Rhelinda McFadden, RN, CPHIMS, PCMH CCE

by Rhelinda McFadden, RN, CPHIMS, PCMH CCE, Manager, PCMH Practice Transformation, AFMC

The primary care provider is still at the forefront of health care as it transforms and transitions toward value-based models of care. Providers no longer just practice medicine. They are also being held accountable for the outcomes of their patients. The need to focus on the whole patient is necessary to deliver the highest quality of care.

There are many challenges with value-based programs, including program fatigue, staff fatigue and provider fatigue. Also, there are technical requirements for these programs, electronic health record (EHR) reporting, the staff skills required to produce and manage the reporting, the staff required to monitor and address the gaps identified through the reporting, the EHR vendor costs, and in multiple instances the EHR vendors’ inability to support the providers’ efforts in value-based programs. It takes true practice transformation to manage all of these challenges.

Practice transformation is what we do:

  • We provide personalized and individualized coaching and guidance in achieving the requirements of the state-based Patient-centered Medical Home (PCMH) program and other value-based programs
  • We support health care providers, processes, technology and payment reform
  • We help provider practices achieve financial incentives and avoid penalties of value-based programs

Many of the efforts of practice transformation build upon the principles of PCMH, which includes team-based care, population health management, patient-centered access, care management and support, care coordination and care transitions, and performance measurement and quality improvement.

AFMC has supported Arkansas practices throughout these efforts. Arkansas practices supported by AFMC’s practice transformation team have received more than $11 million in shared savings incentive payments through Arkansas Medicaid for the Arkansas Payment Improvement Initiative PCMH program since its launch in 2014.

It’s not just about shared savings, though. Since AFMC began supporting practices in 2015, continuous improvement can be seen in:

  • Wellness measures increasing 15–25% for the practices that AFMC serves
  • Continuous improvement in measures for upper respiratory infection, cervical cancer screening, colorectal cancer screening and breast cancer screening

AFMC’s practice transformation team knows value-based programs and will support your practice and your efforts to achieve incentives and avoid penalties. We work to take the guesswork out of it for you. We provide ongoing education and monitoring to ensure your practice continues to improve, and we identify gaps that need to be addressed before they have an impact on the practice.

AFMC’s practice transformation team is the support you have been looking for.
Call 501-212-8733 or email PCMHPT@afmc.org to find out more.