Michigan Primary Care Transformation

Demonstration Project

March 21, 2012Webinar #3

Agenda

Statewide Rollout

Participation

Registry Requirement

Pay for Performance

Financial Accountability

Care Management Training

2

MiPCT Rollout

Day-long, all-partner MiPCT Launch Meeting

March 28, 2012 from 9am to 4:30 pm

Petruzzello’s Conference Center, 6950 Rochester Road, Troy, MI 48085

Practice champions, PO representatives, participating payers, purchasers and other key stakeholders in attendance

Continental breakfast and lunch provided

3

MiPCT Rollout Topics

Orientation to basic concepts and model

Achievements to date and status

2012: Review of key dates

Supporting your success

Skill Builder: Building an Effective Team

Michigan Data Collaborative

Implementing MiPCT at the Office Level

What to Expect Next

4

Speakers

Carol Callaghan, Sue Moran, Jean Malouin MD

Jody Blatt, CMS

Diane Bechel-Marriott, PhD

Devorah Rich, PhD

Kevin Taylor, MD

Myron Hepner and Gwen Thompson, PhD

Mary Ellen Benzik, MD

Marie Beisel, RN

5

Participation in MiPCT

Attendance at webinars• Sharing current information

• Brief training moments

• 100% practice representation

• eMail addresses of physicians

Participation in MiPCT Demonstration Project• Each practice participates voluntarily

• Comply with statewide project plan

6

Educational Events and Follow Up

IMPACT Depression rollout

Evaluation comments• Waste of time

• over our heads

• Great training

• Common sense Approach

• Speaker was arrogant and demeaning

Follow-up

7

Complex Care Manager Training

Geisinger Model

Training schedule not available

First cohort will be trained by June 30, 2012

8

Moderate Care Manager Training

Moderate Care Manager (PA-C, CNP, RN, or MSW)• Focus on Self Management Strategy and Skills

• Completed by June 30, 2012

• Calendar, offerings and curriculum emailed

• Physicians do not qualify for Care Manager status

• Care Manager Job Description outlines roles and responsibilities

9

Care Manager Assistant Training (Optional)

Care Manager Assistant• Focus on Self Management

• Completed by June 30, 2012

• Calendar, offerings and curriculum emailed

• It is recommended that each practice have one staff member complete the training

• Works in concert with Care Manager

• Care Manager Assistant (population coach, clinical assistant)

10

Care Manager TrainingCare Manager Training

Required by all licensed clinicians providing care manager services

Moderate care manager must be proficient in self management skills and outreach services

Formal training

Certificate of Completion

11

Care Manager Assignments

Dawn Carroll, RN

Dawn D’Allesandro, RN

Margaret Kucinski, RN

Angie Siegmon, RN

Deb Slocum, RN

12

Care Manager Assignments

Deb Kobayashi

Kim Roberts (Pediatrics Only)*

Pam Vaccarelli

Stephanie Laughlin

Dave Johnson**

Oakland Services**

13

Full Time Assignments

Anchor Bay Clinic

Hampton Medical*

Monroe Medical

14

Care Manager Sharing: Adult

Meadowbrook Internists*

Country Creek Family Physicians*

Oakland Medical Family Medical

Swetech Medical

Everingham Clinic

15

Care Manager Sharing: Adult

Douglas Hames, MD

Drs. Cabrera and Matharu

Center for Preventive Medicine

Partridge Family Physicians

16

Care Manager Sharing: Pediatric

Rick Poston, DO*

Macomb Pediatrics

Kathleen Reinhart, DO

Country Creek Pediatrics*

17

Care Team Composition

Lead Care Manager• RN, MSW, CNP, PA-C

• Must complete Care Manager Training

Other Qualified Healthcare Professionals• LPN, CDE, RD, nutritionist, clinical pharmacist,

respiratory therapist, certified asthma educator, certified health educator specialist (bachelor’s degree or higher), licensed professional counselor, licensed mental health counselor, certified health educator specialist (bachelor’s degree or higher), licensed

18

Pay for Performance: 6 Months(August 2012)

Moderate Care Manager in place

Complex Care Manager in place

Patient Registry

EMR/EHR with registry capabilities

HEDIS Quality Scores for the population

Extended access

19

Pay for Performance: 12 Months(February 2013)

Moderate Care Manager in place

Complex Care Manager in place

Patient Registry: Generate Trend Reports

EMR/EHR with registry capabilities: Generate Trend Reports

HEDIS Quality Scores for the population

Extended access

Additional items: Depression Screening

20

Financial and Miscellaneous Reports

Practice Transformation Payments• Report to MNO

• How have the funds been utilized

• Learning events

• Hiring staff

• Staff salary increases

• Software or hardware improvements

Pay for Performance Funds

21

Workshops and Learning Events

Uniform program

Competency based

Group learning

Synchronous tools including care manager software

22

23

Issues in 3 x

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