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There is growing
recognition across the U.S. that effective
primary care may be the key to delivering
improved outcomes and reducing the per
capita cost of health care. 1 Many efforts
are underway to help practices deliver more
effective care: patient centered medical
homes, chronic disease collaboratives, etc.
All have some benefit and all struggle to
achieve breakthrough results that sustain in
the pilot practices and spread to others.
In addition to the struggles of the
aforementioned approaches, very few have
been able to figure out how to engage solo
and small practices.
One of the major impediments to effective
primary care is the nature of the policy
environment. Current health care policy is
toxic to effective primary care. The real
work of effective primary care - care
coordination, broad scope of services,
effective relationship over time, and
eliminating practice barriers to care -
result in increased uncompensated work,
unfunded infrastructure costs, and reduced
revenue. This triple threat is part of what
is drowning primary care in the U.S. The
good news is that some of the organizations
that pay for health care are beginning to
recognize this problem and are beginning to
explore ways to reward the right work and
diminish the punishing aspects of current
policy.
Where changes in policy open the door to
changes in the delivery system, we can help
the delivery system respond to those
changes. We are expert faculty who have
worked together for a decade at the
Institute for Healthcare Improvement, have
published the results of our experiences and
results, and have combined decades of
experience working with hundreds of
practices of all types and sizes from across
the U.S. and Canada.2 In addition to our
experience leading classic IHI breakthrough
collaboratives and learning communities, we
developed and lead the IdealMedical
Practices project, which gave us meaningful
access to volunteer solo and small practices
from across the U.S. 3-8
We can help you reach out to groups of
widely dispersed solo and small practices
using a virtual collaborative model that
allows the practicing providers and teams to
remain on site, while engaging in a virtual
learning community with peers, mentors, and
expert faculty. Participants are guided
through a process that:
-
Deeply engages
patients in self-management
-
Improves the rate
and quality of information transfer to
patients
-
Reduces practice
access barriers and other attributes
that unintentionally deflect patient
needs
-
Provides an ongoing
set of patient experience measures that
reflect the practice's degree of
attainment on the fundamental attributes
of effective primary care
This foundation of
effective primary care sets the stage for
adoption of complex technology and the
Chronic Care Model in the second stage of
engagement.
We can accommodate 20-50 practices in each
group. A group engages for nine months to
work through a stage. Stage one is the
foundation of effective primary care, stage
two builds effective implementation of the
Chronic Care Model - "planned care for all"
- by creating high performing care teams.
Please contact us directly for more
information, pricing, and availability.
John H. Wasson. Professor of Community and
Family Medicine and Medicine; Herman O. West
Professor of Geriatrics at Dartmouth Medical
School; Former Director of the Centers for
Aging; Research Director of the oldest
Practice-Based Primary Care Research
Network: The Dartmouth - Northern New
England Primary Care Research Network
(COOP); Institute for HealthCare
Improvement, Co-Director for Idealized
Office Practice and IMPACT.
L. Gordon Moore. Associate Professor
(clinical) Department of Family Medicine,
University of Rochester School of Medicine &
Dentistry, Co-Director for
IdealMedicalPractices.org and faculty member
of the Institute for Healthcare Improvement
IMPACT.
1 A. H. Goroll, R. A. Berenson, S. C.
Schoenbaum, et al, Fundamental Reform of
Payment for Adult Primary Care:
Comprehensive Payment for Comprehensive
Care, Journal of General Internal Medicine,
March 2007 22(3)410–15(3) Sevin C, Moore LG,
Shepherd J, Jacobs T, Hupke C. Transforming
care teams to provide the best possible
patient-centered, collaborative care.
Journal of Ambulatory Care Management 2009
Jan-Mar;32(1):24-31
2 Wasson JH, Anders SG, Moore LG, Ho L,
Nelson EC, Godfrey MM, Batalden PB.
Clinical Microsystems, Part 2. Learning
from Micro Practices About Providing
Patients the Care They Want and Need. The
Joint Commission Journal on Quality and
Patient Safety. August 2008, Volume 34,
Number 8. Pages 445-452.
3 Moore LG, Wasson JH. The Ideal Medical
Practice Model: Maximizing Efficiency,
Quality, and the Doctor-Patient
Relationship. Family Practice Management
September 2007 pp.20-24
4 Moore LG, Wasson JH. An Introduction to
Technology for Patient-Centered,
Collaborative Care. Journal of Ambulatory
Care Management July-Sept 2006 Vol 29, No 3,
pp. 195-198
5 Moore LG, Wasson JH, Johnson DJ, Zettek,
J. The Emergence of Ideal Micro Practices
for Patient-centered Collaborative Care.
Journal of Ambulatory Care Management
July-Sept 2006 Vol 29, No 3, pp. 215-221
6 Schall M, Sevin C, Wasson JH. Making
high-quality, patient-centered care a
reality. J Ambul Care Manage. 2009
Jan-Mar;32(1):3-7.
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