MedNetOne Health Solutions participating in new High Intensity Care Management program with Blue Cross Blue Shield of Michigan

Rochester, Mich. –Nov. 4, 2014 – MedNetOne Health Solutions (MNOHS), a Michigan-based healthcare management organization serving the infrastructure and clinical support needs of private practice physicians and behavioral health specialists, announces it is participating in the new High Intensity Care Management model (HCIM) launched Oct. 1 by Blue Cross Blue Shield of Michigan (BCBSM). Started at the national level by the Centers for Medicare & Medicaid Services, HICM refers to a suite of services offered to the Medicare Advantage population and supported in Michigan by BCBSM and Blue Care Network. Greater Macomb Physician Hospital Organization is working in partnership with MNOHS on the HICM model.

Previously the domain of national disease management organizations, the new HICM model is designed to offer team based health care, with a primary care physician in the lead, to select Medicare Advantage patients in southeast Michigan who have at least six of 14 chronic condition diagnoses (co-morbidities). HICM identifies and serves patients through three levels of care:

1. Tier One: for patients who are stable and require a maximum of one primary care visit and/or one phone call per month
2. Tier Two: for patients who are moderately ill and require more regular follow-up and touch points with their primary care physician/team
3. Tier Three: for patients who are seriously ill and require weekly or daily contact with a primary care team member and/or a member of the extended team, such as an Advance Practice Nurse (AP-N), R.N., MSW, pharmacist or home care agency.

MNOHS CEO, Ewa Matuszewski, acknowledged the challenging scope of the HICM initiative.

“The High Intensity Care Management model is definitely ambitious, but is a logical step in the patient-centered, population-based care movement,” said Matuszewski. “The Medicare Advantage patients involved in the program have multiple physical and psycho/social health needs and will greatly benefit by a local, broad-based care team that can serve them on the health care continuum.”

Prior to the October 1 rollout, a select number of MNOHS physician group membersparticipated in a month-long preparatory phase of HICM. These practices worked with approximately 70 Medicare Advantage patients to determine how the initial HICM process outline would achieve the desired outcomes.

“The preparatory phase offered important insights on the adequacy of efforts to identify and capture all of the diagnoses for the Medicare Advantage patients assigned to the practice, to test run whether the communication strategy among the health care team can help achieve patient care goals, and how best to handle the transfer of patients into the HICM program,” said Matuszewski. “Since that time, the MNOHS team has seen nearly 900 patients through HICM, given the demand for comprehensive health care services for this population.”

About MedNetOne Health Solutions:
MedNetOne Health Solutions (MNOHS), a leader in advancing the development and implementation of the Patient-Centered Medial Home (PCMH), is a health care management organization for primary and specialty care physicians and behavioral health specialists that provides administrative infrastructure and clinical support and programming to develop and sustain high performing, patient-centric practices while meeting government healthcare reform mandates. Learn more at http://www.mednetone.net.

###

36 MedNetOne Health Solutions member practices receive Blue Cross Blue Shield of Michigan’s Patient-Centered Medical Home (PCMH) designation

Rochester, Mich. – Aug. 11, 2014 – MedNetOne Health Solutions (MNOHS), a Michigan-based healthcare management organization serving the infrastructure and clinical support needs of 800+ private practice physicians and behavioral health specialists, announces the following physicians/physician practices have been selected as a Patient-Centered Medical Home (PCMH) designated practice by Blue Cross Blue Shield of Michigan:

