Charting the Future of Primary Care: Change, Payment and Population Management

October 26 – October 27, 2017
Joseph B. Martin Conference Center
Boston, Massachusetts

Primary care is confronted with challenges from all sides. Primary care leaders and teams must navigate financial constriction, low workplace morale, restrictive payment models, rising health care costs, increasingly aging populations, the integration of behavioral health, and patient satisfaction.

In 2017, new payment policies will also present new challenges and opportunities for today’s primary care teams. Through this case-based, executive education program, participants will learn how to successfully prepare for changes in payment and navigate challenges with ease.

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Primary Care in 2020

Date:
October 10, 2017

Time:
Conference – 1:00-5:00 pm
Poster session and reception – 5:00-6:00 pm

Speakers:
Keynote Address Featuring Paul Farmer and Jeff Brenner

Event Summary:
Primary care teams are overwhelmed and under-resourced. In today’s complex medical landscape, how do you prepare for the future while still delivering quality care? Join us to learn how to prepare for your most pressing future challenges, and discover strategies that will help you prepare while still delivering high quality patient care today.Join primary care clinicians, educators, administrative leaders, students, researchers, and patients to learn about promising innovations in care; practice redesign efforts; applied informatics; education updates in primary care; and improvements in patient safety, efficiency, and quality of care. In four short hours, you will have the opportunity to join a keynote exploring the changes facing primary care globally, a poster session highlighting the latest innovations in primary care, and pick sessions from one of three main tracks, including Technology in Primary Care, Workforce, and Social Mission in Medicine.

Call for Posters: Primary Care in 2020

Submit a poster abstract for Primary Care in 2020
ALL SUBMISSIONS DUE JULY 14 AT 5 P.M.

SAVE THE DATE:
Tuesday, October 10th

Conference 1:00-5:00pm
Poster Session 5:00-6:30pm
Joseph B. Martin Conference Center

The Harvard Medical School Center for Primary Care seeks poster abstracts highlighting primary care innovations recently completed or in process throughout the Greater Boston area and beyond for presentation at the Primary Care in 2020 on Tuesday, October 10, 2017.

Submissions should highlight interventions that result in improvements in primary care education, clinical care, or practice management. Topics appropriate for consideration include innovative clinical programs, quality improvement and patient safety initiatives, applied informatics, practice redesign, curricular changes, interprofessional education, methods to effect change in health behaviors, creative incentive programs, initiatives to improve access, efficiency and/or cost, and others.

Submit a poster abstract

We’re Hiring! Staff Assistant Position

The Staff Assistant III will perform a wide range of highly skilled administrative duties in support of the Center. The Staff Assistant III will report to the Administrator of the Center for Primary Care and must handle confidential material with tact and discretion; have a strong customer service orientation and outstanding judgment and interpersonal skills; have the ability to manage high-volume, competing, and often time-sensitive priorities; and excel at meeting deadlines and following through on projects with great attention to detail and high-quality results. The ability to function in a rapidly evolving setting with a “can-do” attitude and team spirit is essential.

Learn more about the position here or by  searching search Req ID 42270BR  in Aspire

LGBTQ in Primary Care

In January 2017, the Center for Primary Care hosted a Perspectives in Primary Care event focusing on LGBTQ Health 101: Terminology.  Please see below for an archived video of the discussion, as well as a link to a terminology handout that was created for the event.

  • Archived video from previous ‘Perspectives in Primary Care’ event: LGBTQ Health 101: Terminology
  • Click to download a short reference on Sexual Orientation and Gender Identity Terminology
  • Refunds, less an administrative fee of $75, will be issued for all cancellations received at least two weeks prior to the start of the course. Refund requests must be made in our secure online system or by postal mail, email, or fax. “No shows” are subject to the full course fee.

    Fees for Charting the Future of Primary Care

    Tuition for Charting the Future of Primary Care: Change, Payment and Population Management is listed below. Register through our secure online environment and you will receive an email confirmation upon receipt of payment.

    Physician (MD/DO)

    Early bird! Register by Tuesday, August 1, 2017:
    $1,595.00

    Registration after Wednesday, August 2, 2017:
    $1,795.00

    Allied Health Professional / Other
    $1,395.00

     

    “The case-based discussions were great. I loved having the guest lecturers from Harvard Business School and learning from more advanced systems.”

