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Michigan 
Primary Care Transformation 
Demonstration Project
June 12, 2013
Webinar
A Bit of Levity…Self Management
 If you haven't seen this video, don't miss it. You'll 
recognize the conversation. 
http://dailyoftheday.com/its‐not‐about‐the‐nial/ 
…
2
Who’s On Today’s Call?
 Kelly, Sandra, Beth, Dr. Juocys
 Pam New
 Dr.Lucas
3
Who’s On Today’s Call?
 Anchor  Bay Clinic
 Lori, Angela
 Christina, Cindy
 Deb Slocum
 Dr. Hames
 Michelle, Kristi, Pam   Dr. Stephan
 Katy Everingham, RN 
4
Congratulations: 
URAC Accreditation!
 Country Creek Family physicians
• Shalija Rastogi, MD: Board Certified in Internal 
Medicine 
• Al Juocys, DO: Diplomat, American Academy of 
Family Physicians 
• Jill Ellsasser, PA‐C: Board Certified Family Physicians
• Kelly Montague, RN, Hybrid Care Manager
• Sandy  Population Management
5
Note of Appreciation
 Hampton Medical
 Anchor Bay Clinic
6
Physician Engagement in MiPCT
7
Year One: Pay for Performance 
 Release anticipated in mid to late June
 Data being reviewed
 Quality scores undermined due to 
practices not using patient registry
8
Year Two: Quality Metrics
9
 HEDIS scores
Year Three: Quality Metrics 
 Depression
 Self management
 ADD/ADHD
 Asthma
 Ambulatory Sensitive Admissions
10
Care Manager Reminder
 Outreach attempts to engage patients in care 
management that were not successful (did not 
result in a patient receiving care management 
services during the quarter) are non‐billable
 Coordination or other work that took place on 
behalf of the patient, but in which the patient was 
not directly involved (i.e., did not receive an in‐
person or telephone service that quarter) is non‐
billable
11
Sharing Activities: Teams
12
Team Learning Events
 Compulsory attendance of practice team members
 Required component of MiPCT practices
• July 13, 2013 8:30am‐1pm
• July 20, 2013 8:30am‐1pm
13
Care Manager’s Learning Event
 Compulsory attendance of care managers
 Required component of MiPCT practices
• July 12 from 8:00am‐1pm
• Madison Heights
14
Lansing Event
 MiPCT Complex Care Management training, there 
will be a CCM course June 17‐20, 2013. 
Registration is available at the following link: 
https://jodyooo.wufoo.com/forms/june‐1720‐
2013‐mipct‐ccm‐training‐course/
 Watch the www.mipctdemo.org website for other 
Summer 2013 CCM Training dates
15
Care Manager Training
 Complex to be online after testing is complete
 Moderate various opportunities
16
Spotlighting Practices
17
Physician Engagement
 PCP involvement with care managers
 PCP involvement with care team
 Number of patients referred by PCP
18
June: 20 Days Ultimate Challenge
 20 new Blue Cross patients enrolled
 10 new Blue Care Network patients enrolled
 20 new Medicare/Medicaid patients enrolled
 ~ 50 new patients 
19
Priority
 Face to face
 Telephonic
 Web visits
20
Open Discussion
21

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