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Primary Care: The Opportunities & You10 months ago Edit Email Favorite Download Embed0 commentsSpeaker Notes on slide 1Remove this ad1 Group drnpvN.P. viswanathan, family physician at svclinic, added to the group medical presentations5 Downloads NourishedFitNourishedFit downloaded this 2 months ago mohdkamalmohdkamal downloaded this 3 months agoWant to know who downloaded this presentation?Go PRO and get download details for all your files in a dashboard. Lots of other exciting features as well.Upgrade to SlideShare PRO >>Downloader's InformationPrimary Care: The Opportunities & You - Presentation Transcript Primary Care: The Opportunities& You Primary Care Progress Agenda Define primary healthcare and identify the value it creates Explore how primary care is being transformed Introduce you to innovators who are reinventing the field Help you envision a role for yourself in this field What is PRIMARY CARE, anyway? “Primary care is the provision of accessible, integrated health care services by clinicians who are accountable for: addressing a large majority of personal health care needs developing a substantial partnership with patients practicing in the context of family and community” - The Institute of Medicine, 1996 Primary Care Re-imagined Meet MJ Meet MJ MJ Today Ideal Acute Care Access Care based in longitudinal relationships Appropriate treatment Use of IT & EBM Care coordination Ideal Chronic Care . Ideal Chronic Care Enhanced access Evidence based treatment Education and empowerment Team-based cared Care coordination Ideal vs Reality Patient centered Team based Coordinated Proactive Doctor centered Siloed Fragmented Reactive POOR ORGANIZATION The Patient-Centered Medical Home New models of care focusing on: Patient-centeredness Collaboration Comprehensive care Accessibility Coordination Extensive use of IT & EMR Accountability The Patient’s Experience Video follows… The Health Professional’s Experience Video follows… Far From Perfect Patients receiving only 55% of recommended care Rates of proving clinical preventive services are low 55% of routine screening tests 24% immunizations 9% of health-habit counseling services McGlynn EQ et al. NEJM 2003;348:2635-2645 Stange KC et al. Prev Med. 2000;31:167-176 Far From Perfect “Every system is perfectly designed to produce the results it gets.” - Donald Berwick Change is Afoot Supportive multi-stakeholder coalition New health law Increased payment to primary care providers Innovation grants Expanded training programs Why the change in support? Current system is bankrupting us Despite high spending, we receive poor value We need a robust pr
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Primary Care: The Opportunities
& You
Primary Care Progress
Agenda
Define primary healthcare and identify the value it creates
Explore how primary care is being transformed
Introduce you to innovators who are reinventing the field
Help you envision a role for yourself in this field
What is PRIMARY CARE, anyway?
“Primary care is the provision of accessible, integrated health care services by clinicians who are accountable for:• addressing a large majority of personal health care
needs
• developing a substantial partnership with patients
• practicing in the context of family and community”- The Institute of Medicine, 1996
Primary Care Re-imagined
Meet MJ
Meet MJ
MJ Today
Ideal Acute Care
Access
Care based in longitudinal relationships
Appropriate treatment
Use of IT & EBM
Care coordination
Ideal Chronic Care
.
Ideal Chronic Care
Enhanced access
Evidence based treatment
Education and empowerment
Team-based cared
Care coordination
Ideal vs Reality
Patient centered
Team based
Coordinated
Proactive
Doctor centered
Siloed
Fragmented
Reactive
POOR ORGANIZATION
The Patient-Centered Medical Home
New models of care focusing on: Patient-centeredness Collaboration Comprehensive care Accessibility Coordination Extensive use of IT & EMR Accountability
The Patient’s Experience
Video follows…
The Health Professional’s Experience
Video follows…
Far From Perfect
Patients receiving only 55% of recommended care
Rates of proving clinical preventive services are low 55% of routine screening tests 24% immunizations 9% of health-habit counseling servicesMcGlynn EQ et al. NEJM 2003;348:2635-2645
Stange KC et al. Prev Med. 2000;31:167-176
Far From Perfect
“Every system is perfectly designed to produce the results it gets.”
- Donald Berwick
Change is Afoot
Supportive multi-stakeholder coalition
New health law Increased payment to primary care providers Innovation grants Expanded training programs
Why the change in support?
Current system is bankrupting us
Despite high spending, we receive poor value
We need a robust primary care foundation!
Value added by Primary Care
Increased quality & decreased overall spending
Improved patient satisfaction
Increased provision of appropriate preventive services
Decreased use of Emergency Department resources
Fewer hospital admissionsO’Malley AS, et al. Arch Intern Med 1997;157(13)
Saultz JW, et al. Ann Fam Med 2004;2(5): 445-51
Petersen LA, et al. Med Care 1998;36(8): 1249-55
Medicare claims data; and Area Resource File, 2003
S
We all have our own stories
The Field is Reinventing Itself…
This is a work in progress
We’re incorporating ideas from outside of medicine
We’re harnessing the true potential of the workforce
Clinical Innovation
Video follows…
Wonderful Opportunity for Trainees
To bring trainees’ fresh perspectives and unique skills to bear
To add tremendous value
To craft a fulfilling career
Network of Primary Care providers and trainees Promote primary care in local communities Engage next generation in reinventing how we deliver care and train
providers
Get Involved! Promote primary care via Primary Care Speakers Bureaus Help reshape local primary care delivery via Primary Care Innovation
Collaboratives (PCIC) that pair students with clinician-innovators Participate in primary care curriculum reform to identify new skills and
competencies for successful practice.
Visit our website PrimaryCareProgress.org or find us on Facebook/Twitter
Challenges We Face
An increasing demand for primary care services while our supply of providers is shrinking.
Questionable quality of services rendered
Dysfunctional reimbursement system
New health law adds millions of new patients who need primary care
Where Primary Care Is Robust, Quality Is Higher
Where Primary Care Is Robust, Spending Is Lower
