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	James L. Holly, M.D.

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Letters - June 6, 2015 Response to Invitation to serve as The Accreditation Navigator to the PC-PCC Work Group on PC-MH Standards and Accreditations

I would be happy to serve as the PC-MH Accreditation Navigator to the PC-PCC Work Group on PC-MH Standards and Accreditations. For the past few months I have been serving with the AAAHC Primary Care Task Force on Accreditation Standards http://jameslhollymd.com/Letters/aaahc-primary-care-task-force-introduction-of-setma. They are asking of themselves many of the same questions which your workgroup will be addressing.

After each of our PC-MH accreditations, we have engaged each of the organizations in our ideas of improving the process and in making it more relevant to healthcare transformation.

The following is a set of questions from MGMA about PC-MH follow by they published article from the answers to these questions. The third link is to a brief letter from the MGMA writer.

http://jameslhollymd.com/Letters/mgmapc-mh-questions-for-article-april-16-2014

http://jameslhollymd.com/In-The-News/pdfs/mgma-executive-view-summer-2014.pdf

http://jameslhollymd.com/Letters/farewell-from-mgma-staff-writer

The following link is to an article about the penetration of PC-MH. A follow more was written in January, 2015. I will send that later.

http://jameslhollymd.com/Letters/penetration-of-pc-mh-as-of-september-30-2014

This is a link from an article by NCQA about SETMA's PC-MH

http://jameslhollymd.com/In-The-News/pdfs/april-recognition-notes-from-ncqa.pdf

Larry

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

On Jun 6, 2015, at 8:02 AM, Marci Nielsen wrote:

Dear Dr. Holly,

The PCPCC Board of Directors would like to invite you to serve as a technical advisor to us on this important project. Given your broad experience and passion on this topic, we anticipate that your skills would be best utilized if you would consider serving as our "PCMH accreditation navigator". If you are interested and available, Amy, Tara and I would like to set up a call to discuss your role and get your advice.

Thanks for your consideration Larry!

All the best,
Marci

From: Marci Nielsen
Date: June 5, 2015 at 5:29:38 PM MDT
To: "Schilz, Julie" , Christine Bechtel , Shawn Martin , Fan Tait , ", Shari Erickson Ed and Claudia Bujold , Diane Padden , "Kurtz, Polly "Niloff, Jonathan" Jeffrey Halbstein-Harris , Marie Abraham , "Longjohn, Matt" , Anshu , Peter Cucchiara , Jay W Lee "'Rebecca Malouin'" , Michael Barr , "Share, David M.D." , Naomi Kuznets , Kylanne Silverstone , Hal Lawrence

Subject: Invitation to participate in an important PCPCC workgroup on PCMH Accreditation Standards

Dear Colleagues,

Given the growing concern about potential lack of alignment with meaningful primary care practice transformation and current PCMH certification/recognition programs, the Patient-Centered Primary Care Collaborative (PCPCC) Board of Directors would like to extend an invitation to you to participate in an important workgroup to discuss PCMH Standards and Accreditation. Specifically, we are inviting a select group of experts in patient-centered advanced primary care to help us identify the opportunities and challenges of the current PCMH certification/recognition process, especially at it pertains to the public – patients, consumers, employees, and employers/health plans – as well as to primary care practices. The Board would like to use these recommendations to inform our thinking as we advocate for public and private sector policies that promote the PCMH model of care.

The Board would like the formal workgroup to help the PCPCC in addressing the following issues:

Identifying and analyzing opportunities in the current PCMH certification/recognition marketplace, especially as it relates to meaningful and on-going primary care practice transformation, i.e. identify the aspirations of the medical home model of care;
Identifying and analyzing challenges in the current PCMH certification/recognition marketplace, i.e. identify where there are needed improvements in the current standards;
Developing recommendations on key PCMH features or attributes that should be used to define and qualify practices for the purposes of value-based contracting. This could include recommendations to US Secretary of Health and Human Services Burwell regarding practices that wish to qualify as PCMHs under the Alternative Payment Model provisions of the Medicare Access and CHIP Reauthorization Act (MACRA), PL 114-10.

Two long-time leaders from the PCPCC -- Julie Schilz (Anthem) and Christine Bechtel (National Partnership for Women and Families) – have agreed to serve as co-chairs for this workgroup. We anticipate that the group will meet for an initial full-day meeting to be scheduled in late August either in Chicago or Washington DC, followed by 3 or 4 conference calls as needed, with a final meeting before our November annual conference.

Separate from the formal workgroup, we will be also be asking experts from national and state accreditation organizations who are members of the PCPCC to serve as technical experts. They will be asked to review the recommendations from the workgroup and have an opportunity to provide comment as part of the materials provided to the PCPCC Board at the conclusion of the workgroup.

If you are available and interested, please send an RSVP to Katy by the end of next week (June 12th). Katy will then follow-up with a doodle poll regarding your availability. If you have questions or concerns and would like to schedule time to discuss this opportunity with me or with Amy Gibson, please do not hesitate to contact us ).

Thank you for your consideration and for all that you do to support primary care.

All the best,
Marci

Marci Nielsen, PhD, MPH
CEO, Patient-Centered Primary Care Collaborative
601 13th Street NW, Suite 430 North
Washington, DC 20005

Chinese and PC-MH

http://jameslhollymd.com/Presentations/chinese-motivation-for-june-12-2014-meeting-at-setma

The Chinese came and visited SETMA. We gave them our PC-MH materials (see the link at the bottom of the above link). They are translating our materials into Chinese. The world wants what we want. Our task is to make American doctors want it.

Related Letters

	Concerns for the future of PC-MH Penetration of PC-MH as of January, 2015

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