Friday, April 24, 2015 Board and Membership Meeting MPHI Interactive Learning Center, Okemos, MI 2012 ANNUAL REPORT 1 AGENDA MPCC Board of Directors and Membership Meeting Friday, April 24, 2015, 9 am – 12:00 p.m. Michigan Public Health Institute, Okemos, MI Call-in Number: 877-366-0711; Access Code: 38095369 Time Duration Topics 9:00 10 min Call to Order: Board of Directors Meeting Reading Introductions Ground Rules 9:10 10 min Consent Agenda Discussion Approval of Consent Agenda Facilitator/ Reporter Craig Magnatta/ Marcie Jones Please note: Review in advance. This period will be used to clarify any aspects you may require. 2 Documents Expected Outcome Ground Rules - A Information Action Consent Agenda Cover Letter – B Executive Committee Minutes from 1/8/15 and 2/26/15 meetings – C Public Policy Committee Minutes from 3/4/15 meeting – D Communications Committee Minutes from 1/16/15 - E Information Discussion Action 9:20 5 min MPCC Treasurer’s Report Operating year 2015 budget summary Frank Belsito/ Jeffrey Brasie Year-to-date financial report as of 2/28/15 – F Information Discussion Action 9:25 10 min MPCC Executive Director Update Jeffrey Brasie Executive Director Update –G Information Discussion Action 9:35 5 min MPCC Old Business ICD-10 – Rebecca Blake of Michigan State Medical Society? Funding Cliff update Health is Primary update Craig Magnatta/Kim Sibilsky/Debra McGuire Direct News article on FQHC Funding – H Information Discussion 9:40 15 min MPCC New Business Strategic Plan Update Craig Magnatta MPCC Strategic Planning History and Current Process – See Separate Document Information Discussion Action 9:55 5 min Adjourn Board of Directors Meeting – set up for webcast 10:00 5 min Call to Order: Membership Meeting Craig Magnatta 10:05 30 min Presentation Nick Lyon, Director, Michigan Department of Health and Human Services Craig Magnatta 10 min Question and Answer period Information Discussion AGENDA MPCC Board of Directors and Membership Meeting Friday, April 24, 2015, 9 am – 12:00 p.m. Michigan Public Health Institute, Okemos, MI Call-in Number: 877-366-0711; Access Code: 38095369 Topics Facilitator/ Reporter Time Duration 10:45 30 min Presentation Amanda Holt, PCMH Strategist, American Association of Family Physicians 10 min Question and Answer period 11:35 20 min Round Table Discussion Craig Magnatta 11:55 5 min Announcements Next Meeting: Friday, July 31, 2015, 9 a.m. – 12 p.m. Calendar of Events Meeting Evaluation Craig Magnatta Craig Magnatta Documents PowerPoint Presentation Expected Outcome Information Discussion Discussion Upcoming Board Meeting Dates - I Calendar of Events - J Evaluation – K Addendum – L Information 3 Attachment C MPCC Executive Committee Minutes Thursday, January 8, 2015 Committee Members Present: Anne Levandoski, Frank Belsito, Rodger Prong, Kim Sibilsky, Terrie Wehrwein, Devorah Rich Staff Members Present: Jeffrey Brasie, June Castonguay Vice-chair, Rodger Prong called the meeting to order at 8:07 a.m. Jeff Brasie will act as Chair for the remainder of the meeting due to traveling needs of the Chair and Vice-chair. Minutes of Previous Meeting: The Thursday, December 4, 2014, MPCC Executive Committee minutes were approved. MPCC Old Business Strategic Planning - For the most part we have completed our fact finding for the environmental scan. We have enlisted the use of a facilitator, Michael Rich, to help bring those comments together and continue the process. We anticipate approximately 30 people and a majority of Executive Committee members to be in attendance at the Friday, January 30th Board and membership/Strategic Planning meeting. There was discussion regarding the format and time frame for the Friday, January 30th meeting and concern that many might not be able to stay for the entire day. The Board portion of the meeting will be reduced, asking Board members to review the entire consent agenda in advance. Committee Chairs will not give individual reports. The Strategic Planning portion will focus on a discussion of the environmental assessment, which attendees will have reviewed in advance. The next Strategic Planning meeting will focus on recrafting the mission and tooling a vision statement. The date for the Friday, February 13th, Strategic Planning Meeting was subsequently changed to Tuesday, February 17th in order to facilitate participation of Executive Committee members. Jeff and June will work on a location for this meeting. Kim Sisisky graciously offered the MPCA Board room. Board Elections – Board and Executive Committee elections have been complete. However, there is a by-laws issue in that one elected organization, MedNetOne, as of yet, has not submitted their 2014 dues, and cannot be considered members in good standing and able to serve on the Board. This has relevance to documentation for the Friday, January 30th Board packet, BCBSM reimbursement submission, as well as a press release that we are waiting to disseminate. It was suggested that Jeff will follow up personally with Ewa Matuszewski via phone to see if there might be a concern with cash flow. The Executive Committee agreed to front her the $5,000 to pay her dues, should there be financial restrictions Potential and New Members – The Michigan Dental Association has joined and the Michigan Optometric Association will be joining. Jeff continues to approach the Michigan Council of Nursing Education Administrators and the Michigan Psychological Association. It was suggested we continue to try to engage community colleges in membership. Board and Membership Guest Speaker – Tim Pletcher, Executive Director of the Michigan Health Information Network Shared Services, will be presenting at the Friday, January 30th Board and Membership meeting. MPCC New Business Board and Executive Committee Elections – The 2015 elections for the Board of Directors and Executive Committee have been completed. The 2015 Board of Directors and committee listings will be provided at the Friday, January 30th, Board and Membership meeting. 4 MPCC Executive Committee Minutes Thursday, January 8, 2015 Page Two Attachment C Proposed Agenda for the Friday, January 30th Board and Membership meeting – The Friday, January 30th, Board and Membership meeting agenda will be revised to reflect the changes in time frames and consolidation of reporting. At this meeting, and for subsequent meetings, webcasting the guest speaker portion will occur. Board and Membership Meeting Inspirational Readers – The following readers have been identified for the 2015 Board and Membership meetings. April 24, 2015 – Marcie Jones, Superior Health Plan July 31, 2015 – Kathy Dontje – MSU College of Nursing October 30, 2015 - TBD Preliminary Closing of 2014 Budget – The 2014 budget was modified to reflect new line items related to purchases in conjunction with the MPCC office relocation and new operational expenses. With reductions in staffing hours and benefits, we project ending the year in the positive of the 18K range and will transfer some funds to select areas of the 2015 budget. Proposed 2015 Budget – With the opportunity to further grow the composition of the membership, the Consortium needs to have additional staffing. Pending approval from the Board of Directors, the 2015 Budget provides the means to bring on a part-time Office Assistant, which will allow June to work on higher level items. There is the potential for a university intern to be utilized down the road. The proposed 2015 budget was approved, and will be sent to the Board of Directors for a vote on Friday, January 30, 2015. Committee Chairs and members – We will continue to make a push for Chairs for Communications and Education and Program Committees, as well as members for the Communications Committee