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Transforming Family Medicine: Illinois Academy's Practice Transformation Plans 2011-12

The Illinois Academy of Family Physicians is leading a critical initiative to assist its members in transforming their practices amidst the evolving landscape of healthcare. This project aims to address the needs of family physicians in Illinois by identifying opportunities, enhancing resources, and providing education on practice transformation. Through targeted communications, CME community building, and pilot projects, the Academy seeks to support physicians in maximizing reimbursements and improving patient care. Members are encouraged to engage and utilize resources to navigate this challenging period effectively.

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Transforming Family Medicine: Illinois Academy's Practice Transformation Plans 2011-12

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  1. Illinois Academy of Family Physicians Practice Transformation Plans2011-12 David J. Hagan, MD, President February 12, 2011

  2. Why Illinois AFP is doing this project • Illinois AFP investigating options to assist members and the Illinois family medicine community in transforming their practices.  • To ensure all Illinois family physicians take full advantage of the opportunities available.   • To find out what the geographic and professional community needs are during this turbulent/chaotic time in medicine.

  3. Pathway to this project 2006 – AAFP annual meeting in Washington, DC 2007 – worked to increase presence with Illinois delegation to U.S. Congress 2008-09 Illinois AFP president, Javette Orgain, M.D., concentrates chapter efforts on moving federal legislative issues 2009-2010 Illinois AFP president, Patrick Tranmer, M.D., refocuses chapter to implement medical home principles in family medicine practices

  4. 2010 Illinois AFP and PCMH • Illinois AFP endorses TransforMED to members in 2009 • Holds PCMH conference, June 2010 • Website grows PCMH resources, www.iafp.com/PCMH • Comments made on drafts of medical home criteria for NCQA, URAC, Joint Commission; testified before Congress on Family Medicine workforce and Health Insurance Exchange • September-October issue of Family Physician dedicated to PCMH • November-December issue: “meaningful use”

  5. AAFP Member Satisfaction Survey

  6. What to do about PCMH? • Unless/until we can demonstrate that their monetary investment will be met with higher reimbursements from payers, we’re unlikely to convert those who aren’t already on board. • Re-examine our messaging: “we’re in this together” vs. “what you should do” • New physicians may be more receptive. Perhaps more targeted messaging is needed

  7. Practice Improvement Network Illinois 2011-2012

  8. Four part project • Communications • Communities • Ambassadors • Pilot project

  9. Communications • Leadership training at December 2010 chapter annual meeting by Len Fromer, MD • *Enhanced website resources • *Templated presentation for use as self-study, or presentation by IAFP leaders to members • *Newsletter updates *subject to successful funding

  10. Communicate to members about where the money is • “Meaningful use” in Medicare or Medicaid • Medicaid’s Illinois Health Connect bonus payments • Medicare’s increasing payments for primary care services • Chapter communications to focus on where practices can get revenues from existing programs or reduce expenses.

  11. Communities • Build regional CME sites for practice transformation • Offer about 30 hours of CME on practice transformation and clinical topics • Potential partnerships with other organizations (Regional Extension Centers, Health Information Exchange, Medicaid PCCM project) • Opportunity for peer support or E H R user groups

  12. Possible CME Content • Medicare and Medicaid “meaningful use” and Illinois Health Information Exchange • Medicare PQRI, now Physician Quality Reporting System (PQRS) • Medicare bonuses • Medicaid Primary Care Case Management/Disease Management (Illinois Health Connect and Your Healthcare Plus) performance measures • Open access scheduling • Conducting group visits

  13. Ambassadors • Chapter leaders locally based • Help choose community site for CME • Engage other members • Coordinated communication to chapter and to members • 2 to 5 hours in first month to get started • about 1 hour per month to maintain

  14. Pilot project • 30 practices, 8 or fewer providers per practice • Contract 2011-12 with chapter to cost share practice coach, 50% up to $5,000 each • Each practice completes assessments (like TransforMED’sMedical Home IQ) • Based on results, practice picks chapter-approved coach and area to work on (e.g., fiscal, clinical, Quality Improvement [QI] preventive or QI chronic disease) • Quarterly evaluations by coach • 8 group webinars on practice transformation

  15. 2011 Timeline Jan-Feb Presentation and pilot program developed Ambassadors recruited March- Pilot practices recruited/1st webinar May Ambassador presentations Up to 20 community sites recruited

  16. 2011-12 Timeline June-Aug 1. Schedule for CME for Community Sites for Fall 2011/Spring 2012 developed and marketed 2. Second webinar held 3. Coaches visit pilot practices 4. Pilots start rapid-cycle Plan-Do-Study-Act (PDSA) projects Sept-Dec 1. CME sites meet for 15 hours 2. Pilot practices present at Annual meeting … Nov. 2012 Project ends

  17. Questions??? Thank you! For more information, contact Vince Keenan, vkeenan@iafp.com Phone 630-427-8002 Mobile 708-997-4930

  18. Illinois Academy of Family Physicians Practice Transformation Plans2011-12 David J. Hagan, MD, President February 12, 2011

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