American Academy of Pediatrics (AAP)

The Idaho Medical Home Collaborative (IMHC), created by executive order of Governor Otter in September 2010 and supervised by the Department of Insurance, has been developing a multipayer multispecialty (family medicine, internal medicine, pediatrics) patient-centered medical home pilot to be tested across the state. Both practice transformation and a new blended payment model (Fee for service, per member per month, shared savings) are to be demonstrated in the pilot. Ultimately the goal is to fulfill the vision of having a medical home for every Idaho citizen while meeting the triple aim of improving health outcomes, enhancing patient and provider satisfaction, and achieving overall net cost savings. This announcement is intended to provide advance notice to those practices that may wish to consider participation as a pilot practice in the IMHC.

At the same time that the IMHC statewide effort has been working out the final details, an exciting new initiative has just been announced by Centers for Medicare and Medicaid Services (CMS) which would bring Medicare in as a participating payer. Idaho payers intend to submit the strongest possible applications and the IMHC is planning strategies to make Idaho a compelling choice during this competitive nationwide process. CMS will make final selection of the CPCI markets approximately March 1, 2012.

If Idaho is chosen as a demonstration state, practice solicitation would occur in the spring of 2012 with the intent to be operational by summer 2012. Since this will be an aggressive timeline, we felt practices that would have an interest in participating should begin their preparations very soon in order to be considered during the application process. CMS will be looking for up to 75 practices to take part in each state. These practices will be reimbursed based on a blended payment model combining fee-for-service with a per-patient, per-month care coordination fee ranging from $8-$40 but averaging $20. The demonstration will offer bonus payments to primary care doctors who better coordinate care for their patients. Qualifying practices must use an electronic health record or an electronic registry with preference given to those who have met meaningful use. The practice must also be the first point of contact for patients while also providing ongoing care and be led by a board-certified general practitioner, internist, family physician, geriatrician or advanced practice nurse (as allowed by state law) and provide predominantly, but not necessarily exclusively, primary care services. The CPCI excludes FQHC?s and participants in other Medicare initiatives.

The membership in the IMHC include the major commercial payers Blue Cross, Regence, PacificSource in addition to Idaho Medicaid along with the state chapters of the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians and the Idaho Primary Care Association. Additional active members include the Governor?s Office, Dept. of Insurance, State Legislature, Idaho Medical Association, Idaho Hospital Association and many other Idaho healthcare stakeholders who share the same vision for a higher performing health care system for Idaho.

Although we are optimistic about participation in the CPCI, whether or not Idaho is chosen we still plan to move forward with the original IMHC pilot which will commence practice solicitation, including pediatric practices, in a similar timeframe. The IMHC will have an operational website which will make announcements about the application process after the beginning of 2012.

The Idaho Medical Home Collaborative looks forward to your consideration of this important effort to improve patient outcomes while strengthening primary care. For further information you may contact the following:

Brian Peace
Project Lead, Idaho Medical Home Project
208.364.1809

Neva Santos
Executive Director, Idaho Academy of Family Physicians
208.323.1156

Scott Smith MD
Internal Medicine, Boise VA Medical Center

Tom Patterson MD
President, Idaho AAP Chapter

I would also gladly welcome any inquiries and I look forward to working with many of you as we embark on this exciting collaborative.

