Presentation by PCPCC to the American Academy of Family Care, May 2008

1. Working with Large Employers and Employer Coalitions to get to Patient Centered Primary Care Or how do you start to fix the foundational issues around why our healthcare system is so broken ?? .

2. Patient-Doctor Relationship A long term relationship with your primary care doctor can result in better overall family health… Patient Centered PRIMARY CARE Collaborative

6. Follow the Money

14. What do patients think about this? (Particularly the Woodstock generation) !!! .

23. Getting to PCMH -- Early Key Findings Social capital will help communities build trust and develop consensus on policies for information sharing Strong leadership team with good business acumen is one of the key criteria for success as communities move to the implementation stage of the PCMH Rigorous analysis of the value that PCMH services provide to each customer is crucial… Need to better understand how value for each customer translates to revenue to cover the costs of the endeavor. This takes time and discipline…and business orientation Today, while many Primary care physician leaders understand this concept, it is often not well executed

24. Points of Intersection: PCMH and what employers and HHS like to talk about regarding Value-Driven Healthcare Both require leadership and multi-stakeholder collaboration at the National State and market level Value driven healthcare needs a PCMH to effectively and efficiently measure quality (particularly as we look at 2008/9 expectations) PCMH quality improvement at the same time as performance measurement…which is critical PCMH care coordination which is a necessary component of value-driven healthcare PCMH provides necessary linkages to clinical data for consumer engagement strategies to support consumer activation for healthcare improvement So…..incentives should support process, structure and outcomes…and all align with PCMH

25. Know the National Players Belong!! Play!! for example ERIC Membership for the AAFP (my adventure) This is a full contact sport !!!!

31. What happens when Family Practice meets Toyota and 6 Sigma under the fire of PCMH buyer expectations – can you meet the expectations? OR -- Can comprehensive care focused on the patient’s needs be delivered at a SIX SIGMA Toyota level of expectations, by family medicine ?

37. Conclusion: we need to move to action - walk the talk “ Knowing is not enough… We must apply.” ~Goethe