Multi-Payer Primary Care Transformation Webinars
Webinar on Patient and Caregiver Engagement in Primary Care Transformation
In May, the Multi-State Collaborative hosted a webinar featuring Diane Bechel-Marriott, DrPH, CPC+ Michigan Convener and Manager of Multipayer Initiatives at the University of Michigan, and Ann Greiner, President and CEO of the Patient-Centered Primary Care Collaborative. They discussed the role of patient and caregiver engagement in transforming primary care. Patient and caregiver engagement represents one of the five functions of CPC+. The others are access and continuity, care management, planned care and population health, and comprehensiveness and coordination.
- Bechel-Marriott discusses how Patient and Family Advisory Councils (PFACs) contribute to the CPC+ vision for comprehensive primary care by incorporating patient and caregiver perspectives that might not be obvious to the practice that can help to decrease barriers to engagement, and identify new ways to overcome challenges. She describes the Michigan Primary Care Transformation Project (MiPCT) five-year multi-payer demonstration’s use of Patient and Family Advisory Councils at the practice level, and at the program level.
- Greiner outlines PCPCC patient engagement efforts with over 100,000 practices across the country through the Transforming Clinical Practice Initiative (TCPI). Patient-centered care is a concept that is gaining a foothold with practices, including those not enrolled in CPC+. Many are turning to best practices in patient engagement to shift their cultures and create stronger patient outcomes while strengthening the patient-clinician relationship.
Both Greiner and Bechel-Marriot explain how patients can become involved in practice design that leads to care that is more responsive to patient needs. They also highlight patient and clinician education as an important first step. While patient and caregiver engagement is only one of the five CPC Plus function domains, Bechel-Marriot notes its potential for benefiting the other four.
Go to the PCPCC’s TCPI resource page, which provides free tools for practice transformation coaches and practices related to patient and family engagement. See Bechel-Marriot’s presentation slides here.
Webinar On Lessons Learned from the Evaluation of the Comprehensive Primary Care Initiative: Third Annual Report
In April, the Multi-State Collaborative (MC) hosted a webinar featuring researchers from Mathematica Policy Research. Erin Taylor, director of health research, Grace Anglin, researcher, and Debbie Peikes, senior fellow, discussed findings from the third annual evaluation report on the Comprehensive Primary Care (CPC) initiative, which ended in December 2016. They shared information about multi-payer collaboration and how payers can come together to support best practices in improving patient care. The presenters also discussed lessons learned that could be applied to the Comprehensive Primary Care Plus (CPC+) initiative, which started its first of five years in January 2017.
(The webinar begins at the 2:50 mark; it is sound only.)
The webinar focuses on some of the challenges faced by CPC regions: aligning quality measures across payers (given that different payers may serve different enrolled populations); overcoming the unanticipated complexity of the process of payer data aggregation; and engaging self-insured payers in the region in transforming care delivery.
The speakers highlighted several lessons from CPC that payers may apply to CPC+ or other multi-payer initiatives:
- Involve as many payers as possible so signals to practices are aligned and support is substantial
- Engage self-insured clients early in the process and communicate regularly about the goals and progress of the initiative; payers that required participation of their self-insured clients in CPC (or at least required them to actively opt out of CPC) had more success than those using an opt-in policy
- Consider areas for collaboration, including aggregating data for performance feedback to practices, or at least aligning the measures presented in individual payer reports; aligning quality metrics across payers; and where possible, coordinating supports to practices
- Identify goals and set realistic timelines for collaboration activities
- Consider hiring a strong, neutral facilitator to support regional transformation efforts
- Coordinate as much as possible with other existing regional initiatives
Read CPC’s third annual evaluation report.
Webinar on Data Aggregation, Analytics, and Reporting
On March 10, the Multi-State Collaborative (MC) hosted a webinar on data aggregation, analytics and reporting in multi-payer environments. David Jorgenson and Melanie Pinette of Onpoint Health Data shared their experiences developing and building data integration, analytics, and reporting systems in the Multi-Payer Advanced Primary Care Practice (MAPCP) demonstrations in Vermont and Rhode Island. The presentations were followed by a Q&A session facilitated by Lisa Dulsky Watkins, MC Director. Read an additional resource with background information from the webinar presenters.