    Faculty at Charting the Future for Primary Care

    Robert Austin, PhD

    Professor of Management of Innovation and Digital Transformation, Copenhagen Business School; Adjunct Research Professor, Richard Ivey School of Business, Western University, Ontario, Canada

    Asaf Bitton, MD, MPH

    Program Director, Primary Health Care Performance Initiative, Ariadne Labs

    Erika Bliss, MD

    CEO of Qliance Management, Inc.

    Xavi Corbella, MD, PhD, MBA

    Head of Internal Medicine at Bellvitge University Hospital

    Andrew Ellner, MD

    Co-Director, HMS Center for Primary Care

    Kristen Goodell, MD

    Education Director, HMS Center for Primary Care

    Michael Kanter, MD

    Regional Medical Director of Quality & Clinical Analysis, Southern California Permanente Medical Group

    Russell Phillips, MD

    Director, HMS Center for Primary Care

    Erin Sullivan, PhD

    Research and Curriculum Director, HMS Center for Primary Care

    Curriculum for Charting the Future of Primary Care

    Informed by Original Research

    Using our original research, you will learn from exemplary practices from around the world. The Center for Primary Care’s research team has traveled the world studying high performing primary care systems and used the knowledge to build this one of a kind program. During this three-day program, you will engage in case based discussion sessions led by Harvard faculty and hear from world leaders in primary care about their challenges, successes, and failures. Through this unique blend of learning you will better understand how these primary care practices/systems that have shifted to delivery models which include:

  • interdisciplinary strategies,
  • team-based approaches,
  • leadership involvement to implement systems-level change,
  • and stronger links between public health, communities, and health systems.

  • What You Will Gain

    Upon completion of the program, you will be able to:

  • Develop strategies to deal with and manage change
  • Utilize the patient centered medical home (PCMH) model to serve rural and underserved populations
  • Develop approaches to lead, motivate, and align people around a common vision or direction
  • Determine how to transcend systemic and geographic barriers to maximize FQHC payment and reimbursement
  • Identify where you, as a physician, can leverage the most impact in a system;
  • Analyze various primary care delivery models and leadership challenges via the HBS case method
  • Summarize the challenges and changes in primary care and the implications for practices and organizations
  • Assess the next generation of primary care and its impact on asynchronous vs. synchronous care
  •  

     

    Charting the Future of Primary Care

    Inequality and Health in the United States

    The Center recently co-hosted a social justice symposium on Inequality and Health in the United States. Abstracts were presented by authors of a recent Lancet issue on equity equality and health in America. The panel was be moderated by  Joan Reede, Dean for Diversity Inclusion and Community Partnership, Harvard Medical School.

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    Adverse event reporting in children

    “…it is sobering to consider how infrequently adverse events and errors are being reported. Not only are we missing many adverse events, but those being reported likely are not perfectly representative of all errors that are occurring.”

     

    Read the full article

     
    Center faculty member, Gordy Schiff, authored this article, which originally appeared in PLOS Medicine.

    Equal Treatment: Restoring and Expanding Medical and Social Care for Substance Use Disorders

    PRIMARY CARE CONSIDERED: The SLC Blog

    Welcome to Primary Care Considered, the blog of the Student Leadership Committee at the Center for Primary Care. Featured monthly in the Center’s newsletter, this section will highlight the projects, activities, and past successes of the SLC. Please join us at our events and share your thoughts!

    In this post, former SLC member Helen Jack shares her experiences as an advocate for the restoration and expansion of substance use disorder treatment facilities in Massachusetts. Following the closure of the Long Island Bridge, students from Massachusetts medical schools came together to found the organization Medical Students for Long Island, which has worked to expand access to substance use treatment and to improve medical student education around substance use disorders.  

    A long-standing interest in substance use and mental health drove me to attend medical school. Here I have found a community of like-minded peers who are eager to stand together to improve substance use disorder education and care.

    Twenty-three million Americans suffer from a substance use disorder (SUD). To put that into perspective, 29 million Americans suffer from diabetes. Both are chronic, potentially fatal diseases that need regular medical monitoring and management, and both can often be prevented through appropriate interventions. (more…)

    The Opioid Epidemic Challenge Summit and Hack-a-thon

    The GE Foundation and Massachusetts General Hospital, in Partnership with the City of Boston and the Commonwealth of Massachusetts, will host the Opioid Epidemic Challenge Summit and Hack-a-thon on September 9-11.

