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In This Issue
Hudson River HealthCare Expands with PCDC Low-Cost Financing
NYC Organizations Partner to Improve Access to HIV/AIDS Care
PCDC and CHCANYS Kick Off Medical Home/Meaningful Use Learning Series
Berwick to Officially Lead CMS
PCDC Brings Redesign Strategies to the West Coast
At PCDC Gala, Ted Kennedy, Jr. Pays Tribute to His Father
NYS Medicaid Launches Medical Home Reimbursements
National Health Center Week: August 8th - 14th
Dear Friends,

The heat is on- and I'm not just talking about the weather! After celebrating the landmark victory of healthcare reform this spring, we are now faced with the critical stage of implementation. It is a time that will challenge all of us to re-prioritize and take necessary steps to build a foundation of strong primary care that will reduce costs, improve quality and reduce disparities that have for too long made us a nation of health care haves and have-nots.
 
As we see it, there are two major tasks that we must undertake.  First, is the expansion of primary care capacity, so everyone has access to services - not just health insurance.  Second, is transforming the model of care into one that is integrated and patient-centered, so we can achieve the quality improvements and cost savings essential to meaningful reform. 
 
We look forward to working with our many partners to make this expansion and transformation a reality. In this issue, you will read about how our Capital Financing program is adding primary care capacity throughout the state, as we kick off deployment of our $40 million New Markets Loan Fund. And how we are helping providers in New York and Los Angeles navigate and take full advantage of new opportunities, including patient-centered medical home recognition and meaningful use of health information technology.
 
With health care reform we finally have a national imperative to transform our system- now let's get to work!

Sincerely,
 
Ronda Kotelchuck
Executive Director
Low-Cost Financing Helps Hudson River HealthCare Expand Monticello Site 

"This community has long needed additional access to quality health care, but with low-cost financing from PCDC, we are able to establish a major health center in Downtown Monticello, and provide necessary primary and dental care to thousands of patients in the community."
-
Anne Kauffman Nolon, President & CEO, Hudson River Healthcare

On July 6th, PCDC announced deployment of $2.85 million in financing to Hudson River HealthCare (HRHC), signifying the first project for PCDC's statewide $40 million New Markets Loan Fund.  The low-interest, long-term financing will allow HRHC to acquire a prime downtown Monticello property to expand primary care and dental services to low-income patients in Monticello and surrounding communities.  

The 25-year loan carries a fixed interest rate of 4.77%, and the loan is structured so that up to 26% of the principal amount may be forgiven. PCDC's New Markets Loan Program, operated in conjunction with HSBC Bank USA, N.A., offers below-market, long-term, fixed rate loans to expand primary care in low-income communities.  Additional funding was provided through a $200,000 federal grant secured by Congressman Maurice Hinchey (D-NY).

Click here for full press release.
Click here to learn more about PCDC's loan products.
Click here to submit a loan inquiry.
Healthcare Reform: PCDC is Ready

youtube2Federal health care reform and strong New York initiatives are finally making primary care a priority. But healthcare reform is what we make of it, and there are two key issues that we believe must be addressed if we are going to achieve the promise of better care and lower costs for everyone: expanding primary care capacity, and transforming the delivery of care. PCDC has been tackling these key issues since 1993.

Click here for our new video to learn more about PCDC and our efforts to expand and transform primary care.
PCDC, NYC Organizations Join National Initiative to Improve Access to HIV/AIDS Care
 
"Properly managed, people living with HIV/AIDS can now live healthy, productive lives; but lack of outreach, follow up, and care coordination means many vulnerable New Yorkers are not getting the treatment they need, and the results are often fatal." - Len McNally, program director, New York Community Trust, and Chairman, NYC AIDS Fund.

The New York City AIDS Fund of the New York Community Trust has received a $1.7 million grant to bring coordinated and consistent primary care to more than 1,500 New Yorkers living with HIV/AIDS. The partnership called ACCESS NY, brings together PCDC, the NYC AIDS Fund; Amida Care, and local HIV/AIDS specialty provider groups.

