274766 What's really happening in primary care today? Reflections from two recent Commonwealth- and AHRQ-funded improvement projects

Tuesday, October 30, 2012 : 1:30 PM - 2:00 PM

Gordon Schiff, MD , Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA
Dr. Schiff will reflect on lessons learned in the course of participating in and evaluating two recent primary care improvement projects. One was a qualitative evaluation of a series of "medical home" pilots linked to payment reform in two large practice networks in the northeast U.S. The other is a statewide malpractice reform pilot aiming to improve safety and reduce malpractice risks in ambulatory practices in Massachusetts—the PROMISES (Proactive Reduction of Outpatient Malpractice—Improving Safety Efficiency and Satisfaction) Project. The latter focuses on "3+1" areas for improvement: referral, test-tracking, and medication-management with overarching communication issues.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Clinical medicine applied in public health
Provision of health care to the public
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe models used in two recent sets of trials to improve primary health care. Explain the results from linking payment reforms to "medical home" practices. Evaluate another model which follows referrals, tracks medical tests, and manages prescriptions and in addition enhances communications among all components of the provided health care.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Researcher for Commonwealth Fund Medical Home Evaluation Pilot Scientific Director for AHRQ- PROMISES Project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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