NYAM Author Night Series - Medical Informatics: An Executive Primer, 2nd Edition

Sponsors: New York Academy of Medicine, maxIT, HIMSS NYS, Columbia University's Mailman School of Public Health, & Columbia's Center for Advanced Information Management

Date: Wednesday, March 21, 2012

Time: 5:30PM: Check-in and Refreshments, 6:00-7:00PM: Presentation, 7:00-7:30 PM Networking

Location: The New York Academy of Medicine, 1216 Fifth Avenue at 103rd Street, New York, NY 10029

Speakers:

Moderator: Ken Ong, MD, MPH, CMIO of New York Hospital Queens

Panelists:
Abha Agrawal, MD, FACP, Medical Director of Kings County Hospital Center in Brooklyn, NY

Rachel Block, Deputy Commissioner for Health Information Technology Transformation in the New York State Department of Health

Curtis Cole, MD, Chief Information Officer for Weill Cornell Medical College in New York City

Deborah Johnson-Ingram, Senior Program Manager on the Performance Improvement Team with Primary Care Development Corporation (PCDC) in New York City

Joseph Kannry, MD, Lead Technical Informaticist on the EMR Clinical Transformation Group at Mount Sinai

Glenn Martin, MD, Director of Medical Informatics for the Queens Health Network (QHN) in New York, a winner of the Nicholas E. Davies Award of Excellence

Jason Shapiro, MD, MA, Associate Professor and Chief of the Division of Informatics in the Department of Emergency Medicine at Mount Sinai

Mytri Pritam Singh, MPH, Executive Director of Implementation at the Primary Care Information Project (PCIP), a Bureau within the New York City Department of Health and Mental Hygiene (NYC DOHMH)

Alan Silver, MD, MPH, Medical Director at IPRO, a non-profit healthcare assessment and quality improvement company

Salvatore Volpe, MD, FAAP, FACP, CHCQM, Physician Liaison and Clinical Champion for the NYC DOH Primary Care Information Project and NYC REACH (Regional Extension Center)

Additional Information

Registration Information
Cost: Free, but advance registration required

Register now

Medical Home/Health Home Funding Opportunities

Here is an especially useful link for NY based practices and Community Health Care Centers. SV

CHCANYS

A Vision for Canada: Family Practice: The Patient’s Medical Home

Let's share best practices and improve the quality for both sides of the border. SV

On September 21, 2011, the College of Family Physicians of Canada officially released its new position paper called A Vision for Canada: Family Practice – The Patient’s Medical Home. The document provides an important vision of the future of frontline patient-centred care to meet the health care needs for all Canadians through specific goals and recommendations. Please see the full document, executive summary and news release.


A Vision for Canada: Family Practice – The Patient’s Medical Home
A Vision for Canada: Family Practice – The Patient’s Medical Home (abridged version)
News Release

HEAL NY 17:New York State Awards $109 Million to Expand Use of Health Information Technology Focus on Improved Coordination of Health Care

New York continues to lead the nation by investing in Health Information Technology. In this case, the additional investment is for mental health, long-term and home. These are necessary extensions to the "roof" of the Medical Home. SV

ALBANY, N.Y. (Sept. 10, 2010) – Eleven health care organizations in New York State will receive a total $109 million in State grants to improve the coordination of health care through the use of health information technology.
The funding is being provided by the New York State Department of Health (DOH) and the Dormitory Authority of the State of New York (DASNY) through Phase 17 of the Health Care Efficiency and Affordability Law of New York (HEAL NY) and the Federal State Health Reform Partnership (F-SHRP), which support efforts that improve the efficiency and affordability of New York's health care system.
The grants will support projects that continue to build health information technology infrastructure in New York State that improves coordination of health care for patients with complex health problems, with a focus on improving the delivery and coordination of mental health, long-term care and home care.

