Health Care Stakeholder Discussion: Advanced Models of Primary Care
Uploaded by whitehouse on 11.08.2009
Transcript:
Nancy-Ann DeParle: So let's get started.
I really appreciate people -- (inaudible) -- Monday in August
talking about primary care, a really important topic --
(inaudible) -- a lot of people who may be watching at home.
As you know, we're committed to and President Obama's committed
to enacting health insurance reform this year;
that we're going to reduce costs and cost growth and then --
(inaudible) -- improvement -- (inaudible) -- for primary care
is really an important component of how we do all of those things.
Right now we all know that high costs make it really difficult
for patients to afford adequate insurance and apply the
treatment recommendations.
And there's one thing we know for sure.
It's that quality is uneven across our system,
and we need to do something about that,
because too many patients don't receive the recommended care.
So our goal and the thing that many of you have been working
towards in Vermont -- good to see you again, Frank --
Speaker: Nice to see you.
Nancy-Ann DeParle: -- and other places around the country is to try to improve
that and address these challenges,
which we want to do by working with -- not only with Congress
but also with all of you, including physicians and state
health leaders who have already been engaged in some of these reforms.
This is going to require changing the way that we deliver
health care, and so we're really gratified that some of you have
already been engaged in that difficult work.
We need to focus on improving the quality of outcomes,
making sure that we're providing preventive care and better
coordinating care for patients with chronic diseases.
And all of those are things that primary care has a critical role
to play in doing and in driving the kind of transformation of
our delivery system that we know we need.
So today we've gathered some of the experts in the field and
some of you who have been working to do this around the
country to discuss some advanced models of primary care that can
meet the challenges that confront our health-care system.
We believe that the reform that we're talking about offers a
major opportunity to improve the quality and coordination of
care, leading to improved patient health and experience,
but also lowering costs.
And I'm looking forward to hearing what some of you have to
say about your experience in doing that.
We're joined by health-care leaders who have been developing
advanced models of primary care that address these challenges.
We have representatives here from state Medicaid programs,
from health plans, integrated delivery systems and physicians
societies, we're also joined by academic experts.
And we appreciate your willingness to come and share
your perspectives and expertise on how we can improve and expand
these advanced primary-care models.
So we have people here from all over the country and people
who've traveled a long way, and we really appreciate your taking
the time to do that.
I'm also joined today by several colleagues who are working on
our administration team in support of reform.
And we'll, I think, maybe start off by just going around the
room and introducing ourselves.
And then Bob Kocher, Dr. Kocher, will have some remarks.
So, Kavita, why don't you start us out?
Kavita Patel: Sure, hi -- thank you.
My name is Kavita Patel.
I'm a policy adviser for Valerie Jarrett,
who works overseeing the Office of Public Engagement and
Intergovernmental Affairs; and a primary-care physician by training.
Nancy-Ann DeParle: And I should have said I'm Nancy-Ann DeParle,
the director of the White House Office of Health Reform.
Meena?
Meena Seshamani: I'm Meena Seshamani.
I'm the director of policy analysis in the Office of Health
Reform at Health and Human Services.
And I am an otolaryngologist by training.
Barbara Smith: Hi, I'm Barbara Smith.
I'm special counsel in the Office of Health Reform at HHS,
and an attorney by training.
Dan Pelino: Hi, everyone, I'm Dan Pelino.
I'm IBM's general manager for our Global Healthcare and Life
Sciences responsibility.