Scott Dunn MD
Co-chair, Idaho Medical Home Collaborative


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New Items January 2012 Newsletter (pdf) AAP Helps Coaches and Parents Recognize Concussions, Infectious Diseases in Child Care and Early Education, Local Infectious Disease Trends Throughout Idaho, and more! Electronic Health Records Update It's not too late to vaccinate - Get your flu vaccine today! When you see "Get Your Flu Vaccine Here" signs and banners outside pharmacies and in doctor's offices, you might think, "it's winter already; isn't it too late for that?" The answer is no. Chapter Immunization Initiatives Web Page Update 2012 Tobacco Tax Grassroots messages to legislators will be so important in demonstrating support from over 2/3 of Idahoans. Poster (pdf) Radio Spot (mp3) Radio Spot Transcript (pdf) App takes the guesswork out of recognizing concussions (iTunes App Store) A Smartphone and tablet application now makes it possible for parents and coaches to recognize and respond to possible concussions in athletes. Developed by Gerard Gioia, Ph.D. and Jason Mihalike, PhD, the app is based on the Centers for Disease Control and Prevention's Heads-up: Concussion in Youth Sports Materials. This application helps parents and coaches go through a checklist of possible signs/symptoms to determine whether to remove a child from play and the need for further medical examination. The app also incorporates an email interface to allow for additional information to be send immediate to a physician or anyone else. KidsDoc Symptom Checker App now available The $1.99 app offers advice derived from clinical protocols, definitions and decision charts on when to call the pediatrician or 911. 2010 Outstanding Chapter Award As a very small chapter and when over 90% of our income comes from dues, this award has allowed us to help other programs and develop programs new for our chapter and our state. BeTheParents.org The epidemic of teenage drinking is preventable. Everyone can play a role in helping youth make positive choices; explore BeTheParents.org website to learn how to be part of the solution. March of Dimes 2012 Chapter Community Grant The March of Dimes is a national voluntary health agency whose mission is to improve the health of babies by preventing birth defects, premature birth and infant mortality. As part of this effort, the Idaho Chapter invites you to participate in our 2012 Community Grants Program. The goal of the community grants program is to identify and fund community-based programs in the state of Idaho focused on mission priority areas. Early Hearing & Detection and Intervention in Idaho Email Express – December 2011 (pdf) Upcoming Events, Gene Therapy for Ears, PEHDIC on Facebook, AAP EHDI Resources Online, ASHA Health Insurance Resources, 2012 EHDI Meeting Registration, AADB, and Words of Inspiration News from Idaho Public Health Association (pdf) IPHA Receives Outstanding Affiliate of the Year Award, Unmet Social Needs Worsen Health, Who's Leading the Leading Health Indicators, and Special Thanks to Donors Quick Notes from the Idaho Office of Highway Safety – 12/28/11 (pdf) Accomplishments and Calendar of Events! Quick Notes from the Idaho Office of Highway Safety (pdf) NTSB recommends Full Ban on Use of Cell Phones While Driving, 16th Annual Idaho STAR Instructor Appreciation Banquet, Aggressive Driving Program Funding Available, Impaired Youthful Drivers, and more! Idaho Health Data Exchange Newsletter — December 2011 (pdf) The IHDE was created as a result of the efforts of the Health Quality Planning Commission. The Health Quality Planning Commission was created by the 2006 Legislature. The Commission was charged with promoting improved quality of care and health outcomes through investment in health information technology. Dating violence common among teens in the ER: Study More than half of teens and young adults treated at an inner-city emergency room said they had experienced dating violence, either as a victim or a perpetrator, in a new study. Early Hearing & Detection and Intervention in Idaho November Email Express (pdf) This month's AAP-EHDI newsletter has some great information and links for the Medical Home on follow-up and resources for families of children with hearing loss written by the AAP National Chapter Champion for EHDI- Dr. Albert Mehl of Colorado. Kids Count Newsletter – November 2011 Idaho KIDS COUNT announces a new report, Third Grade Reading, Why Reading at Grade Level Matters. It covers the importance of reading proficiency