1. Orientation Webinar July 22, 2014 2:00 PM- 3:30 PM EDT

2. Agenda Welcome Collaborative Participants
RA Collaborative Overview and Project Timeline
Measurement and Reporting
Participant and AMGF Responsibilities
Kick-Off Meeting

3. Collaborative Support

4. The American Medical Group Association (AMGA) is a trade association representing medical groups, health systems, and other organized systems of care. AMGA’s mission is to support its members in enhancing population health and care for patients through integrated systems of care.

5. AMGA Members

6. AMGF is AMGA’s 501 (c)(3) affiliate and it supports and disseminates research on better ways to deliver health care that is scientifically sound and value-based.
AMGF also develops and supports educational programs to enable all stakeholders-providers, payers, policymakers and patients to translate the evidence of what works best into everyday practice.

7. AMGF Initiatives Chronic Care Challenge Quality Collaboratives
Acclaim Award

8. RA Collaborative Participants
Advocate Medical Group
Colorado Springs Health Partners
Geisinger Health System
Group Health
HealthCare Partners
Kelsey-Seybold Clinic
Premier Medical Associates
Ochsner Health System
Springfield Clinic
Summit Medical Group
Sutter Medical Group
The Polyclinic
The Portland Clinic
University of Rochester
USMD
Virginia Mason Medical Center
Watson Clinic
Wilmington Health

9. Collaborative Advisory Committee
Jeffrey Carlin, MD
Section Head, Division of Rheumatology
Virginia Mason Medical Center
Len Fromer, MD, FAAFP
Assistant Clinical Professor, UCLA School of Medicine
Executive Medical Director, Group Practice Forum
Eric Newman, MD, FACP
Director, Department of Rheumatology, Vice-Chairman, Clinical Innovation, Division of Medicine
Geisinger Health System
Robert J. Quinet, MD, FACP
Head, Department of Rheumatology
Ochsner Health System
Rami Rihani, PharmD
Director of Pharmacy & Chronic Disease Management
Advocate Medical Group

10. RA Collaborative Overview
A shared learning environment
A research project designed to facilitate the discovery, adoption and spread of care processes that will improve the way in which patients with rheumatoid arthritis experience the health care system.
A vehicle to leverage key learnings and disseminate best practices to all AMGA members.

11. How Does the Collaborative Work?
Bi-monthly webinars
Online resources including a dedicated website for participant material-sharing and a listserv for idea-sharing and collaboration
Consultation with experts in the field
Two in-person meetings
At the end of the 12-month collaborative, AMGF will work with participating organizations to develop individual Best Practices Case Studies of their programs for publication

12. The Collaborative Website
Dedicated website for Learning Collaborative participants
Will be available before the kick-off meeting
Password protected website
Username: your AMGA Login (typically the first part of the address)
Password: your selected password
Items to be included on the website:
Collaborative Roster
Data and Quarterly Reports
Calendar of Events
- Kick off Meeting
- Bi-Monthly Webinars
- Wrap-up Meeting
Press Release
Shared Tools & Resources

13. Getting Started Checklist
Assist you and your team with preparing and getting organized for the collaborative.
Anna Thomas from the Group Practice Forum will reach out to participating groups

14. Project Timeline
Collaborative Kick-Off Meeting: August 13-15, 2014, Nashville, TN
Collaborative Start Date: Today!
Bi-Monthly Webinars : 2nd Thursday of every other month
Thursday, October 9, 2014, 2:00-3:30pm (EST)
Thursday, December , 2:00-3:30pm (EST)
Thursday, February 12, 2015, 2:00-3:30pm (EST)
Thursday, April 9, 2015, 2:00-3:30pm (EST)
Thursday, June , 2:00-3:30pm (EST)
Wrap-up Meeting: August 2015, Location and Date TBD

