Michigan’s medical home activity began with a 2008-2010 Improving Performance in Practice (IPIP) program sponsored by the Michigan Primary Care Consortium (MPCC), which combined learning sessions with coaching to implement components of PCMH and chronic illness care. MPCC has also created a patient-centered medical home toolkit.
| Forming Partnerships | The Michigan Department of Community Health leads the Michigan Primary Care Transformation (MiPCT) Project with guidance from the 18-member steering committee representing state agencies, primary care physicians, physician organizations, health plans, employers, and the Michigan Primary Care Consortium. The project is managed by the University of Michigan. A Patient Advisory Council is being formed to advise the steering committee. |
| Defining & Recognizing a Medical Home |
Statewide Consensus Definition: A multi-stakeholder workgroup convened by the Michigan Primary Care Consortium adopted the Joint Principles of a Patient Centered Medical Home as the statewide consensus definition of “Medical Home,” with the inclusion of four Michigan-specific footnotes further defining ‘patient-centered’, ‘personal physician’, ‘quality and safety’, and ‘payment’.
Recognition:
Michigan Primary Care Transformation (MiPCT):
Either insurer-developed Physician Group Incentive Program (PGIP) standards or 2008 NCQA PPC-PCMH standards (Level 2 or 3 required).
Practices that are designated under the BCBSM Physician Group Incentive Program (PGIP) must meet guidelines within twelve “domains of function.” The specific domains are: patient-provider partnerships; patient registries; performance reporting; individual care management; extended access; test results tracking & follow-up; preventive services; linkages to community services; self-management support; patient web portals; coordination of care; and specialist referral processes. |
| Aligning Reimbursement & Purchasing |
Starting January 2012, participating practices and providers in the Michigan Primary Care Transformation (MiPCT) Project will receive three per-member per-month (PMPM) payments for each attributed patient:
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| Supporting Practices |
The Michigan Primary Care Transformation (MiPCT) Project will support physicians and practice transformation by providing educational opportunities, a Care Management Resource Center, and the Michigan Data Collaborative. The focus of support is on care management, self-management, care coordination and linking to community services. Educational opportunities include learning collaboratives, lean workshops, practice-based coaching, webinars, and seminars. The Michigan Data Collaborative will create a multi-payer claims database and generate metric feedback reports. MiPCT will also provide clinical models, resources and support aimed at avoiding emergency room and inpatient use for ambulatory sensitive conditions, reducing fragmentation of care among providers and involving the patient in decision-making. |
| Measuring Results |
Reporting activity in the Michigan Primary Care Transformation (MiPCT) Project includes:
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