The partnership will leverage Amida Care's experience in recruiting, enrolling, and maintaining new HIV+ patients, their extensive HIV primary care provider network, and PCDC's expertise in redesigning systems of care to focus on quality, continuity, and patient access.  New York is one of five regions nationally to receive the award, which is provided by the National AIDS Fund and Bristol Myers-Squibb.

Click here for the press release.
Click here for more information about PCDC's Practice Redesign program.

wcdm2010PCDC and the Community Health Care Association of New York State (CHCANYS) are launching a new learning collaborative that simultaneously prepares primary care centers for two major upcoming initiatives which link financial incentives to improved patient care. They include NYS Medicaid's medical home reimbursement enhancements and the federal government's payments for "meaningful use" of health information technology.

This six-month collaborative program will equip health centers with the knowledge, tools, and resources to: compile a medical home survey submission to the NCQA; collect 90 days of data required for Stage 1 meaningful use objectives; and identify future areas of improvement.
 
PCDC and CHCANYS will host an information session on July 21st at Baruch College for health centers interested in participating in the Learning Series. This program is made possible through generous support from The Altman Foundation and The New York Community Trust.

Click here to learn more to RSVP for the July 21st informational session.
Click here to download PCDC's Medical Home "How-to" Manual.
Click here for PCDC's Medical Home Resource Center.

Just announced: On Tuesday, July 13th the Department of Health and Human Services announced final release of meaningful use standards and certification under the HITECH Act's Electronic Health Records (EHR) incentive program. Click here for more information.


berwickAfter four years without a permanent administrator and in anticipation of major health care reform implementation, President Obama bypassed Congress last week and appointed Dr. Donald M. Berwick to lead the Center for Medicaid and Medicare Services (CMS); a $700 billion a year federal agency.  Berwick is President & Founder of the Institute for Health Care Improvement (IHI), a pediatrician, and health policy expert, dedicated to improving the quality of healthcare in the United States.

"Dr. Berwick's leadership will be critical to the expansion and transformation of primary care in the U.S., which is the foundation for the quality improvements and cost savings we expect from health care reform," wrote PCDC's Ronda Kotelchuck in a letter to the members of the Senate Finance Committee.

The principles of Dr. Berwick's work in healthcare and clinical practice form the basis for PCDC's Performance Improvement programs, particularly in introducing new knowledge, improving performance, and expanding access to care. Using IHI's theories and methods, PCDC has coached more than 200 primary care teams at community health centers, ambulatory clinics, and hospitals to reduce no-shows, appointment backlogs and cycle times, while improving patient and provider satisfaction.

Click here to read PCDC's letter of support to Senator Charles Schumer.
PCDC Brings Marketing and Community Outreach Strategies to Los Angeles Safety-Net Clinics

LA Care LogoPCDC recently partnered with L.A. Care Health Plan, the nation's largest public health plan, to help Los Angeles clinics implement marketing strategies to bolster community outreach efforts and ultimately recruit additional patients.

Guided by the strategies and tactics of PCDC's Practice Redesign program, the "Attracting and Retaining Patients" will help participating clinics learn the fundamentals of customer service, identify and communicate areas of improvement and better understand the local community's health needs. The nine-month program will focus on delivering customer service that specifically aligns with the principles of the patient-centered medical home and improves patient experience.

Click here for PCDC's Marketing & Customer Service Case Study using provider and patient experiences at Urban Health Plan.
Perspectives on Primary Care

The federal government's $11 billion investment in community health centers will double the number of patients served to 40 million and produce at least $180 billion in system-wide health care savings by 2019.

