Patient-Centered Medical Home Pilot and Demonstration by wlx15873


									                                   Patient-Centered Medical Home
                                       Pilot and Demonstration
Project Title

Aligning PCMH Stakeholders in Michigan

Project Location

State:    Michigan                          Region within      Statewide
                                            State (if

Project Status
Please select one from the list below:

Under Development                           Comments:          The Michigan Primary Care
Active                                                         Consortium, convened 4 PCMH
Other (please add comment)                                     Stakeholder meetings between
                                                               April and October 2008 to lay
                                                               groundwork for
                                                               around PCMH in Michigan.
Target Start                                Pilot/Demo
Date:                                       Length:

Convening Entity/Project Contacts

Convening               Michigan Primary Care Consortium
Organization Name:

Contact Name(s):        Janet Olszewski, Director, Michigan    Rose Steiner
                        Department of Community Health         IPIP State Director
                        and MPCC Chair

Phone:                  517-241-7353                           248-213-4656

Brief Overview/Research Question/Focus of Project
(Note: Response space limited to 1000 characters)

The Michigan Primary Care Consortium (MPCC), made up of public and private stakeholders who
support the transformation of primary care delivery systems in Michigan, is convening a series
of PCMH meetings. In April 08, the MPCC sponsored Improving Performance in Practice (IPIP)
program invited multiple stakeholders to hear speakers from Colorado IPIP and Commonwealth
Fund present a pilot opportunity. As a follow up, MPCC is convening a series of meetings of

File Name: Aligning PCMH Stakeholders in Michigan                                           1
Last Update: 10/21/2008
payers and professional associations to create a PCMH definition, metrics and practice
recognition process for Michigan in order to
  1. Decrease the burden that would be imposed on practices through each payer creating
     a PCMH plan using different assumptions and requirements, and
  2. Lay the foundation for future consideration of multipayer pilots and/or
     other collaborative work.
Once the group attains consensus, the products will be widely distributed to additional
stakeholders for input and consensus building.

File Name: Aligning PCMH Stakeholders in Michigan                                         2
Last Update: 10/21/2008
Participating Stakeholders

Organization Names (please      Organization Types (e.g.,        Comments:
list each one on a new line –   payer-public/        private,
and format org. types and       employer,           provider
comments to line up with        organization, etc.):
org. name):
Michigan Primary Care           Broad - based                    MPCC stakeholders include
Consortium                      private/public coalition         professional and trade
                                                                 associations, insurance
Primary Care Professional       Professional association         companies, businesses, academic
Associations                                                     programs, public health
                                                                 organizations and regional quality
Insurance Companies             Public/private                   improvement coalitions.
Health Plans                    Public/private

Expected or Actual Demographics of Participating Practices

# of Practices:                               # of Overall
   Types of        Internal Medicine         Range in # of
   Practices       Family Medicine           physicians per
(select all that   Pediatrics                   practice:
    apply):        Other
  Health Plan      Commercial                Overall # of
    Lines of       Medicare Adv.            Covered Lives:
   Business              Medicaid
   Included        Managed Care
(select all that   Other
    apply):        Undecided

Medical Home Recognition Program
Please select all that apply:

   NCQA PPC-PCMH                              Comments:         The PCMH recognition process
   Other                                                        developed by BCBSM as part of its
   Undecided                                                    Provider Group Incentive Program
                                                                will likely be a recognition option.

Practice Transformation Support (including technology)

Yes                  If yes, please    Several initiatives in Michigan are available to support
No                       briefly       practice transformation. The MPCC sponsored Improving

File Name: Aligning PCMH Stakeholders in Michigan                                                      3
Last Update: 10/21/2008
Undecided        describe:   Performance in Practice Program (IPIP) will assist
                             practices achieve PCMH recognition through a learning
                             collaborative experience, implementing a process
                             improvement change package, and on-site coaching by
                             industry trained and loaned experts in quality and process
                             improvement. In addition to engaging 30 practices in 2008
                             and 100 in 2009, IPIP plans to develop local/regional
                             support for ongoing quality and process improvement in

File Name: Aligning PCMH Stakeholders in Michigan                                     4
Last Update: 10/21/2008
Payment Model

Yes                 If yes please
No                  briefly
Undecided           describe:

Project Evaluation

Yes                 If yes, name of
No                  evaluator (if
Undecided           known):

Types of Data to be Collected
Please select all that apply:

 Clinical Quality                     Brief
 Cost                                 Description
 Patient Experience/Satisfaction      and/or
 Provider Experience/Satisfaction     Comments:

Relevant Links (e.g. convening organization website, press releases,
helpful tools, other regional/local resources)

File Name: Aligning PCMH Stakeholders in Michigan                      5
Last Update: 10/21/2008

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