1. Managing High-Risk Patients in ACOs

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    Webinar took place Monday, February 13, 2012 from 2:00-3:00pm ET entitled "Managing High-Risk Patients in ACOs". Chad Boult, MD, MPH, MBA, described the Guided Care model and discuss how it can work within accountable care organizations (ACOs) to reduce health service utilization while improving the quality of care and provider satisfaction. Guided Care is a comprehensive, team-based model of primary care in which a registered nurse, co-located in a primary care practice, partners with 2-5 physicians to provide coordinated, patient-centered care to 50-60 patients with multiple chronic conditions. Dr. Boult will also describe several forms of technical assistance that are available for free to practices that plan to implement the Guided Care model or the principles of Guided Care as they develop into ACOs. Dr. Chad Boult is a Professor of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. He also holds joint appointments on the faculties of the Johns Hopkins University Schools of Medicine and Nursing. He is a teacher, a researcher and a board-certified physician in Family Medicine and Geriatrics. Dr. Boult has extensive experience in developing, testing, evaluating, and diffusing new models of health care for older persons with chronic conditions, most recently the Guided Care model. He has published two books and more than 80 articles in biomedical scientific journals. From 2000-2005, he edited the “Models and Systems of Geriatric Care” section of the Journal of the American Geriatrics Society, and he has reviewed manuscripts for 20 scientific journals and served as a grant reviewer on study sections of the NIA and AHRQ. During 2009-2010, Dr. Boult served as a “Health and Aging Policy Fellow” at the Centers for Medicare & Medicaid Services (CMS). During 2010-2011, he served as a Senior Advisor in CMS’s Innovation Center.

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    • Innovation in the Medical Home: How Mobile and Social Technologies Can Accelerate Health Behavior Changes

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      "Innovation in the Medical Home: How Mobile and Social Technologies Can Accelerate Health Behavior Changes". Co-sponsored by the Center for eHealth Information Adoption and Exchange, the Mobile Task Force, the Center for Consumer Engagement and the Behavioral Health Task Force, the webinar will feature Joseph Cafazzo, Ph.D., from the University of Toronto's Centre for Global eHealth Innovation. Some of the highlights of Dr. Cafazzo's discussion will include "user-centered design", how to apply social networking and social gaming to health care, patient self-care, and his views on enablers of system transformation. Dr. Joseph Cafazzo is Lead for the Centre for Global eHealth Innovation, a state-of-the-art research facility devoted to the evaluation and design of healthcare technology, hosting seventy researchers and staff. Dr. Cafazzo has been an active researcher of the use of technology to facilitate patient self-care of complex chronic conditions such as diabetes, end-stage renal disease, and congestive heart failure. He is also active in ethnographic research related new modes of patient care mediated by technology, such as the Hospital-at-Home, and the Personal Health Record (PHR). He has advised and conducted research for public sector policy makers and private sector medical technology companies on the design and safety of technology in healthcare. He is Senior Director of UHN Healthcare Human Factors - the largest group of its kind devoted to the application of human factors engineering to problems of healthcare delivery and patient safety. He is Assistant Professor in the Department of Health Policy, Management and Evaluation, and the Institute of Biomaterials and Biomedical Engineering, Faculty of Medicine, University of Toronto, where he teaches and conducts research in the areas of human factors, clinical engineering, and health informatics. In 2010 he was the recipient of the Career Scientist award by the Ontario Ministry of Health and Long Term Care.

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      • A Regional Focus on Advancing Health and the PCMH

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        Our featured speakers will be Dr. Catherine Baase, Global Director of Health Services for The Dow Chemical Company . MIHIA, the Michigan Health Information Alliance is a non-profit multi-stakeholder collaborative with a mission to improve the health of people in its 14 county region in central Michigan. Dr. Catherine Baase will share efforts of this community collaborative to advance the PCMH. Dr. Baase and Dow are engaged with the MIHIA initiatives. As an employer, Dow determined that collaboration at the community level was essential to achievement of their Health Strategy. MIHIA, the Michigan Health Information Alliance is a non-profit multi-stakeholder collaborative with a mission to improve the health of people in its 14 county region in central Michigan. Dr. Catherine Baase will share efforts of this community collaborative to advance the PCMH. Dr. Baase and Dow are engaged with the MIHIA initiatives. As an employer, Dow determined that collaboration at the community level was essential to achievement of their Health Strategy. Catherine M. Baase, MD, is the Global Director of Health Services for The Dow Chemical Company. Dr. Baase has direct responsibility for leadership and management of all Occupational Health, Epidemiology, and Health Promotion staff and programs around the world. In addition to these roles and along with the Global Director of Benefits, Dr. Baase is responsible for the Dow Health Strategy. She is also involved in health policy and health issue management at Dow. Previously, Dr. Baase was the director of Health Care Strategic Planning with direct responsibility for the US health benefit plans. Outside Dow, Dr. Baase is on the Board of Directors of the Partnership for Prevention, a national, public-private partnership dedicated to preventive health services. Dr. Baase is on the advisory boards of The Institute for Health and Productivity Management and the US Cochrane Center. For several years she has been a member of the ACOEM Health and Productivity Committee. She has served as a member of the Clinical Research Roundtable of the Institute of Medicine, The National Academies, and is a Fellow in the American College of Occupational and Environmental Medicine and a Fellow in the American Academy of Family Physicians. Dr. Baase is on the editorial staff for both the American Journal of Health Promotion and the Journal of Occupational and Environmental Medicine. She has published on a variety of health topics and has been invited to present at numerous conferences.

