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				 July  26, 2012 
Executive  Director 
  American  Board of Internal Medicine 
  510 Walnut Street 
  Suite 1700 
  Philadelphia, PA 19106-3699 
Dear  Sir: 
Five  of Southeast Texas Medical Associates’ physicians are diplomats of the  ABIM.  June 22, 2004, the ABIM Foundation  conducted a site visit to Southeast Texas Medical Associates, LLP (www.jameslhollymd.com)  in the Foundation’s first major initiative promoting quality, entitled “Putting  Quality Into Practice.”  For this project, they chose 40 exemplary  practices around the country and 40 practices which have no quality  initiatives.  After a three-hour interview and presentation, I asked the  Foundation representative, "In that we are the last of the 40 practices  you identified, where is SETMA in relationship to the other practices you have  visited?"  He said, "I have personally conducted 25 of the 40  site visits.  NCQA did the other 15.  You are further along in  developing quality measures than any of the practices I visited.  No one  else has begun to gain the advantages from EMR that you have.  This is  really impressive." (emphasis added)  
As  SETMA concludes our 17th year next Tuesday and as I am preparing a  brief summary of our history, I wanted to bring the Foundation up to date on  what SETMA has done since you last visited us.  SETMA’s expansion of  electronic patient management has been extensive. All of our tools can be  viewed at www.jameslhollymd.com under Electronic  Patient Management Tools.  We publicly report by provider name on over  250 quality metrics.  Our published results for 2009, 2010, 2011, and the  first six months of 2012 can be seen on our website under Public Reporting.   For the past 14 years, SETMA has published a weekly health article (2,000  words) and all of those are posted under Your Life Your Health. 
SETMA  is an NCQA Tier III Patient-Centered Medical Home and is accredited by AAAHC as  a Medical Home. We are an affiliate of Diabetes Center of Excellence affiliated with  Harvard and have Diabetes recognition from NCQA.  The following two link  detail SETMA’s Model of Care and our response on Primary Care to the Robert  Wood Johnson Foundation request: 
SETMA’s  Model of Care Patient-Centered Medical Home: The Future of Healthcare  Innovation and Change 
The  Primary Care Team: Learning from Effective Ambulatory Practices (PCT-LEAP):  Performance Measures Worksheet - Robert Wood Johnson Foundation 
In  this latter document the index is a set of hyperlinks which guide you through  the report. 
There  is more to tell but this brings you partially up to date. We have been busy  over the past eight years in expanding our capability of incorporating quality  into our practice. 
James  L Holly, M.D. 
  CEO,  SETMA, LLP 
  www.jameslhollymd.com 
Adjunct  Professor 
  Family  and Community Medicine 
  School  of Medicine 
  UT  Health Science Center 
  San  Antonio 
Clinical  Associate Professor 
  Department  of Internal Medicine 
  Texas  A&M Health Science Center College of Medicine 
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