and examines Idaho's progress. Idaho KIDS COUNT is also pleased to announce the upcoming event, Read to Learn, Read to Earn: A Policy Forum on December 7th at the Boise State Student Union Building. CATCH Grants - 2012 Implementation and Cycle 2 Resident Funds Programs The American Academy of Pediatrics is pleased to announce that CATCH will be accepting submissions for its Implementation and Resident Funds programs beginning November 1, 2011. Patient-Centered Medical Home (PCMH) Demonstration Project A collaborative effort between Idaho and Utah to improve health outcomes and satisfaction among children and families in both states. The five year project is federally funded by the Centers for Medicare and Medicaid Services through the Children's Health Insurance Program Reauthorization Act. Interest Sheet ›› Recruiting PowerPoint ›› New Opportunity: CMS Innovation Advisors Program Pediatricians with interest and relevant experience are encouraged to apply by the deadline of November 15, 2011. Up to 200 participants chosen as advisors under the program will create a national network of experts who will advise the CMS Innovation Center on improving the delivery system of care for Medicare, Medicaid, and CHIP beneficiaries. ImmYounity website The Web site is designed to provide vaccine-related information to parents and caregivers in a simple and engaging way. Parents and caregivers can share digital infographics and fact cards in an effort to facilitate more dialogue about the importance of vaccination. Pediatrician Judith S. Palfrey, MD, FAAP, Named Executive Director of Let's Move! Initiative (press release) Pediatric Preventive Care Expert Will Further Strengthen Anti-Childhood Obesity Campaign Disaster Preparedness Check out our new page with brochures, posters, fliers, activity pages, and other resources to prepare for flood, power outtage, and other potential disasters. New Alcohol Screening Guide Will Help Clinicians Identify Underage Drinkers Keep Medicaide Strong—The Importance of Medicaid for Children (pdf) More than 14 million children are protected by the maintenance of effort (MOE) provisions in current law. If these protections are repealed, the CBO has estimated that 300,000 children will lose health insurance coverage. Facts About Medicaid in Idaho (pdf) Medicaid is the single largest health insurer for low-income children. It is also the primary source of health care for low-income parents and other non-elderly adults, the elderly, and persons with disabilities. Embrace Life Watch and download this beautiful commercial encouraging the use of seatbelts. (5.7 MB wmv)	Calendar January is Stalking Awareness Month Visit the Stalking Awareness Month website ›› Check out the Stalking Resource Center's webpage ›› January 2012 webinar series Diagnosis and Assessment of Autism Spectrum Disorders (ASD) February 2 - Linking Assessment to Intervention Webinar will focus on research-based interventions used with individuals with ASD. ~January 26th and February 2nd webinars presented by Casi Olson, M.A.~ Pre-register at http://itcnew.idahotc.com/webinars/upcoming-webinars.aspx Attendance is first come, first served so it is important to log on to each live webinar before it begins. WEBINARS are FREE and AIR LIVE: 4:00pm - 6:00pm MST 3:00pm - 5:00pm PST Professional Development Credit through the University of Idaho is available More Information ›› Building Your Pediatric Practice: Tools of the Trade March 10-13 Seattle, WA Renaissance Seattle Hotel Sponsored by the AAP Section on Uniformed Services and the American Academy of Pediatrics Earn a Maximum of 25.25 AMA PRA Category 1 Credits^TM View Brochure ›› National Cocooning Summit March 15-16 REGISTRATION IS AT NO COST, BUT YOU MUST PRE-REGISTER. Four Seasons Hotel Las Vegas, NV Objectives: Highlight the national and state Influenza and Pertussis Epidemiology in the United States. Review national recommendations for Influenza and Tdap vaccinations especially of adolescents, pregnant and postpartum women and healthcare professionals. Present experiences with implementing Influenza and/or Tdap programs in immunization delivery settings. Register NOW ›› Addicted at Birth March 29 During this hour-long program, Addicted at Birth, see how doctors, nurses, and other professionals treat these tiny addicts and why it is so expensive and time-consuming. We'll learn why some pregnant women do not seek help during their pregnancy and why abruptly stopping prescription use can be harmful for both mother and the baby. Hear how law