{"id":6695,"date":"2010-07-21T23:25:30","date_gmt":"2010-07-22T04:25:30","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=6695"},"modified":"2010-07-21T23:28:43","modified_gmt":"2010-07-22T04:28:43","slug":"moving-the-mountain-producing-evidence-and-results-on-methods-for-better-care","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2010\/07\/moving-the-mountain-producing-evidence-and-results-on-methods-for-better-care.html","title":{"rendered":"Moving the mountain: Producing evidence and results on methods for better care"},"content":{"rendered":"

I ran across a graphic today that warmed my heart:<\/p>\n

\"\"<\/a><\/p>\n

Recognize that agenda? (Click to enlarge if you want more clarity.) Sure is a lot of what we’ve discussed.<\/p>\n

Pie in the sky, tough hill to climb, nice idea but not feasible, right? Wrong. Thursday I’m at a quarterly meeting a group that’s already making this happen. They’ve got demonstration projects, measurable results, tests of different payment models, the whole nine yards. They’ve been working on it for five years<\/em>, and I don’t understand why none <\/em>of the better-health-minded people I talk to have ever heard of the group.<\/p>\n

It’s the Patient Centered Primary Care Collaborative, PCPCC<\/a>. They have great news, and we should all learn what they’ve been learning, so we can work on the next great leap forward.<\/p>\n

I also attended their April meeting in Washington. (I’ve been an informal “patient advisor” to them for two years.) Here are the slides Executive Director Edwina Rogers presented then. Look <\/em>at all the work they’ve been doing and the results they’ve produced.<\/p>\n

PCPCC Medical Home update, April 2010<\/a><\/strong><\/div>\n

<\/object><\/p>\n

Look at all the activity! Look at the many endorsements! Other presentations that day reported on the many subgroups’ activities and results.<\/p>\n

PCPCC has appeared a few times in these pages, most memorably in November 2008<\/a>, when their chairman showed his stripes. Our short post:<\/p>\n

Paul Grundy MD, of IBM, chair of PCPCC<\/a>, is interviewed in the current Crain\u2019s Benefits Outlook<\/a>, a business publication about employee benefit programs. This quote alone is worth the price of admission:<\/p>\n

I can buy a damn good amputation for my diabetic, but what I can\u2019t get is a good system in place to prevent my diabetic from needing<\/em> the amputation. We don\u2019t reward a system in which comprehensive coordinated care and robust prevention is valued.<\/p><\/blockquote>\n

Amen. What are we thinking, insurers, when we fund treatments instead of preventing them??<\/p>\n

Why has IBM led this? As I posted on my own blog in May 2008<\/a>, employers (especially big ones like IBM) pay the lion’s share of insurance costs; IBM spends $2 billion a year on healthcare worldwide. They also have data (lots <\/em>of data; this is IBM) about what works around the world.<\/p>\n

Kudos to the people who’ve been doing this work. Please spread the word to everyone you know who’s involved in improving healthcare – everyone should know these facts!<\/p>\n

I’ll post an update after tomorrow’s meeting.
\n<\/del>Update: just as this “went to press” an email arrived with speakers and slides from the next meeting<\/a>, July 22.<\/em><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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