Primary Care Organizations Consortium

Transcription

1 Primary Care Organizations Consortium American Association of Colleges of Osteopathic Medicine 5550 Friendship Boulevard, Suite 310 Chevy Chase, MD September 9, 2011 Attendees: John Pascoe Academic Pediatric Association (Steering Committee) Preston Reynolds Society of General Internal Medicine (Steering Committee) Burt Routman American College of Osteopathic Family Physicians (Steering Committee) Benard Dreyer Academic Pediatric Association Daniel Nolan Student Osteopathic Medical Association Danielle Salovich American Medical Student Association Carole Stone National Association of Pediatric Nurse Practitioners Jonathan Klein American Academy of Pediatrics Sherrillyn Crooks Health Resources Services Administration Sylvia Joice Health Resources Services Administration Gerald Joseph American Congress of Obstetricians and Gynecologists Pamela Murphy American Association of Colleges of Osteopathic Medicine Dave Mason ACNP/NAPNP/NONPF (Mason Consulting, LLC) Michael Donnelly Medicine-Pediatrics Program Directors Association Niraj Sharma Medicine-Pediatrics Program Directors Association Bruce Gould Association of Deans and Directors for Primary Care Sara Wallach Association of Program Directors in Internal Medicine David Karlson Society of General Internal Medicine Michael Parchman Agency for Healthcare Research and Quality Malcolm Cox U.S. Department of Veterans Affairs Jean Silver-Isenstadt National Physicians Alliance Songhai Barclift Health Resources Services Administration Clifton Yu Association of Pediatric Program Directors Mark Del Monte American Academy of Pediatrics Alissa Craft American Association of Colleges of Osteopathic Medicine Tyler Cymet American Association of Colleges of Osteopathic Medicine Kathleen Klink Health Resources Services Administration

2 Minutes 1. Introductions/Meeting called to order at 8:30 AM 2. Review and approval of minutes from April 15, 2011 meeting 3. Future PCOC Meeting: April 16, 2012 at AAMC, 2450 N Street, NW, Washington, DC Review PCOC Administrative Rules and voting structure 5. PCOC Policy a. Discussion of whether PCOC could make policy statements. It was agreed that this would require the approval of the individual organizations boards. b. Review of AAFP relationship with PCOC 6. SOMA Daniel Nolan a. New website: studentdo.com b. Goals: i. Improve membership ii. Improve communication iii. Long-term stability of SOMA support from the AOA c. Fall Convention Orlando FL d. New DO Schools leading to 30 new chapters e. Collaboration with other organizations including AMSA f. Primary Care roughly 50% of students go into primary care 7. AMSA Danielle Salovich a. Goals i. Increase AMSA visibility to improve influence and effectiveness ii. Increase membership opportunities iii. Increase membership iv. Finances new office in Sterling, VA b. Programming 2 new conferences, Empowering Future Physicians Conferences. UCSD and Johns Hopkins. Symposiums will be held the day before: Women s Empowerment, Global Health, Community Engagement, LGBT. Annual Meeting in Houston, TX. c. Fellowships: Education/Research, Health Justice, Pharm Free d. National Primary Care Week (October 10-14, 2011). Co-sponsored with Primary Care Progress. e. Pharm Free discussion of the pharmaceutical industry with medical student education. The Pharm Free Score Card was discussed ( 8. Association of Deans and Directors for Primary Care Bruce Gould a. Focus on recruitment of students into primary care. Primary Care Deans meetings are associated with AAMC. 9. AHRQ Small Conference Grants Preston Reynolds a. PCOC has had success with these grants, including two on Patient Safety b. SGIM is spear heading an effort to develop a research agenda on the Patient Centered Medical Home. c. New Ideas: Patient Safety (this was highly favored by AHRQ) and Collaboration among the Health Professions.