through EBlast and Direct News and at our meetings. BCBSM PCMH Brochure – At the recent PGIP meeting, Executive Director, Jeff Brasie obtained a copy of the recent PCMH brochure published by BCBSM. This brochure is designed for physicians to use in their practices to educate patients on the benefits of a PCMH approach. Links for this brochure will be provided to our membership via EBlast and on our website. Center for Healthcare Research and Transformation findings – Melissa Riba, of the Center for Healthcare Research and Transformation, will be speaking at the Tuesday, February 17th, Strategic Planning Meeting regarding their recent published findings on Primary Care Capacity in Michigan. Amanda Holt from AAFP - At the Friday, April 24th, Board and Membership meeting, Amanda Holt, Patient-Centered Medical Home Strategist in the Practice Advancement Division of AAFP will be presenting her research for her MPH entitled: “Communicating Health Care Concepts: Finding Language to Help Consumers Understand the Patient-Centered Medical Home (PCMH).” We are looking into the possibility of having her sponsored to present live, or presenting via webcast from their offices in Kansas City. MMA Public Policy Meeting - Delaney McKinnley, of the MMA invited Jeff to attend a Public Policy Meeting where they will be dialoguing about Certificate of Need. Jeff will attend and report his findings. The Executive Committee discussed moving the regularly scheduled first Thursday of the month meeting to the fourth Thursday of the month to avoid a previously scheduled meeting on a committee member’s calendar. This will be done pending Dr. Magnatta’s availability. 5 MPCC Executive Committee Minutes Thursday, January 8, 2015 Page Three Attachment C Announcements: Jeff Brasie announced the next MPCC Executive Committee call will be on Thursday, February 26th, 2015 at 8 a.m. and the next Board meeting and Strategic Planning Retreat will be on Friday, January 30th, 2015 at 9 a.m. Jeff Brasie adjourned the meeting at 9:08 a.m. 6 Attachment C MPCC Executive Committee Minutes Thursday, February 26, 2015 Committee Members Present: Craig Magnatta, Anne Levandoski, Rodger Prong, Terrie Wehrwein, Devorah Rich Committee Members Absent or Excused: Frank Belsito, Kim Sibilsky Staff Members Present: Jeffrey Brasie, June Castonguay Chair, Craig Magnatta called the meeting to order at 8:07 a.m. Minutes of Previous Meeting: The Thursday, December 4, 2014, MPCC Executive Committee minutes were approved. MPCC Old Business January Board Meeting – There were two evaluation forms turned in for the Friday, January 30th, Board and Membership meeting. Both evaluations received positive reviews in all aspects, with one commenting on the positive nature of the shortened committee reports and quick summary in the Executive Director report. Feedback was positive on Tim Pletcher’s presentation as well. In regards to the webcast, follow-up contact by June from those who viewed the webcast was that it brought value to the presentation. There were some initial connection issues with some who were viewing, most likely due to a slow internet connection. In the future when we send out the link for the webcast, we will provide a statement noting the importance of a fast internet connection to ensure an optimal viewing experience. There were also instances where the speaker seemed to cut in and out, as he turned away from the lavaliere microphone. This seems to be typical of most webcast situations. We will continue to offer our guest speakers via webcast and work to improve their quality. Strategic Planning – The Tuesday, February 17th Strategic Planning Retreat was attended by approximately 15 people. They began by discussing what it means to “Convene, Advocate and Educate”, then recrafted the mission statement and crafted a vision statement. Devorah Rich commented that it was as excellent session, with people engaged. We began discussing what we want to do in terms of health care outcomes and what makes MPCC unique. The mission and vision statements were crafted thinking in a global sense and scaling it back to see how we could make them specific for MPCC. Anne Levandoski commented that one of the big things that come out was the role of the MPCC as a convener. We serve by providing the opportunity for members to come together, but perhaps struggle with pulling groups together who have different agendas. Members can find common ground where we can make a big statement. Health care is an unsure environment right now, not knowing what is taking place with key funding coming into the state, and what is really happening with the ACA. Jeff commented he is sensing as an organization we can’t do 13 things, but should pick the three to five we believe are most important. MPCC is the only diverse membership group of its kind. The next step in follow up would be identifying the tactics and strategies where MPCC needs to focus for the next few years. Proposed mission statement – The Executive Committee voted on and approved the new mission statement, with the change of spelling out the name of the organization. The new mission statement reads: “The Michigan Primary Care Consortium convenes and educates stakeholders1 to facilitate the delivery of effective and efficient patient centered models of primary care in Michigan.” 7 Attachment C MPCC Executive Committee Minutes Thursday, February 26, 2015 Page Two Proposed Vision Statement – The Executive committee voted on and approved the new vision statement with the following changes: Add the word “is” and spell out the name Michigan Primary Care Consortium. The new vision statement reads: “The Michigan Primary Care Consortium is the leading statewide Consortium, dedicated to Michigan’s residents achieving optimal health through a coordinated and sustainable system of integrated care. After discussion, the Executive Committee scheduled the next Strategic Planning Retreat for Friday, March 27th in order to maximize participation. It is hoped that the mission statement, visions statement, core values, and strategies will be presented to the Board for full approval at the April 24th meeting. Membership growth – Jeff continues to promote the Consortium to potential members. He has meetings set up with MedMatch and HealthPlus. The Michigan Council of Nursing Education Administrators joined the Consortium this winter, as well as the Michigan Dental Association and Michigan Optometric Association. MedNetOne – Dues have been paid, and the membership status of MedNetOne is no longer an issue. Jeff will approach Ewa and an offer to help address any financial challenges which might present themselves in terms of 2015 dues. Committee Chairs and Members - The Consortium continues to reach out to its membership for Committee Chairs and committee members. We are promoting in eBlast and Direct News, as well as on our website. The hope is to engage more of our membership in participation. Adult Immunization – Jeff spoke with Joe Fortuna in regards to the Adult Immunization (AI) project. This project has finished using the funding money from Merck. Jeff put together a narrative last week on the whole history of AI program. With the input of a number of Member and non-member organizations, a survey was sent to medical practices regarding what they do with AI in terms of both patients and office staff. In Joe’s opinion, if there is anything to be a next step in this, it would be to put together a plan to improve provider and patient adult immunization. An article is going to be published regarding the research that was conducted. The subject of Adult Immunization will be kept for a discussion item at the Board meeting, and we will move from there. In summary, is it