2. Engaging the Public
• Recognition
• Education & recognizing community culture
• Menu of services & transparency of who is
PCMH
• Patient choice
3. Engaging the Public
• Action steps
– Development of message content: must include
the voice of the public
• Available data from NCQA, RCCOs, others
• Focus groups, public polls/survey
– How do we deliver the message?
• Utilization of available data/ask the people
4. Engaging the Public
• Action steps continued
– Addition of others to the planning process
(including previously mentioned)
• Chronic care community
• OB/GYN
• Faith-based organizations
• PATIENTS! (with supports)
• Pharmacists
• Etc.
5. Buying Health Services for Employees
• Decrease employee absenteeism & increase
employee production by offering PCMH
programs on top of current/existing health
insurance programs to decrease lost time from
work
– Educate employers on value of primary care &
medical homes
6. Buying Health Services for Employees
• Drivers of health care decisions
– Cost of health care
– Employee productivity
– Health (what is health in eyes of the employer?)
– Direct & immediate access to all needed
healthcare
7. Buying Health Services for Employees
• Parallel a company work-comp/safety program
with a work-health health program
– Pathways/contracts for both acute & chronic
health care
– Safety: loss ratio linked to premium reduction
– Employer demand for medical homes ( contract
with medical homes, similar to work-comp)
8. Buying Health Services for Employees
• Build a business case for, and explain a clear
ROI for the PCMH
– Engage in a local conversation with businesses &
organizations
– Infiltrate, integrate, & educate employers at
business events
• Chamber of Commerce
• Colorado HR Association
• CO Restaurant Association
• Etc.
– Involve & engage health insurers & brokers
9. Payment Reform
• Convening all stakeholders
• Transparency/alignment of metrics (risk
adjustment, benchmarks)
• Understanding real cost of PCMH
transformation & sustainability
• Financial incentives for all stakeholders –
aligned across payers
10. Payment Reform
• Transparency – know the cost! Across the
public & private plans
• Incentivize with goal in mind allocate more
funds to primary care
• Cover all services needed:
– Primary care
– Behavioral health
– Dental
11. Payment Reform
• Standardize the standards
• Insurance reform
– Must offer same plans & benefits
– Base member on service rather than cost
– Publicly funded – privately serviced
12. Delivery Reform
• Set medical home as standard of care
• Share the vision
• Build the infrastructure tools/resources
extension service model
13. Delivery Reform
• Action steps
– Support facilitation
– Standard quality measures
• Cost
• Experience
– Partnership (culture)
• Community
• Equitable
14. Delivery Reform
• Transform with hospitals
• Build facilitator systems
– Equitable
• Culture
– Language
– Patient
• Measures
