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4. Rebuilding the Primary Care Workforce Lead: Kevin Piggott, MD, MPH, Marquette General Hospital /Marquette Co. Health Department 33 Top Priority Objectives PRIMARY CARE PRACTICE TRANSFORMATION ? Promote Health Information Technology (HIT) including allpatient registries, EMR/EHR, eRx ? Create PCMH Toolkit ? Prepare providers to teach SelfManagement to their patients ? Assess options for providing relevant Community Resources 34 Top Priority Objectives PAYMENT REFORM AllPayer Agreements on: 1. Michigan definition of PCMH 2. Components of PCMH to incent in 2022 (and beyond) using mon metrics: a) Expanded Hours b) Use of AllPatient, AllPayer Registry c) Use of EPrescribing 35 Top Priority Objectives CONSUMER ENGAGEMENT AND ACTIVATION ? Teach Health SelfManagement to Consumers ? Teach Health Literacy in the Michigan Model for Comprehensive School Health Education (on hold) 36 Top Priority Objectives REBUILD PRIMARY CARE WORKFORCE ? Create a Workforce State Plan (Dec 2022) ? Convene Stakeholders (Feb 2022) ? Engage HRSA 37 Important New Developments ? Opportunities in Health Care Reform Law (PPACA): o PCMH and Accountable Care Organization (ACO) demonstrations o Elimination of copays and deductibles for highvalue preventive services o Enhanced Medicare and Medicaid reimbursement for primary care providers ? State policies will support OR will impede health reform ? CMS Multipayer Medical Home Demonstration MPCC Acplishments to Date ? Published White Paper series on the Crisis in Primary Care ? Detailed Action Plans for implementation of 2022 priorities ? Consensus among Michiganbased payers on PCMH definition, ponents to be incentivized, mon metrics ? Major consultation project – IPIP – assisted 35 practices transform to PCMH and demonstrated value of quality engineers from industry ? Expansion of membership from 35 to 112 anizations ? Transition to nonprofit corporation with charitable tax status ? Creation of application that MDCH submitted to CMS for a MultiPayer Medical Home Demonstration: o 500 primary care practices to participate o All Michiganbased payers to participate o million Michigan residents to be served o $130 million to Michigan from Medicare The Michigan Primary Care Consortium Message Comprehensive, coordinated, wholeperson care that is adequately reimbursed should be available in every primary care setting in Michigan 40 41 Michigan Primary Care Consortium For more information about the MPCC: (517) 3358368