“Ultimately, it is our patients who benefit most from these efforts as we partner with them to maintain or improve their health.” Beginning in 2013, the P4P program is transitioning to a more value-based measurement, which holds organizations responsible for both the quality and cost of care delivered to patients. The change is aligned with the national movement towards Accountable Care Organizations (ACOs) and other value based purchasing approaches. John Muir Health is currently part of two ACOs with Medicare and Blue Shield and provides Medical Home services at more than 70 physician practices. These services focus on helping patients with chronic diseases better manage their condition and avoid unnecessary trips to the Emergency Room and hospital stays. “We are well positioned for and are already adapting to the changing health care environment and the increasing emphasis on population health,” said Huskins. “We will continue to work to provide high quality care and an excellent patient experience at an affordable cost, which is the value that patients are looking for from health care providers.” About John Muir Health John Muir Health is a nationally recognized, not-for-profit health care organization east of San Francisco serving patients in Contra Costa, eastern Alameda and southern Solano Counties. It includes a network of 950 primary care and specialty physicians, more than 6,000 employees, medical centers in Concord and Walnut Creek, including the county’s only trauma center, and a Behavioral Health Center. The health system also offers a full-range of medical services, including primary care, outpatient, lab and imaging services, and is widely recognized as a leader in many specialties – neurosciences, orthopedic, cancer, cardiovascular, trauma, emergency, pediatrics and high-risk obstetrics care. For more information, visit johnmuirhealth.com. About the Integrated Healthcare Association (IHA) IHA is a statewide leadership group that promotes quality improvement, accountability, and affordability of healthcare in California. The IHA P4P program is the largest non-governmental physician incentive program in the U.S. and includes eight health plans (including Kaiser Permanente for reporting only) and nearly 200 medical organizations representing approximately 35,000 physicians providing care for about 10 million members. Other IHA programs include: value-based purchasing of medical devices, bundled episode of care payments, the measurement and reward of healthcare efficiency, healthcare affordability, administrative simplification, and accountable care organizations.
Physician with Alzheimer’s gives voice to families struggle, as they call for global push to end disease
The ACA emphasizes primary care delivery through providers such as NPs, PAs and registered nurses, according to Jill Glomstad of the Advanced Healthcare Network for NPs and PAs. It will also help keeps costs down, she noted. Yuma nurse practitioners and physician assistants are ready to step up to the challenge. Its something theyre already doing, providing care in multiple specialty areas, including family practice, psychiatry, cardiology, gastroenterology, women’s health, pediatrics, emergency medicine, orthopedics, dermatology, etc. NPs and PAs will be able to handle many health care issues, with physicians available for consultation, collaboration and specialty care of complex cases. A small percentage of patients need a specialist or physician. Were not trying to negate the role of a physician, but many things can be done with a physician assistant or nurse practitioner, especially under the Affordable Care Act, notedTanya R. Sorrell, a psychiatric nurse practitioner in Yuma. The beauty of our role if that were not tied down to different specialties, Ana Marie Rivera, family nurse practitioner, said. As primary physicians become even busier with new patients, NPs and PAs will be able to provide entry-level care, especially as the focus turns more to preventive care and monitoring of chronic disease, such as diabetes. As health care changes, physicians might need more PAs and NPs to handle the case load, said Amanda Graham, a physician assistant. While some patients are reluctant to see anyone other than a physician or specialist, an increasing number of people are accepting care by nurse practitioners and physician assistants. I tell patients, Im not trying to be your cardiologist. Im going to help with your care today. Patients are more accepting today, Luz Wiley, an adult nurse practitioner, said. Some NPs work independently, like Karen A. Watts, who runs her own family nurse practice, while others opt to work with a physician. And just like doctors, NPs and PAs are adjusting to the business side of health care under the new law.
Nurse practitioners, physician assistants will have increased role under new law
But the diseases financial toll is $200 billion a year in the U.S. alone, a tab expected to pass $1 trillion by 2050 in medical and nursing home expenditures not counting unpaid family caregiving. The world report puts the global cost at $604 billion. Last Thursday, families affected by Alzheimers and aging advocates said its time for a global push to end the brain disease, just like the worlds governments and researchers came together to turn the AIDS virus from a death sentence into a chronic disease. We need a war on Alzheimers, said Sandy Halperin, 63, of Tallahassee, Fla., who was diagnosed with early-stage Alzheimers three years ago. He now finds himself stumbling for words, but still visits lawmakers to urge more funding. Meanwhile, the world report focuses on caregiving, stressing how the needs of people with dementia are so different than those of other ailments of aging, such as cancer and heart disease. People with dementia begin needing some help to get through the day early on, to make sure they dont leave the stove on or get lost, for example. Eventually, patients lose the ability to do the simplest activities of daily life, and can survive that way for a decade or more. Often family members quit their jobs so they can provide round-the-clock care, and the stress can harm their own health. The world report said families need early education about what services are available to help before theyre in a crisis, plus training in how to handle the behavioral problems of the disease such as not to argue if their loved one thinks Ronald Reagan is still president, or how to handle the agitation at dusk known as sundowning, or how to react when the patient hits someone. Two-thirds of the calls that Home Instead Senior Care, which provides in-home personal care services, receives are from families that did no planning until the patient had a crisis, such as wandering or a fall, said its president, Jeff Huber. Hilfiker, the blogger with early Alzheimers, takes that education idea a step further. He tells everyone he knows that he has Alzheimers as a way to break some of the stigma, so when I make dumb mistakes, I dont need to be embarrassed, he said last Thursday. He urges other patients to plan their end-of-life care early, while theyre still cognitively able to participate.
recommended reading http://www.providencejournal.com/features/lifestyle/health-fitness/20130930-physician-with-alzheimer-s-gives-voice-to-families-struggle-as-they-call-for-global-push-to-end-disease.ece
Prominent Physician Named CEO of MemorialCare Medical Foundation, a Physician Organization with 2,000 Affiliated Physicians
Schafer. “The Foundation, MemorialCare Medical Group and Greater Newport Physicians have a long and distinguished record of providing the highest quality, compassionate care available to our patients in Los Angeles and Orange counties. I am looking forward to expanding these efforts in partnership with our exceptional physicians, staff and all members of the MemorialCare team as we continue to transform health care services in Southern California.” Dr. Schafer has served as Chief Medical Officer of MemorialCare Medical Foundation since its inception in early 2010. He has extensive experience in physician leadership, performance and quality improvement and implementation of Electronic Medical Records, utilization management and disease management programs for physician groups. Prior to joining MemorialCare, Dr. Schafer was Chief Medical Officer for 10 years at Bristol Park Medical Group, a large Orange County medical group, which joined MemorialCare Medical Foundation in 2010. He also practiced as an Internal Medicine physician in Orange County and was a founder and developer of the software programs for Ascender Software, LLC, a leading health information technology company. Dr. Schafer serves on the Board of Directors of California Association of Physician Groups and co-chairs its Clinical Leadership Committee. He is also on Boards of MemorialCare Innovation Fund, Wave Imaging and Beach Surgical Holdings. He earned his bachelor’s degree with distinction in Neurobiology from University of Michigan, his medical degree from The Chicago Medical School and completed his internal medicine residency at University of California, Irvine (UCI). A fellow of the American College of Physicians, he served as Associate Professor of Medicine on the UCI clinical faculty. An avid skier, triathlete and Ironman competitor, Dr. Schafer and his wife have two children.