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        • Interdisciplinary Training Your Workforce to Promote Integrated Care

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          Medical School Clinical Psychology Internship Program discuss the role of interdisciplinary training in creating a workforce equipped to provided integrated care within patient centered medical homes. Barbara Ann Cubic, Ph.D. is an Associate Professor at Eastern Virginia Medical School (EVMS) with joint appointments in the Department of Psychiatry and Behavioral Sciences and the Department of Family and Community Medicine. She serves as the Co-Director of the EVMS Clinical Psychology Internship Program, Director of the EVMS Student Mental Health Program and Director of the EVMS Center for Cognitive Therapy. She is a Certified Cognitive Therapist and Founding Fellow of the Academy of Cognitive Therapy and her clinical and research interests are in cognitive behavioral therapy, eating disorders, psychological aspects of bariatric surgery, and primary care psychology. She has been awarded multiple state and national funding grants. In 2002, she wrote one of the first funded HRSA Graduate Psychology Education grants and in 2007 received her second HRSA Graduate Psychology Education grant focused on training psychologists and primary care physicians to provide integrated care. In the last two years she has also received two substantial grants from the State of Virginia for Workforce Development. She also serves as the editor of the Journal of Clinical Psychology in Medical Settings. In 2010 she was awarded the Cummings PSYCHE Prize by the American Psychological Foundations for her work in Integrated Care.

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          • Kaiser Permanente Hawaii PCMH Video

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            Kaiser Permanente Hawaii PCMH Video describing their PCMH successes

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            • HealthPoint 2011

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              While the rest of us bicker over privatized medicine or whether we'll ever achieve universal health care, HealthPoint just quietly goes about the business of finding ways to provide medical care for the underserved. This highly effective non-profit has served suburban King County (surrounding Seattle) for 40 years, and is viewed by many as a true model of how community health care should be delivered.

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              • Affinity's Medical Home Journey - Operational, Clinical, and Financial Perspectives

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                How do you take a major concept—the medical home—and successfully roll it out to a medical group with more than 1,000 employees and 26 locations? After more than a year of research and planning, Affinity Medical Group launched its first medical home pilot site in 2009. Looking for creative, local solutions to the national shortage of primary care physicians and dedicated to continuously improving quality, outcomes, and patient satisfaction, Affinity chose the medical home. Attend this important PCPCC webinar to discover operational strategies and clinical perspectives for the patient-centered medical home. SPEAKERS • Christine Griger, MD, president of Affinity Medical Group, • Tim Loch, COO, Affinity Medical Group • Jane Curran, Regional Director Clinic Operations at Affinity Medical Group

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                • Health Information Technology and the PCMH Model for Indian Health

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                  American Indians and Alaskan Native people face high rates of illness, disability and death from chronic and preventable diseases. In 2008, the Indian Health Service launched the Improving Patient Care (IPC) program to address these health disparities. The Indian Health Service is also adopting primary care medical homes to focus on delivery of patient-centered care. Learn more about how health information technology helps support the Indian Health Service medical homes and other healthcare programs. Biographies: Dr. Aneel Advani is a physician informaticist and a federal leader in applying health information technology to improve public health and population medicine. Dr. Advani is currently detailed to the Indian Health Service as Associate Director for Informatics in the Office of Information Technology. His responsibilities include overseeing informatics efforts and executive management at the agency, including the population and medical home health IT portfolio, IT efforts in quality improvement and measurement and meaningful use.

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                  • Meaningful Use and Patient-Centered Medical Home: One Effort, Two Results

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                    With Meaningful Use and Patient-Centered Medical Home efforts under way, health center resources are stretched thin. Understand the commonalities between the two initiatives, and learn how to implement key components of both simultaneously in order to achieve both Meaningful Use and PCMH recognition.

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                    • Grace Medical Home

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