Dan Field: Hey, everyone, I'm Dan Field. I work at the National Economic Council on health care and innovation policies. Robert Phillips: I'm Bob Phillips. I'm the director of the Robert Graham Center, and a family physician, part of the American Academy of Family Physicians. John Blum: I'm John Blum, with CSpeaker: I'm the policy director for the Medicare Program. Kenneth Thorpe: I'm Ken Thorpe. I'm professor of health policy at Emory University, and also the executive director of the Partnership to Fight Chronic Disease. Susan Sher: I'm Susan Sher. I'm chief of staff of the first lady. I'm also part of the health care reform team from the White House Counsel's Office. Elizabeth Leshin: My name is Elizabeth Leshin, and I work on the National Economic Council on health-care policy. Kevin Grumbach: Good afternoon. I'm Kevin Grumbach. I'm a family doctor, and I chair the Department of Family and Community Medicine at the University of California, San Francisco. Mark Duggan: Hi. I'm Mark Duggan. I'm a senior economist at the Council of Economic Advisers, working on health-care policy. Phyllis Torda: I'm Phyllis Torda. I'm senior executive for strategic initiatives at the National Committee for Quality Assurance. Paul Grundy: I'm Paul Grundy. I'm the director of health care transformation for the IBM Corporation and the president of the Patient-Centered Primary Care Collaborative, which is an umbrella organization representing about 400,000 physicians in primary care and most of the Fortune 500 to really drive transformation, a change in the covenant, in the way we buy care and deliver care, around a model of care, patient-centered primary care. Thank you. John Tooker: Good afternoon. I'm John Tooker. I'm the CEO of the American College of Physicians and an internist. Christine Capito Burch: Hi. I'm Chris Burch. I'm the executive director of the National Association of Public Hospitals and Health Systems, and, for the purpose of this meeting, will emphasize the health systems part. Ally Needleman (sp): Hi. I'm Ally Needleman (sp). I work in the Office of Health Reform. Richard Gilfillan: Hi. I'm Rick Gilfillan. I'm a family practitioner by background. Previously I was the CEO at Geisinger Health, and currently I continue to consult with Geisinger. Craig Jones: Craig Jones. I'm the director for the Vermont Blueprint for Health and a pediatrician and -- as well. Michael Soman: And I'm Michael Soman. I'm a family physician who practiced for 17 years at Group Health before taking on new roles, running primary care for a number of years. Now I'm the president of the medical group and the medical director of the owned and operated delivery system at Group Health. Barbara Walters: Hi. Barbara Walters, senior medical director at Dartmouth-Hitchcock. I'm the principal investigator for the CMS PGP Group Practice Demonstration Project, and here today with Dick Salmon from CIGNA. Richard Salmon: I'm Dick Salmon. I'm a family physician and national medical director for Performance, Measurement and Improvement for CIGNA HealthCare. Sue Williamson: Hello, my name is Sue Williamson. I'm the deputy director of the Colorado Department of Health Care Policy and Financing. Our agency administers our public health insurance programs, like Medicaid and our SCHIP program. David Dorr: I'm David Dorr, a practicing internist and medical informatician at Oregon Health and Science University -- I will explain that -- who work -- I work on a model called Care Management Plus. Allen Dobson: I'm Allen Dobson. I'm a family physician and -- with Carolina's health- care system now. I'm the chair of Community Care in North Carolina and formerly the Medicaid director and assistant secretary of Health. Robert Kocher: And my name's Bob Kocher. I work with the National Economic Council, where I work on health care. And I'm an internist by background as well. I want to thank everybody for coming. We are -- we're thrilled to have, I think, a tremendous cross-section of innovative practices and experts to speak about primary care. I wanted to take a few minutes and talk to you a bit about the opportunity to do advanced primary care and frame the discussion that we'll have shortly. And so, Dan, if you don't mind, because (you'll emphasize ?)
I really appreciate people -- (inaudible) -- Monday in August
talking about primary care, a really important topic --
(inaudible) -- a lot of people who may be watching at home.
As you know, we're committed to and President Obama's committed
to enacting health insurance reform this year;
that we're going to reduce costs and cost growth and then --
(inaudible) -- improvement -- (inaudible) -- for primary care
is really an important component of how we do all of those things.
Right now we all know that high costs make it really difficult
for patients to afford adequate insurance and apply the
treatment recommendations.
And there's one thing we know for sure.
It's that quality is uneven across our system,
and we need to do something about that,
because too many patients don't receive the recommended care.
So our goal and the thing that many of you have been working
towards in Vermont -- good to see you again, Frank --
Speaker: Nice to see you.
Nancy-Ann DeParle: -- and other places around the country is to try to improve
that and address these challenges,
which we want to do by working with -- not only with Congress
but also with all of you, including physicians and state
health leaders who have already been engaged in some of these reforms.
This is going to require changing the way that we deliver
health care, and so we're really gratified that some of you have
already been engaged in that difficult work.
We need to focus on improving the quality of outcomes,
making sure that we're providing preventive care and better
coordinating care for patients with chronic diseases.
And all of those are things that primary care has a critical role
to play in doing and in driving the kind of transformation of
our delivery system that we know we need.
So today we've gathered some of the experts in the field and
some of you who have been working to do this around the
country to discuss some advanced models of primary care that can
meet the challenges that confront our health-care system.
We believe that the reform that we're talking about offers a
major opportunity to improve the quality and coordination of
care, leading to improved patient health and experience,
but also lowering costs.
And I'm looking forward to hearing what some of you have to
say about your experience in doing that.
We're joined by health-care leaders who have been developing
advanced models of primary care that address these challenges.
We have representatives here from state Medicaid programs,
from health plans, integrated delivery systems and physicians
societies, we're also joined by academic experts.
And we appreciate your willingness to come and share
your perspectives and expertise on how we can improve and expand
these advanced primary-care models.
So we have people here from all over the country and people
who've traveled a long way, and we really appreciate your taking
the time to do that.
I'm also joined today by several colleagues who are working on
our administration team in support of reform.
And we'll, I think, maybe start off by just going around the
room and introducing ourselves.
