Transcript Marci Nielson Presentation - Colorado Academy of Family Physicians
ADVOCACY
MARCI NEILSON, PHD, MPH
CEO, PATIENT-CENTERED PRIMARY CARE COLLABORATIVE 2:30 PM
Evolution of the PCPCC, the Patient-Centered Medical Home, and Advocacy
The Four Camps of Leadership in Health Care Policy
Greater Resiliency Lower Lower Understanding Greater
Our Mission
ABOUT PCPCC – OR “THE COLLABORATIVE”
Dedicated to advancing an effective and efficient health system built on a strong foundation of primary care and the patient-centered medical home.
Activities
Strengthening public policy that advances and builds support for primary care and the medical home Disseminate results and outcomes from medical home initiatives and their impact on outcomes, quality and costs Convene health care experts and patients to promote learning, awareness, and innovation of primary care and the medical home
HISTORY OF PCPCC National not-for-profit coalition founded in 2006 to:
Facilitate achievements toward the Triple Aim: better health, better care experience, and health care cost control Create a more effective and efficient model of healthcare delivery, grounded in primary care
Acts as conveners to bring together thought leaders and stakeholders to address challenges, opportunities, and barriers to health system transformation
Contributed to developing PCMH language for health reform proposals Published dozens of reports
MEMBERSHIP
Since 2006, PCPCC membership has grown to represent more than 1,000 organizations providing care to 50 million Americans, including: Provider associations Large employers Health plans Providers & health systems Pharmaceutical firms Policymakers Patient advocacy groups
PCPCC RESOURCES
ROLE OF THE COLLABORATIVE
Challenge the status quo and d rive the marketplace Disseminate timely information and evidence Provide networking & educational opportunities
PCPCC Org Chart
Operations Committee Board of Directors Finance Committee Executive Committee Employer & Purchaser Engagement Center Care Delivery and Integration Center Patient, Family & Consumer Center Advocacy & Public Policy Center Outcomes & Evaluation Center Taskforces Special Interest Groups Event Planning (Annual Mtgs) Publications
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STATE AND FEDERAL PUBLIC POLICY
PATIENT = CONSUMER = VOTER
IOM (2002); modified from Dahlgren and Whitehead (1991)
LONGEST MODEL OF PUBLIC POLICYMAKING Preferences of individuals, organizations, and interest groups, along with biological, cultural, Demographic, ecological, economic, ethical, legal, psychological, social and technical inputs Policy Formulation Phase Agenda Setting
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Problems
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Possible Solutions
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Political Circumstances Development of Legislation Formal Enactment Of Legislation Policy Implementation Phase Rulemaking Operatio n Window of opportunity P o l i c y Policy Modification Phase Feedback from individual, organizations, and interest groups experiencing the consequences of policies, combined with the assessments of the performance and impact of policies by those who formulate and implement them, influences future policy formulation and implementation
ADVOCACY AND PUBLIC POLICY CENTER
Activities & Priorities The Advocacy & Public Policy Center is dedicated to working closely with policymakers, agencies and government leaders at the state and federal levels to drive health system reform that incorporates key features of the medical home. The Center shapes PCPCC’s policy and advocacy agenda and works with health care stakeholders to support meaningful policies related to Accountable Care Organizations, health insurance exchanges, health information technology, and payment reform.
CENTER ACTIVITIES Develop communication tools that enhance public awareness for primary care, the medical home and key advocacy issues Advocate for the development of public policies that strengthen primary care and the medical home Educate state and federal policymakers about the cost-saving and care delivery impact of primary care and the medical home Gather and disseminate evidence that demonstrates medical home impact on Triple Aim goals Work collaboratively with other centers to develop a strategic public policy agenda
LEADERSHIP OF CABINET
Co-Chairs :
Shari M. Erickson, MPH
Vice President, Governmental and Regulatory Affairs, American College of Physicians
Greg Pawlson, MD, MPH, FACP
Senior Medical Analyst, Stevens & Lee
CABINET MEMBERS(1) State Government Affairs Analyst, American Academy of Pediatrics Director, Federal Affairs, National Committee for Quality Assurance Senior Policy Advisor, American Psychological Association Vice President, Clinical Programs and Behavioral Health, Amerigroup/WellPoint Associate Director, Federal Affairs, American Academy of Pediatrics Director, Policy & Government Relations, Kaiser Permanente Senior Associate, Legislative Affairs, American College of Physicians Executive Director, Alliance for Home Health Quality and Innovation Vice President, Advocacy and Practice Advancement, American Academy of Family Physicians Senior Manager, Marketing and Healthcare Policy, Lumeris Associate Director, Government Affairs, American College of Clinical Pharmacy Director, Federal Affairs, American Congress of Obstetricians and Gynecologists Director, Center for Health Policy Research and Ethics, George Mason University
CABINET MEMBERS (2) Professor of Public Policy, Departments of Psychiatry and Public Health, Family Medicine, Oregon Health and Science University Director, Government Relations, American Osteopathic Association Vice President, Nursing Services and Excellence, InnovAge Senior Advisor, Center for Value-Based Insurance Design, University of Michigan Program Director, National Academy of State Health Policy (NASHP) Director of Health Policy/Federal Government & Professional Affairs, American Academy of Nurse Practitioners Senior Policy and Government Affairs Analyst, American Academy of Pediatrics Director of Health Partnerships and Policy, YMCA of the USA Director, Regional Alliances and State Government Affairs Analyst, Sanofi President and Chief Executive Officer, National Coalition on Health Care Senior Director, Policy and Strategic Advocacy, Sanofi Head of Public Policy, Thermo Fisher Scientific Executive Director, American Psychological Association
ROLE OF THE COLLABORATIVE (PCPCC)
Lead from the front
Challenge the status quo Drive the marketplace Disseminate timely
information
Provide networking &
educational opportunities
ADVOCACY STATEMENTS 11/12/2013 --
PCPCC Responds to Latest SGR Proposal from Senate Finance and House Ways & Means
09/30/2013 --
Mental Health and Primary Care Integration - PCPCC Letter to Senate Finance Committee
08/01/2013 --
PCPCC Extends Support for Bipartisan House 'Doc Fix' Bill (Press Release)
07/22/2013 --
PCPCC Supports Draft Legislation to Repeal SGR and Reform Medicare Physician Payment (Press Release)
07/18/2013 --
PCPCC Statement to Senate Finance Committee in Support of Health Care Payment Reform (Press Release)
12/03/2012 --
PCPCC Leadership Responds to Latest Medical Home "Systematic Review"
04/11/2012 --
PCPCC commends federal Comprehensive Primary Care Initiative: Effort will bring payers and providers together to advance patient-centered primary care
ADVOCACY/EDUCATION EFFORTS Legislative branch Need for evidence that the PCMH works briefings, letters, visits, materials Need for technical assistance on features of the PCMH Payment reform (SGR fix), behavioral health integration, recognition/certification programs Tools for legislators/stakeholders to describe PCMH Executive branch Tracking and highlighting CMMI pilots FEHBP, Medicare, Medicaid, Military Publicizing success stories – case studies, webinars, meetings
Q AND A What are the PCPCC lessons learned that translate to Colorado?
Buy-in Transparency No surprises Which constituencies are missing from your collaborative that can help you advocate effectively?
How will you decide on your priorities and not suffer from mission creep?