Terry McGeeney, MD, MBA, President and CEO, TransforMED Nathan Bieck, Marketing Communications Manager, TransforMED

 2010 TransforMED

 Overview of TransforMED  National Demonstration Project (NDP)  Initial NDP learnings  Online innovation tools (distillation of our learnings) ◦ MHIQ 2 (NCQA and Meaningful Use Crosswalk) ◦ Online Practice Assessments (CRA, PEAT) ◦ EHR Prep-Select Tool ◦ Delta-Exchange (Zone Demonstration)  TransforMED after the NDP ◦ Pilot and Project Updates ◦ Physician Education and Messaging ◦ 2010 Match Results (P4 Initiative)

 2010 TransforMED  Transformation of health care delivery to achieve optimal patient care, professional satisfaction and success of primary care practices  To be a catalyst for HIT adoption within the health care community

 2010 TransforMED  Non-Profit, wholly-owned subsidiary of the American Academy of Family Physicians (AAFP)  Improves patient care while increasing satisfaction for family physicians and their practice team  Acts as a leader and catalyst to generate positive transformations in family medicine and primary care  Provide assistance with HIT technology solutions that aid in Patient-Centered Medical Home transformation

 2010 TransforMED  Provide hands-on Medical Home Facilitation, Practice Retreats, Assessments and Tailored Training. ◦ Full Facilitation ◦ Virtual Facilitation ◦ Targeted Transformation ◦ Gap Analysis

 2010 TransforMED Access to Care & Information Health care for all Same-day appointments After-hours access coverage Accessible patient and lab information Online patient services Electronic visits Group visits Practice Management Disciplined financial management Cost-Benefit decision-making Revenue enhancement Optimized coding & billing Personnel/HR management Facilities management Optimized office design/redesign Change management Practice-Based Services Comprehensive care for both acute and chronic conditions Prevention screening and services Surgical procedures Ancillary therapeutic & support services Ancillary diagnostic services Care Management Population management Wellness promotion Disease prevention Chronic disease management Patient engagement and education Leverages automated technologies Care Coordination Community-based services Collaborative relationships Emergency room Hospital care Behavioral health care Maternity care Specialist care Pharmacy Physical Therapy Case Management Care transition Practice-Based Care Team Provider leadership Shared mission and vision Effective communication Task designation by skill set Nurse Practitioner / Physician Assistant Patient participation Family involvement options Quality and Safety Evidence-based best practices Medication management Patient satisfaction feedback Clinical outcomes analysis Quality improvement Risk management Regulatory compliance Health Information Technology Electronic medical record Electronic orders and reporting Electronic prescribing Evidence-based decision support Population management registry Practice Web site Patient portal

 2010 TransforMED  24-month Project  Project rigorously pilot tested the TransforMED patient-centered model-of- care in 36 family medicine practices from across the United States.  The NDP pilot project concluded in June of

 2010 TransforMED  Transforming to a patient-centered medical home (PCMH) isn't easy…requires change throughout entire practice (Leadership, Teamwork, Communication)  Medical practices can be lonely places: physicians and staff often feel isolated. (peer-to-peer learning)  Do it Yourself Attitude (DIY)  Technology isn’t plug and play but critical to medical home transformation  NDP Outcomes (No external sources of revenue) ◦ 10.49% increase in practice revenue ◦ 14% increase in physician salaries

 2010 TransforMED  Establish realistic initial expectations for time and resources required  Develop a practice technology implementation plan  Understand the work flow within the practice  Monitor change fatigue and burnout  Learn to be a learning organization

 2010 TransforMED  MHIQ 2 (NCQA Crosswalk, Meaningful Use Crosswalk)  Change Readiness Assessment (CRA)  Patient Experience Assessment Tool (PEAT)  EHR Prep-Select Tool (TransforMED and Welch Allyn)  Delta-Exchange Social Network

 2010 TransforMED

 2010 TransforMED  The Online Change Readiness Assessment is designed to assess where a practice stands when it comes to implementing change  The CRA gathers information from the entire practice (physicians, practice managers, clinical and office staff) in 5 key areas: ◦ Change Management ◦ Communication ◦ Leadership ◦ Teamwork ◦ Job Satisfaction

 2010 TransforMED  Short questionnaire that provides practices with information and insight on their patients' view of the services that they provide  Practices can use results to design and track quality improvement initiatives over time, as well as compare to other practices.  Online or via a paper questionnaire

 2010 TransforMED  Systematically prepares and guides practices toward an informed and cost-effective EHR selection decision.  Addresses the common problems within a practice and will walk you through 4 simple, yet comprehensive steps.  Eliminates the frustration associated with EHR selection and helping you make a well informed decision.  Those 4 steps include: ◦ Organizational readiness ◦ Personnel training ◦ Technology and work flow planning ◦ Capital planning

 2010 TransforMED

 Online Social Network for Practice Transformation  members ◦ Medical home thought leaders, practices and their team members  Access to immediately useful PCMH resources ◦ TransforMED Facilitators (Ask the Experts Zone) ◦ How-to-Articles (Leadership, Teamwork, Communication) ◦ Live and On-Demand Webinars ◦ Practice Forms and Templates ◦ NCQA Zone

 2010 TransforMED

 2010 TransforMED  2,404 family medicine positions were filled out of 2,630 positions offered, for a fill rate of 91.4 percent, the highest percentage of family medicine positions ever filled in the NRMP. AAFP News Now Match Results: 2010 Fill Rate for Family Medicine Highest Ever By Barbara Bein 3/18/2010Barbara Bein

 2010 TransforMED  For the first time, all 14 residencies in the Preparing the Personal Physician for Practice, or P 4, Demonstration Initiative filled their open positions during the Match.residencies

 2010 TransforMED Questions Terry McGeeney Nathan Bieck