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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.

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Every couple of months, Hope Street Group hosts a dinner and invites some of the most influential stakeholders in health care reform to break bread, discuss the issues, and build consensus. Over the past two years, the dinners have provided a safe-space to develop actionable solutions for health care reform. These recommendations formed our Health Care Agenda for an Opportunity Economy.  Moving forward we are working to ensure that Americans have access to the quality health serves they need most with the launch of our project: Policy 2.0: Using Open Innovation to Reinvent Primary Care.

 


On May 3, 2010 we will be hosting our first Bipartisan Working Group Dinner on Reinventing Primary Care. This dinner will be a “roll-your-sleeves-up” type session that brings to bear the tremendous knowledge base of our advisers to problem solve with project team leaders and devise credible paths of implementation for the Reinventing Primary Care Project.

 

We have already confirmed an extraordinary group of participants including:

Byron Auguste | Director, McKinsey & Company; Chairman, Hope Street Group
Dr. Sree Chaguturu | Attending Physician and Clinical Instructor, Harvard Medical School / Massachusetts General Hospital; Senior Associate, McKinsey & Company
Dr. Jeff Harris | Former President, American College of Physicians
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
Dennis Rivera | Chairman, SEIU HealthCare
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


We’re opening up an opportunity to all of our Policy 2.0 members to post a question that our Executive Director, Monique Nadeau will pose to the group.  With that in mind, what would you ask a major player in health care reform about Primary Care?

 

You post, we'll ask, and then repost the responses.

 

I’m sure you’re thinking, how do I get invited to one of these? Well, right now there isn’t much you can do, however we do invite top Policy 2.0 members to join these dinners from time to time, so get cracking on a question! Here are some examples to get you started:

 

- What are important primary care issues that have been left out of legislation that need to be addressed?

- How do we attract more practitioners to primary care? Do you agree with the methods outlined in legislation to do that?

 

Click Here to Post Your Question.

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On December 15, 2009, Hope Street Group brought together an impressive group of major stakeholders in health care reform to continue discussing some of the most pressing issues in health care reform. Over the last 18 months, the Bipartisan Working Group has tackled some of the toughest and most important issues in health care reform such as cost, quality, and access. This last dinner shifted gears a bit and focused issues regarding current legislation and implementation as well as issues outside of legislation, such as revitalizing primary care.


You can find the full executive summary of the dinner here, however here are some key points from the primary care discussion for you all to ponder:


  • The notion that physicians are not going into primary care due to high levels of medical school debt is a fallacy. Since physicians training at military medical schools without any medical school debt still don’t go into primary care.


  • The primary care issue focuses on improving the supply of primary care physicians and does not place a strong enough focus on increasing quality care for patients. This needs to be turned around and thought in terms of how to best address the needs of primary care patients.


  • Primary care is not just about the physician shortage. We need to look at expanding the role of nurses, especially in chronic disease management. There is a real opportunity here to improve efficiency and quality.


  • Medical schools need to stop basing all of their residency training in tertiary centers (specialty hospitals) which biases students toward specialties over primary care since primary care seems less intellectually satisfying.


  • It is necessary to train physicians in underserved areas and to recruit from underserved areas through bridging programs. We can also train people in these communities by establishing more schools and programs in high-need areas.


  • Different geographic areas have different primary care needs and models need to reflect that. Our first mistake would be to ever talk about recreating the same primary care model   broadly. There is a remarkable opportunity for innovative model design for underserved areas, but this requires creative, out of the box thinking.


  • Making changes to the primary care practices/business models are an opportunity that payers have to innovate and pave the way toward delivering value and quality for patients.


    Do you agree with any of these comments? Disagree?  Log in or register to post comments!

    1232 Views 0 Comments Permalink Tags: health_care, bwg, primary_care, nurse_practitioners, bwg_dinner
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    Every couple of months, Hope Street Group hosts a dinner and invites some of the most influential stakeholders in health care reform to break bread, discuss the issues, and build consensus.  The dinners are intimate, closed-door, policy discussions focused on problem solving and finding common ground.

     

    Tomorrow we’ll be hosting our sixth Bipartisan Working Group Dinner on Health Care and we’re opening up an opportunity to all of our Policy 2.0 members to post a question that our Executive Director, Monique Nadeau will pose to the group. You can check back after the dinner to see which questions we picked and the corresponding responses (sorta like a high-tech version of Telephone).

     

    To get a taste of who your question will go to, heres a peek at our participant list:

     

    Byron Auguste | Director, McKinsey & Company; Chairman, Hope Street Group
    Dr. Sree Chaguturu | Attending Physician and Clinical Instructor, Harvard Medical School / Massachusetts General Hospital; Senior Associate, McKinsey & Company
    Dr. Jeff Harris | Former President, American College of Physicians
    Representative Jim Cooper | Tennessee (D)
    Doug Holtz-Eakin | President, DHE Consulting, LLC, Former Chief Economic Policy Adviser to Senator John McCain
    Karen Ignagni | President and CEO, American Health Insurance Plan
    Sr. Carol Keehan | President & CEO, Catholic Health Association
    Dr. Bob Kocher | Special Assistant to the President, National Economic Council
    Jeff Korsmo | Executive Director of Mayo Clinic Health Policy Center, Mayo Clinic
    Peter Lee | Executive Director, National Health Policy Pacific Business Group on Health
    Monique Nadeau | Executive Director, Hope Street Group
    Ralph Neas | CEO, National Coalition on Health Care
    Bill Novelli |Former CEO, AARP; Distinguished Professor, Georgetown University
    Andy Slavitt |CEO, Ingenix
    Simon Stevens | Executive Vice President, UnitedHealth Group
    Dr. Kate Tulenlko | Deputy Director, US Agency for International Development, Global Health Workforce 
    David Walker | President and CEO, Peter Peterson Foundation
    Dr. Len Nichols, Director of Health Policy Programs for the New America Foundation will moderate the discussion

     

    I’m sure you’re thinking, how do I get invited to one of these? Well, right now there isn’t much you can do, however we do invite top Policy 2.0 members to join these dinners from time to time, so get cracking on a question! Here are some examples to get you started:

     

    - Does current legislation do enough to cut costs?

    - What are important policy issues being left out of legislation that need to be addressed?

    - How do we attract more practitioners to primary care? Do you agree with the methods outlined in current legislation to do that?

     

    You can reference the Dinner Agenda and some of the pre-reading materials to help you brain storm.

    1102 Views 0 Comments Permalink Tags: health_care, legislation, primary_care_shortage, bwg_dinner, ask_bwg


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