3 d. AHRQ is interested in funding projects that focus on patient safety in the primary care setting, perhaps with a focus on Health Information Technology. e. Patient Centered Medical Home i. Discussion of how to integrate research into the PCMH model. The discussion focused on the various topics that could be covered, including educating medical students on the importance of the various medical professionals working together. 10. Legislative Update : AACOM Pamela Murphy and AAP Mark Del Monte a. Budget Cuts and the Super Committee. If no solutions, then Defense and Medicare (Providers only, not beneficiaries) will be cut by 2% b. Impact on GME i. Cuts may come from GME since beneficiaries will not be impacted. $15 billion may be cut from GME. The Super Committee is asking for information and feedback from the public. ii. Children s GME may be cut from discretionary spending and zeroed out c. SGR for Medicare will be discussed d. Medicaid cuts are on the table e. Advocacy: the two organizations are focusing the super committee. 11. HRSA Kathleen Klink a. Budget: HRSA is planning for the upcoming budget b. Innovation: i. Title VII Section 747 and 748: The ACA established funding for primary care and oral health. HRSA is working on the reporting structure for the grants to address costs and patient satisfaction. c. Review of the various programs within HRSA that address primary needs, including Children s Hospital GME, PA s, oral health, AHEC, and health professions. d. Teaching Health Centers: review of the program, including which programs can apply. The Community Health Centers that applies must govern the residency program. A Consortium can be established with an academic medical center, but the dollars flow through the health center. i. Residents are allowed to spend time in the inpatient setting. Even though the program is funded for 5 years, it is seen as a pilot program and that it will hopefully be funded in the future as a parallel to GME funding. 12. AHRQ - Michael Parchman a. Practice Based Research Network i. 140 PBRN around the country. 50% are affiliated with an academic medical center for CTSA. A funding cycle is upcoming. b. PCMH

4 i. Website: AHRQ is collaborating with other groups, including the VA and HRSA on this. Projects include implementation and sustainability of the medical home. c. Other Initiative i. Annual Conference ii. Using hand held devices for preventive medicine services. iii. National Quality Strategy: examples include work on Better Care and Healthy Populations iv. Comparative Effectiveness Research v. Partnership for Patients vi. Million Hearts Campaign blood pressure and lipid control in the US 13. VA Malcolm Cox a. GME positions have increased through the VA. b. VA Nursing Academy: paid for faculty at nursing schools. The VA is also establishing Nursing Residency Programs for post-bac nurses to practice in inpatient and outpatient nursing c. Residency programs in PA and Physical Therapy. d. VA Centers of Excellence - Clinical Educational Reform i. The VA is making an initiative to rework patient care that includes making it a more of a patient centered experience. The overall goal is to attract trainees to primary care. The process includes shared decision-making and sustained relationships with patients. There are 5 medical and 5 nursing programs around the country. 14. National Association of Pediatric Nurse Practitioners - Carole Stone a. Background was given on the organization and mission. b. Education: the organization is working on national standards for nurses c. Medical Home: Roughly 150 nurse run clinics around the country 15. American Academy of Pediatrics - Jonathan Klein a. Review of the Medical Home initiatives of the AAP. b. Health IT and child health c. Work on the interface between genetics and the environment- epigenetics 16. American Congress of Obstetricians and Gynecologists - Gerald Joseph a. Name change from the College b. 80/20 generalist vs. specialist c. >50% are female, so there is a shifting demographics of the specialty 17. Association of Pediatric Program Directors Clifton Yu a. Review of the new ACGME Pediatric RRC rules. There have been some changes to the rules that impact primary care and increases inpatient time. APPD has also asked the RRC to allow more outpatient pediatric time, rather than shift it to subspecialty experiences. 18. American Association of Colleges of Osteopathic Medicine - Tyler Cymet a. More osteopathic physicians are going to allopathic residency programs. Many still go into the primary care specialties. They are also working on faculty and curriculum development.

5 19. National Physicians Alliance - Jean Silver-Isenstadt a. Review of the organization including the work it has done on the top 5 practices for primary care physicians. The organzaiton is also working on Pharma and medical education issues. 20. MPPDA Niraj Sharma and Michael Donnelly a. Background was given on Med-Peds b. HRSA has included Med-Peds in the Title VII Funding Announcement. c. Transition Care expertise (children with chronic illnesses moving into adult care) d. Success of Med-Peds in the Match (the highest percentage of US grads go into Med-Peds compared to other primary care specialties) 21. Association of Deans and Directors for Primary Care Bruce Gould a. Review of the Primary Care Career Advising and Mentoring Program 22. Association of Program Directors in Internal Medicine - Sara Wallach a. Changes for the Match for Internal Medicine Program b. Changes for faculty development 23. Society of General Internal Medicine - Preston Reynolds a. There is a new office in VA and the annual meeting is in Orlando. 24. American College of Osteopathic Family Physicians - Burt Routman a. The Match for Family Medicine has increased. b. There is an emphasis to increase family medicine residency positions 25. Academic Pediatric Association - Benard Dreyer a. Reviewed the activities, including the Academic Scholars Program and Primary Care Research 26. Meeting was adjourned at 2:45 PM Submitted by John Pascoe john.pascoe@wright.edu