Primary Care: High-Value Care for Underserved Communities Julie - - PowerPoint PPT Presentation

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primary care high value care for underserved communities
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Primary Care: High-Value Care for Underserved Communities Julie - - PowerPoint PPT Presentation

Sep 01, 2022 248 likes •385 views

Primary Care: High-Value Care for Underserved Communities Julie Wood, MD, FAAFP Senior Vice President AAFP 124,900 members - Dedicated to family medicine Family Medicine One in five office visits All ages, genders, diseases,

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SLIDE 1

Primary Care: High-Value Care for Underserved Communities

Julie Wood, MD, FAAFP Senior Vice President

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SLIDE 2

AAFP

  • 124,900 members -
  • Dedicated to family medicine
  • Family Medicine

– One in five office visits – All ages, genders, diseases, and

  • rgan systems

– Care: acute, chronic, and preventive – Common patient: multiple chronic conditions

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Primary Care

  • Major PC specialties:

pediatrics, internal medicine,

  • steopathic medicine, and

family medicine

  • First contact, comprehensive,

continuing, team-based care

  • “Undifferentiated patient”
  • Value = Triple Aim

– Better health – Better care – Lower costs – 33% lower

Source: Family Medicine for America’s Health

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SLIDE 4

Primary Care - Poverty

  • U.S. most expensive, lowest

performing among dev nations (Commonwealth Fund, 2014)

  • 82% Medicare pop have one chronic

condition; 2/3rd have multiple CC (CMS, 2012)

  • Low income = poor outcomes

– 2011 UC Davis Study - 50% higher risk for heart disease

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SLIDE 5

Primary Care Workforce

  • 33,000 PCP shortage by

2035 (IOM, 2014)

  • Challenges: regional

maldistribution, access for vulnerable populations, and aging workforce, retention,

  • Poverty and access

Patient-PCP Ratio Average

  • 68 PCPs/100K – rural
  • 82 PCPs/100K – urban

Source: Robert Graham Center, Unequal Distribution, US PC Workforce (2013)

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SLIDE 6

Primary Care Workforce Programs

Titl Title VII VII §747 747 – Prim rimary ry Car are Trai aining & & Enh Enhancement t gran ants fund funding

  • $39 million in FY 2016
  • $39 million in both House &

Senate FY 2017 bills

  • Faces cuts in FY 2018

Tea eaching Healt lth Cen enter Graduate Med edic ical l Edu ducatio ion

  • Supports 740 primary care medical

residents in 27 states and DC.

  • THCGME funding expires with FY 2017 on

September 30, 2017.

Natio ional l Hea ealt lth Ser ervic ice Cor

  • rps
  • Since 1972, NHSC has offered scholarships, loan repayment

to recruit and retain providers for health professional shortage areas (HPSAs).

  • 40,000 providers funded at $380 million/year.
  • Expiring at the end of FY 2017.
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SLIDE 7

HPSAs

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SLIDE 8

Outside the Office

What are Social Determinants

  • f Health?

How does health care factor into SDOH?

  • Economic stability
  • Neighborhood/Physical

environment

  • Education
  • Food
  • Community and social context
  • Health care System
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SLIDE 9

AAFP: Center for Diversity and Health Equity

  • Workforce and diversity
  • Health equity research
  • Advocacy
  • Partnering and

collaboration

  • Health equity leadership
  • Physician practical tools
  • Builds on AAFP’s work
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SLIDE 10

SDOH-Health Care Initiatives

  • Adverse Childhood

Experience (ACES) Initiatives

  • Primary Care-PH Integration
  • Health in All Policies

Movement

  • Geospatial Analysis/Mapping
  • State Innovation Models

Initiative (SIM)

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SLIDE 11

115th Congress Priorities

  • Reauthorize and Fund

– National Health Service Corps – Teaching Health Center GME – Title VII – Section 747

  • Support SDOH Programs

– Health care, home visiting, lead poisoning prevention,

  • pioids safety, and anti-hunger programs(Farm Bill).
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SLIDE 12

Why they listen?

For more in information: jw jwood@aafp.org Thank You!