Source: Strengthening Primary Care to Bend the Cost Curve: The Expansion of Community Health Centers Through Health Reform from the Geiger Gibson/RCHN Community Health Foundation (June 2010).
Sharing Knowledge
PCDC Presents at Conferences & Events

June 8: New York Association of Ambulatory Care
EMR and Adoption of Clinical Decision Support: Preparing for Patient-Centered Medical Home Recognition  Reports on an AHRQ study evaluating the use of clinical decision support (CDS) functionality in a community health care setting. The study is being conducted by PCDC in partnership with Open Door Family Medical Centers, NYU School of Nursing and Dentistry and the Columbia University Mailman School of Public Health.
Presented by: Helene Kopal, Program Director and Daren Wu, Chief Medical Officer, Open Door Family Medical Centers.

June 7: World Conference on Disaster Management
How Emergency Managers and Public Health Officials Can Deliver Low-Cost and Effective Emergency Management Services  Discusses the cost-effective and efficient models that providers can use to deliver services and resources during emergencies.
Presented by: Brian Silva, Program Manager, Performance Improvement

June 1-2: HRSA Region II Annual Conference
Achieving Success with a Capital Project  Identifies and discusses common challenges and best practices for health center leaders to successfully manage teams during a facility development project.
Presented by:
Tom Manning, Director of Capital Financing, Nancy Lager, Director of Project Planning, and Emily Chen, Director of Operations.
 
When Medical Home Meets Meaningful UseDiscusses the overlap between medical home and meaningful use and suggests complementary methods, tools and approaches to achieve both sets of standards.
Presented by
: Peter Cucchiara, Director, HIT, and Lisa Perry, CHCANYS

May 11: Cornell University Int'l Health Care Conference
Creating Medical Homes and Integrated Primary Care  Discusses emerging trends for providers seeking PCMH recognition in primary care settings.
Presented by: Vanessa Rudin, Senior Program Manager

May 7: National Association of Community Health Centers National Farmworker Conference
Patient-Centered Medical Home Recognition: A Primer  Shares PCDC's latest medical home tools and best practices to navigate the medical home recognition process.
Presented by: Regina Neal, Director, Practice Redesign and Cari Reiner, Senior Program Manager
About PCDC

Since 1993, PCDC has been transforming healthcare in underserved communities by providing high-impact financing, innovative services, and policy leadership that helps providers expand access to high-quality, patient-centered primary care. Our mission is driven by three key strategies:
 
Investing... We provide the capital to build new facilities, expand practices, and upgrade outmoded equipment, leading to better services for more patients. 

Strengthening...We guide providers to develop patient-centered approaches that strengthen their practices and transform the delivery of care.
 
Leading... We promote policies that increase access to quality primary care in order to lower costs and improve the health of communities.
 wcdm2010
 OFN
Mayor Bloomberg and Ted Kennedy, Jr. Join PCDC to Honor Healthcare Heroes
Mayor Bloomberg, Ronda Kotelchuck & Ted Kennedy, Jr.
Mayor Michael Bloomberg and Ted Kennedy, Jr.
 
On June 17th, PCDC's Annual Spring Gala honored four healthcare leaders and welcomed special guests, Mayor Bloomberg and Ted Kennedy, Jr.
 
More than 450 friends and guests joined PCDC at Bridgewaters in South Street Seaport to celebrate the new prominence of primary care in healthcare reform.  The event raised funds to support PCDC's programs and services to help improve access to primary care in low-income communities in New York and across the country.
 
Click here for photos on Flickr.
Click here for speeches on YouTube.
Click here for the event journal.
Kennedy Remembers His Father's Lasting Contribution to Health Center Movement
wcdm2010

At PCDC's Annual Spring Gala, in a special keynote address, Ted Kennedy, Jr. delivered a moving tribute to the work of his father, the late Senator Edward Kennedy, acknowledging his role in promoting community health centers when he first came to the Senate.

Click here for the YouTube video.
PCDC and Community Leaders Develop Emergency Response Plan
On June 2nd PCDC brought together dozens of health professionals, community leaders, and area residents from Manhattan's Community District 5 to draft a community-wide emergency preparedness plan. Included in the district-wide plan are ten initiatives to be carried out over the next year, including conducting training and drills, and encouraging neighboring institutions to adopt emergency command systems.

