results, practice picks chapter-approved coach and area to work on (e.g., fiscal, clinical, Quality Improvement [QI] preventive or QI chronic disease) • Quarterly evaluations by coach • 8 group webinars on practice transformation

    15. 2011 Timeline Jan-Feb Presentation and pilot program developed Ambassadors recruited March- Pilot practices recruited/1st webinar May Ambassador presentations Up to 20 community sites recruited

    16. 2011-12 Timeline June-Aug 1. Schedule for CME for Community Sites for Fall 2011/Spring 2012 developed and marketed 2. Second webinar held 3. Coaches visit pilot practices 4. Pilots start rapid-cycle Plan-Do-Study-Act (PDSA) projects Sept-Dec 1. CME sites meet for 15 hours 2. Pilot practices present at Annual meeting … Nov. 2012 Project ends

    17. Questions??? Thank you! For more information, contact Vince Keenan, Phone 630-427-8002 Mobile 708-997-4930

    18. Illinois Academy of Family Physicians Practice Transformation Plans2011-12 David J. Hagan, MD, President February 12, 2011