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Patient Care Networks of Alabama
              PCNA
          Robert Moon, MD
      Medical Director and Deputy 
     Commissioner Health Systems
               12/16/10


                                     1
Overview
    Goal:  Enhancing quality and efficiency of medical 
    homes through the use of :
•   Coordinated care management networks
•   Regional support for medical home maturation
•   Regional medical and pharmacy directors
•   Regional medical management meetings
•   Non punitive provider comparisons
•   Provider / medical director engagement in 
    Agency policy development

                                                          2
Approach
• Lessons learned from North Carolina via Alabama visit 
  from expert, extensive reading, and site visit to North 
  Carolina
• Broad based work group to develop our plan
• Road shows and webinars to inform / stimulate 
  discussion 
• Identification of local champions
• Funding based on budgeted shared savings from 
  existing medical homes
• 3 initial pilots with 3 other areas already requesting 
  networks
                                                             3
Lessons Learned / Challenges
• Dollars although modest are not insignificant:  
  Allow room in your budget for the unexpected
• Outreach phase needs to be provided generous 
  time:  It takes time just to have providers begin 
  to understand what you are trying to do
• Request for proposals (RFP) development is a 
  team project:  This is a wide reaching 
  development and a lot of perspectives are 
  required
• North Carolina and NASHP have been very open 
  with their time to help us
                                                       4

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moon-Patient Care Networks of Alabama

  • 1. Patient Care Networks of Alabama PCNA Robert Moon, MD Medical Director and Deputy  Commissioner Health Systems 12/16/10 1
  • 2. Overview Goal:  Enhancing quality and efficiency of medical  homes through the use of : • Coordinated care management networks • Regional support for medical home maturation • Regional medical and pharmacy directors • Regional medical management meetings • Non punitive provider comparisons • Provider / medical director engagement in  Agency policy development 2
  • 3. Approach • Lessons learned from North Carolina via Alabama visit  from expert, extensive reading, and site visit to North  Carolina • Broad based work group to develop our plan • Road shows and webinars to inform / stimulate  discussion  • Identification of local champions • Funding based on budgeted shared savings from  existing medical homes • 3 initial pilots with 3 other areas already requesting  networks 3
  • 4. Lessons Learned / Challenges • Dollars although modest are not insignificant:   Allow room in your budget for the unexpected • Outreach phase needs to be provided generous  time:  It takes time just to have providers begin  to understand what you are trying to do • Request for proposals (RFP) development is a  team project:  This is a wide reaching  development and a lot of perspectives are  required • North Carolina and NASHP have been very open  with their time to help us 4