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team-based care

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Remodeling Family Medicine Centers to Meet Team-Based Care

...Team-Based Care Michael Arnold, DO Faculty Development Fellow Disclaimer The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government. 2 Do you have...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res-86-arnold.pdf

Team-Based Care

...Team-Based Care Amy Mullins, MD, CPE, FAAFP What is Team-Based Care? https://www.aafp.org/about/policies/all/teambased-care.html • Care delivered by a multidisciplinary, integrated care team • Led by a physician • Goal is to provide care that is - Effective - Efficient -...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/strategic_partnerships/partner-summit/mullins.pdf

FPM January/February 2019 Online Access

Using Empowered CMAs and Nursing Staff to Improve Team-based Care; Protecting Adolescent Patient Privacy: Four Key Questions; The 2019 Medicare Documentation, Coding, and Payment Update; Tools for Better Dementia Care

Member Price $39.95

Nonmember Price $39.95

Catalog

https://nf.aafp.org/shop/single-issue-cme/fpm-january-february-2019-online-access

Clinical Transformation-Population Team based Care

...Clinical Transformation-Population Team based Care Barbara Keber, MD, FAAFP ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical information is constantly...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-240-241.pdf

I LIVE PC: International Learning on Increasing the Value and Effectiveness of Primary ...

View the conference packet from the 2011 International Learning on Increasing the Value and Effectiveness of Primary Care (I LIVE PC) conference, held April 4-5 in Washington, D.C.

https://www.aafp.org/dam/rgc/documents/publications-reports/monographs-books/ilivepc.pdf

Inducing Sustainable Improvement in Depression Care in Primary Care Practices

Improving primary care depression care is costly and challenging to sustain. The feasibility and potential success of a modified improvement collaborative model to create sustained improvements in depression care was assessed. Sixteen practices from the American Academy of Family ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/ImpDepCareNease.pdf

Case Study of a Primary Care-Based Accountable Care System Approach to Medical Home ...

We report a case study of a mature primary care-based accountable care organization that is both a health plan and a network of medical homes. Over 20 years, WellMed Inc (San Antonio, Texas) implemented many patient-centered services, experimenting to find which belong within clinics ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/1phillipsjacm2010.pdf

Chronic Kidney Disease Guideline Implementation in Primary Care

The TRANSLATE CKD study is an ongoing national, mixed-methods, cluster randomized control trial that examines the implementation of evidence-based guidelines for CKD into primary care practice. A complete study protocol has been published elsewhere. Thirty-eight primary care practices ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/vest-ckd-guidelines-2015.pdf

A Team-based Approach to Integrating Cost-of-medication Conversations Into Primary Care

...Appendix B One Pager A Team-based Approach to Integrating Cost-of-medication Conversations into Primary Care Principal Investigator: Jennifer Carroll, MD, MPH Co-Principal Investigator: Kevin Fiscella, MD, MPH Funder: Robert Wood Johnson Foundation in collaboration with Avalere...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/cost-of-medication.pdf

Establishing the Collaborative Care Research Network: A Description of Initial ...

Collaborative care has increased dramatically in the past decade, yet the variability in collaborative strategies and the diversity of settings in which collaboration is being implemented make it difficult to assess quality and outcomes. Therefore, three aims were addressed in the ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/SieberCCRNDemographics2012.pdf

APC-APM for Delivering Patient-Centered, Longitudinal, and Coordinated Care

Proposal to the Physician-Focused Payment Model Technical Advisory Committee regarding the Advanced Primary Care: A Foundational Alternative Payment Model (APC-APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/PR-PTAC-APC-APM-41417.pdf

Simulation Family Medicine Style: Procedures, Competencies, Case Review, and Team-Based...

...Review, and Team-Based Care, Oh My! Michelle Karsten, MD Kim Petersen, MD Simulation Simulation is a technique-not a technology - to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res18-26-simulation-family-medicine-style.pdf

Accountable Care Organizations and Health Care Spending

Accountable Care Organizations: Can They Rein In Health Care Spending for States?