15. Measurement and Reporting
1. RA: Disease-Modifying Anti-Rheumatic Drug (DMARD) Therapy (NQF 0054, PQRS #108)
Percentage of patients aged 18 years and older diagnosed with RA who were prescribed, dispensed, or administered at least one ambulatory prescription for a DMARD, or who had a DMARD on their active med list
2. RA: Periodic Assessment of Disease Activity (PQRS #177)
Percentage of patients aged 18 years and older with a diagnosis of RA who have an assessment and classification of disease activity within 12 months (e.g., DAS28, SDAI, CDAI, RADAI, RAPID)
3. RA: Functional Assessment (PQRS #178)
Percentage of patients aged 18 years and older with a diagnosis of RA for whom a functional status assessment was performed at least once within 12 months (e.g., HAQ, MDHAQ, HAQ-2, ACR’s Classification of Functional Status in RA)

16. Measurement and Reporting
Each quarter, report on past 12 months
Ideally, begin with baseline for 12 months ending 6/30/2014
Reporting for collaborative: 9/30/213, 12/31/2014, 3/31/2015, 6/30/2015, 9/30/2015
Detailed specs to be developed
Age limit?
Timing of Dx?
Specific instruments for disease activity and functional status?
Report via Excel templates, ed to AMGA
Progress reports will be circulated quarterly

17. Participants’ Responsibilities
1. Create an implementation team
Must include an employed or clinically integrated affiliated rheumatologist
Integrated EHR for all physicians and sites participating within your project
Patient participation as a team member is strongly encouraged
Up to 4 team members are encouraged to attend in-person meetings
Develop process for measurement and reporting, and submit progress reports and measurement data on time.
Participate in face-to-face meetings and all bi-monthly webinars.

18. Participants’ Responsibilities
4. Share tools, insights, and protocols related to the project.
5. Engage in open dialogue and discussion.
6. Submit the final data report to AMGF by October 2015
7. Participate in Best Practices Case Studies
Agree to allow AMGF and AbbVie to publish information such as interventions, findings, and other supporting materials related to the project
AMGF to provide medical writer assistance

19. AMGF’s Responsibilities
Provide timely updates to participants.
Be available for questions and/or concerns related to the project.
Provide PowerPoint templates to participants to use for progress reports.
Excel templates for data reporting, along with measure specifications.
Serve as resource and manage the collaborative.
Maintain the collaborative website.
BE THERE FOR YOU!

20. Kick-Off Meeting Purpose & Objective
Opportunity to network with peers in the collaborative & participate in shared-learning through group work
Highlights each groups current work
Provides educational content and sets the schedule of work
Presentations
AMGF will provided a presentation template for participants to use:
15 minutes maximum to present, including question and answer period
Will present in small groups
Please your 15 minute presentation to Danielle Casanova at no later than August 8th.

21. Kick-Off Meeting
Gaylord Opryland Resort & Convention Center 2800 Opryland Drive Nashville, TN 37214
August 13-15, 2014 (615)
Complete the registration form and return to Beth Sutter at or fax to her attention at by July 30th. Once your registration is completed, Beth will send you a confirmation and instructions to make your hotel reservations.

22. Kick-Off Meeting Reimbursement
If selected to receive a grant, travel and hotel expenses are expected to be covered by the educational grant you receive.
If not selected for a grant, AMGF will reimburse coach airfare and ground transportation up to $800, and two night’s hotel for two people. We ask that you cover expenses for additional team members.

23. Kick-Off Meeting Agenda
Wednesday, August 13, 2014
6:00pm – 7:00pm                              Welcome Reception                                   
Thursday, August 14, 2014
7:00am – 8:00am                               Breakfast
8:00am – 5:00pm                               General Session
6:00pm – 7:00pm                               Reception
Friday, August
8:00am – 12:30am                             General Session
12:30am – 1:00pm                             Wrap-Up & Meeting Adjourn
Check-in is 3:00 p.m. / Check-out is 11:00 a.m.

24. Questions Danielle Casanova dcasanova@amga.org
Joyce Jones
John Cuddeback
Jerry Penso