• Anchor Bay Clinic Family Medical Center P.C. – Anchor Bay
• Ananda Medical Clinic and Healing Center – Dearborn
• Arun Gupta, M.D., P.C. – Monroe
• Askar Maan M.D., P.C. – Warren
• Capac Family Medicine – Capac
• Center for Preventive Medicine, P.C. – St. Clair Shores
• Country Creek Family Physicians, P.C. – Rochester
• Country Creek Pediatrics PLLC -Rochester
• Dundee Pediatrics, PLLC – Dundee
• Everingham Clinic P.C./Oakwood Ambulatory–Romulus
• Family Medicine Center/Oakland Health Integrated Network – Pontiac
• Family Practice/Oakland Medical Group – Warren
• Fayez Shukairy, M.D. – Highland
• Great Lakes Pediatrics, P.C. – Warren
• Hampton Medical Center, P.C. – Roseville
• Health Centers of Detroit Medical Group East Jefferson – Detroit
• Ida Family Clinic – Ida
• Jeetender Matharu M.D., PLC – Clarkston
• Kathleen Reinhart D.O. – Monroe
• Lifetime Family Care, PLLC – Warren
• Macomb Pediatric Associates P.C. –Warren
• Meadowbrook Internists P.C. – Rochester
• Mercy Family Practice at Lambertville – Monroe
• John R Medical– Madison Heights
• Monroe Medical Associates P.C. –Monroe
• My Family Doctor – Southgate
• Naila Ahmad, M.D.,P.C. -Waterford
• North Oakland Internists, P.C. – Auburn Hills
• Partridge Family Physicians P.C. –- Waterford
• Ricardo Q. Cabrera M.D. – Clarkston
• Richard A. Fici D.O., PLLC – Eastpointe
• Ronald Williamson, M.D., P.C. – Grosse Pointe and Detroit
• Shelby-Macomb Family Practice –Clinton Township
• Stephen Bell. D.O., P.C., Newport
• Vincent Granowicz, D.O. – Royal Oak
• Woodhaven Pediatric – Woodhaven

The PCMH establishes the primary care physician’s office as the patient’s medical home and is founded on the central patient/physician relationship, with the primary care physician’s team coordinating all of a patient’s medical care to improve patient health and outcomes.

Ron Williamson, M.D. has practices in Detroit and Grosse Pointe and was among those receiving PCMH designation.

“When physicians and their practice teams are actively engaged in the transformation process, designation as a Patient Centered Medical Home is attainable,” Dr. Williamson said. “We are pleased that Blue Cross Blue Shield of Michigan continues to recognize and support primary care physician practices and the patients we serve through innovative programs like the PCMH designation.”

About MedNetOne Health Solutions:
MedNetOne Health Solutions (MNOHS), a leader in advancing the development and implementation of the Patient-Centered Medial Home (PCMH), is a health care management organization for primary and specialty care physicians and behavioral health specialists that provides administrative infrastructure and clinical support and programming to develop and sustain high performing, patient-centric practices while meeting government healthcare reform mandates. Learn more at http://www.mednetone.net.

 

MedNetOne Health Solutions hires director of behavioral health integration

Rochester, Mich.—Oct. 11, 2013—MedNetOne Health Solutions (MNOHS), a Michigan-based health care management organization serving the infrastructure and clinical support needs of primary and specialty care private practice physicians and behavioral health specialists, announces Lori Zeman, Ph.D., has joined the organization as director of behavioral health integration. Dr. Zeman is also a Clinical Assistant Professor at the Wayne State University School of Medicine, Department of Psychiatry and Behavioral Neurosciences.

In this new role, Dr. Zeman oversees the integration of mental health and substance abuse assessments and interventions into MedNetOne Health Solutions’ physician member practices and other medical settings to increase access to behavioral health services and address behaviors that can enhance or impede overall health and well-being.

“With Dr. Zeman facilitating behavioral health within our member practices, MedNetOne Health Solutions enhances the services we offer to physicians and their patients through a fully integrated, patient-centered medical home,” said Al Juocys, D.O., Chief Medical Officer of MedNetOne Health Solutions.

Dr. Zeman is active in the mental health community and serves on a workgroup focused on mental and physical integrated services delivery as part of Michigan’s Mental Health & Wellness Commission, created by Gov. Rick Snyder in February 2013 to strengthen mental health resources in the state. She obtained her Ph.D. in clinical psychology from the University of Miami and completed her pre-doctoral internship in pediatric health psychology at the University of Minnesota; she holds a Bachelor of Science degree from Gustavus Adolphus College in Minnesota.