a “fit” with our new strategic plan? MPCC New Business: Certificate of Need (CON) meeting – This meeting, conducted at the Michigan Manufacturer’s Association, had a variety of players giving a history of what has been happening with CON. Most likely there will be a bill put forth to curtail the spread of CON. It was a very good meeting, organized by the economic alliance of MI. There were familiar faces around the table. The Consortium will continue to monitor this in the legislature. We may have areas we will take a stand on, but will also keep members informed if this subject floats further within the Legislature. House Health Policy Committee – This committee has met twice in February for informational sessions. A number of organizations have presented before the committee as a way of introducing themselves. The Consortium has, via eBlast and Direct News, let members know to take advantage of this opportunity. Speakers for the Friday, April 24th Board and Membership meeting – Nick Lyon will be joining us, at either 10 a.m. or 11 a.m. Lisa Mason introduced us to Amanda Holt, who did research on what providers and consumers think a PCMH is. Amanda will be our other guest speaker for this meeting. Marcie Jones, from Superior Health Partners, will be a reflective reader. At the February 17th strategic planning retreat, recommendations were given to enhance seating arrangement in a way that engages more members. It was suggested we see if there is a way to change the configuration after the Board portion to make it more open for membership portion. This discussion will be tabled until the March Executive Committee meeting, giving everyone the opportunity to think about solutions. 8 MPCC Executive Committee Minutes Thursday, February 26, 2015 Page three Attachment C Perspectives in Primary Care White Paper – The first draft of the first paper was put together this past fall and brought to the Education and Program Committee for input. The original writer is not available to complete this proposed five-part series. Jeff interviewed and met with two writers, and has selected one to clean up the current version and finish the series. There is a teleconference scheduled for Monday, March 2nd, with the writer, Jeff, and anyone who is interested in providing input. Direct News – June is working the March/April edition of the Direct News this week, and it will be published on Friday, February 27th. Annual Report – Jeff is putting together an outline for the 2014 Annual Report. Transition – Jeff will be getting married in the fall, selling his house in Lansing, and looking at moving to the Detroit area. He will be retiring near the close of 2015 or early 2016, and is seeking to establish a plan for transition of the Executive Director position. This will be a topic for discussion at the next Executive Committee meeting. Office Assistant – June will be interviewing four people for the office assistant position in the next weeks. Announcements: Craig Magnatta announced the next MPCC Executive Committee call will be on Thursday, March 26, 2015 at 8 a.m. and the next Board meeting and Strategic Planning Retreat will be on Friday, April 24, 2015 at 9 a.m. Chair Craig Magnatta adjourned the meeting at 9:15 a.m. 9 Attachment D Public Policy Committee Meeting Wednesday, March 4, 2015 Committee members present: Devorah Rich, Teresa Wehrwein, Debbie Eggleston, and Joanne Gutowsky Committee members excused or absent: Ryan Grinnell, Christin Nohner, Kathleen Johnston-Calati, Michelle Pardee, and Barbara Saul Staff members present: Jeff Brasie and June Castonguay Devorah Rich, committee Chair, called the meeting to order at 12:05 p.m. Approval of Tuesday, October 7, 2014 minutes – Due to a lack of a quorum, the Tuesday, October 7, 2014 minutes were not voted upon, but will be surfaced at next meeting. Certificate of Need (CON) meeting – Chair, Devorah Rich, and Executive Director, Jeff Brasie, attended a recent meeting on Michigan’s Certificate of Need process. This meeting, conducted at the Michigan Manufacturer’s Association, had a variety of players giving a history of what has been happening with CON. Most likely there will be a bill put forth to curtail or possibly cease the spread of CON. It was a very good meeting, organized by the economic alliance of MI. There were familiar faces around the table. The Consortium will continue to monitor this in the legislature, and bring its findings to the Committee. We may have areas we will take a stand on, but will also keep members informed if this subject floats to the top of the Legislature. House Health Policy Committee – This committee has met twice in February for informational sessions. A number of organizations have presented before the committee as a way of introducing themselves. The Consortium has, via eBlast and Direct News, let members know to take advantage of this opportunity. Diabetic Education – Currently Diabetic Education is not reimbursed if it not connected with a hospital system. The only reason some PO’s are being reimbursed is because they are attached to a hospital system. Jeff has reached to Sue Moran to see if there is anything that can be done to help with reimbursement for diabetic education which it takes place in a physician’s office by a certified diabetic instructor. There was a presentation by Sue’s staff to the Health Plan Association at their last Medicaid directors meeting with the goal of trying to help them understand the flexibility of the program. However, the reimbursement issue involved with Medicare, we most likely could not help change. Committee member Debbie Eggleston will update Jeff as to the potential for change with this reimbursement issue. Strategic Planning Update – Throughout the fall, we have had a number of speakers who have helped with an environmental scan for the strategic planning process. At the Friday, January 30th, meeting, we had a great discussion about what the Consortium is right and wrong, as well as mapped out our strengths, weaknesses, opportunities, and threats. At the Tuesday, Feb 17th, retreat the group re-wrote the Mission statement, crafted a Mission Statement, and talked about preliminary strategies. Those were presented to the Executive Committee on Thursday, February 26th, with minor tweaking. The next Strategic Planning Retreat will be on Friday, March 27th. We will bring the mission and vision statements back, and begin to work on strategies and identify specific tactics. Jeff will be looking at all prior meeting summaries to pull together common threads that will help us develop strategies and specific tactics. For example, payment reform and patient responsibility have surfaced in every meeting. Right now there are about 14-15 items; we hope to whittle it down to five or six strategies on which the Consortium can focus. We hope to wrap it up on the 27th and put together a document for the Executive Committee which will work its way to the full Board. Once the strategic plan is approved, we will put together a template for the tactics and what we hope to accomplish under each of them. 10 Public Policy Committee Meeting Wednesday, March 4, 2015 Page two Speakers for the Friday, April 24th Board and Membership meeting – Nick Lyon will be joining us, at either 10 a.m. or 11 a.m. Lisa Mason introduced us to Amanda Holt, who did research on what providers and consumers think a PCMH is. Amanda will be our other guest speaker for this meeting. Marcie Jones, from Superior Health Partners, will be our reflective reader. Closure of 2014 – MPCC ended the year positive to around $26,000. Partial funds were transferred forward to 2015 with Strategic Planning, White paper, etc. The Consortium has picked up three members, Michigan Optometric Association, Michigan Dental Association, and the Michigan Council of Nursing Education Administrators. Jeff has meetings scheduled with HealthPlus in Flint and MedMatch. March/April Direct News – The March/April Direct News was published on Friday, February 27th. There has been positive feedback as to its content. 