And then Bob Kocher, Dr. Kocher, will have some remarks.
So, Kavita, why don't you start us out?
Kavita Patel: Sure, hi -- thank you.
My name is Kavita Patel.
I'm a policy adviser for Valerie Jarrett,
who works overseeing the Office of Public Engagement and
Intergovernmental Affairs; and a primary-care physician by training.
Nancy-Ann DeParle: And I should have said I'm Nancy-Ann DeParle,
the director of the White House Office of Health Reform.
Meena?
Meena Seshamani: I'm Meena Seshamani.
I'm the director of policy analysis in the Office of Health
Reform at Health and Human Services.
And I am an otolaryngologist by training.
Barbara Smith: Hi, I'm Barbara Smith.
I'm special counsel in the Office of Health Reform at HHS,
and an attorney by training.
Dan Pelino: Hi, everyone, I'm Dan Pelino.
I'm IBM's general manager for our Global Healthcare and Life
Sciences responsibility.
Dan Field: Hey, everyone, I'm Dan Field. I work at the National Economic Council on health care and innovation policies. Robert Phillips: I'm Bob Phillips. I'm the director of the Robert Graham Center, and a family physician, part of the American Academy of Family Physicians. John Blum: I'm John Blum, with CSpeaker: I'm the policy director for the Medicare Program. Kenneth Thorpe: I'm Ken Thorpe. I'm professor of health policy at Emory University, and also the executive director of the Partnership to Fight Chronic Disease. Susan Sher: I'm Susan Sher. I'm chief of staff of the first lady. I'm also part of the health care reform team from the White House Counsel's Office. Elizabeth Leshin: My name is Elizabeth Leshin, and I work on the National Economic Council on health-care policy. Kevin Grumbach: Good afternoon. I'm Kevin Grumbach. I'm a family doctor, and I chair the Department of Family and Community Medicine at the University of California, San Francisco. Mark Duggan: Hi. I'm Mark Duggan. I'm a senior economist at the Council of Economic Advisers, working on health-care policy. Phyllis Torda: I'm Phyllis Torda. I'm senior executive for strategic initiatives at the National Committee for Quality Assurance. Paul Grundy: I'm Paul Grundy. I'm the director of health care transformation for the IBM Corporation and the president of the Patient-Centered Primary Care Collaborative, which is an umbrella organization representing about 400,000 physicians in primary care and most of the Fortune 500 to really drive transformation, a change in the covenant, in the way we buy care and deliver care, around a model of care, patient-centered primary care. Thank you. John Tooker: Good afternoon. I'm John Tooker. I'm the CEO of the American College of Physicians and an internist. Christine Capito Burch: Hi. I'm Chris Burch. I'm the executive director of the National Association of Public Hospitals and Health Systems, and, for the purpose of this meeting, will emphasize the health systems part. Ally Needleman (sp): Hi. I'm Ally Needleman (sp). I work in the Office of Health Reform. Richard Gilfillan: Hi. I'm Rick Gilfillan. I'm a family practitioner by background. Previously I was the CEO at Geisinger Health, and currently I continue to consult with Geisinger. Craig Jones: Craig Jones. I'm the director for the Vermont Blueprint for Health and a pediatrician and -- as well. Michael Soman: And I'm Michael Soman. I'm a family physician who practiced for 17 years at Group Health before taking on new roles, running primary care for a number of years. Now I'm the president of the medical group and the medical director of the owned and operated delivery system at Group Health. Barbara Walters: Hi. Barbara Walters, senior medical director at Dartmouth-Hitchcock. I'm the principal investigator for the CMS PGP Group Practice Demonstration Project, and here today with Dick Salmon from CIGNA. Richard Salmon: I'm Dick Salmon. I'm a family physician and national medical director for Performance, Measurement and Improvement for CIGNA HealthCare. Sue Williamson: Hello, my name is Sue Williamson. I'm the deputy director of the Colorado Department of Health Care Policy and Financing. Our agency administers our public health insurance programs, like Medicaid and our SCHIP program. David Dorr: I'm David Dorr, a practicing internist and medical informatician at Oregon Health and Science University -- I will explain that -- who work -- I work on a model called Care Management Plus. Allen Dobson: I'm Allen Dobson. I'm a family physician and -- with Carolina's health- care system now. I'm the chair of Community Care in North Carolina and formerly the Medicaid director and assistant secretary of Health. Robert Kocher: And my name's Bob Kocher. I work with the National Economic Council, where I work on health care. And I'm an internist by background as well. I want to thank everybody for coming. We are -- we're thrilled to have, I think, a tremendous cross-section of innovative practices and experts to speak about primary care. I wanted to take a few minutes and talk to you a bit about the opportunity to do advanced primary care and frame the discussion that we'll have shortly. And so, Dan, if you don't mind, because (you'll emphasize ?)