    The 3-day event will bring together a diverse community of clinicians, public health experts, entrepreneurs/industry, engineers, designers, law enforcement and patient/family advocates to develop innovations that will help in opioid addiction prevention, treatment, and recovery. Michael Botticelli will be joining us for the Challenge Summit along with other confirmed key state and city stakeholders such as Secretary Sudders, Monica Bharel, and Monica Valdes Lupi.

    Learn More

    The Center’s 2015 Annual Report

    “We are proud of the work of the students, faculty, and primary care teams that make up our community. Through continued partnerships with primary care practices in Harvard affiliated teaching hospitals and community health centers, we are improving care for more than 300,000 patients. Additionally, we are working closely with the HMS Program in Medical Education to offer a new foundational primary care experience, which includes a valuable longitudinal primary care practicum for the development of clinical skills for all first-year medical students. The Center’s faculty played a key role in the inclusion of this as a core part of the curriculum at HMS. This past year, we also launched InciteHealth, an opportunity for individuals from across industries and academia to invent the future of health care. The Center continues to build a Harvard Business School-style series of case studies profiling high performing primary care organizations from around the globe, including Alaska’s Southcentral Foundation, Camden Coalition of Healthcare Providers, and a primary care system in the Netherlands. Thank you for supporting us and for joining us on this journey. We look forward to continuing our work together to improve our primary care system and the health of all patients.”

    Read the full report

    Dean Flier Highlights the Center’s Success at HMS Class Day

    Jeffrey Flier, Dean of Harvard Medical School, discussed the creation of the Center for Primary Care in his class day address on May 26th.

    The below excerpt originally appeared in the Dean’s Corner Blog

    (more…)

    Medical Doctor to Medical Design

    This past year at InciteHealth has been a whirlwind.  As fellows in this  accelerator focused on primary care solutions and based on design thinking, much of our experience involved diving into the research, the innovation communities, and the tech side of medicine.  Through this process, we have become intimately aware of many of the challenges and successes within the health care disruption space. While many major hospitals have “innovation” hubs nowadays, true institutional reform leading to broad adoption and clinically relevant impact still hasn’t materialized. As an InciteHealth advisor once stated, this is due, in part, because “there’s a gap between the change layer – the digital health startups, the hackathons, the accelerators – and the reality layer, where most patients receive care.” (more…)

    Challenges and Opportunities in Primary Care

    Global Challenges and Opportunities Facing Primary Care Today

    The Center’s Director Russ Phillips highlights some of the challenges and opportunities facing primary care today.

    The Center for Primary Care continues to focus on strengthening education, innovations in practice, and research on best practices and optimal payment strategies. This is an exciting time for primary care practice, innovation and education. Despite the challenges facing our dispirited workforce, primary care is at a crossroads with many exciting opportunities making it possible to restore joy in practice. (more…)

    Charting the Future of Primary Care: A Case-Based Program

    June 9th–12th 2016
    Joseph B. Martin Conference Center
    77 Avenue Louis Pasteur, Boston, MA 02115

    Transforming primary care and health care systems to meet 21st century societal needs and patient expectations will require bold vision and unprecedented execution. Managing change, bending the cost curve, and caring for an aging population are among the many pressing demands on practices and systems that demand radically new approaches to teamwork, culture, financing, and use of information technology. (more…)

    Faces of Family Medicine

    Last Tuesday night, May 17, the HMS Family Medicine Interest Group (FMIG) and Center for Primary Care took another step toward building a home for family medicine at Harvard. Over forty students and family physicians gathered for the inaugural Faces of Family Medicine Mentoring Dinner held in the Joseph B. Martin Lounge. The dinner connected students with family medicine mentors who represented a wide array of career paths within this unique field of primary care. (more…)

    Bridging the Gap

    This article originally appeared in Harvard Medical School News.

    He was known as a “frequent flyer,” a regular visitor to emergency departments and urgent care clinics who consistently failed to manage his diabetes. Living in Boston, he had access to some of the best medical care anywhere, but his illness remained out of control.