2015 Annual Report – This is on the back burner while we focus on the Strategic Planning process. Perspectives in Primary Care White Paper – The first draft of the first paper was put together this past fall and brought to the Education and Program Committee for input. The original writer is not available to complete this five-part series. Jeff interviewed and met with two writers, and has selected one to clean up the current version and finish the series. There is a teleconference scheduled for Monday, March 2nd, with the writer, Jeff, and anyone who is interested in providing input. Conclusion – We believe the updated Strategic Plan will help drive the organization and facilitate the public policy committee’s role. Chair, Devorah Rich, adjourned the Public Policy Committee meeting at 12:34 p.m. 11 12 Attachment E Communications Committee Minutes Friday, January 16, 2015 Committee Members Present: Donald Wasserman Committee Members Absent or Excused: Lorelei Black, Kathy Dontje In the absence of a committee Chair, Consortium Executive Director, Jeff Brasie called the meeting to order at 9:10 a.m. Former Chairs Kevin McFatridge and Stacey Hettiger are no longer with Consortium member organizations, so this committee is actively looking for a new Chair as well as committee members. White Paper: The first white paper in the series, Perspectives in Primary Care, has been drafted. Unfortunately, the original writer is unable to complete the final draft due to work load. Jeff is approaching two other writers who are both in the same price range and give similar times to complete the first paper, and then continue working on the series. Committee members are welcomed to be on the call to discuss the white paper with the prospective authors and provide input. It is believed the topic areas set by this paper are highly relevant to the Consortium’s mission. Once the paper is completed, we will share it with other organizations who can help distribute it to their membership. Annual report: The Consortium has sent out copies of the Annual Report for the last two years. After the January 30th Board and Membership meeting and February 17th Strategic Planning Retreat, we will meet again to begin to discuss the outline and content of the 2014 Annual Report. The outline from the 2013 Annual Report is provided in the meeting packet, and can provide a framework for the 2014 report. Input on communications pieces: Summer 2014 the Consortium switched to sending its Friday eBlast via an electronic format using the free services of Mail Chimp. Feedback has been positive. The links to the online newsletter are still being posted on the Consortium website. Press Releases: The Consortium issued a press release on Snow Shoveling Safety which received coverage in six to ten media publications. A press release announcing the results of the 2015 Board of Directors and Executive Committee elections will be sent out mid-January. Certificate of Need (CON): Certificate of Need is back on the docket, and potentially moving back into the senate for a decision in 2015. Several Consortium members are part of the organization which is monitoring CON policy. The Consortium has not taken a stand, but will continue to monitor and communicate with member organizations regarding potential policy decisions. Strategic Planning: At this point in the strategic planning process, we are finished gathering information which provides an environmental assessment and framework for planning. We believe we are about 50% finished with the strategic planning process. The January 30th retreat will focus on member input regarding the environmental assessment. We will also focus on what our members believe the Consortium has done well, and what needs to be improved, as well as assessing strengths, weaknesses, opportunities, and threats. At the Tuesday, February 17th strategic planning retreat we will work on a revised mission statement, crafting a vision statement, and potentially look at the 2010-2011 strategic plan, what we have done and what we are doing. Executive Director, Jeff Brasie¸ adjourned the meeting at 9:45 a.m. 13 Attachment F Michigan Primary Care Consortium Statement of Revenues and Expenditures From 1/1/2015 Through 2/28/2015 1/1/15 - 1/1/15 - 2015 Annual 2/28/15 2/28/15 Budget Revenues Member Dues Received 10,800.00 10,800.00 225,000.00 Carryover from 2014 18,300.00 18,300.00 18,300.00 Donations Received 0.00 0.00 1,750.00 Training Revenue Received Interest Earned In-Kind Total Revenues 0.00 0.00 18,000.00 36.40 36.40 350.00 0.00 0.00 0.00 29,136.40 29,136.40 263,400.00 Expenditures 25,238.51 25,238.51 183,300.00 Communications Staffing & Administration 0.00 0.00 9,500.00 Travel 4.00 4.00 5,000.00 Planning & Meetings 698.13 698.13 5,000.00 Training & Education 0.00 0.00 23,000.00 In-Kind Rent & Services 0.00 0.00 0.00 Contingency 0.00 0.00 1,000.00 Facility Operations 2,509.16 2,509.16 24,800.00 Strategic Planning 2,252.60 2,252.60 5,000.00 300.00 300.00 5,000.00 31,002.40 31,002.40 261,600.00 (1,866.00) (1,866.00) 1,800.00 210,133.46 228,433.46 206,701.36 0.00 0.00 0.00 (1,866.00) (1,866.00) 1,800.00 208,267.46 226,567.46 208,501.36 Operating Expenses Total Expenditures Excess of Revenues Over (Under) Expenditures Beginning Fund Balance Fund Balance Adjustment 2014 Impact on Reserve Funds Ending Fund Balance 5,000 carried over from 2014 4,000 carried over from 2014 4,000 carried over from 2014 5,300 carried over from 2014 18,300 TOTAL CARRYOVER 14 to to to to 2015 2015 2015 2015 for for for for Strategic Planning Communications Administrative Support Training & Education Attachment F Michigan Primary Care Consortium Statement of Revenues and Expenditures From 1/1/2014 Through 2/28/2014 1/1/14 - 1/1/14 - 2014 Annual 2/28/14 2/28/14 Budget Revenues Member Dues Received Donations Received Training Revenue Received Interest Earned 1,250.00 1,250.00 500.00 500.00 225,000.00 3,000.00 20,117.50 20,117.50 46,000.00 53.33 53.33 400.00 In-Kind 5,300.00 5,300.00 31,800.00 Total Revenues 27,220.83 27,220.83 306,200.00 Staffing Contracts 33,055.63 33,055.63 201,000.00 Communications 1,391.28 1,391.28 6,000.00 592.27 592.27 9,000.00 Planning & Meetings 1,477.48 1,477.48 5,900.00 Training & Education 1,431.91 1,431.91 40,000.00 In-Kind Rent & Services 5,300.00 5,300.00 31,800.00 0.00 0.00 3,000.00 246.04 246.04 8,500.00 43,494.61 43,494.61 305,200.00 Excess of Revenues Over (Under) Expenditures (16,273.78) (16,273.78) 1,000.00 Beginning Fund Balance 206,701.36 206,701.36 206,701.36 0.00 0.00 0.00 2014 Impact on Reserve Funds (16,273.78) (16,273.78) 1,000.00 Ending Fund Balance 190,427.58 190,427.58 207,701.36 Expenditures Travel Contingency Operating Expenses Total Expenditures Fund Balance Adjustment * $14,200 of training revenue was carried over from 2013. 