OVERVIEW
In 2009 the New Jersey Academy of Family Physicians (NJAFP) and Horizon Blue Cross/Blue Shield of New Jersey (Horizon BCBSNJ) began partnering to assist primary care practices achieve recognition as Patient-Centered Medical Homes (PCMHs). At the outset, only one practice in New Jersey was recognized. Both partners knew the important role that the PCMH concept played in health care delivery and also acknowledged that functioning as a PCMH should go well beyond recognition alone. Therefore, NJAFP and Horizon BCBSNJ worked together to begin to transform office-based care from an acute episodic care model to the PCMH model for project practices.
Primary care practices participated in a NJAFP-developed and-directed educational program that included a weekly curriculum, delivered via conference call/WebEx. Participants were provided with templates, processes, guidelines, samples, resources, web links, and one-on-one consultation to help them meet or surpass the recognition standards. NJAFP consultants also provided technical direction to assist practices with the on-line survey submission. Practice physicians and staff shared experiences and best practices, including tips and ideas about their particular EHRs for those with the same systems.
After achieving NCQA PCMH recognition, practices have begun to receive a care coordination fee for Horizon members with diabetes, and are now actively involved in a quality metric reporting component, which is designed to support cost savings and cost sharing element. In addition, additional PCMH transformation activities are currently in process and will be discussed during the presentation.
What Is an Audioconference?
It is a live event that includes session handouts, an interactive question and answer period, and access for an unlimited number of participants at each call-in site. However, only one site can be offered per registration. It is impermissible for an organization to purchase one registration and to operate multiple sites through an internal telephone system. During the live Audioconference participants will be able to ask questions and make comments. The Audioconference faculty has agreed to take follow-up questions via email. Audioconferences are simple, accessible, cost effective and reach a broad audience locally.
Who Should Listen:
- Clinicians (Physicians, Nurses, Pharmacists and Other Health Professionals) engaged in Medical and Ambulatory Care
- Medical Home Officers
- Educators of Healthcare Providers
- Trustees of Health Care Organizations
- Employers and Healthcare Purchaser Representatives
- Patient, Families and others committed to making healthcare safer
- Health Insurance and Health Plan Executives
- Hospital and Health System Administrators
- Quality Assurance and Risk Management Experts
- Healthcare Consultants, Venture Capitalists and Investment Bankers
- Healthcare Attorneys and In-House Counsel
- Health Service Researchers and Health Policy Experts
Audioconference Materials:
All Faculty Materials will be Posted on the Medical Home Audioconference website: www.MedicalHomeAudioconferences.com/MedHome20100728 in downloadable PDF Formats.
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