About MedNetOne Health Solutions:
MedNetOne Health Solutions (MNOHS), a leader in advancing the development and implementation of the Patient-Centered Medial Home (PCMH), is a healthcare management organization for primary and specialty care physicians and behavioral health specialists that provides administrative infrastructure and clinical support and programming to develop and sustain high performing, patient-centric practices while meeting government healthcare reform mandates. Learn more at http://www.mednetone.net.

Practice Transformation Institute’s Mackinac Learning Collaborative IV Begins December 5th

Troy, Mich. – November 19, 2012 – Practice Transformation Institute (PTI),
an organization providing the health care community with Continuing Medical
Education and customized learning programs that improve patient health outcomes
and the individual care delivery experience, announces the fourth Mackinac
Learning Collaborative will begin on December 5th.

The theme of the Collaborative is “Integrated Health: Promoting Care Model Innovation for Behavioral Health in Primary Care and Primary Care in Behavioral Health”. It will bring together medical, behavioral, and other health care professionals to develop a deeper understanding of the interdependency of the care management and care coordination processes between medical and behavioral health care, which is vital for addressing the health care needs of the whole person and improving health outcomes.

A learning collaborative is a learning and innovation community that links a variety of organizations together to rapidly test and implement meaningful, sustainable change within a specific topic area, in this case, physician practices. The Mackinac Learning Collaborative (MLC) began in 2009 and is focused on transformation to a more patient-centric approach in small primary care physician practices and residency programs. 18 Detroit-area practices/providers participated in MLC III, which ended in September 2012.

Leading the Mackinac Learning Collaborative IV are co-chairs Kevin M. Taylor, M.D., M.S., who served as  chair of MLC-III, and Lori Zeman, Ph.D. Dr. Zeman and Dr. Taylor will lead select MLC sessions, serve as a resource to participant physicians and their practice teams and work with curriculum designers to ensure that MLC-IV content is appropriate and immediately applicable. Dr. Taylor has a strong interest in primary and patient-centered care. He is a practicing internist at St. Joseph Mercy Ann Arbor and Chief Medical Director for the St. Joseph Mercy Medical Group.

Dr. Zeman is an Assistant Professor in the Wayne State University School of Medicine, Department of Psychiatry and Behavioral Neurosciences. Her work focuses on integrating mental health into medical settings to increase access to mental health services for underserved populations and address behaviors that can enhance or impede overall health and wellbeing. Dr. Zeman also coaches pre- doctoral psychology interns and residents on ways to enhance their patients’ health behaviors using motivational interviewing and other evidence-based interventions.

To date, the majority of MLC participants have sought and received Patient Centered Medical Home (PCMH) designation based on the changes they implemented in their practices as a result of the MLC experience. The learning collaborative fosters an atmosphere of collegiality as physicians and their practice teams seek to adopt the most advanced approaches for care model innovation and redesigning and nurturing their practices. The MLC-IV curriculum includes quarterly in-person meetings in Detroit and regular on-line study, support from quality improvement specialists, chats and other forms of educational instruction. CME classes that complement the MLC-IV curriculum are also offered through PTI at its Physician Training Center in Madison Heights, Michigan.

Physicians interested in participating in Mackinac Learning Collaborative IV should contact Harmony Kinkle, PTI Director of Operations, at 248.475.4736 or hkinkle@transformcoach.org. For a CME schedule of classes offered through PTI, please visit www.transformcoach.org.

About Practice Transformation Institute (PTI)
Practice Transformation Institute is Michigan’s leading provider of CME and IACET accredited experiential learning programs for the Patient-Centered Medical Home and other primary care transformation initiatives. Practice Transformation Institute is a founding partner of the Mackinac Learning Collaborative, a learning community linking Michigan physicians with their peers to rapidly test and implement meaningful, sustainable change within their primary care practices. PTI also runs the Physician Training Center in Madison Heights. Learn more about Practice Transformation Institute and the Mackinac Learning Collaborative at www.transformcoach.org.

###