CMMI PRIMARY CARE FIRST

GET READY FOR THE PRIMARY CARE FIRST NATIONAL MEETING

May 21-22, 2024 | 11-3 pm ET

Prepare for the third annual Primary Care First (PCF) National Meeting, happening virtually on
May 21 & 22, 2024.

This year’s theme is

Register Today

Showcase your team’s innovative ideas, recognize your hard work, and learn from the success of others at the third annual PCF National Meeting.

Don’t miss out on this fantastic event. Join us for a two-day journey filled with networking, peer learning, and applauding the incredible work you all do in primary care. This is your chance to connect with practices, payers, and stakeholders nationwide to focus on what brings us together: patients.

Want to highlight your practice at the
National Meeting? We do too!

  • Do you have a PCF patient story to share? We’re eager to hear how participating in PCF has positively impacted your patients. Email us to let us know if you have a patient willing to share their experience, and we’ll get back to you with the next steps.

The countdown is on. We will see you at the PCF National Meeting in…

NATIONAL MEETING AGENDA

Day 1: Tuesday, May 21

11:00 a.m. to 3:00 p.m. ET

11:00 a.m. to 11:40 a.m.
Plenary
Welcome to the Third Annual PCF National Meeting

In the opening plenary, you will hear from CMS leadership as we reflect on the evolution of value-based primary care and share our optimism for the future thanks to the trailblazing work of your dedicated teams. You will also hear about the state of the PCF Model and how your work on the ground translates to improved outcomes and a transformative care experience for patients.

Center for Medicare & Medicaid Innovation (CMS Innovation Center)

  • Ellen Lukens, MPH, Deputy Director
  • Sarah Fogler, PhD, Director of the Patient Care Models Group
  • James Lee, PharmD, MSHS, PCF Model Co-Lead
  • Katie Schultz, MSPH, PCF Model Co-Lead

    11:40 a.m. to 12:30 p.m.
    Second PCF Annual Report Review Session
    Evaluation of the Primary Care First Model

    All CMS Innovation Center Models are rigorously evaluated to look at provider and patient experiences with a model, transformation of the health care system, and a model’s impact on spending and quality of care. In this session, we will cover findings from the first two years of the PCF Model (January 2021 – December 2022) in the Second Annual Report. Learn about how practices use model funds to initiate care delivery changes, aim to reduce unnecessary hospitalizations, and how practices’ prior experiences and affiliations aided this process.

    Mathematica Evaluation Team

    • John Schurrer, MPP & MA, Senior Researcher
    • Leslie Conwell, PhD, Principal Researcher
    • Laurie Felland, MS, Principal Researcher
    • Shannon Heitkamp, MS, Senior Researcher
    • Lauren Forrow, MA, MS, Senior Researcher

    12:40 p.m. to 1:30 p.m.
    Facilitated Break Out Sessions
    Embracing Diverse Perspectives to Reach Our Shared Goals

    Have ideas or questions that only someone who’s walked in your shoes would understand? This session is your chance to build community with fellow healthcare professionals who may offer a different perspective but share your passion and goals for high-quality advanced primary care. Be prepared to learn from and share what you’ve learned with other practice managers, clinicians, or care teams in your region and nationally.

            1:30 p.m. to 2:20 p.m.
            Elective Sessions: Block 1

            From Collection to Action: A Data-Driven Approach to Addressing Health Inequities

            In this session, learn how a system practice in Massachusetts uses race, ethnicity, and language (REaL) data to identify potential health disparities. Hear firsthand how they’re identifying potential inequities among their patient populations by stratifying quality measures (i.e., Blood Pressure, Diabetes A1c) based on this demographic data.

            Cambridge Public Health Commission: System, Urban, Massachusetts

            • Vanessa Doleyres-Nazaire, Senior Director of Population Health Quality

                    Whole Person Health: A Deep Dive into Integrating Behavioral Health for Comprehensive Patient Care

                    In this session, we explore how a focus on social and mental health can lead to holistic patient care. Learn about the integration of behavioral health services across inpatient settings, home care, and primary care appointments to ensure continuity of treatment and minimize avoidable costs from both a system practice and an independent practice.