15 Attachment G Update to the Board of Directors from the Executive Director Friday, April 24, 2015 Board Activities and General Operations With the positive operational and financial conclusion of calendar year 2014, over $18,000 was carried forward into the 2015 calendar year Completed 2014/2015 strategic planning process (see enclosed document) Will be submitting the IRS 990 form Renegotiated lower rates for office telephone and internet services Will continue to webcast the guest speaker(s) portion of Board and membership meetings. The Consortium welcomes suggestions for Board/membership meeting guest speaker topics and individuals. Encouraging members to share their publications; related at Board/membership meetings First in a series of Patient Centered Medical Home (PCMH) white papers completed by Communications and Education/Program Committees. Will soon be disseminated. Jessica Oza, a Michigan State University Public Health graduate student intern will join the Consortium from May to August. There is no cost for her services Interviewing part-time office assistant to help coordinator focus upon membership and higher level efforts. Public Policy Monitoring possible activity with Michigan’s Certificate of Need legislation Have made request to address the Michigan House Health Policy Committee Seeking leadership input from the Michigan Department of Community Health on reimbursement process for diabetic education External Attended and will be attending PGIP meetings Attended Greater Detroit Area Health Council and Detroit/Wayne Health Authority state of Wayne County Population Health Forum Attended Michigan House Health Policy Committee meetings Attended Michigan State University Dean candidate forum Will be attending MSU Health Policy Forum Supported action and efforts to have Congress continue Federally Qualified Health Clinic (FQHC) funding. This relates to Michigan Primary Care Association who serves 600,000 Michigan residents through 40 centers Continue to promote a number of collaborative ICD-10 educational programs Continue to promote the Michigan, Iowa, Tennessee Hiring Our Heroes program – veterans and spouses Promoting the Michigan Academy of Family Physicians Health is Primary program. This fall season effort focuses on primary care delivery within the Detroit metropolitan area. Promoting to membership the availability of the Consortium’s diverse speakers/topics for PCMH symposiums, based upon prior presentations and market needs. Membership Relations and Recruitment 16 During calendar years 2011 to 2014 Blue Cross and Blue Shield of Michigan (BCBSM) Physician Group Incentive Program(PGIP) Membership grew from 20 to 35 practice groups BCBSM again graciously under-writing PGIP membership Attachment G Executive Director Update Friday, April 24, 2015 Page Two As of the beginning of calendar year 2015 the following new organizations have joined the Consortium (listed alphabetically) » » » » » MedMatch, Inc. – healthcare personnel recruitment and placemen; based in Auburn Hills with 20 plus year of proven experience Michigan Council of Nursing Education Administrators – statewide membership, primarily with community colleges Michigan Dental Association – statewide membership Michigan Optometric Association – statewide membership Yeo & Yeo CPAs & Business Consultants – accounting/CPA, medical billing, business and information technology firm; based in Saginaw with sites across central and lower Michigan. Michigan Psychologists Association, Health Plus of Michigan, and another organization are being pursued Welcome other new membership referrals Routine renewals for non-PGIP and PGIP members occurring prior to their anniversary date Public Relations, Promotional Efforts, and Philanthropy March/April edition Direct News published. Preparing May/June edition Under-writer for several EBlast editions has been acquired Upon Board action with the “draft” 2014/2015 strategic planning process, will publish new annual report Begin publishing one page newsletter for PGIP audience (see addendum) Underwriters for Friday, April 24th Board/membership meeting identified Press release disseminated on Board and Officer elections, as well as upcoming guest speakers (see addendum) Produced and disseminated electronic and direct mail piece promoting the Consortium’s on-line videos Executive Director has donated $500 to the Consortium and is seeking Executive Committee and membership challenge to match Upcoming Board Meetings The following dates are for Consortium Board/membership meetings. Unless other announced, they begin at 9 a.m. (EDT) and traditionally end by 12 noon at the Michigan Public Health Institute, Okemos, MI. A conference call in option is available for each meeting. During the guest speaker(s) section a webcast is available. Advance information is available by contacting the Consortium office at [email protected] or 517.484.0290. Again, we seek guest speaker topics, as well as those offering inspirational remarks at the meeting’s beginning. Next meetings: Friday, July 31, 2015 Friday, October 30, 2015 Friday, January 29, 2016 Friday, April 29, 2016 As Always Thank you to Board and membership in serving the Consortium’s mission 17 Attachment H Support The Michigan Primary Care Association’s Centers The Clock is Ticking for Congressional Action to Fix the Health Center Funding Cliff by Dana Lawrence Michigan Primary Care Association With just over 200 days remaining before a significant source of Health Centers’ operational support expires, it is critical for ALL Health Center supporters to urge Congress to fix the Health Center funding cliff. Every Michigan Health Center and across the country faces a 70% reduction in program funding on Friday, September 30, 2015, unless Congress acts. Michigan’s 40 Health Center organizations provide quality, comprehensive primary and preventive care for more than 600,000 Michigan residents at over 240 locations. They are part of a national network of 1,300 Health Centers that together serve 23 million people in over 9,000 communities, regardless of insurance status or income level. America’s Health Centers have a significant role in the health care delivery system at the local, state, and national level. This year marks the Health Center program’s 50-year anniversary and legacy of success in increasing access to care, improving health, eliminating health disparities, and lowering costs. Nationally, Health Centers produce $24 billion in annual savings to the health care system, saving more than $1,200 per patient per year. A new Michigan study demonstrates that Michigan Health Centers save the Michigan Medicaid program $12 per adult Medicaid beneficiary per month, or $144 per member per year. That is a projected total annual savings of $15.9 million in Michigan expenditures. Please ask your Members of Congress to fix the Health Center funding cliff by addressing the shortfall set to take place September’s end. The future of the Health Center Program and access to care for millions of patients depends on the strength of our advocacy. Right are a few ways you can TAKE ACTION NOW as an individual and/or an organization. 18 TAKE ACTION! Sign the Access Is the Answer petition calling for continued funding for Health Centers – and then ask others to sign the petition, as well. Email your Members of Congress to urge them to fix the cliff – and then ask others to send emails, as well. Sign up to be a Health Center advocate and support affordable access to health care – and then ask others to sign up, as well. Write a formal letter addressed to your Members of Congress expressing your organization’s support for your local Health Center and the critical need to fix the Health Center funding cliff. You can click here for a sample template. If you are interested in doing this, please email your letter to Colleen Healy at [email protected] by Tuesday, March 10th so MPCA can present your letter in-person to Members of Congress. Submit an editorial to your local paper express-ing your individual or organizational support for your local Health Center and the critical need to fix the Health Center funding cliff. If you are interested in doing this, please email Dana Lawrence at [email protected]. Biographical Summaries (In order of presentation) Nick Lyon Nick Lyon brings a wealth of community health