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IN THIS ISSUE:
FALL 2010
Upcoming Primary Care
Showcase
Crimson Care Clinic: A
Student-Faculty Collaborative
Begins Pilot
MGH Senior Health
Recognized as a Patient
Centered Medical Home
In the News
Looking for Cases: Morbidity
& Mortality from a Systems
Perspective
Primary Care Progress
Update
Staff News
Recent Events
Dr. Beth Rider's New Book
Hits the Shelves
Calendar of
Upcoming Events
Primary Care Showcase
November 1, 5:00 – 8:00pm
National Primary Care Week
November 1 – 5
Stoeckle Center 10th
Anniversary White Lobby
Table Display

November 4, 11:00am – 2:00pm
Schwartz Center Rounds
November 17, 12:15pm – 1:30pm
Stoeckle Center Seminar
November 19, 7:45 – 9:00am
Schwartz Center Rounds
December 15, 12:15pm – 1:30pm
Stoeckle Center Seminar
December 17, 7:45 – 9:00am
Call for Ideas!
We would like your help with ideas for our events:
Speakers & Topics for Stoeckle
Center Seminars
Cases for Schwartz Center
Rounds
If you have an idea, please
contact the Stoeckle Center at:
stoecklecenter@partners.org
or 617-724-8824.
Quick Links
Stoeckle Center News
MGH Primary Care
 
Upcoming Primary Care Showcase
You are cordially invited to attend the MGH Primary Care Showcase on
Monday, November 1 from 5:00-8:00pm. Remarks by Peter Slavin, MD,
Michael Barry, MD and Eric Weil, MD will be given at 5:30pm. We will also
introduce and honor the Portraits in Primary Care awardees, "members of our
primary care community who make contributions to primary care in a remark-
able way, every day." The event takes place at the Holiday Inn Boston, 15th
floor. This is an excellent opportunity to hear about news, events and
programs going on throughout the MGH primary care community, as well as
network with colleagues.
Portraits in Primary Care Awardees
Rochelle Butler, RN; Internal Medicine Associates
Lisa Carr, MD; MGH Chelsea HealthCare Center
Barbara Chase, ANP, APRN, BC; MGH Chelsea HealthCare Center
Marjorie Curran, MD; MGH Pediatric Group Practice
Peter Gross, MD; Internal Medicine Associates
Winnie LeVine-Sawyer, RN; MGH Revere HealthCare Center
Taryn McGoff, RN; MGH Charlestown HealthCare Center
Virginia Manzella; Administrative Director, Internal Medicine Associates
Anne Richmond, MPH; Director, Community Health Associates
Barbara Roberge, NP, PhD; MGH Senior Health
Elaine Scadding; Medical Assistant, MGH Charlestown HealthCare Center
Robert E. Singer, MD; MGH Everett Family Care
Charles Weiss, MD; Bulfinch Medical Group
Melvin Welinsky, MD; Bulfinch Medical Group
Aisha Wright; Administrative Assistant, MGH Senior Health
Crimson Care Clinic: A Student-Faculty
Collaborative Begins Pilot
In our efforts to recruit more medical students to primary care, we have worked
with a group of forty Harvard medical students over the last year to start a
student-faculty collaborative practice. This is a student administered evening
clinic where medical students, precepted by faculty members, take care of
patients who do not have a primary care doctor. Studies have shown that early
exposure to primary care careers and mentorship, along with meaningful longi-
tudinal experiences, make students more likely to pursue a career in primary
care. By building the practice model from the ground up, students were involved
in all aspects of operations, financial planning and social services for the prac-
tice. Approximately 25% of the first year medical school class participated in the
planning of the practice. During our 8-week urgent-care pilot in the spring, 36
patients were seen. On October 5th, we began expanding the practice to offer
primary care services to patients in the greater Boston area who do not have a
primary care physician.

Rebecca Berman, MD is the founder and medical director of the Crimson
Care Collaborative. For more information, please email her at
raberman@partners.org.
MGH Senior Health Recognized by NCQA as a
Patient Centered Medical Home
MGH Senior Health has been recognized by the National Committee for Quality
Assurance as a Level 3 Patient Centered Medical Home, the highest possible
level. The practice is the first throughout the Partners system to achieve this
distinction. For a practice to receive this status, it must prove, through extensive
systems and documentation, that it has a model of care based around quality
and safety. The guiding Medical Home principles result in more personalized,
coordinated, effective and efficient patient care: personal physician, physician-
directed medical practice, whole person orientation, coordinated and integrated
care, quality and safety, and enhanced access. The model advances the use of
systematic processes and IT to enhance quality care of patients and promotes
the principles.