The two-year project awards are:

• Anthony L. Jordon Health Center serves a low-income population in three zip codes in the northeast quadrant of Rochester and includes 33 primary care providers, 182 mental health providers, and three home care agencies. The project will focus on a patient population with affective disorders. Award: $4.5 million

• HEALTHeLINK (Western NY Clinical Information Exchange) serves 20,000 patients in the Western region and includes 70 primary care providers, 59 mental health providers, and one community health center. The project will focus on a patient population with affective disorders, including major depression. Award: $3.8 million

• Long Island Patient Information Exchange serves 20,000 patients in the Long Island region and includes 152 primary care providers, 1,096 mental health providers, and 31 long-term care providers. The project will focus on a patient population with schizophrenia or other psychotic disorders. Award: $20 million

• Maimonides Medical Center serves 15,000 patients in 11 zip codes in central and southwest Brooklyn and includes 81 primary care providers, 95 psychiatrists, and 190 other specialists. The project will focus on a patient population with serious and persistent mental illnesses. Award: $9.8 million

• New York City Health and Hospitals Corporation serves 237,000 patients in Kings, New York and Queens counties and includes 133 primary care providers. The project will focus on a patient population with schizophrenia. Award: $10 million

• New York City Regional Extension Adoption Center for Health (REACH) serves 285,000 patients in the New York City region and includes 299 primary care providers and 426 mental health providers across four hospital systems and several health centers. The project will focus on a patient population with schizophrenia and depression. Award: $9.9 million

• New York Presbyterian Hospital serves 470,000 patients in the New York City region and includes 175 primary care providers, 239 mental health providers, and four long-term care providers. The project will focus on a patient population with depression and diabetes or other metabolic disease. Award: $10.8 million

• St. Barnabas Hospital serves 17,000 patients in the Bronx in association with 64 mental health providers. The project will focus on a patient population with affective disorders, including depression. Award: $3.9 million

• THINC RHIO Inc. serves 8,500 patients in Ulster, Sullivan, Orange, Dutchess and Westchester counties and includes 120 primary care providers, 36 psychiatrists, and 174 psychologists. The project will focus on a patient population with affective disorders, including depression. Award $8.7 million

• UB Associates serves over 56,000 patients in Erie and Niagara counties and includes 85 primary care providers, 266 specialists, and 354 Medicaid providers. The project will focus on a patient population with affective disorders and chronic disease diagnoses. Award: $20 million

• Unity Hospital serves patients in six Unity Medical Group practices in the Western region and includes 57 Medicaid providers, 20 primary care providers, 21 mental health providers, and two community health centers. The project will focus on a patient population with diabetes. Award: $7 million

NYS DOH HEAL NY PHASE 17

BCBS North Carolina Rewarding Physicians for Better Care, Not More Care, Through Blue Quality Physician Program

Here's one Medical Home reimbursement model that does not include capitation. Sicker patients tend to have more visits which are also reimbursed at the higher rate just as are the healthier patient visits. SV

* Program rewards eligible physicians meeting quality standards
* Open to primary care doctors who agree to BCBSNC’s standard contract
* Physicians may qualify for double-digit increases in reimbursement for commonly billed services


Participating physicians who meet a set of criteria that includes nationally recognized, evidence-based standards for quality of care are eligible for reimbursement that offers double-digit increases over BCBSNC’s standard fee schedule for some of their most commonly billed codes. BCBSNC will reimburse at a higher level once the physician is approved for the program.

CDPHP invests one million dollars in Primary Care Medical Homes

Upstate physicians and residents will benefit from this sound investment. SV

ALBANY, N.Y. — In a continued commitment to promote the exchange and use of information within the health care industry while enhancing the quality of care, CDPHP announces a $1M investment in 21 area primary care and pediatric practices to participate in the second phase of the Plan’s medical home initiative. The practices which were chosen by the plan will use this aid to transform their deliver of care and work towards achieving meaningful use criteria.

The pledge comes on the heels of the Health and Human Services (HHS) announcement specifying what physicians and hospitals will have to do to receive a share of up to $27 billion in Medicare incentives for the adoption of electronic health records and other IT initiatives over the next ten years.

