Health is Primary Tactic Teams

There are six core tactic teams working on domains integral to the success of family medicine. You are welcome to join the team that ignites your passion or expertise. Email Vince Keenan for more information.

The Practice Team's focus is on developing the capability to meet physicians where they are in their practice transformation efforts and help them get to where they would like to go. The team's mission is to help physicians rediscover the joy of practice and simultaneously meet the Triple Aim of better health, better care and better cost effectiveness. We'd like to showcase two projects on this update that are important to the Team's overall effort. The Team is developing a survey tool to help them understand where physicians and practices are in their readiness for change. Much work has been done to help physicians understand patients' readiness to change behavior - this effort seeks to help physicians better understand their own readiness as a starting point for exploring opportunities for improving their practice.

The Team is also working to develop brief statements of the importance and value of practice transformation - called "elevator pitches". These elevator pitches are written to influence multiple different stakeholders. For example, the pitch geared toward physicians emphasizes arguments for practice transformation that speak to physicians' issues:
• Improve the care of, and our relationships with, our patients
• Decrease the hassle of practice
• Enhance income through payment reform and reduction of the costs of providing primary care

The next phase of the Practice team's work will be to link pre-existing practice transformation resources to physicians based on where they are as they meet the many challenges of everyday practice.

The Technology Team is currently working on two major projects. First, the team is developing a vision for how technology can promote health in the value-based world of 2020 and beyond. It is developing this vision in collaboration with some of the brightest minds in the healthcare technology sector. Once a draft is complete, it will seek input from a broad array of other organizations and individuals. Keep on the lookout for more updates about this exciting work soon.

Second, it has created a listsev whereby health technology innovators can connect to forward thinking family physicians in order to get valuable feedback on their emerging solutions. The result will be twofold. First, solutions aimed at the primary care space that receive this feedback will be better able to assist family physicians as they work to achieve the Triple Aim. Second, it gives the Technology Team valuable insight into the cutting edge of health technology, further informing and strengthening the visioning work described above. If you would like to join the listsev, write to [email protected] and let us know you are interested. We will send you an onboarding questionnaire to get started.


FMAHealth Workforce Diversity Resources. The Workforce Education and Development team has gathered free and accessible resources from a variety of sources that can help institutions determine the needs of their communities, develop a plan to improve diversity, and effectively educate all learners on cultural competency and unconscious bias. These have been compiled into a Workforce Diversity Resource flyer which contains links to various resources that will help increase awareness of the importance of workforce diversity and will empower individuals to have a discussion about workforce diversity at their institution. The resources also provide information about recruiting practices, strategic planning, and effective educational methods to teach all learners cultural competency and unconscious bias. The flyer is available for download on the FMAHealth webpage.


PaymentThe Payment Team has completed its first wave of interviews with physicians whose practices are working in a comprehensive payment framework. Rebecca Malouin, Ph.D., Katherine Harmes, M.D. and Thomas Weida, M.D. presented findings from the first wave of interviews at the STFM Conference on Practice Improvement on April 1 in Minneapolis, MN. The team is now scheduling its next wave of interviews. If you are currently being paid a comprehensive payment for primary care and would like to participate, please let us know. We would like to learn about your experience. If you are interested in learning more about this project, let us know that too. To contact the Payment Team, write to Aaron Glickman at [email protected]

The team has defined comprehensive primary care payment (CPCP) as "a fixed, periodic payment for services delivered over a period of time" (e.g., Per Member, Per Month). The CPCP differs from primary care capitation and bundled fee for service payments in that the physician is rewarded for completeness of preventive care and chronic care goals for each patient rather than achieving utilization and financial targets. The comprehensive payment model represents a new investment in primary care, with substantial increases in payment over current levels within the fee-for-service environment, commensurate with the level of accountability for performance and outcomes, as well as support for team-based infrastructure.

Calculating the Cost of Comprehensive Primary Care Payment (CPCP). The comprehensive payment Calculator Team is finalizing a request for proposals (RFP) that it will be sending to actuarial firms and other appropriate organizations to test and validate a formula that payers and practices can use to calculate comprehensive primary care payment for patients in the population they serve. Firms that will receive the RFP will be identified over the next two weeks, and the RFP will be distributed toward the end of the month.

The calculator is one of the tools that the team, in collaboration with Mike Tuggy, M.D., the vice-chair of the FMAHealth Board, will be using to meet with payers and employers to help demystify comprehensive primary care payment, and encourage more experiments around the country to test the value of comprehensive payment as a way to improve quality, reduce cost, and improve population health.




The Engagement Team Welcomes a New Member. The Engagement Team has welcomed a new member to the team, Lisa Stewart, M.A. Ms. Stewart is an Engagement Officer at the Patient-Centered Outcomes Research Institute (PCORI) and she is a terrific addition to the team. She has been a patient advocate for a long time, first on behalf of her two children, and later as a patient navigator at a leading pediatric hospital. The team would like to thank Winifred Quinn, Ph.D. for all of her contributions to the Engagement Team. Winifred had to step away due to increased responsibilities at the AARP and her co-leadership of a national campaign dedicated to improving health care through nursing, the Future of Nursing: Campaign for Action.

Engagement Team Collaborating with the Patient Centered Primary Care Collaborative (PCPCC) to develop Shared Principles of Primary Care. The Engagement Team and the Patient-Centered Primary Care Collaborative have begun a deliberate process to identify a set of Shared Principles of Primary Care that can be endorsed by diverse health professionals, consumers, and other organizations and groups committed to a strong primary care sector in the U.S. health system. The process has been initiated with a commitment to engage diverse stakeholders in the process of identifying consensus principles. Together, FMAHealth and the PCPCC are obtaining input from the eight national family medicine organizations sponsoring FMAHealth, other national primary care organizations, and other important stakeholder organizations about the essential principles of high performing primary care and the development of a consensus document.

The goal of the Shared Principles of Primary Care will be to help all stakeholders committed to vibrant primary care in the U.S. speak with a unified voice about the importance and commonality of these shared principles. The document will not replace any existing joint principles. Rather, it will codify a set of principles that can be agreed to broadly. The process of getting organizations to discuss, participate in, contribute and agree is intended to broaden the inclusiveness of stakeholder involvement in these consensus principles. For more information about this project, contact Aaron Glickman at [email protected]

Family Medicine for America’s Health – continuing with the Tactic Teams

We invite you to participate with the Tactic Teams by acting as fieldworkers in Illinois! We know that there is a great deal of innovative work going on around the state: Innovative physicians and teams transforming their clinical practices, working with patients and families in creative ways, using technology to improve relationships with patients and enhancing the way their practice runs. Some are experimenting with alternative payment models like direct primary care. We know there are innovative chairs and faculty members who are adept at attracting medical students to family medicine – and some are doing fascinating work training inter–professional teams. We need your help to bring them to our attention by describing what they do, and how they do it.

Use this link to share and describe innovations in one or more of the six tactic areas, as you discover them.