This distinction clearly demonstrates that effective systems and processes are
in place to meet these nationally recognized standards for delivering high-
quality care. The lengthy application process was completed in July 2010 by
Barbara Roberge, NP, Samantha Sawdon and Jeffrey Holmes.

Please join us in congratulating MGH Senior Health on this tremendous
accomplishment.
In the News
Drs. Michael Barry and Angelo Volandes Featured in
Boston Globe Article on Medical Decision-making
Dr. Michael Barry, Medical Director of the Stoeckle
Center and President of the Foundation for
Informed Medical Decision-making, was featured in
a recent article in the Boston Globe about communication between physicians
and patients. He highlighted the lack of a clear and balanced picture about
patients' choice in treatment options, as well as the difference between what
physicians say and what patients hear. Dr. Angelo Volandes, physician
researcher at the Stoeckle Center, discussed the importance of decision aids,
specifically videos, in the patient's decision-making process.

Read the article in its entirety.
Dr. John Goodson Quoted in MedLine Plus
Dr. John Goodson, Executive Secretary of the
Stoeckle Center Advisory Board, was recently
quoted in a MedLine Plus article discussing the
impact of health care reform on primary care. The piece also drew upon his
Perspectives article in the April issue of the Annals of Internal Medicine that
highlighted the need for changes in reimbursement policy. "The starting pay for
a radiologist coming out of a training program could be $400,000 to $500,000 a
year, whereas a trainee coming out of a general medicine program or a family
medicine program could be $150,000 a year...[T]his is just patently absurd."

Read the article in its entirety.
Dr. Leigh Simmons Highlighted in Newsweek
Leigh Simmons, MD, a Stoeckle Center Physician
Fellow, featured prominently in a recent Newsweek
article (the last in a 5-part series) chronicling a
reporter's decision process as she considers whether or not to take a genetic
test: "DNA Dilemma: One Reporter's Weeklong Journey to Decide if She'll Take
an At-Home Genetic Test." This installment in the series focused on the
author's decision to consult several trusted Harvard doctors, one of them being
Leigh. Leigh's ability to calm the author down, talk through options and reac-
tions, and simply listen were highlighted as critical to the author's thought
process and ultimate decision to take the genetic test. The author describes
Leigh's approach as "not forcing her opinions...or trying to talk [her] out of
taking the tests, but gently helping her decide what to do, if [she] wanted her to."

Read the article in its entirety: DNA Dilemma, Day Five: Time to Decide.
Looking for Cases: Morbidity & Mortality from
a Systems Perspective
Beginning in November, the MGH General Medicine Unit will host a quarterly
Morbidity and Mortality Conference focusing specifically on systems-based
issues. The program's objective is to dissect cases where patient care or
outcomes were negatively impacted by failures of process, communication, or
operations. These sessions will be peer review protected. The sessions aim to
highlight, address and eventually prevent the types of system-related hazards
that are often encountered during routine care. The target audience for these
cases includes generalists in both the inpatient and outpatient arena as well as
all other members of the care team. Introduction of the M&M Conference with a
Systems Perspective will create an important new avenue for discussing and
fixing some of the challenges to care that we often experience but seldom
address.
Primary Care Progress: Update
Primary Care Progress (PCP) formed in the spring
of 2009 to bring the Harvard primary care commu-
nity together to encourage Harvard Medical School
to reinvigorate its primary care focus. Through a
series of well-attended town hall meetings and other events, PCP repeatedly
saw the positive effects of engaging this community toward a common goal. It
was evident the Boston-area primary care community was hungry – hungry for
collaboration, hungry for inspiration, and hungry for engagement.

Encouraged by these results, PCP has been working to build and support
additional pockets of community across the nation, by reaching out to local
providers and trainees who wish to see a greater focus on primary care in their
regions. At PCP's website, these groups will find stories of successful commu-
nity engagement, care delivery innovation and transformation in training. Addi-
tionally, they will be able to connect with similar groups and find resources for
creating Primary Care Speakers Bureaus to promote primary care locally.

To learn more about Primary Care Progress, check out
PrimaryCareProgress.org, "fan" us on Facebook or follow us on Twitter.
Staff News
The Stoeckle Center welcomed three new staff
members this summer: Kerry McBride, Annie
Huppert and Charlotte Ward, as well as Clemens
Hong, MD as a physician researcher.