policy, budget expertise, and department operations to his roles as Director of the Michigan Department of Community Health (MDCH) and Interim Director of the Michigan Department of Human Services (DHS). Most recently, Governor Snyder selected Lyon to serve as Interim Director of DHS, effective Jan. 1, 2015, after the retirement of Maura Corrigan. Prior to the DHS appointment, Lyon was chosen to succeed James K. Haveman as Director of MDCH. Lyon has served in that role since Sept. 15, 2014. Lyon had previously served as MDCH Chief Deputy Director since 2011. In this role, he upheld the mission of the MDCH by overseeing the day-to-day operations of all of the department’s administrations including Medical Services, which oversees the Michigan Medicaid program; Public Health; Behavioral Health and Developmental Disabilities; Policy and Planning; and Operations. Lyon brings leadership experience overseeing daily departmental operations, as well as representing the department with various stakeholders, the Michigan legislature, and community partners to his role as Director. He has also overseen the department’s interactions with the Office of Recipient Rights, the Michigan Developmental Disabilities Council, the Michigan Office of Services to the Aging, and the Office of Health Services Inspector General. During his time at MDCH, Lyon has been involved in a number of key health initiatives including the successful implementation and management of the Healthy Michigan Plan, as well as the advancement of Health Information Technology in the state of Michigan. Previously, Lyon served as Deputy Director of the MDCH Operations Administration as well as the Deputy Director of the MDCH Health Policy and Regulation Administration. Prior to joining the MDCH, Nick served as the Director of the Office of Budget Development and General Government within the State Budget Office and as the Finance Officer for the Department of Attorney General. Through his previous experience, Lyon has a distinguished track record of success overseeing and crafting health policy and operations, finance and human resource, and budget development. Lyon is a 1990 graduate of Yale University where he earned a Bachelor of Arts degree in Economics and Political Science. Amanda Holt Amada Holt, MPH, is a Patient-Centered Medical Home Strategist with the American Academy of Family Physicians (AAFP, Leawood, KS) As her capstone project to complete her master’s degree in public health (MPH) and on behalf of the Patient-Centered Primary Care Collaborative (based in Washington, DC), Amanda conducted market research last year among patientcentered medical home (PCMH) thought leaders and stakeholders from select areas across the nation regarding the consumer/patient perception of a PCMH. Her research also included focus groups with patients/consumers in the the Kansas City area. Her report, “Communicating Health Care Concepts: Finding Language to Help Consumers Understand the Patient-Centered Medical Home (PCMH)” offers insight into what aspects of the PCMH are most important to patients, as well as preferred terminology for naming and describing the PCMH to this important stakeholder audience. Amanda has an extensive career with the AAFP and has worked in the national health care policy and administration realm for nearly a decade. Both her undergraduate and graduate degrees are from the University of Kansas. 19 Speakers for the April 24th Board and Membership meeting are graciously underwritten by the following: MedMatch, Inc., who has provided 20+ years of healthcare personnel recruitment and placement; Yeo & Yeo CPAs & Business Consultants an accounting/CPA, medical billing, business and information technology consulting firm; and Michigan Primary Care Consortium Executive Director, Jeffrey D. Brasie. Slide 1 Communicating Health Care Concepts: Finding Language to Help Consumers Understand the Patient-Centered Medical Home (PCMH) Michigan Primary Care Consortium Board of Directors Amanda Holt, MPH April 24, 2015 20 Agenda • • • • • • • What is the PCMH & why is it important? What is the problem? Overview of the PCPCC Research in 3 phases Methods Results Conclusion What is a medical home? The medical home is an approach to primary care that is: Patient-Centered Supports patients in managing decisions and care plans. Comprehensive Coordinated Whole-person care provided by a team Care is organized across the ‘medical neighborhood’ Committed to quality and safety Maximizes use of health IT, decision support and other tools Accessible Care is delivered with short waiting times, 24/7 access and enhanced in-person hours. *Definition adapted from the Agency for Healthcare Research and Quality (AHRQ) Slide 4 21 What is the PCMH? • “…it has the potential to dramatically improve the quality of care patients receive, as well as reduce overall costs.”1 • “When adults have a medical home, their access to needed care, receipt of routine preventive screenings, and management of chronic conditions improve substantially.”2 • “The evidence for the PCMH described here underscores the impressive and growing trends that tie the medical home model of care with reductions in health care costs and unnecessary utilization of services; improvements in population health and preventive services; increased access to primary care; and growing satisfaction among patients and clinicians…”3 • What is a Medical Home? Video Slide 5 What is the PCMH? www.aafp.org/pcmh Slide 6 22 Defining the Problem People (laypeople) don’t know what it is! Slide 7 Defining the Problem • Most PCMH advocates recognize that there is a lack of public awareness about the model.4 • While top-level advocacy and stakeholder organizations understand the many benefits of the PCMH, many health policy professionals suggest that the message has not trickled down to everyday patients, the people who stand to benefit the most.5 Slide 8 23 Defining the Problem “Though awkwardly named, the PCMH is a home only in the figurative sense. Patients are meant to feel at home among a team of doctors, nurse practitioners, and physician assistants, along with psychologists, physical therapists, and pharmacists.”6 Slide 9 Defining the Problem • We’ve known about it for at least a few years: – As early as 2007, the American Academy of Family Physicians commissioned research that showed that consumers “revolted” against the phrase. – In 2009, health policy researcher Michael Perry and colleagues found the name to be problematic among patients and consumers.7 – 2010 research conducted on behalf the National Committee for Quality Assurance (NCQA) found the same.8 Slide 10 24 the Slide 11 About the PCPCC Mission • Dedicated to advancing an effective and efficient health system built on a strong foundation of primary care and the PCMH. Activities • Disseminate results and outcomes from medical home initiatives and their impact on outcomes, quality and costs. • Advocate for public policy that advances and builds support for primary care and the medical home. • Convene health care experts and patients to promote learning, awareness, and innovation of the medical home.9 Slide 12 25 Membership Since 2006, PCPCC membership has grown to represent more than 1,000 organizations providing care to 50 million Americans, including: • • • • • • • Provider associations Large employers Health plans Providers & health systems Pharmaceutical firms Policymakers Patient advocacy groups Slide 13 Stakeholder Centers PCPCC initiatives are conducted within its five stakeholder centers. Each is focused on achieving goals related to unique disciplines and target audiences that are committed to the medical home model. Graphic courtesy of the PCCC Slide 14 26 Research in 3 