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Health Care

May 13, 2010
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As Hope Street Group builds momentum on “Policy 2.0: Using Open Innovation to Reinvent Primary Care” we knew we could not miss out on the launch of the new issue of Health Affairs entitled “Reinventing Primary Care”.  Not only does the title mirror the focus of our open collaboration, the new issue also proved to contain a wealth of scholarly discussion and practical policy prescriptions for the future of primary care.

 

Kathleen Sebelius (Health and Human Services Secretary) kicked off the launch with a keynote address setting out the Administration’s funding provisions impacting on primary care, both through the Recovery Act and the Patient Protection and Affordable Care Act.  She also acknowledged the tremendous challenges ahead in implementing the legislation, including the many places where it says, “The Secretary shall…”

 

The launch provided an overview of new models of primary care delivery, focusing in particular on patient centered medical homes and retail clinics.  It also highlighted the importance of interprofessional teams in primary care, looking at the way teams work (or don’t work) in primary care settings, and the roles of nurse practitioners, physician assistants and pharmacists in primary care practice teams.  The event concluded with a series of practice profiles, covering: Greenhouse Internists, the Group Health Cooperative, QuadMed, the implementation of electronic referrals to specialists, and the role of Medical Assistants in chronic disease management.

 

I attended the event with Monique Nadeau (Executive Director, Hope Street Group) and was impressed by the quality and breadth of the information covered and the interesting dialogue that occurred between panel members and the audience.  I would be interested in the reactions of anyone else who attended or who has had an opportunity to look at the new Health Affairs issue.

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On May 3, 2010, Hope Street Group convened our Bipartisan Working Group of business, political and civic sector leaders to address the urgent need to reinvent primary care.  The Working Group looked at opportunities to maximize innovation in addressing resource shortages and acute, preventative, and chronic care delivery.

 

Once again, Hope Street Group leveraged the tremendous expertise and knowledge base of our community of advisors.  Participating in the discussions on the night were:

 

Byron Auguste | Director, McKinsey & Company

Dr. Sree Chaguturu | Attending Physician, Massachusetts General Hospital; Manager, McKinsey & Company

Aaron Doty | Health Care Advisor, Hope Street Group

Susan Edgman-Levitan, PA | Executive Director ,The John D. Stoeckle Center for Primary Care Innovation, Massachusetts General Hospital

Dr. Paul Grundy, MPH | IBM's Global Director of Healthcare Transformation; President, Patient-Centered Primary Care Collaborative

Dr. Jeff Harris | Former President, American College of Physicians

Dr. Matthew Hunsaker | Director, RMED, National Center for Rural Health Professions, University of Illinois, College of Medicine at Rockford

David Javdan | Manager Director, Alvarez & Marsal, LLC;

Dr. Bob Kocher | Special Assistant to the President, National Economic Council

Peter Lee | Executive Director, National Health Policy Pacific Business Group on Health

Monique Nadeau | Executive Director, Hope Street Group

John Podesta | CEO, Center for American Progress

Diane Rowland, ScD | Executive Vice President, Henry J. Kaiser Family Foundation; Chair, MACPAC

Andy Slavitt | CEO, Ingenix

Simon Stevens | Executive Vice President, UnitedHealth Group

Dr. Kate Tulenko | Deputy Director, CapacityPlus (USAID)

David Walker | President and CEO, Peter Peterson Foundation

Dr. Steven Weinberger, FACP | Deputy Executive Vice President, Senior Vice President for Medical Education & Publishing American College of Physicians

 

Participants considered the impact of the lack of a coordinated market in primary care, and the impediments to take up of innovation. They discussed the way in which geographic distribution and variation in the distribution of types of practitioners exacerbates the impact of workforce shortage in primary care.  They also looked at how other players in the complex health care market may react when changes to primary care begin to take effect.  Participants agreed that it was important to address the barriers to the spread of innovation (including drawing on the experiences of other countries), rather than duplicating the efforts of existing innovation leaders.

 

You can view a copy of the full Executive Summary here.