3rd Annual PCMH Congress

The 3rd Annual PCMH Congress was held this year in San Diego, California from September 14-16th.

Attending the conference from our network was the Associate Director of Transformation from SVHP, Sophia Jackson, and the Practice Manager and PCMH Physician Champion from Milford Pediatric Group.

This year’s conference focused on:

  • Outlining best practice to optimize PCMH within the medical neighborhood
  • Identifying cr itical roles and how they impact patient-centered care in a collaborative care environment
  • How the PCMH Model of Care impacts patient and population health outcomes

A strong message of Team-Based Care among primary and specialty care vibrated throughout the conference. With the change in our healthcare landscape from volume to value, the sustainability of our SVHP practices as Patient-Centered Medical Homes is vital to healthcare transformation as we work together to improve patient and provider experience, improve health outcomes for our patients, and lower cost.

Conference Highlights :

NCQA has made some key changes regarding the reporting process to sustain PCMH recognition. Notably, the practices will no longer need to use the Survey Tool. All submission will be done through Q-PASS . As part of PCMH Redesign, there w ill no longer be Levels Recognition. Virtual Check-Ins and Annual Reporting requirements will demonstrate to NCQA that patient-centered care is a part of your practice’s culture in your continued efforts to perform ongoing quality improvement, as a NCQA Recognized Patient-Centered Medical Home.

Below, you will find a link for the Quality Performance Assessment Support System, Q-PASS, which is the gateway for everything PCMH and to be used for your Annual Reporting or attestation to your practice transforming and sustaining recognition.

The Transformation, Medical Management, and Operations and Health Information Teams at SVHP values each of your contributions as members of the PHO within our network. Thank you for all your continuous hard work! We look forward to our continued collaborative work as we strive to improve health outcomes for our patient population. Please do not hesitate to reach out to a member of the Transformation Team for additional information, to share your best practices or for collaboration on quality improvement initiatives and activities within your practice.

As Greg Bell, the Keynote speaker for the PCMH conference and author of Water the Bamboo Unleashing the Potential of Teams and Individual, said it best, “Success does not come about by simply engaging in activity; success is about engaging in activity that matters most to you”.

The PCMH Congress will be taking place in Boston, MA on September 6-8, 2019 at the John B Hynes Veterans Memorial Convention Center

 

Information regarding the next PCMH Congress:

Early registration rates:

  • $649 for FQHCs
  • $699 for General Audiences, now through October 15, 2018. These rates end at 5:00 pm (ET) on October 15.

 

Please call 800-218-3185 to Register and visit https://www.pcmhcongress.com/ for more information.

ACO & Payer Leader Summit

Colleen Swedberg, VP, Strategy at SVHP was invited to be a presenter at the ACO & Payer Leader Summit September 17, 18 in Irving, Texas. She spoke on the experience of culture change through the experience of the SHVP network in a presentation entitled:  The Influence of Person and Perception – Culture, Data and Clinically Appropriate Decision Making 

To surpass meaningful quality and cost goals of care, patients have to be able to access care at the right place and right time. This has never been more apparent to healthcare businesses in the USA than now, as payment models move towards value based design. Providers in all settings typically struggle to provide the information patients need to make educated decisions about where they will get their care. While data can shed light on problematic patterns, culture can be just as critical to sustainable change, as identifying the problems. The session explored how the organization through the experience of BPCI specifically, has been successfully closing the cultural gap between hospital, post-acute and ambulatory services, which had been preventing patients from accessing evidence based care in the right setting.

  • Culture is king – harnessing the impact of expectation
  • Data-driven strategy and behavior change – identifying clinically appropriate issues and decisions to impact real change in quality, cost
  • Collaboration and communication – identifying meaningful metrics, educating partners and capitalizing on technology to enhance day to day decision making

The Summit’s program topics were validated by senior executives from the Health Plan and ACO executive community as the top critical issues they face. Key issues for the 2018 included:

  • Consumer-Driven Innovation– Delivering value through improved engagement, member experience and personalized medicine
  • Payer-Provider Relations– Blurred lines, coming to the table and developing truly collaborative partnerships
  • Population Health 3.0– Getting to predictive, preventative care through data analytics and collaboration
  • Establishing a Value-Based Culture –Leadership, engagement and strategies to drive transformation
  • Payment Model Innovation –Risk sharing, transparency and benefit plan design

2018 BeneFair & Medicare Summit

SVHP’s medical management services have proven to meet its goal of reducing healthcare costs and improving health outcomes, while bringing satisfaction to employers and their employees. On September 6th, SVHP’s CEO, Dr. Michael Hunt, along with our VP of Strategy, Colleen Swedberg, attended and presented at the 2018 BeneFair & Medicare Summit, which was hosted by the Connecticut Benefit Brokers.

The attendees at this event were primarily benefits specialists and brokers, looking to gain knowledge on how to expand benefit offerings to their clients. The focus of Dr. Hunt and Colleen’s talk encompassed strategies that lead to improved health outcomes and reduction in healthcare spending.

Finding a sustainable solution to the continuous increasing healthcare costs is a significant need for employers who provide the benefit. Employers must make decisions about how to maintain profitability, while still providing healthcare coverage to their employees. Medical Management serves to improve employee health and thus impact healthcare spending over the long term. Impact includes reduction in health risks, improvements in employee health and improvements in productivity.

For more information on the Connecticut Benefit Brokers – A Chapter of the National Association of Health Underwriters, please visit their website.