Education Advisory Group
The Education Advisory Group (EAG) oversaw the implementation of the HB 198 Patient Centered Medical Home Education Pilot Program and sought funding to support and sustain the initiative. While the objectives of the legislation were deemed vitally important as evidenced by the legislation’s passage by overwhelming majorities in both the House and Senate, the legislation itself contained no funding. Nevertheless, EAG applied for and received a $300,000 grant from the Ohio Health Care Coverage and Quality Council for the period Dec. 1, 2010 through June 20, 2011 for the purpose of creating an organizational infrastructure, a sustainability plan and processes to launch and move the pilot project forward.
EAG chose to organize itself creating task forces by subject areas of funding/sustainability, practice selection/metrics, and curriculum design. Each task force approached its charge aggressively and produced substantial results.
The Funding/Sustainability Work Group
Chaired by Richard Snow, D.O. The group worked with sustainability consultant William Hayes, Ph.D. on a sustainability plan. They also identified and explored potential funding sources for the pilot.
The Practice Selection/Metrics Work Group
Chaired by Ken Bertka, M.D. The group worked in cooperation with TransforMED to accomplished the following:
- Developed a practice selection process
- Developed a pilot application form that would provide the necessary information about each practice to allow for a knowledge-based decision about each practices’ suitability for the pilot
- Established evaluation metrics upon which outcomes from the pilot practices would be measured
- Recommended 44 practices as pilot participants to EAG for formal approval on June 15, 2012, which was later extended to 50 practices
The Curriculum Work Group
Chaired by Tony Costa, M.D. While the work of this work group was not an official charge nor specifically funded in the grant, failure to acknowledge their outstanding work in developing a patient-centered medical home curriculum for use in medical and nursing schools to train physicians and nurses how to deliver care in the PCMH model would be remiss. The developed curriculum should be considered a bonus work product of substantial value to the future success of this project.
Ohio PCMH Curriculum
The curriclum efforts were presented as a poster presentation at the Society of Teachers of Family Medicine (STFM) national spring conference on May 4-6, 2014.
PCMH Poster for STFM Conference
During the seven month grant period, EAG members, regional leaders, consultants and central administrator (Ohio Academy of Family Physicians), worked collaboratively to accomplish the following:
- Organized a statewide webinar and four regional town hall meetings to educate prospective practices as to pilot and the opportunity to participate
- Developed marketing materials to educate potential practice applicants as to the value of pilot participation
- Promoted pilot participation through available communication vehicles
- Developed applications for pilot participation that would generate responses providing information necessary to select participants
- Completed a rigorous practice selection process – 65 practices applied for 44 slots. Regionals provided local perspective/input and verified that applicants had/or were seeking the statutorily-required affiliated teaching agreements with a medical and/or nursing school. TransforMED evaluated practices for their patient-centered medical home transformation potential using established, evidence-based assessment tools. Statutorily-required board certification of selected practice physicians/APNs was verified by the State Medical Board and State Board of Nursing. The practice selection/metrics work group met twice to review and assess practice prior to making final recommendation for EAG’s formal approval on June 15, 2012
- Determined measurement metrics for pilot practices
- Developed sustainability plan and case for support and receive funding through the Ohio Departement of Medicaid for transformation assistance. Scholarships and curriculum implementation were funded thorugh the Ohio Board of Regents.
- Developed transparent and thorough PCMH Education Advisory Group Web site; regularly updated so volunteers, consultants and interested parties can follow progress
- Developed curriculum for teaching medical students and nursing students how to deliver the patient-centered medical home model of care to patients (beyond the scope of grant charge and funding)
- Oversaw practice transformation of pilot sites and reviewed the final report on the practice transformation.
Following the conclusion of the practice transformation portion of the project, members of the Education Advisory Group agreed to continue to meet to work on the scholarship and curriculum components of the project. The EAG has now become the Workforce Learning Center of the Ohio Patient-Centered Primary Care Collaborative (OPCPCC).