New York State Advanced Primary Care Model
The NYS Advanced Primary Care initiative is designed to help primary care and pediatric practices shift towards value-based care – new payment structures based on outcomes not procedures. As part of New York state’s ongoing work to transform healthcare delivery, the program provides no-cost, one-on-one consulting to help practices develop core competencies, such as team-based methods and care management. Such advanced methods have been shown to improve patient outcomes and satisfaction and to lower costs. Following a practice assessment, a customized work plan is developed in collaboration with the practice team to improve workflow and achieve program milestones.
Through webinars, online resources and curriculum development, our technical assistance team are helping practices locally and across the state develop skills and adopt approaches that can lead to improved team-based work flows that focus on better patient outcomes.
Support for value-based health care
The transition from fee-for-service to value-based care requires providers to truly embrace the quadruple aim of engaging patients, improving outcomes, increasing value and enhancing the joy in practice. Common Ground Heath’s programs provide coaching and tools for meeting the evolving reimbursement metrics.
To find out more about Common Grounds Health’s Practice Transformation programs, contact William Brien at firstname.lastname@example.org or (585)224-3149
Data to drive improvement
Use electronic medical records to track quality, experience and cost outcomes. For example, practices can use their clinical data to identify and reach out to patients who have uncontrolled high blood pressure before they suffer a stroke, heart attack or other catastrophic cardiac event from the condition.
Access to care
Promote access as defined by affordability, availability, accessibility, and acceptability of care across all patient populations
Create a work culture in which everyone on staff works as a team to meet goals. Practices learn to use team approaches such as the “morning huddle”—daily all staff meetings to review who is scheduled for the day and what special needs they may have.
Engage patients as active, informed participants in their own care, through such approaches as motivational interviewing.
May 30, 2019
By putting in place relatively simple new procedures, Tri-County Family Medicine Program, Inc., achieved a 5-percentage point decline in patients with uncontrolled diabetes, among other improvements.
April 30, 2019
Common Ground's high blood pressure registry shows that Gates Medical Associates has achieved unusually good control rates for groups that are at high risk for poor hypertension outcomes. Find out what makes the University of Rochester practice so effective.
January 28, 2019
Over the past three years, His Branches in Rochester reduced wait times for patients, improved patient outcomes and created a work environment that was less stressful. Together these changes helped the safety net practice renew its Patient-Centered Medical Home (PCMH) certification through the New York PCMH program, which began in 2018.
December 18, 2018
Motivational interviewing puts patients in the driver's seat on behavior change. Common Ground has helped coach clinicians on using motivational interviewing as part of practice transformation.
August 23, 2018
It’s one thing for medical practices to push for better blood pressure rates among patients. It’s another for them to see—with colorful numbers, charts and graphs—whether their efforts are making a difference.
And in large part because of the High Blood Pressure Registry, they are.
June 27, 2018
The latest high blood pressure registry along with other local data show that high blood pressure and heart disease are leading drivers of premature mortality in our nine county Finger Lakes region, particularly for African Americans. View all eight data slides showing why we should stay focused on this chronic illness.
June 21, 2017
Common Ground Health is working with a California group to develop a risk stratification tool for children in primary care. We are looking for pediatric and family practices to help test the new evaluation approach.
May 23, 2017
Kathryn H. Bowles, Ph.D., a top nursing professor from Pennsylvania, is among the speakers at an event that will discuss reducing readmissions using discharge planning and technology. The June 2 event will also explore how to attract and retain a skilled healthcare workforce.
May 22, 2017
From MACRA and MIPS to SIM and SHIP, federal and state programs have made the primary care landscape more complex than ever before. That’s where our expert consultants can help. Common Ground Health can provide no-cost assistance to practices looking to participate in the state’s Advanced Primary Care model or prepare for new quality reporting requirements.
April 13, 2017
Learn more about farming, health and their linkage through food access in this video, which was created for the Food, Farms and Health Symposium on April 11, 2017.
July 15, 2016
Three tensions are emerging in local workforce needs: labor shortages and maldistribution; financial pressures related to wages and payment reform; and increasing pressure to train staff in existing and emerging roles and skills.
July 15, 2016
A partnership among senior and home-health service providers and area hospitals to help people successfully transition into and out of care settings recently marked five years of working together.
July 13, 2016
For the past four years, sixty five primary care practices—about a third of the region’s primary care providers—have partnered with Finger Lakes Health Systems Agency on an uncharted journey to make our medical system as good at preventing medical emergencies as it is at treating them. The $26.6 million experiment in primary care innovation is showing how teamwork and smart data can improve patient care and reduce costs.
July 12, 2016
Health care reform continues at a frenetic pace, creating opportunities for providers and patients but also a challenging clinical environment, our Albany consultant reported June 12.
June 14, 2016
To get ahead of a shift from volume to value-based payments for medical services, Finger Lakes Health Systems Agency and the New York eHealth Collaborative are recruiting primary care, pediatrics and specialty care providers to take part in New York State’s new Practice Transformation Network.