                    St. Mary’s Family Medicine: System, Urban, Colorado

                    • Maya Obstfeld, MFT, IMPAC Program Coordinator

                    Ann’s Choice Medical Center: Independent, Urban, Pennsylvania

                    • John Marcelis, M.D., Vice President, Regional Medical Director
                    • Sheryl Alcorn, Regional Director, Practice Administration

                              2:30 p.m. to 3:00 p.m.
                              Poster Walk

                              Take this 30-minute opportunity to learn about the care delivery innovations happening in the PCF community.

                              Day 2: Wednesday, May 22

                              11:00 a.m. to 3:00 p.m. ET

                              11:00 a.m. to 12:00 p.m.
                              Plenary
                              Centered on Care: Reflecting on Primary Care Transformation and the Journey Ahead

                              This is your chance to hear from practices across the healthcare ecosystem about their journey from Medicare Fee-for-Service to value-based care and the lessons they’ve learned along the way. You’ll hear about the ways that these practices are making the most of the PCF model and what they’re excited about moving forward.

                              CMS Innovation Center

                              • Hussain Lalani, MD, MPH, MSc, Medical Officer
                              • Nicole Braccio, PharmD, PCF Learning Lead

                              Woodbridge Internal Medicine Associates: System (Small), Urban, New Jersey

                              • Lillian Greco, CPPM, Practice Administrator

                              St. Luke’s Physician Group: System, Urban, Kansas City

                              • Kristin Repp, PharmD, BCPS, Director of Population Health

                              Wray Community District Hospital: System, Rural, Colorado

                              • Samuel Herbert, Director of Data Analytics/Program Coordinator

                              12:00 p.m. to 12:50 p.m.
                              Elective Sessions: Block 2

                              Improving Patient Outcomes: Leveraging Clinical Data from HIEs

                              In this session, discover how harnessing data from Health Information Exchanges (HIEs) can improve patient care. You’ll learn from regional data aggregators and practices about the HbA1c Improvement Initiative’s role in enhancing diabetes management and how Encounter Notification Services (ENS) foster comprehensive care by alerting practices of patient interactions outside their EHR system.

                              Family Physicians Group: Independent, Urban, Nebraska

                              • Jennie Powell, Office Manager

                              Dr. Andy’s Family Practice:  Independent, Rural, Arkansas

                              Vasugie Anandaraj, Office Manager

                              CyncHealth

                              • Jennifer Fletcher, Director of Health Systems Services

                              SHARE

                              • Justin Villines, HIT Policy Director

                              Primary Care On-Demand: Where and When Patients Need It

                              Discover how one system practice successfully decreases unnecessary hospital utilization through its innovative ‘Primary Care at Home’ program. Learn about their strategy of providing home-based primary care and transitional care to homebound patients aged 65 and above, enhancing access to care while maintaining low acute hospital utilization.

                              Internal Medicine Faculty Associates: System, Urban, New Jersey

                              • Brenda Matti-Orozco, MD,  Medical Director
                              • Jessica Petilla-Onorato, MD, Medical Director, Primary Care at Home

                                      1:00 p.m. to 1:50 p.m.
                                      Elective Sessions: Block 3

                                      Navigating Patient Transition Points Effectively

                                      In this session, explore how one independent practice and one system practice are enhancing patient care during transitions, contributing to continuous improvement in acute hospital utilization. Learn about their strategies, including collecting and analyzing discharge data, following up with patients, and implementing a care team approach to transitions of care, collaborating with their PharmD.

