The newly released primary care advancement recommendations from the Josiah H Macy Foundation include a number of recommendations for further investment and action. While the 49 participants and the event leaders produced numerous recommendations concerning primary care organization, financing, education, and leadership worthy of closer inspection, we have quoted our favorites below:
….state and national legal, regulatory, and reimbursement policies should be changed to remove barriers that make it difficult for nurse practitioners and physician assistants to serve as primary care providers and leaders of patient-centered medical homes or other models of primary care delivery. [Conclusion I, Recommendation 2]
….Invest in primary care health information technologies that support data sharing, quality improvement, patient engagement, and clinical care, with the aim of continuously improving the health and productivity of individuals and populations. [Conclusion I, Recommendation 4]
….implement all-payor payment reforms that more appropriately recognize the value contributed by primary care through such mechanisms as global payments linked to patient complexity and accountability for the provision of healthcare services, including preventive services, care coordination across settings, chronic disease management, and 24/7 accessibility. [Conclusion I, Recommendation 5]
Can anyone help me square these proposals with AAFP’s turnabout with respect to its qualified support for retail clinics?
Tip of the cap to Healthleaders Media‘s Janice Simmons for her story on the release of the JHMacy Foundation report.