    Monica Bharel, Harvard Medical School instructor in medicine at Massachusetts General Hospital and commissioner of the Massachusetts Department of Public Health, was recalling a patient she met early in her career. (more…)

    The Center is Hiring an Executive Director

    More details for this position can be found on ASPIRE using Auto rec ID 38365

    The ED will report to the Director of the Center for Primary Care and will work closely with the Director to refine the Center’s strategy to meet the goals of Harvard Medical School and the local and global primary care community. The ED will lead the implementation of the Center strategy through oversight of Center operations; providing strategic and operational guidance to Center program directors/managers and faculty; and through outreach to and engagement of collaborators and partners both inside and outside Harvard. The ED will oversee and have responsibility for all operational functions including business development, marketing and communication, finance, human resource and central administration; ensuring efficient and effective operations, and high quality standards. The ED will ensure a team-based, nimble, mission-driven culture with open communication, and shared responsibility for achieving the Center’s mission, goals and financial sustainability. (more…)

    Teams Share Innovative Ideas at InciteHealth’s Final Pitch Night

    Game-changing advances often stem from unconventional, out-of-the-box approaches. So it’s no wonder that “innovation” was the word on everyone’s lips at Primary Care Pitch Night, the final event in the yearlong InciteHealth program, sponsored by the Harvard Medical School Center for Primary Care. On January 13, 2016, six teams pitched their ideas for transforming primary care to a panel of investors at the Microsoft NERD Center, with a $25,000 prize up for grabs. The event was the culmination of 12 months of brainstorming, boot camps, planning, and collaboration between team members, most of whom had never met each other before participating in InciteHealth. This part-time program supports fellows as they delve into the challenges of primary care and then create pioneering solutions to issues such as patient-doctor communication, management of complex conditions, and healthcare costs. (more…)

    Happy New Year from the Center

    At the Harvard Medical School Center for Primary Care we envision caring, effective systems built on a foundation of strong primary care. Since the inception of the Center five years ago, we have made great progress in achieving this goal. (more…)

    Should We Abandon Routine Visits? There is Little Evidence For or Against.

    This article, co-authored by Center director Russ Phillips, originally appeared in the Annals of Internal Medicine

    Authors in the Annals of Internal Medicine argue today that routine health checks, long considered a pillar of well-patient care, have recently come under fire.  The Society for General Internal Medicine suggests that physicians avoid routine health checks for asymptomatic adult patients. Earlier this year, a noted physician urged patients to forgo their annual physicals to save doctors time. (more…)

    Doctors see patients taking a greater role in their own care

    This article originally appeared in the Chicago Tribune

    Center co-director, Andy Ellner, and founder of the Health Collaboratory, Sara Krug, are featured in Chicago Tribune article on patients becoming more actively involved in their own care.
    Doctors see patients taking a greater role in their own care
    This article follows Dr. Ellner’s blog in the Huffington Post, entitled, “Time to Empower People to Partner in their Health.”

     

     

    Comprehensive Primary Care Initiative Update

    The Comprehensive Primary Care Initiative, launched in October of 2012, is designed to strengthen primary care. CMS has worked with commercial and State health insurance plans to offer participating primary care practices opportunities that support specific, comprehensive primary care functions. The initiative tests whether provisions of these functions can benefit care, health, cost, and inform future Medicare and Medicaid Policy. The initiative recently released its mid-year program update, which can be found here.

    Internal Advisory Board

    The Internal Advisory Board provides a crucial a link to Harvard Medical School and the affiliated clinical site leadership. Our members are experts in education, research, academic promotion, and innovation. The Board convenes twice a year to review our accomplishments and to ensure that they are in alignment with the strategic direction of the School and its affiliates while assisting us in facilitating collaboration and a shared sense of community among leaders. (more…)

    Interprofessional Education is Key to Achieving Optimal Primary Care

    Interprofessional education is key in preparing the primary care workforce force for the future. George Thibault, the President of the Josiah Macy Jr. Foundation, which supports projects that work to broaden and improve interprofessional education (IPE), recently spoke on the importance of interprofessional education as part of the Center’s Perspectives in Primary Care seminar series. (more…)

    Community Advisory Board

    The Community Advisory Board includes students and residents from Harvard Medical School, patient and faculty representatives, as well as other primary care team members. Community engagement has been essential both to developing the vision for the Center and to our continuing work. The Community Advisory Board provides a critical link between the Center and local stakeholders to facilitate community engagement. (more…)

    Top Posters from the 2015 Primary Care Innovation Conference

    The posters from the 2015 Innovations Conference highlight innovations in primary care. Below are the top three  poster topics from the conference, followed by other poster topics that were selected for display at the Conference. Please note that the latter are in no specific order or ranking. To request information on a specific poster, please contact Caroline_Barnaby@hms.harvard.edu. (more…)

    Transformational Health Service, Caravan Prevention, Wins Patient Shark Tank

    Caravan Prevention is the winner of the 2015 Innovations Conference patient shark tank!

