The document summarizes a session from the 2011 ONC Annual Meeting about using IT to optimize Patient Centered Medical Homes (PCMHs). The session aimed to understand the opportunity for IT to support PCMHs, appreciate challenges practices face in implementing IT, and propose priorities to accelerate improvement. It featured presentations on progress supporting PCMHs from three Beacon Communities and a discussion on setting a clear IT-PCMH agenda and priorities for practices and other stakeholders.

1. 2011 ONC Annual Meeting
IT Bricks and Mortar to Optimize Patient
Centered Medical Homes
(Twitter: #ITPCMH )
November 17, 2011

2. IT Bricks and Mortar to Optimize
PCMH
Session Agenda
– Session Aims and Introduction: 5 min
– The Macro-opportunity and The Micro-challenge: 10 min
– Progress at the Community Level (panelists): 40 min
– Getting to scale/building the agenda for different
stakeholders and Q&A: 25 min
– Recap/Lessons Learned: 5 min
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3. IT Bricks and Mortar to Optimize
PCMH
Session Aims
Janhavi Kirtane, Director of Clinical Transformation, Beacon
Community Program, ONC
1. Understand the tremendous opportunity for IT to deliver on
the promise of PCMH
2. Appreciate the current environment for practices on the
ground: increased focus on supporting PCMH at the macro
level, but real challenges around implementation and
achieving results
3. Propose priorities for individual practices as well as
stakeholders who could accelerate improvement at the
macro level
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4. IT Bricks and Mortar to Optimize
PCMH
The Macro-opportunity and The Micro-challenge
Featuring Guests:
– David Nace, MD, Vice President and Medical Director,
McKesson Corporation
– Steven Waldren, MD, MS, Director, Center for Health
Information Technology, American Academy of Family
Physicians (swaldren@aafp.org @techydoc)
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5. What is PCMH?
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6. IT PCMH Blueprint
• There is not just one
• Requires detailed
descriptions of PCMH
• Must take into account
all relevant attributes
• Much more than check
the box functionality
• Ultimately requires
effective use Image Source: http://www.flickr.com/photos/wscullin/3770015203
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7. Welcome to the Practice’s World
Health Reform Comprehensive Primary Care
Accountable Care Organizations
Certified EHR technology E-prescribing Incentive ICD-10
Meaningful Use Patient Empowerment
Quality Reporting Care Coordination
Looming SGR Cuts
HIE
Seeing patients Patient-centered medical home
Pay for Performance
Weak Economy Private practice vs. Employed
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11/17/11

8. Aligning for Synergy
PCMH
PCMH
Comprehensive Primary Care
Accountable Care Organizations Comprehensive Primary Care
Meaningful Use Accountable Care Organizations
ICD-10
Meaningful Use
ICD-10
E-prescribing Incentive E-prescribing Incentive
Quality Reporting Quality Reporting
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9. Progress at the Community Level
Quick Community Round-Robin (7-8 min each)
– Crescent City Beacon Community (New Orleans):
• Eboni Price-Haywood, MD, MPH, Co-Executive Director, Tulane
Community Health Centers
• Elizabeth Pharo, Director of Client Services at SuccessEHS, Project
Facilitator, CCBC/PCMH project
– Rhode Island Beacon Community:
• Darby Buroker, Director, Beacon Program Management / Rhode
Island Quality Institute
• Chuck Jones, President and CEO / Thundermist Health Center
– Western NY Beacon Community:
• Sarah Fleming Cotter, Director, Ambulatory Health Information
Technology at Catholic Medical Partners
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Health Information Technology

10. Getting to scale/building the agenda
for different stakeholders and Q&A
• Opportunity: Decrease the noise by setting clear priorities for
an IT-PCMH agenda
– What do we need to every time in a practice, and do well?
– What will drive greater scale and uptake of promising IT-
enabled interventions and practice transformation?
– What are the top priorities for other stakeholders who
could accelerate improvement at the macro level:
employers, payers, states, vendors, professional
organizations, collaborative?
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11. Recap/Lessons Learned
• In this session, we reviewed:
– Progress at the Community Level:
• Crescent City Beacon Community (New Orleans)
• Rhode Island Beacon Community
• Western NY Beacon Community
– The tremendous opportunity for IT to deliver on the
promise of PCMH
– The current environment for practices on the
ground: increased focus on supporting PCMH at the
macro level, but real challenges around
implementation and achieving results
– Priorities for individual practices as well as
stakeholders who could accelerate improvement at
the macro level
– Evaluation Reminder
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12. Additional Resources
• “Better to Best: Value-Driving Elements of the Patient
Centered Medical Home and Accountable Care
Organizations“ -
http://www.pcpcc.net/guide/better_to_best
• “The House that Tech Built” -
http://digital.healthcaregroup.advanstar.com/nxtboo
ks/advanstar/medec_20110710/index.php?startid=2
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