Terry McGeeney, MD, MBA, President and CEO, TransforMED

1. TransforMED after the National Demonstration Project: Health Innovation Technology Updates and Path Forward Terry McGeeney, MD, MBA, President and CEO, TransforMED Nathan Bieck, Marketing Communications Manager, TransforMED

2. Terry McGeeney, MD, MBA President and CEOTransforMED

3. Webinar Overview • Overview of TransforMED • National Demonstration Project (NDP) • Initial NDP learnings • Online innovation tools (distillation of our learnings) • MHIQ 2 (NCQA and Meaningful Use Crosswalk) • Online Practice Assessments (CRA, PEAT) • EHR Prep-Select Tool • Delta-Exchange (Zone Demonstration) • TransforMED after the NDP • Pilot and Project Updates • Physician Education and Messaging • 2010 Match Results (P4 Initiative)

4. TransforMED Mission Transformation of health care delivery to achieve optimal patient care, professional satisfaction and success of primary care practices To be a catalyst for HIT adoption within the health care community

5. About TransforMED Non-Profit, wholly-owned subsidiary of the American Academy of Family Physicians (AAFP) Improves patient care while increasing satisfaction for family physicians and their practice team Acts as a leader and catalyst to generate positive transformations in family medicine and primary care Provide assistance with HIT technology solutions that aid in Patient-Centered Medical Home transformation

6. About TransforMED • Provide hands-on Medical Home Facilitation, Practice Retreats, Assessments and Tailored Training. • Full Facilitation • Virtual Facilitation • Targeted Transformation • Gap Analysis

7. Access to Care &Information • Health care for all • Same-day appointments • After-hours access coverage • Accessible patient and lab information • Online patient services • Electronic visits • Group visits • Practice Management • Disciplined financial management • Cost-Benefit decision-making • Revenue enhancement • Optimized coding & billing • Personnel/HR management • Facilities management • Optimized office design/redesign • Change management • Practice-Based Services • Comprehensive care for both acute and chronic conditions • Prevention screening and services • Surgical procedures • Ancillary therapeutic & support services • Ancillary diagnostic services • Health Information Technology • Electronic medical record • Electronic orders and reporting • Electronic prescribing • Evidence-based decision support • Population management registry • Practice Web site • Patient portal • Care Management • Population management • Wellness promotion • Disease prevention • Chronic disease management • Patient engagement and education • Leverages automated technologies • Quality and Safety • Evidence-based best practices • Medication management • Patient satisfaction feedback • Clinical outcomes analysis • Quality improvement • Risk management • Regulatory compliance • Care Coordination • Community-based services • Collaborative relationships • Emergency room • Hospital care • Behavioral health care • Maternity care • Specialist care • Pharmacy • Physical Therapy • Case Management • • Care transition • Practice-Based Care Team • Provider leadership • Shared mission and vision • Effective communication • Task designation by skill set • Nurse Practitioner / Physician Assistant • Patient participation • Family involvement options

8. The National Demonstration Project(NDP) www.transformed.com/ndp 24-month Project Project rigorously pilot tested the TransforMED patient-centered model-of-care in 36 family medicine practices from across the United States. The NDP pilot project concluded in June of 2008.

9. Initial NDP Learnings • Transforming to a patient-centered medical home (PCMH) isn't easy…requires change throughout entire practice (Leadership, Teamwork, Communication) • Medical practices can be lonely places: physicians and staff often feel isolated. (peer-to-peer learning) • Do it Yourself Attitude (DIY) • Technology isn’t plug and play but critical to medical home transformation • NDP Outcomes (No external sources of revenue) • 10.49% increase in practice revenue • 14% increase in physician salaries

10. 5 Recommendations for PCMH Establish realistic initial expectations for time and resources required Develop a practice technology implementation plan Understand the work flow within the practice Monitor change fatigue and burnout Learn to be a learning organization http://www.annfammed.org/cgi/content/full/7/3/254

11. TransforMED Innovation Tools • MHIQ 2 (NCQA Crosswalk, Meaningful Use Crosswalk) • Change Readiness Assessment (CRA) • Patient Experience Assessment Tool (PEAT) • EHR Prep-Select Tool (TransforMED and Welch Allyn) • Delta-Exchange Social Network

12. MHIQ www.transformed.com/mhiq

13. CRA • The Online Change Readiness Assessment is designed to assess where a practice stands when it comes to implementing change • The CRA gathers information from the entire practice (physicians, practice managers, clinical and office staff) in 5 key areas: • Change Management • Communication • Leadership • Teamwork • Job Satisfaction

14. PEAT Short questionnaire that provides practices with information and insight on their patients' view of the services that they provide Practices can use results to design and track quality improvement initiatives over time, as well as compare to other practices. Online or via a paper questionnaire

15. EHR Prep-Select Tool • Systematically prepares and guides practices toward an informed and cost-effective EHR selection decision. • Addresses the common problems within a practice and will walk you through 4 simple, yet comprehensive steps. • Eliminates the frustration associated with EHR selection and helping you make a well informed decision. • Those 4 steps include: • Organizational readiness • Personnel training • Technology and work flow planning • Capital planning

16. Nathan Bieck, Marketing Communications ManagerTransforMED

17. Online Social Network for Practice Transformation • 1000+ members • Medical home thought leaders, practices and their team members • Access to immediately useful PCMH resources • TransforMED Facilitators (Ask the Experts Zone) • How-to-Articles (Leadership, Teamwork, Communication) • Live and On-Demand Webinars • Practice Forms and Templates • NCQA Zone

22. TransforMED: The Path Forward

23. PCMH: From Vision to Reality

25. Partnership Development

26. Messaging PCMH

27. Web Site www.transformed.com

28. Match Results Impressive AAFP News Now Match Results: 2010 Fill Rate for Family Medicine Highest Ever By Barbara Bein3/18/2010 2,404 family medicine positions were filled out of 2,630 positions offered, for a fill rate of 91.4 percent, the highest percentage of family medicine positions ever filled in the NRMP.

29. P4 Demonstration Initiative www.transformed.com/p4 For the first time, all 14 residencies in the Preparing the Personal Physician for Practice, or P4, Demonstration Initiative filled their open positions during the Match.

30. Thank You Questions Terry McGeeney tmcgeeney@transformed.com Nathan Bieck nbieck@transformed.com