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/acos/ES-ACOsReinInHealthCareSpendingforStates-011011.pdf

Access Transformed: Building a Primary Care Workforce in the 21st Century

Access transformed: Building a primary care workforce for the 21st century

https://www.aafp.org/dam/rgc/documents/publications-reports/monographs-books/Access%20Transformed.pdf

Arranging Generalism in the 2020 Primary Care Team

Arranging generalism in the 2020 primary care team

https://www.aafp.org/dam/rgc/documents/publications-reports/monographs-books/Generalism.pdf

Primary Care and Health Care Reform

Primary Care and Health Reform

https://www.aafp.org/dam/rgc/documents/publications-reports/presentations/Primary-care-reform.pdf

Involving both a physician and a non-physician as coleaders enables improvement teams ...

Making the kind of improvement changes necessary to move toward a patient-centered medical home will continue to challenge small, independent primary care practices. Here we describe further analysis of a successful program to understand the roles of coleaders of a change management ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/6ittakestwojabfm2010.pdf

AAFP Letter to HHS on Proposed Medicaid and CHIP Managed Care Rule - July 15, 2015

AAFP response to CMS on the Medicaid Managed Care and Children’s Health Insurance Program Programs proposed rule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/chip/LT-CMS-MedicaidCHIP-071515.pdf

The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization

...The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization A SYSTEMATIC REVIEW OF RESEARCH PUBLISHED IN 2016 PREPARED BY Made possible with support from the Milbank Memorial Fund July 2017 The Impact of Primary Care Practice Transformation on Cost,...

https://www.aafp.org/dam/rgc/documents/publications-reports/reports/ImpactPrimaryCarePracticeTransformationCostQualityUtilization.PDF

Primary Care for the 21st Century White Paper

Patient-Centered Medical Homes

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/network/AAFP-PCMHWhitePaper.pdf

AAFP TIPS Team Documentation

Family practice teams can use these specially designed tools and training resources to implement team documentation in their practice. Support individual and team learning on this topic by using the practical tools and related instructional videos, interactive online learning courses, ...

Member Price $0.00

Nonmember Price $58.00

Catalog

https://nf.aafp.org/Shop/product/DetailByName?categoryName=practice-improvement&productName=aafp-tips-team-documentation

AAFP TIPS Team Documentation

Family practice teams can use these specially designed tools and training resources to implement team documentation in their practice. Support individual and team learning on this topic by using the practical tools and related instructional videos, interactive online learning courses, ...

Member Price $0.00

Nonmember Price $58.00

Catalog

https://nf.aafp.org/Shop/product/DetailByName?categoryName=practice-transformation&productName=aafp-tips-team-documentation

Training a Health Care Workforce to Meet Your State's Needs (and Wants)

Training a Health Care Workforce to Meet Your State's Needs (and Wants): Addressing Challenges: Data, Tools and Primary Care

https://www.aafp.org/dam/rgc/documents/publications-reports/presentations/Bazemore_NCSL-2013_Training%20HC%20Wkforce%20Meet%20State%20Needs-HANDOUT%20(1).pdf

Comprehensive Primary Care Payment Methodological Brief

...Comprehensive Primary Care Payment Methodological Brief Health Data Decisions John Hoff, Principal June 2017 NOT FOR DUPLICATION OR DISTRIBUTION 2 Table of Contents I. EXECUTIVE SUMMARY ..........................................

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/initiatives/calculator/fmah19-cpcp-methodology.pdf

Effective Payment for Primary Care: An Annotated Bibliography

...Effective Payment for Primary Care An Annotated Bibliography MAY 2016 Stephanie B. Gold, MD Fellow in Health Policy, Eugene S. Farley, Jr. Health Policy Center, University of Colorado School of Medicine Research Fellow, Family Medicine for America’s Health (FMAHealth)...

https://www.aafp.org/dam/rgc/documents/publications-reports/reports/StarfieldSummit%20Annotated%20Bibliography_Payment-FIN.pdf

Teams in Primary Care: An Annotated Bibliography

...Teams in Primary Care An Annotated Bibliography ACKNOWLEDGEMENTS We would like to thank the sponsors of the Starfield Summit who made this work possible: the Pisacano Leadership Foundation, the American Board of Family Medicine, and Family Medicine for America’s Health. APRIL...

https://www.aafp.org/dam/rgc/documents/publications-reports/reports/StarfieldSummit%20Annotated%20Bibliography_Teams.pdf

Comprehensive Primary Care Payment Background Report

...Comprehensive Primary Care Payment Background Report Health Data Decisions John Hoff, Principal May 2017 NOT FOR DUPLICATION OR DISTRIBUTION 2 Table of Contents I. EXECUTIVE SUMMARY ..............................................