                                      Holmes Family Medicine: Independent, Rural, Ohio

                                      • Gillian Vanaman, Quality Improvement Program Manager

                                      Springfield Family Physicians: System, Urban, Oregon

                                      • Misty Mitchell, AWV and Transition of Care Lead
                                      • Viet Nguyen, PharmD, BCPS, BCACP, GY-2 Ambulatory Care Program Director

                                          Care Management Transformed: Innovative Strategies for Personalized Patient Care and Access

                                          This session dives into how two system practices that are continuously reducing unnecessary acute hospitalizations are innovating their care management strategies. Discover how two practices are providing individualized care, risk-stratifying resources, increasing access with open scheduling, and shifting from automated systems to a personalized approach.

                                          Penn Primary Care Pottstown: System, Urban, Pennsylvania

                                          • Theresa Walt, Supervisor for Care Management Programs
                                          • Nancy Mclaughlin, Director of Penn Partners in Care

                                          University of Colorado Anschutz: System, Urban, Colorado

                                          • Ingrid Lobo, MD, Medical Director, Associate Professor
                                          • Kea Henderson, Care Coordinator

                                                  1:50 p.m. to 2:50 p.m.
                                                  Facilitated Break Out Sessions
                                                  Poster Talk: Care Delivery Priorities

                                                  After the poster walk, are you ready to talk? Dive into a focused discussion on top-of-mind topics that surfaced during the poster walk. Hear from your peers and poster authors who are likely navigating the same situations as you and your team.

                                                          2:50 p.m. to 3:00 p.m.
                                                          Closing
                                                          Gratitude and Growth: A Closing Note on Our Journey Together

                                                          Wrapping up our two-day National Meeting, hear from the PCF Model Leads as we recognize the hardworking, dedicated PCF community and preview what’s next in the year ahead.

                                                          CMS Innovation Center

                                                            • James Lee, PharmD, MSHS, PCF Model Co-Lead
                                                            • Katie Schultz, MSPH, PCF Model Co-Lead

                                                                CAN’T MISS

                                                                Facilitated Break Out Sessions

                                                                Designed by you, for you—this year’s National Meeting is your chance to participate in tailored small-group experiences. Connect with peers who share your lived experiences and participate in an honest discussion about topics that matter to your team.

                                                                During Office Hours, last year’s National Meeting, and live events over the past year, we received your feedback that you are looking for more ways to chat informally with PCF peers who share your background. As a result, we’ve created these groups.

                                                                “Our networking group is a place where we’ve found reassurance, comfort, and fellowship. This is a safe space where everything in the realm of PCF is on the table for discussion. Connecting casually with my peers have given me the confidence that my practice is on the right track, since we all have the same goals and initiatives.”

                                                                Callen Vorpi, Alliance Health Professionals

                                                                Can’t wait for the
                                                                upcoming National Meeting?
                                                                Check out what happened in 2023.

                                                                Last year’s National Meeting drew 1,137 attendees from 1,650 practices nationwide. It was a dynamic hub for networking, collaboration, and hands-on participation. Watch it all with the YouTube Playlist, which includes the following sessions:

                                                                • Care Management: Integrating Body, Mind, and Social Support
                                                                • Transforming Care Delivery: Strategies to Prevent Avoidable
                                                                  Inpatient Admissions
                                                                • Partnering to Advance Health Equity
                                                                • Population Health: Increasing Access to Advanced, High-Quality,
                                                                  Primary and Preventative Care
                                                                • And more!

                                                                2023 PCF National Meeting

                                                                1,137 Unique Participants

                                                                Attendees also include social workers, patient navigators,
                                                                community health workers, and more!

                                                                THANK IT FORWARD

                                                                We know it takes a team to accomplish all of the remarkable work that you do. Recognize your colleagues! Your notes of appreciation will be highlighted at the National Meeting.

                                                                Thank it Forward

                                                                GET CONNECTED

                                                                Excited? You don’t have to wait. Click the buttons to learn from and connect with peer practices today.

                                                                Questions? Reach out to PCFPractice-Network@Deloitte.com

                                                                PCF YOUTUBE
                                                                PCF CONNECT

                                                                Primary Care First National Meeting

                                                                Proudly powered by WordPress