    The Platform
    Caravan Prevention
    is looking to redesign prevention in primary care. As a transformational health service, it focuses on a coaching model to improve the uptake and efficiency of clinical preventive services like colonoscopy, mammography, and other screening tests. Caravan connects patients with expert prevention coaches, and manages their preventive needs through a digital platform. Prevention coaches work with patients to develop a personalized prevention plan, schedule tests and address concerns and questions related to preventive services. The digital platform allows the patient to take control of their own preventive health through educational materials, decision aids, and scheduling tool, and creates tools for systems to manage population health. (more…)

    2015 Primary Care Innovations Conference

     

    Video courtesy of Kevin Kuo, Endodontic resident at Harvard School of Dental Medicine since summer of 2015. Kevin presented a poster at the Innovations Conference on Transforming dental education through Google Glass.

    The Primary Health Care Performance Initiative

    This article originally appeared in The New York Times.

    A new United Nations partnership,  The Primary Health Care Performance Initiative,  aims to improve health in poor and middle-income countries by strengthening primary care providers.

    Innovator Spotlight: Rushika Fernandopulle, MD, MPP (Part 2 of 2)

    By Galina Gheihman and Marissa Palmor

    Welcome to the Innovator Spotlight, written for the Center for Primary Care by members of the Student Leadership Committee’s Innovations in Primary Care subcommittee. Each month, we feature an interview with an innovator in the primary care community to learn more about their careers, current projects, and to get their take on what’s ahead in the primary care innovation space.

    Today, we feature part two of two of our interview with Rushika Fernandopulle, MD, MPP, Co-Founder and CEO of Iora Health, whom we caught up with following his keynote address at this year’s Primary Care Gala. Dr. Fernandopulle has spent the last 12 years working to build Iora Health into a new kind of primary care practice: one that challenges the basic assumptions of the primary care delivery system in the United States and aims to lower costs while producing better health outcomes.

    Check out part one of our interview if you missed it last week, then follow up here to read Dr. Fernandopulle’s thoughts on what’s in store for Iora Health and the American primary care community in the future. (more…)

    Will Medicare’s Chronic Care Management Help Primary Care Survive?

    New findings published today in the Annals of Internal Medicine show that primary care practices that add non-physician team members to deliver chronic care management services will see substantial net revenue gains from the new Medicare Chronic Care Management (CCM) program. (more…)

    Innovator Spotlight: Rushika Fernandopulle, MD, MPP

    Welcome to the Innovator Spotlight, a new feature written by members of the Student Leadership Committee’s Innovations in Primary Care subcommittee. Each month, we will feature an interview with an innovator in the primary care community to learn more about their careers, current projects, and to get their take on what’s ahead in the primary care innovation space.

    This month, we sat down with Rushika Fernandopulle, MD, MPP, Co-Founder and CEO of Iora Health, following his Keynote Address at this year’s Harvard Primary Care Gala. Dr. Fernandopulle has spent the last twelve years working to build Iora Health into a new kind of primary care practice: one that challenges the basic assumptions of the primary care delivery system in the United States and aims to lower costs while producing better health outcomes. Read on for part one of two of our interview and learn about Dr. Fernandopulle’s journey into primary care, his thoughts on how Iora generates and tests new practices, and advice on giving traction to big ideas. Part Two, to be published next week, will feature Dr. Fernandopulle’s thoughts on what’s in store for Iora and the primary care community in the United States. (more…)

    InciteHealth selected as a Growth Accelerator Fund Competition winner

    This article originally appeared in Beta Boston.

    We are pleased to announce that our innovation platform, InciteHealth, was selected as one of three Massachusetts startups to win the second annual Growth Accelerator Fund Competition.

    “The competition, judged by experts with a variety of public and private sector backgrounds, awarded $4.4 million to startup accelerators that work to foster entrepreneurship among women and other underrepresented groups and fill geographic gaps in the entrepreneurial ecosystem by connecting businesses across the country.”

    Read More

    2015 Innovations Conference

    The 5th Annual Innovations Conference was a huge success. This year’s theme was “Changing Culture: Creating supportive systems for care teams and patients.” The conference included sessions on using technology to improve care for patients in primary care, integrating the voice of patients to transform primary care practice, and more!

     

    View Agenda