JamesLHollyMD.com

	James L. Holly, M.D.

About SETMA Joint Commission Contact Information History Mission Statement Medical Home Scope of Services I-CARE Initiative Infusion Center The SETMA Way - What is it? SETMA's Model of Care Patient-Centered Medical Home The SETMA Approach to Patient Care	In The News Letters Vital Signs - Examiner Publication SETMA's Providers as of January, 2015 SETMA Knows - Abraham Lincoln and Healthcare Analytics SETMA – 1999 – Four Seminal Events PC-PCC Award January, 2015 Vital Signs Spring 2015 Vital Signs Q&A for PC-PCC Award Links to SETMA 2012 eHealth Innovator Award for LESS initiative Handout for Attendees eHealth Conference January 12, 2012 eHealth Initiative 2012 Award Program Application The eHealth Initiative's 2012 Award Letter 2012 National Quality Forum National Healthcare Improvement Award Effective prioritization of performance improvement goals Dashboard to Measure and Manage Whole System Performance Commitment to transparency Date-driven improvement of NQS priorities Demonstration of readiness to assume responsibilities of an ACO Demonstrated results on publicly reported performance measures Public Reporting Quality Metrics for 2009, 2010, 2011 Internally Tracked Reporting Quality Metrics for 2009, 2010, 2011 Complete Application in PDF Format SETMA's Medical Home Pilgrimage 2009 Medical Home Series I 2010 Medical Home Series II 2011 Medical Home Series Two 2009, 2010, 2011 Medical Home Miscellaneous Articles The Dr. and Mrs. James L. Holly Distinguished Professorship Universal American Letter of Transmittal for Support Dr. Holly's Acceptance Address for the 2012 Distinguished Alumnus Award CMS Medical Home Feedback Report Qualify & Cost SETMA questions Influenza Data SETMA I - October 2011 SETMA II - October 2011 Mark A. Wilson Clinic SETMA West - October 2011 SETMA and Fox 4 News - Healthy Living Videos SETMA Advertisements - Display and Video SETMA Announcements Featured Content Archive	Syllabus PC-MH Externship SETMA's MS4 Patient-Center Medical Home Selective Syllabus Introduction to SETMA's Senior Externship and Syllabus An Introduction to the Origins and Beginnings of Southeast Texas Medical Associates, LLP Patient-Centered Communication PC-MH Health Affairs August 15, 2013 Policy Brief -- Health Gap SETMA 8.20.13 Provider Training -- Health Affairs 2.14.13 -- Patient Engagement SETMA Provider Training 8.20.13 during First Senior Medical Student PC-MH Externship Medical Home Coordination Review Tutorial 2011 Medical Home Series Two Teaching Tool for PC-MH Course - Patient Care Activation, Engagement, Shared-Decision Making	Patient Information What Does Patient-Centered Medical Home Mean to You? What Does Patient-Centered Medical Home Mean to You? Health information exchange Patient Rights and Responsibilities Patient Directions Contact SETMA – Secure Texting What is HIPAA? Authorization To Release or Obtain Medical Records Complete Privacy Policy Website Privacy Policy	Presentations Invited Presentations SETMA Provider Training
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One form of Care Coordination HCAHPS - Hospital Consumer Assessment Of Healthcare Providers and Systems CAHPS - Consumer Assessment of Health Care Provider and Systems Teaching Tool for PC-MH Course – Patient Care Activation, Engagement, Shared-Decision Making Display & Explanation of PC-MH Tools SETMA's Medical Home Pilgrimage Concierge Medicine not Medical Home Medical Neighborhood Security & HIPPA Referrals Patient Web Portal Health Information Exchange Medication Reconciliation The Automated Team Coordination of Care Medical Home Description & Standards AAAHC Joint Commission NCQA Planetree URAC NCQA Interview February 14, 2014	Facebook	Letters

Letters - Letter to Dr. David Blumenthal, Commonwealth Fund, about the National Vital Signs paper from IOM

April 29, 2015

Dr. Blumenthal, you will not remember but we met when you were at the ONC. We discussed the potential for Meaningful Use becoming an obstacle to EMR adoption. It appears that that has not happened. My practice, Southeast Texas Medical Associates, LLP has kept pace with all of CMS and ONC’s requirements and we have used EMR and electronic patient management since 1998. In 1999, SETMA experience four transformative seminal events which are described along with others descriptions of SETMA in the following link: http://jameslhollymd.com/in-the-news/vital-signs-examiner-publication.

Last week, CMS and ONC hosted an invited meeting in Washington described as “CMS and ONC Co-hosting a Meeting on ‘Health IT to Support ACO and Group Reporting’”. The following is a link to my response to and summary of that meeting: http://jameslhollymd.com/Letters/cms-oinc-health-it-to-support-aco-and-group-reporting. It is divided into three parts: The Past, The Present and The Future.

As I read Measuring Vital Signs An IOM Report on Core Metrics for Health and Health Care I wanted to share with you my practice’s experience with quality measurement. It is improbable that you will have the time to review any of this material but I will have made it available for your consideration. It includes the following:

http://jameslhollymd.com/Presentations/The-Importance-of-Data-Analytics-in-Physician-Practice -- presented at Massachusetts medical Society this presentation addresses knowledge, information, learning and the place of analytics in physician practice.
http://jameslhollymd.com/letters/Robert-Wood-Johnson-Foundation-PCT-LEAP -- prepared in response to RWJF LEAP study conducted by MacColl Institute, this reviews SETMA’s quality measures and our philosophy of quality metrics.
http://jameslhollymd.com/the-setma-way/setma-model-of-care-pc-mh-healthcare-innovation-the-future-of-healthcare -- this discusses SETMA’s Model of Care which five steps: tracking quality metrics one patient at a time; auditing quality performance by populations and/or panels of patients; analyzing performance statistically for opportunities for improvement; public reporting by provider name over the past seven years and designing quality improvement programs based on the foregoing.
http://jameslhollymd.com/public-reporting/ and http://jameslhollymd.com/public-reporting/public-reports-by-type -- our philosophy and experience with public reporting by provider name on several hundred quality metrics.
http://jameslhollymd.com/epm-tools/Automated-Team-Tutorial-for-the-EMR-Automated-Team-Function -- the automated team function which we think may be a significant part of the future of healthcare transformation.

I look forward to following the development of the “national” Vital Signs work. In our provider meeting in May, we will review the fifteen core measures you have identified and we will discuss their potential use at the practice level. For information about SETMA, we have earned the following.

SETMA’s Recognitions and Accreditations

NCQA -	PC-MH Tier III	2010-2016
NCQA -	Diabetes Recognition	2010-2016
NCQA -	Heart And Stroke Recognition	2010-2016
NCQA -	Distinction in Patient Experience Reporting	2014-2015
AAAHC --	PC-MH	2010-2017
AAAHC --	Ambulatory Care	2010-2017
URAC --	PC-MH Advance Certification with EMR	2014-2017
The Joint Commission -	PC-MH	2014-2017
The Joint Commission -	Ambulatory Care	2014-2017
The Joint Commission -	Clinical Laboratory Services	2014-2016
Texas Medical Foundation, CMS’ Texas QIO -	The Texas Practice Quality Improvement Award	2012-2014

I hope you find this interesting and useful. We don’t have all of the answers obviously, but we are asking good questions and looking for answers and solutions.

James (Larry) Holly, M.D.
C.E.O. SETMA
www.jameslhollymd.com

Adjunct Professor
Family & Community Medicine
University of Texas Health Science Center
San Antonio School of Medicine

Clinical Associate Professor
Department of Internal Medicine
School of Medicine
Texas A&M Health Science Center

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