Phases • Phase I – Literature Review • Thorough literature review, as well as investigated what other national stakeholder organizations have already done. • Phase II – Thought Leader/Advocate Survey • Survey of select PCMH thought leaders to identify key phrases and terminology for the PCMH that they think resonate with patients, families, and consumers. • Phase III – Patient/Consumer Focus Groups • Focus groups to test the messages, phrases, and terminology identified during phase II. Slide 15 Methods – Phase I • Literature Review • Focused on finding previous research that had been done with patients/consumers regarding the PCMH, especially anything that focused on language/terminology. Slide 16 27 Methods – Phase II • PCMH Advocates & Thought Leaders – Already engaged with PCPCC through its CPFC • Survey – Survey Monkey – Nov. 12-26, 2013 – Email from Dr. Nielsen to 29 possible respondents – 15 completed Slide 17 Methods – Phase II • Survey Analytics – Coded open-ended responses by grouping them into the following themes: • Access to Care • Communication – Improved Communication Between Provider and Patient • Coordination of Care/Improved Communication Among Providers • Holistic Approach • Patient Engagement & Empowerment • Team Approach • Trust Slide 18 28 Methods – Phase III • Focus Groups of Patients/Consumers – Jan. 8, 2014 – 8 participants – Jan. 11, 2014 – 9 participants – Convenience sample in Kansas City metro area Slide 19 Focus Group Data • Grouped oral responses into categories based on theme. • Then analyzed the worksheets that each participant completed. The worksheet consisted of four areas of analysis: – Numeric rating of each description in the worksheet (scale of one to 10). – Circled and crossed out words from each description in the worksheet. – Preferred words and phrases from page four of the worksheet. – Open-ended written responses from page five of the worksheet. Slide 20 29 Focus Group Limitations • Almost twice as many women as men. – But women are often the health care decision makers for their families. • Sample had a much higher education level than the mainstream American population. • All participants had health insurance at the time the focus groups were conducted. – Did not include a sample of the 16 percent of Americans who were uninsured as of the first week of February 2014.12 Slide 21 Results – Phase I • Patients need to see the value of the medical home and its connection to the broader medical neighborhood so they will seek their ongoing care from their primary care clinician in order to make shared decisions, consistent with a PCMH. 13 • Unpublished AAFP research • RWJF research from April 201114-15 • 2010 NCQA research on value of PCMH & language16 • Perry/Undem research17 Slide 22 30 PCMH Concept Appeal (N=37) Scale: 5=Very Much / 1=Not at All 5 4.5 4 3.5 PCMH Patients (N=19) Gen Pop Patients (N=18) 3 All (N=37) 2.5 2 1.5 1 PCMH Patients (N=19) Gen Pop Patients (N=18) All (N=37) Slide 23 Top Taglines • “Committed to personalized care” • “Health care that revolves around you” Slide 24 31 Perry/Undem Research Slide 25 Source: (M. U. Perry, T., 2009) Results – Phase II Thought Leaders Do Not Think PCMH Term is Understood Slide 26 32 Results – Phase II Thought Leaders Think PCMH Term Is Misleading or Confusing Slide 27 Results – Phase II Q: “What do you think are the most significant advantages of a PCMH for patients, families, and consumers?” A: Top themes included (in order of most frequent): • Coordination of Care/Improved Communication Among Providers • Team Approach • Patient Engagement & Empowerment • Better Communication Between Provider and Patient • Holistic Approach Slide 28 33 4/15/2015 Results – Phase II Q: “From the perspective of patients, families, and consumers, what words, phrases, and terminology would you use to describe the PCMH to patients in a way that would appeal to them and inform them of its value?” A: Top themes included (in order of most frequent): • Patient Engagement & Empowerment • Coordination of Care/Improved Communication Among Providers • Holistic Approach • Trust • Access to Care Slide 29 Results – Phase III • Analysis of oral responses – Themes emerged (thematic saturation) • • • • • Slide 30 34 Access Poor communication and lack of compassion Lack of trust Continuity of care and coordination of care Medical records management/health IT Results – Phase III • Preferred Terms and Phrases – – – – – – – – – “Same-day appointments” “Individualized plan” “Preventive care” “Up-to-date medical records” “Email (with provider)” “Working in teams” “Improve coordination” “Get to choose” [referring to PCP] “Trust” [referring to patients receiving medical care from a primary care provider they know and trust] Slide 31 Slide 32 35 Results – Phase III Theme Comment Coordination of Care/Improved Communication Among Providers 1. “Team/Coordinated approach from ground up.” 2. “Heavy communication via all media.” 3. “Allows for better communication between a team of doctors working to make/keep you healthy.” 4. “Streamlines information for you, doctors, and specialists.” 5. “Centralized records.” 6. “This would be more efficient, and that is much needed in health care.” 7. “Helps close some of the gaps between primary care physicians and specialists.” 8. “Patient-centered with coordination and communication between primary care and specialists for whole person approach.” 9. “Team approach, better communication, and continuity of care. 10. “Team approach, accessible records, and patient-focused communication.” 11. “You have one primary care doctor you trust who knows you and your history, and calls in any specialists as needed.” 12. “More opinions/resources on your problem/conditions as there is a team of providers working together on your case.” 13. “Your records are shared securely so you don’t have to repeat (or remember each time) them every time you go in.” 14. “Three minds are better than one” [referring to team-based care]. 15. “Stop filling out the same forms every time you change doctors.” Slide 33 Discussion • Results show both similarities and differences in the responses of thought leaders and patients. They may be explained by the following theories and original ideas: – One can apply Maslow’s hierarchy of needs to the more nuanced and specific results of this research. – Common ground between two different stakeholder groups – While there were some differences between thought leaders and patients on some of the specifics, they were in tune with each other on the major themes. – Humanism in Medicine – Despite vast technological and scientific advances within modern medicine, patients still crave the humanistic aspects. Slide 34 36 Discussion Maslow’s Hierarchy of Needs Source: Psychological Review 14 Slide 35 Common Ground • Macro level • Coordination of care/communication among providers • Team approach • Patient engagement & empowerment Slide 36 37 A Humanistic Touch • Patients/consumers want an ongoing relationship, trust, and adequate, clear communication with their primary care provider. • They crave the non-scientific and often humanistic aspects of medicine. • Unfortunately practices that are recognized or certified as a PCMH do not always provide these aspects and qualities.15 Slide 37 Conclusion • “Patient-Centered Medical Home” term does not resonate with patients/consumers. – However, most aspects of this model are desirable to them. and you need to: Slide 38 38 PCMH Stands for What? • Negative: “Process-Centered Medical Home” • Positive: “Providers Caring about My Health” Slide 39 Questions? Amanda Holt, MPH | Practice Transformation Strategist American Academy of Family Physicians | Practice Advancement Division 11400 Tomahawk Creek Parkway | Leawood, KS 66211-2672 Office: (800) 274-2237 | ext. 4164 | [email protected] | @aeholt Slide 40 39 References 1. 