CDPHP

New York State (NYS) Medicaid's Statewide Patient-Centered Medical Home Incentive Program

Chapter 58 of the Laws of 2009 authorized the New York State Department of Health (NYSDOH) to implement an initiative to incentivize the development of patient-centered medical homes to improve health outcomes through better coordination and integration of patient care for persons enrolled in New York Medicaid.

New York Medicaid has chosen to adopt medical home standards that are consistent with those of the National Committee for Quality Assurance's (NCQA) Physician Practice Connections® - Patient-Centered Medical Home Program (PPC-PCMH™). The PPC-PCMH™ is a model of care that seeks to strengthen the physician-patient relationship by promoting improved access, coordinated care, and enhanced patient/family engagement.

A medical home also emphasizes enhanced care through open scheduling, expanded hours, and communication between patients, providers and staff. Care is also facilitated by registries, information technology, health information exchange and other means to ensure that patients obtain the proper care in a culturally and linguistically appropriate manner.

The NCQA PPC®-PCMH™ program assesses whether practices are functioning as medical homes. Building on the joint principles developed by the primary care specialty societies, the PPC®-PCMH™ standards emphasize the use of systematic, patient-centered, coordinated care management processes.

http://www.health.state.ny.us/health_care/medicaid/program/update/2009/2009-12spec.htm

Questions/Information

For more information on how to achieve NCQA certification as a NCQA PPC-PCMH™, providers should contact NCQA Customer Support at (800) 839-6487, or visit the NCQA Website at http://www.ncqa.org. Since New York Medicaid is recognized as a sponsoring organization, providers will receive a 20 percent discount from NCQA toward the cost of the PPC-PCMH™ application. Questions regarding New York Medicaid's Patient-Centered Medical Home initiative may be directed to the Office of Health Insurance Program's Division of Financial Planning and Policy at (518) 473-2160.

Please contact the Bureau of Managed Care Finance at (518) 474-5050 with any questions regarding health plan medical home payments for network providers.

NYC DOH PCIP
Primary Care Development Corporation
New York eHealth Collaborative

HIMSS Medical Home Podcast

Episode #9: The Medical Home Model
The Medical Home model of collaborative care will require electronic tools to make it efficient and scaleable. Steven Clemenson, MD, CMIO, Internal Medicine Associates, Fargo, ND and Salvatore Volpe , MD, FAAP, FACP, CHCQM, Oakwood Medical Solutions, Staten Island, NY discuss the efficiency gains and cost savings that have been shown using this care model. The interview was conducted by William F. Bria, MD, Chief Medical Information Officer, Shriners Hospital for Children, and Chair of the HIMSS/AMDIS Physician Community.

HIMSS

Bridges to Excellence Launches Medical Home Program

Get electronic, do it right and earn up to $125.00 per patient per year! SV

Washington – Today Bridges to Excellence (BTE), the nation’s largest effort to reward physicians for delivery of high quality care, announced its support of the medical home approach to providing health care by launching the BTE Medical Home Program. The initiative will reward physicians that demonstrate they have adopted really good systems and processes of care, and are using those systems to deliver positive results in the management of their patients – in particular patients with chronic conditions.

BTE

ACP joins UnitedHealth and physician groups on medical home in Florida

It wouldn't hurt to have an EHR.
I know a few groups in NYC that would like to participate. SV

Last week ACP joined with UnitedHealth Group, the American Academy of Family Physicians (AAFP), and the American Academy of Pediatrics (AAP) to announce the planned launch a pilot project of the patient-centered medical home.
The patient-centered medical home is a model of care designed to improve patients’ total health and care delivery through patients partnering with their primary care physicians. The physician, as leader of a multidisciplinary care team, takes responsibility for the whole care of the patient and coordinates that care with other physicians and professionals across the full spectrum on an ongoing basis. The pilot program will be launched in approximately six primary care practices in Florida.

This program will mark the first time that physicians are compensated with enhanced payments to reward the extensive work related to patient care that takes place outside the physician-patient encounter and to recognize the costs to the practice of maintaining the capability to provide patient-centered care. UnitedHealth Group and the medical societies have commissioned an independent research study on the pilot program.



ACP