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/initiatives/calculator/fmah19-cpcp-background.pdf

Primary Care for the 21st Century White Paper

...Care for the 21st Century Ensuring a Quality, Physician-led Team for Every Patient September 18, 2012 1 Executive Summary The United States is adopting a new model of primary care built around patients and delivered by teams. As a key element of this approach, primary...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/Restricted/AAFP-PCMHWhitePaper.pdf

Primary Care for the 21st Century White Paper

...Care for the 21st Century Ensuring a Quality, Physician-led Team for Every Patient September 18, 2012 1 Executive Summary The United States is adopting a new model of primary care built around patients and delivered by teams. As a key element of this approach, primary...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/initiatives/AAFP-PCMHWhitePaper.pdf

Primary Care and the Triple Aim: An Annotated Bibliography

...PRIMARY CARE AND THE TRIPLE AIM An Annotated Bibliography Matthew Westfall The Robert Graham Center for Policy Studies in Family Medicine and Primary Care Duke University Rebecca Luoh Oregon Health and Science University Massachusetts Institute of Technology Natalie...

https://www.aafp.org/dam/rgc/documents/publications-reports/reports/PRIMARY%20CARE%20AND%20THE%20TRIPLE%20AIM%20-%20An%20Annotated%20Bibliography%20.pdf

Patient Protection and Affordable Care Act

Legislative Summary regarding the Senate's Patient Protection and Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ES-LegislativeSummaryPPACA-113009.pdf

Accountable Care Organizations: CMS Letter

Letter to CMS Regarding Accountable Care Organizations (ACOs)

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/acos/LT-Clark-CMSRegardingAccountableCareOrganizations-092710.pdf

Access to Quality and Cost Effective Health Care

PPCW Letter to the President Regarding Access to Quality and Cost Effective Health Care for All Americans

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-Obama-AccessQualityCostEffectiveHealthCare-071211.pdf

Primary Care GME

Letter to the President, House and Senate Regarding Primary Care GME

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-President-GME-072711.pdf

2-Step Risk Stratification and Risk Stratified Care Management

...2-Step Risk Stratification and Risk Stratified Care Management James Dom Dera, MD, FAAFP, PCMH, CCE ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-223-224.pdf

Effects of proposed primary care incentive payments on average physician Medicare ...

The US Senate Finance Committee and the Medicare Payment Advisory commission have both proposed incentive payments for primary care physicians who meet certain thresholds of primary care-ness. With the support of the AAFP Foundation, the Graham Center analyzed how many physicians would ...

https://www.aafp.org/dam/rgc/documents/publications-reports/monographs-books/medicare-simulations.pdf

Bright Spots in Care Management

...BRIGHT SPOTS IN CARE MANAGEMENT AUTHORS (Listed in alphabetical order) Tyler Barreto, MD Andrew Bazemore, MD, MPH Megan Coffman, MS Yalda Jabbarpour, MD Winston Liaw, MD, MPH ACKNOWLEDGEMENTS Support for this research was provided by Better Medicare Alliance. The...

https://www.aafp.org/dam/rgc/documents/publications-reports/reports/BrightSpotsCareManagement%20.pdf

Implementation of the Affordable Care Act

Statement to the Senate Finance Committee Regarding Implementation of the Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/TS-SenateFinanceCommit-RegardingImplementationACA-031611.pdf

AAFP Letter to FTC on Examing Health Care Hearings - Marh 18, 2014

AAFP letter to the FTC in advance of the public workshop titled Examining Health Care Competition

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/antitrust/LT-FTC-HealthCareHearings-031814.pdf

The Shared Principles of Primary Care: A Call to Action

...The Shared Principles of Primary Care: A Call to Action PDW and RPS Residency Education Symposium March 26, 2018 1 Ted Epperly, MD CEO | Family Medicine Residency of Idaho Past President and Board Chair American |American Academy of Family Physicians Engagement Chair | Family...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res18-67-the-shared-principles-of-primary-care.pdf

Family Physicians and Physician Assistant: Team-Based Family Medicine

...Team-Based Family Medicine A Joint Policy Statement of the American Academy of Family Physicians and American Academy of Physician Assistants February 2011...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/admin_staffing/AAFP-AAPAJtPaper.pdf

AAFP Letter to HCP-LAN Draft of "Primary Care Payment Models" White Paper - November ...