Kerry joins the Stoeckle Center as the Course Coordinator for the Quality and
Performance Management Team. She executes educational programs and
events to enhance the patient's experience of care for all PCHI practices. Kerry
graduated from the University of Connecticut with a dual degree in Communi-
cations and Sociology.

Annie joins the staff as a Project Manager, leading the Depression Manage-
ment and Pediatric Guidebook initiatives. Before coming to the Stoeckle
Center, Annie completed an Administrative Fellowship in Decision Support and
Business Planning at Newton-Wellesley Hospital. She earned her MPH in
Health Management and Policy from the University of Michigan School of
Public Health. Prior to graduate school, Annie was an Associate at a strategic
communications firm in Washington, DC. She is originally from central Mass
and received her BA from Oberlin College.

Charlotte is the Systems Innovation Analyst for both the Stoeckle Center and
the Primary Care Operations Improvement group. Charlotte recently graduated
from Dartmouth Medical School with her MPH. She is originally from New
Hampshire, and received a BS in Psychology from the University of Wisconsin.
Clemens Hong, MD came to the Stoeckle Center
in July after completing his research fellowship in
general internal medicine at Harvard. Dr. Hong
received his BS in Biology with a minor in Music
from the University of Washington and his MPH
and MD from Tufts University. He trained in the
San Francisco General Hospital/University of California San Francisco Primary
Care Residency Program. While there he founded the Transitions Clinic, a
community-based post-release prison clinic that uses a primary-care integrated
community health worker to deliver care to chronically-ill parolees in San
Francisco. Following residency he spent a year growing the Transitions Clinic
and worked as a primary care provider at San Quentin State Prison before
moving back to Boston. He works as a primary care provider at MGH-
Charlestown Healthcare Center and divides research time between the
Stoeckle Center and Primary Care Operations Improvement. His primary
interests include physician clinical performance assessment and the design
and implementation of innovative, primary care-integrated care management
programs for high-cost Medicaid and other vulnerable patient populations. He
has strong interests in primary care redesign and the Patient Centered Medical
Home, and a particular interest in team-based approaches to primary care that
integrate community health workers.
Recent Events
Disruptive Behavior Conference a Success
In late September, PCHI and the Stoeckle Center
welcomed over 55 Partners employees to the
much anticipated course, Discouraging Disruptive
Behavior. The two day course featured presenters
Dr. Gerald Hickson and Dr. James Pichert from
Vanderbilt University who engaged and inspired all
of the attendees with their enthusiasm and knowledge on the topic. The objec-
tive of the workshop was to give the attendees the tools and strategies needed
to address disruptive conduct while providing a comprehensive plan adaptable
to all healthcare organizations. An evening session featured participants
drawing their interpretations of disruptive behavior. The following day, the
attendees participated in role-playing activities to prepare for these interactions
in the workplace.
Lisa Sanders, MD Headlines Cabot Lecture and Stoeckle
Center Seminar
Lisa Sanders, MD, spoke to packed audiences at both the recent Stoeckle
Center Seminar and Cabot Lecture. Dr. Sanders discussed her approach to
medical diagnosis, where the doctor-sleuth sifts through clues and interrogates
witnesses in pursuit of the true culprit and the final diagnosis. She is the
author of the popular New York Times Magazine "Diagnosis" column and the
inspiration for the hit TV series, "House M.D." Her recently released book is
titled Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis. A
board-certified general internist, Dr. Sanders was educated and trained at Yale
School of Medicine, where she remains on the teaching faculty.
Dr. Beth Rider's New Book Hits the Shelves: A
Practical Guide to Teaching and Assessing the
ACGME Core Competencies
Elizabeth Rider, MSW, MD, Director of Programs
for Communications Skills at the Stoeckle Center,
recently co-authored a book that will surely be a
valuable resource to medical education leaders at
all levels. A Practical Guide to Teaching and
Assessing the ACGME Core Competencies offers
best practices, sample tools, and in-depth expert
insights for teaching, assessing, and documenting
all six ACGME core competencies. There is also a
new chapter on "the hidden curriculum."

Learn more and order the book at HC Pro - Healthcare Marketplace.
 
 
© The John D. Stoeckle Center for Primary Care Innovation, 50 Staniford Street, 9th floor,
Boston, MA 02114, 617-724-8824 stoecklecenter@partners.org
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