enforcement and other emergency responders play a big role in insuring help for the newborns. More Info ›› Shot Smarts April 24—Idaho Falls Shilo Inn 780 Lindsay Boulevard Idaho Falls, ID 83402 April 25—Boise Boise State University—Student Union Building 1910 University Dr. Boise, ID 83725 April 27—Coeur d' Alene Coeur d' Alene Inn 506 W Appleway Ave Coeur d'alene, ID 83814 National Conference on Immunization and Health Coalitions May 23-25, 2012 Abstracts are being sought on many topics. The deadline for submitting abstracts is November 15; submissions must be in electronic format. To access the Call for Abstracts and the submission form, go to http://www.shotsfortots.com/html/10thNCIHCabstracts.html For more information on the conference, go to: http://www.shotsfortots.com/html/10thNCIHC.html	The Idaho Medical Home Collaborative (IMHC), created by executive order of Governor Otter in September 2010 and supervised by the Department of Insurance, has been developing a multipayer multispecialty (family medicine, internal medicine, pediatrics) patient-centered medical home pilot to be tested across the state. Both practice transformation and a new blended payment model (Fee for service, per member per month, shared savings) are to be demonstrated in the pilot. Ultimately the goal is to fulfill the vision of having a medical home for every Idaho citizen while meeting the triple aim of improving health outcomes, enhancing patient and provider satisfaction, and achieving overall net cost savings. This announcement is intended to provide advance notice to those practices that may wish to consider participation as a pilot practice in the IMHC. Read more ›› The Idaho Chapter has a workbook and DVD from the Department of Health and Human Services called "Stop Bullying Now, lend a hand!" This includes an activities guide for working in the school and community and also a video toolkit. If interested, please email Sherry Iverson to have one mailed to you free of charge. Follow us on Twitter at Twitter.com/AAPIdaho/ Immunizations Idaho's kids are catching things they shouldn't. See what we're doing ›› Child Passenger Seat Safety Buckle up and save a child. See what we're doing ›› Child Abuse Prevention Don't raise a hand in anger. See what we're doing ›› Teen Relationships Helping teens build stronger relationships. See what we're doing ›› Crossing The Line: Sexual Harrassment at School (pdf) CDC Announces New Initiative to Help Urban Communities Prevent Teen Dating Violence The Centers for Disease Control and Prevention (CDC) awarded grants to four communities for its new teen dating violence prevention initiative, Dating Matters^TM. Senator Crapo Issues Op-Ed: We Have A Responsibility To End Violence Between January and June of this year alone, there have been 15 intimate-partner related deaths in Idaho. We all have an individual and collective responsibility to end violence in our homes and communities. Concussions Helping protect those most fragile. See what we're doing ›› Respiratory Virus Tracking Forecasting for Idaho. See what we're doing ›› Childhood Obesity Over 50% of Idaho's kids are overweight. See what we're doing ›› Electronic Health Records Efficiency thru technology. See what we're doing ›› Medicaid Incentive Program See how we're helping ›› Awards and Recognitions Recognizing those who make a difference. See who's helping ›› Continuing Medical Education Never stop learning. See how we're helping ››
Hot Topics & Issues Early Newborn Hearing Immunizations Child Passenger Safety Kids Count Injury Prevention Emergency Preparedness Health Information Technology Underage Drinking Teen Relationshiops Child Abuse Literacy Autism Practice Management Respiratory Virus Tracking Obesity Asthma Oral Health Nutrition

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New Items

Calendar

January is Stalking Awareness Month

January 2012 webinar seriesDiagnosis and Assessment of Autism Spectrum Disorders (ASD)

Building Your Pediatric Practice: Tools of the Trade

National Cocooning Summit

Addicted at Birth

Shot Smarts

National Conference on Immunization and Health Coalitions

Follow us on Twitter at Twitter.com/AAPIdaho/

Immunizations

Child Passenger Seat Safety

Child Abuse Prevention

Teen Relationships

Concussions

Respiratory Virus Tracking

Childhood Obesity

Electronic Health Records

Medicaid Incentive Program

Awards and Recognitions

Continuing Medical Education

Hot Topics & Issues

January 2012 webinar series
Diagnosis and Assessment of Autism Spectrum Disorders (ASD)