Supported by the New York City Council, the program teaches organizations important skills, such as train volunteers and install telecommunications systems, how to dispense vaccines during a patient surge, use phone trees to mobilize their off-duty health care professionals, create systems that alert and update other centers to disasters.

Click here for more information on PCDC's Emergency Preparedness program.

Click here for an article about the program in City Limits Magazine.
NYS Medicaid Medical Home Reimbursements Get Thumbs Up from Feds
After months of anticipation, July 1st marked the official launch of New York State Medicaid's reimbursement enhancements for providers recognized as medical homes by the National Committee for Quality Assurance. Private practices and community health centers are all eligible for enhancements, which are based on NCQA recognition levels and range from $2 to $6 per visit. 

Providers seeking NCQA Medical Home recognition should visit PCDC's Medical Home Resource Center, which includes helpful links and fact sheets, PCDC's latest publication Obtaining Patient-Centered Medical Home Recognition: A How-To Manual,"  and more information on PCDC's medical home services.

Click here for more information and future Medicaid updates.
"Money Driven Medicine" Author Screens Film at PCDC
On June 7th, Maggie Mahar visited the PCDC staff to screen the documentary film, Money-Driven Medicine, based on her 2006 book Money-Driven Medicine: The Real Reason Health Care Costs So Much. The film provides an essential introduction to the U.S. healthcare system and the economics that drive it. The film includes stories from doctors and patients, plus insights from Dr. Donald Berwick, Dr. James Weinstein of Dartmouth and bio-ethicist Dr. Larry Churchill of Vanderbilt.

Ms. Mahar is a fellow at The Century Foundation and writes the "HealthBeat Blog," author of Bull! A History of the Boom, 1982-1999 and a former financial reporter for Barron's, Money Magazine, The New York Times, and Bloomberg.

Click here for the HealthBeat Blog.
Click here to view the film.
National Health Center Week: August 8th-14th
nhcw logo

New York State's health centers will celebrate National Health Center Week with health fairs, open houses and other activities, as they start to deliver on this year's theme of "Growing and Strengthening New York State's FQHCs through Health Care Reform."
 
Click here for CHCANYS' Health Center Week website. The site includes more information about events being held throughout NYS and additional information about the NYC breakfast on August 12th at the NY Botanical Gardens.
Announcements & Achievements

The Anthony L. Jordan Family Health Center has achieved Level 3 Patient-Centered Medical Home recognition.

Catherine M. Abate, President & CEO of Community Healthcare Network has been named to the New York City Commission on HIV/AIDS.

Ray Sweeney, Executive Vice President of the Healthcare Association of New York State received HANYS'  2010 Distinguished Service Award and has retired after 40 years of service in New York's health care industry.

Welcome to Deborah Johnson Ingram, the newest addition to PCDC's Performance Improvement team. As Senior Program Manager, Deborah will support a variety of HIT and medical home projects. Prior to PCDC Deborah worked for IPRO, the New York State Quality Improvement Organization, as a Sr. Clinical Practice Advisor she has more than six years of experience in facilitating the implementation EHRs in both small and large private practice settings, and working with facilities to achieve NCQA Patient Centered Medical Home recognition.
In the News
Newspaper

PCDC in the News

New Markets Loan Fund helps expand Primary Care Healthcare Finance News, 7/7. Highlights PCDC's $2.85 New Markets Loan to Hudson River HealthCare in Monticello.

NY Must Seize Health Reform Opportunities Crain's New York Business, 4/27. PCDC's Ronda Kotelchuck and CHCANYS' Elizabeth Swain co-authored an op-ed calling on New York State to seize health reform opportunities and expand primary care.
 
Emergency Preparedness Goes Grassroots City Limits Magazine, 6/8. Highlights PCDC's Community Integration program, which gathers community organizations to develop emergency response plans.
 
 
 

For more news and clips visit PCDC's News Room.