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Palliative Care in the Patient-Centered Medical Home (426)
Vol. 39 No. 2 February 2010
Schedule with Abstracts
materials, and research in teaching and evaluation. Abstract submissions describing educational innovations will be solicited from the palliative care community, including all disciplines, and a session specific peer review process will be undertaken. A panel of interdisciplinary senior palliative care educators will review the abstracts with attention to objectives, richness of methods, robustness of the product or results, potential for reproducibility in other settings, availability of hands-on materials to be shared in this interactive format, discussion and conclusions, and incorporation of a competenciesbased focus where applicable. The session itself will involve a short formal presentation of each of the selected abstract submissions by an author. The remaining time will be used for attendees to breakout and learn more from the individual presenters. Attendees will visit different stations for hands-on and indepth exposure to the materials and methods for each innovation of interest. Participants will be prompted to reflect on learning points and will ideally leave with plans for adapting existing initiatives to their own site, creating new innovations, and collaborating with colleagues. Domain Structure and Processes of Care
Palliative Care in the Patient-Centered Medical Home (426) Phillip Rodgers, MD, University of Michigan, Ann Arbor, MI. (Rodgers has disclosed no relevant financial relationships, will discuss off-label use.) Objectives 1. Discuss the origins and principles of the Patient-Centered Medical Home (PCMH) concept and its fundamental resonance with hospice and palliative care. 2. Recognize the growing influence of the PCMH model on health care reform and implications for reimbursement. 3. Identify opportunities for hospice and palliative care organizations to contribute to PCMH development and implementation. It is widely recognized that the US healthcare system is ill-equipped to meet its current and future demands for care of an aging population with increasingly complex illness. Health care costs are rising rapidly, causing erosion of employer-based health insurance, decreased patient services, cuts in payments to physicians and hospitals, and the
401
lengthening shadow of Medicare insolvency. Additionally, patients and physicians are increasingly dissatisfied with hurried and discontinuous relationships, and healthcare quality and safety in the United States compare quite unfavorably to our peer nations. In response to these enormous challenges, several key organizations have joined to strengthen the core of our systemdthe provider-patient relationship. The American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), the American College of Physicians (ACP), and the American Osteopathic Association (AOA) have independently developed initiatives that have together evolved into the Patient-Centered Medical Home (PCMH). The Patient-Centered Medical Home has seven core features: (i) a personal physician, (ii) physician-directed medical practice, (iii) whole-person orientation, (iv) coordinated and integrated care, (v) quality and safety are prioritized, (vi) enhanced access, and (vii) payment systems to recognize value of a PCMH. The Centers for Medicare Services (CMS) and many third-party payors have been very enthusiastic about PCMH development, and are creating significant incentives for implementation. Hospice and palliative care organizations are philosophically and operationally very well suited to develop PCMH resources for patients with advanced illness, for whom we have demonstrated improved symptom control, cost-savings, quality improvement, continuous access, and very high patient and family satisfaction. To lead, however, we must become both broadly aware and strategically active in PCMH development efforts. This session is intended to outline these opportunities and stimulate discussion about the pivotal next steps to moving hospice and palliative medicine forward as core to our evolving health system. Domain Structure and Processes of Care
Physician Compensation Models (427) Edward Martin, MD MPH, Home and Hospice Care of Rhode Island, Pawtucket, RI. Charles Wellman, MD FAAHPM, Hospice of the Western Reserve, Cleveland, OH. Tim Cousounis, MHA CHE, DAI Palliative Care Group, Lafayette Hill, PA. (All speakers have disclosed no relevant financial relationships.)
Schedule with Abstracts
materials, and research in teaching and evaluation. Abstract submissions describing educational innovations will be solicited from the palliative care community, including all disciplines, and a session specific peer review process will be undertaken. A panel of interdisciplinary senior palliative care educators will review the abstracts with attention to objectives, richness of methods, robustness of the product or results, potential for reproducibility in other settings, availability of hands-on materials to be shared in this interactive format, discussion and conclusions, and incorporation of a competenciesbased focus where applicable. The session itself will involve a short formal presentation of each of the selected abstract submissions by an author. The remaining time will be used for attendees to breakout and learn more from the individual presenters. Attendees will visit different stations for hands-on and indepth exposure to the materials and methods for each innovation of interest. Participants will be prompted to reflect on learning points and will ideally leave with plans for adapting existing initiatives to their own site, creating new innovations, and collaborating with colleagues. Domain Structure and Processes of Care
Palliative Care in the Patient-Centered Medical Home (426) Phillip Rodgers, MD, University of Michigan, Ann Arbor, MI. (Rodgers has disclosed no relevant financial relationships, will discuss off-label use.) Objectives 1. Discuss the origins and principles of the Patient-Centered Medical Home (PCMH) concept and its fundamental resonance with hospice and palliative care. 2. Recognize the growing influence of the PCMH model on health care reform and implications for reimbursement. 3. Identify opportunities for hospice and palliative care organizations to contribute to PCMH development and implementation. It is widely recognized that the US healthcare system is ill-equipped to meet its current and future demands for care of an aging population with increasingly complex illness. Health care costs are rising rapidly, causing erosion of employer-based health insurance, decreased patient services, cuts in payments to physicians and hospitals, and the
401
lengthening shadow of Medicare insolvency. Additionally, patients and physicians are increasingly dissatisfied with hurried and discontinuous relationships, and healthcare quality and safety in the United States compare quite unfavorably to our peer nations. In response to these enormous challenges, several key organizations have joined to strengthen the core of our systemdthe provider-patient relationship. The American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), the American College of Physicians (ACP), and the American Osteopathic Association (AOA) have independently developed initiatives that have together evolved into the Patient-Centered Medical Home (PCMH). The Patient-Centered Medical Home has seven core features: (i) a personal physician, (ii) physician-directed medical practice, (iii) whole-person orientation, (iv) coordinated and integrated care, (v) quality and safety are prioritized, (vi) enhanced access, and (vii) payment systems to recognize value of a PCMH. The Centers for Medicare Services (CMS) and many third-party payors have been very enthusiastic about PCMH development, and are creating significant incentives for implementation. Hospice and palliative care organizations are philosophically and operationally very well suited to develop PCMH resources for patients with advanced illness, for whom we have demonstrated improved symptom control, cost-savings, quality improvement, continuous access, and very high patient and family satisfaction. To lead, however, we must become both broadly aware and strategically active in PCMH development efforts. This session is intended to outline these opportunities and stimulate discussion about the pivotal next steps to moving hospice and palliative medicine forward as core to our evolving health system. Domain Structure and Processes of Care
Physician Compensation Models (427) Edward Martin, MD MPH, Home and Hospice Care of Rhode Island, Pawtucket, RI. Charles Wellman, MD FAAHPM, Hospice of the Western Reserve, Cleveland, OH. Tim Cousounis, MHA CHE, DAI Palliative Care Group, Lafayette Hill, PA. (All speakers have disclosed no relevant financial relationships.)