...Executive Director, John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital Bill Golden, MD, MACP Arkansas Medicaid Director Professor of Medicine and Public Health, University of Arkansas Primary Care Payment Models (PCPM) Work Group Co-Chairs...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-HCP-LAN-PaymentModels-111516.pdf

Investigating in Primary Care: A State-level Analysis

...Investing in Primary Care A STATE-LEVEL ANALYSIS Authors Yalda Jabbarpour, MD Ann Greiner, MCP Anuradha Jetty, MPH Megan Coffman, MS Charles Jose, MD Stephen Petterson, PhD Karen Pivaral Robert Phillips, MD, MSPH Andrew Bazemore, MD, MPH Alyssa Neumann Kane...

https://www.aafp.org/dam/rgc/documents/publications-reports/reports/Investing-Primary-Care-State-Level-PCMH-Report.pdf

Clinic First : The road to excellence in primary care teaching clinics

...primary care teaching clinics Marianna Kong MD and Tom Bodenheimer, MD Center for Excellence in Primary Care University of California, San Francisco When I started in the clinic, there was chaos. There were too many patients and we couldn’t take good care of them. [The...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res18-257-276-clinic-first-deep-dive.pdf

Change Is Hard: What Really Happens When You Try to Implement a New Care Model

...a New Care Model 10 | FAMILY PRACTICE MANAGEMENT | www.aafp.org/fpm | November/December 2017 © L A U R E N T C IL L U F F O Downloaded from the Family Practice Management website at www.aafp.org/fpm. Copyright © 2017 American Academy of Family...

Family Practice Management

https://www.aafp.org/fpm/2017/1100/p10.pdf

Joint Grant Awards Program 2014 Abstract: Health-Promoting Primary Care Team Models of ...

...Health-Promoting Primary Care Team Models of Care (G1401JG) Principal Investigator: Christine Everett, PhD, MPH, PA-C Co-investigators: Justine Strand de Oliveira, DrPH, PA-C Perri Morgan, PhD, PA-C Sharon Hull, MD, MPH Truls Ostbye, MD, PhD Institution: Department of Community and...

https://www.aafp.org/dam/foundation/documents/what-were-doing/awards-grants/joint-grant/2014Everett.pdf

Primary Palliative Care: Getting Started

...Care: Getting Started Mark E Warfel, D.O., FAAFP Program Director/DME Kevin B. Mathews, M.D., FAAFP Director of Palliative Care St Elizabeth Family Medicine Residency Program Mohawk Valley Health System Utica, New York Objectives • Discuss primary...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res18-92-primary-palliative-care-getting-started.pdf

AAFP Letter to SFC on Chronic Care WG Policy Options - January 27, 2016

The AAFP Response to the initial policy options proposed by the Senate Finance Committee's Isakson-Warner Working Group on Chronic Care

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/acos/LT-SFC-ChronicCare-012715.pdf

Comprehensive Primary Care Payment Calculator

...Comprehensive Primary Care Payment (CPCP) Rate Estimation Calculator Updated December 2017 Overview This model is designed to estimate the prospective global payment necessary to support primary care. Please adjust the inputs below to view the estimated per member...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/initiatives/calculator/fmah19-calculator.xlsx

Building Blocks of Primary Care and RC-FM Requirements

...Primary Care and RC-FM Requirements Peter J. Carek, MD, MS C. Sue and Louis C. Murray, M.D. Professor and Chair Department of Community Health and Family Medicine University of Florida College of Medicine Samuel M. Jones, MD Professor and Program Director, Fairfax...

Events

https://www.aafp.org/dam/AAFP/documents/events/rps_pdw/handouts/res18-01-18-building-blocks-of-primary-care.pdf

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