2. 3. 4. 5. 6. 7. 8. Nielsen, M. L., B.; Zema, C.; Hacker, T.; Grundy, P. (2012). Benefits of Implementing the Primary Care Patient-Centered Medical Home: A Review of Cost & Quality Results, 2012: Patient-Centered Primary Care Collaborative Rosenthal, T. C. (2008). The medical home: growing evidence to support a new approach to primary care. Journal of the American Board of Family Medicine, 21(5), 427-440. doi: 10.3122/jabfm.2008.05.070287 Nielsen, M., Gibson, L., Buelt, L., Grundy, P., & Grumbach, K. (2015). The Patient-Centered Medical Home's Impact on Cost and Quality, Review of Evidence, 2013-2014. Van Berckelaer, A., DiRocco, D., Ferguson, M., Gray, P., Marcus, N., & Day, S. (2012). Building a patient-centered medical home: obtaining the patient's voice. Journal of the American Board of Family Medicine, 25(2), 192-198. doi: 10.3122/jabfm.2012.02.100235 Bechtel, C. (2013, 14 Oct. 2013). [Personal Communication about patients/consumers and the PCMH]. Khanal, Y. (2013). The key to saving primary care. Retrieved from http://www.kevinmd.com/blog/2013/12/key-saving-primary-care.html Perry, M. U., T. (2009). Campaign for Better Care: Focus Group Analysis Conducted by Lake Research Partners. Washington, D.C.: Lake Research Partners. Group, T. R. (2010). Qualitative Research: PCMH Value & Language Recognition. Proprietary Research Presented as a PowerPoint presentation. National Committee for Quality Assurance (NCQA). Slide 41 References 9. 10. 11. 12. 13. 14. Slide 42 40 Patient-Centered Primary Care Collaborative: About Us. (2013). Retrieved October 1, 2013, from http://www.pcpcc.org/about Harrell, J. A., Baker, E.L. (1994). The Essential Services of Public Health. Leadership Public Health, 3, 27-30. About Healthy People. (2012). Retrieved 21 Dec 2013, from http://www.healthypeople.gov/2020/about/ Levy, J. (2014). U.S. Uninsured Rate Drops so Far in First Quarter of 2014. Retrieved from http://www.gallup.com/poll/167393/uninsured-rate-drops-far-first-quarter-2014.aspx Taylor, E. F., Lake, T., Nysenbaum, J., Peterson, G., Meyers, D. (2011). Coordinating care in the medical neighborhood: critical components and available mechanisms (pp. 45). Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. RWJF. (2011). Talking with Physicians about Improving Payment and Reimbursement: Key Communications Findings from Interviews and a National Survey with Primary Care Physicians. 43. http://www.rwjf.org/content/dam/web-assets/2011/04/talking-with-physicians-about-improvingpayment-and-reimbursemen Retrieved from: http://www.rwjf.org/content/dam/webassets/2011/04/talking-with-physicians-about-improving-payment-and-reimbursemen References 15. RWJF. (2011). Talking about Health Care Payment Reform with U.S. Consumers: Key Communications Findings from Focus Groups. http://www.rwjf.org/content/dam/web-assets/2011/04/talking-abouthealth-care-payment-reform-with-u-s--consumersRetrieved from: http://www.rwjf.org/content/dam/web-assets/2011/04/talking-about-health-care-payment-reformwith-u-s--consumers 16. Group, T. R. (2010). Qualitative Research: PCMH Value & Language Recognition. Proprietary Research Presented as a PowerPoint presentation. National Committee for Quality Assurance (NCQA). 17. Perry, M. U., T. (2009). Campaign for Better Care: Focus Group Analysis Conducted by Lake Research Partners. Washington, D.C.: Lake Research Partners. 18. Maslow, A. H. (1943). A theory of human motivation. Psychological Review(50), 370-396. Retrieved from: http://psychclassics.yorku.ca/Maslow/motivation.htm 19. Schwenk, T. L. (2014). The patient-centered medical home: one size does not fit all. JAMA, 311(8), 802-803. doi: 10.1001/jama.2014.352 Slide 43 41 42 Attachment I Upcoming Dates for Board of Director Meetings Friday, July 31, 2015 – 9 a.m. – noon - Interactive Learning Center, MPHI, Okemos, MI Friday, October 30, 2015 – 9 a.m. – noon - Interactive Learning Center, MPHI, Okemos, MI Friday, January 29, 2016 – 9 a.m. – noon - Interactive Learning Center, MPHI, Okemos, MI Friday, April 29, 2016 – 9 a.m. – noon - Interactive Learning Center, MPHI, Okemos, MI www.MIPCC.org 43 Attachment J Calendar of Events May 1 and June 1 From Alliance for Health First Friday Forum Date: Friday, May 1 Location: Grand Rapids, MI Registration: www.afh.org May 5-6 From the Practice Transformation Institute A Guide for Caring for the Aging Population Date: Tuesday, May 5 – Wednesday, May 6 Location: Madison Heights, MI Registration: www.transformcoach.org May 7 From Greater Detroit Area Health Council Coffee & Controversy: Do I Really Need the Antibiotic or Test? Date: Thursday, May 7 Location: Detroit, MI Registration: www.gdahc..org 44 May 14-17 From Michigan Osteopathic Association 116th Annual Spring Convention Date: Thursday, May 14 – Sunday, May 17 Location: Dearborn, MI Registration: www.mi-osteopathic.org May 19 From Michigan State University Institute for Health Policy Spring Forum 2015: Chutes or Ladders? What Will the Next Move Bring for Michigan’s Uninsured? Date: Tuesday, May 19 Location: East Lansing, MI Registration: www.michiganhpf.msu.edu Attachment J May 19-20 From Michigan State Medical Society ICD-10 Boot Camp Date: Tuesday, May 19 – Wednesday, May 20 Location: Troy, MI Registration: www.msms.org June 15-19 From the Michigan Academy of Family Physicians 51st Annual Northern Family Medicine Update Date: Monday, June 15 – Friday, June 19 Location: Shanty Creek Resorts, Bellaire, MI Registration: www.mafp.com June 18-21 From the Michigan Osteopathic Association NMOA Annual Summer Conference Date: Thursday, June 18 – Sunday, June 21 Location: Mackinac Island, MI Registration: www.mi-oestopathic.org July 15-18 From the Michigan Association of Health Plans 30th Anniversary Summer Conference Date: Wednesday, July 15 – Saturday, July 18 Location: Grand Traverse Resort, Acme, MI Registration: www.mahp.org July 23-26 From the Michigan Academy of Family Physicians Michigan Family Medicine Annual Conference and Expo Date: Thursday, July 23 – Sunday, July 26 Location: Traverse City, MI Registration: www.mafp.com July 30August 2 From the Michigan Association of Osteopathic Family Physicians 2015 Summer Family Medicine Update Date: Thursday, July 30 – Sunday, August 2 Location: Acme, MI Registration: www.maofp.org September 17-18 From Grand Valley State University Midwest Interprofessional Practice, Education, and Research Center 2015 Conference Date: Thursday, March 17 – Friday, March 18 Location: Grand Rapids, MI Registration: www.gvsu.edu/miperc/ 45 46 Attachment K Board of Directors and Membership Meeting Evaluation Form April 24, 2015 Please rate your agreement or disagreement with the following statements using the scale below: Strongly Agree 5 Somewhat Agree 4 Neutral Somewhat Disagree 3 2 Strongly Disagree 1 1) The agenda topics were relevant to the mission and goals of MPCC. 2) Items were clearly identified for information, discussion, or decision. 3) You had sufficient time in advance of the meeting to review the Board agenda. 4) Background materials provided were adequate to make informed decisions. 5) The meeting discussions were valuable and focused. 6) Board members are encouraged to participate in the meeting. 7) Board members clearly understand the mission and role of the Board. 8) Your time was well spent participating in this meeting. 9) Your overall evaluation of the meeting (If you have a comment on one of the above, please add the number): ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 10) Suggestions for future meetings: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 47
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