Last year the Legislature made its regular adjustments to the list of advisory committees that report to the Texas Health and Human Services Commission and the Department of State Health Services. These committees play important roles in bringing fresh perspectives to the agencies and family doctors who have served on them in the past have had the chance to influence state programs to benefit patients.
The full list of advisory committees with available seats can be found on the HHSC website, but two committees are of particular interest to the Academy. The new Value-Based Payment and Quality Improvement Committee is a combination of the previous Medicaid/CHIP Quality-Based Payment Advisory Committee and the Texas Institute for Healthcare Quality. Its purpose is to provide a forum to promote public-private, multi-stakeholder collaboration in support of quality improvement and value-based payment initiatives for Medicaid and other health services.
The Statewide Medicaid Managed Care Advisory Committee will advise HHSC on the operation of Medicaid managed care, including program design and benefits, concerns about the system from consumers and providers, efficiency and quality of services, contract requirements, network adequacy, trends in claims processing, and other issues. The agency is looking for primary care physicians and has a specific directive to include rural providers.more
If you're headed to Austin this week to join your friends and colleagues at the 2016 C. Frank Webber Lectureship and Interim Session, we've got a great lineup of CME scheduled for you and lots of opportunities to network and make new connections. Here is a set of essential info you'll need to be prepared for a wonderful experience. Any further questions? Feel free to comment below or give us a call at (512) 329-866 or and email at email@example.com.
- Thursday, April 14 | 12 - 7 p.m.
- Friday, April 15 | 6 a.m. - 7 p.m.
- Saturday, April 16 | 7 a.m. - 4:30 p.m.
C. Frank Webber Lectureship registration will be located on the main floor in the hotel lobby. The CME breakfast lecture begins at 7 a.m. on Friday. On Thursday, registration for the SAM Group Study Workshop on Mental Health in the Community starts at 12:30 p.m. and the SAM begins at 1 p.m. On Saturday, registration for the SAM Group Study Workshop on Preventive Care starts at 7:30 a.m. and the SAM begins at 8 a.m.more
By Janet Hurley, MD
One of the greatest challenges for family medicine practices today is the risk of alternative treatment options for our patients. The last decade saw the uptick of retail health centers and urgent care centers, designed to provide convenient, fast access to acute care services at times when patients want it. Smart practices have created same day access models and extended hours to reduce this risk to their practice. The next decade will see the emergence of telehealth services, such as virtual office visits, secure videoconferencing, secure email access, and online scheduling. How family physicians approach these challenges will determine their financial success heading into the future. Will they provide convenient access portals for their patients, or will they retain the “Castle and the Moat” thinking prevalent in many practices today?
In my leadership roles as chair of my organization’s customer service committee, and Operational Chief for Primary Care, I have had access to secret shopper reports, customer service survey results, and post visit survey results that give me exposure to the tangled web of access hurdles many patients experience as they try to obtain care. I have also had direct access to our consultants and executive leadership, and have had engaged discussions with experts in this field. When surveyed, most of our patients say they have very good opinions of their nurses, doctors, and staff, but some had much difficulty scheduling appointments and getting answers to questions over the phone. They dislike voicemail, and they don’t want to wait too long for their appointment. In essence, many practices have provided a quality “country club” experience to patients once they enter the facility, but there is a perceived selection process about who may enter. It would seem our “moat” needs more bridges.more
An adaptation of the 2015-2016 incoming president’s address
By Ajay Gupta, MD
TAFP President, 2015-2016
Greetings colleagues. I am humbled and honored to serve as president of this extraordinary Academy and I want to thank all of those leaders and physicians who have mentored me and guided me along the way as well as my wonderful family for their steadfast support.
I became involved in the Texas Academy in my second year of practice because it equipped me with the tools to make my practice better. As you know, TAFP provides some of the best CME available and is produced for family physicians by family physicians. The Academy has helped me maintain board certification, which as you all are aware is an important process and not easy to do. The Academy also provides a range of practice support services to help my practice be more efficient. At our statewide meetings I get the chance to network with other family physicians to hear about the latest trends in health care delivery and payment—what’s working and what’s not working.more
By Janet Hurley, MD
In my leadership duties for the Texas Academy of Family Physicians and within my personal job as family physician and operational chief of primary care for Trinity Mother Frances Health System, I continue to see pockets of skepticism, frustration, and fear among my primary care physician colleagues. In some of my most difficult assignments, I have felt that the greatest barrier occurs when some physicians go straight to the negative with their thoughts as we begin discussions.
Our specialty is rife with physicians that go straight to the negative. When we consider the high rates of physician burnout in our country we begin to understand why this is true. Primary care physicians have felt overworked and underpaid for quite some time. The current fee-for-service payment system has created inefficient patient management practices that prevent care for simple conditions over the phone, lead to unnecessary follow-up appointments, and encourage physicians to pack more patients into their clinic day to generate volume. Transitioning these practices to a value-based payment world is truly a challenge.more
Medicaid providers can now find their patients’ medical histories on YourTexasBenefitsCard.com. Medicaid Eligibility and Health Information Services added the Blue Button to the site in September.
Once a provider or office staff receives a client’s consent, they can log in to the site and click on the Blue Button to see and download the client’s health information. The information can then be saved as a Portable Document Format document, a Clinical Document Architecture data file, or a simple text file. Once saved, it can be imported into the provider's health management tool.
The YourTexasBenefitsCard Blue Button is assembled from client data found in the current database and claims data stored in the Medicaid Claims Administrator System. It generates easily accessible patient records on the website for providers to download, import, or print.more
Funded delegate spots and scholarships available for NCCL and ACLF
Each year, AAFP holds the National Conference of Constituency Leaders and Annual Chapter Leader Forum together in Kansas City, Missouri. NCCL representatives and ACLF attendees from across the nation gather to discuss various issues, suggest policies and programs to AAFP, and receive leadership training. This year’s conferences will be held May 5-7 and TAFP is looking for members to serve on the delegation or apply for scholarships to attend.
TAFP opportunities for NCCLmore
Thank you for registering for TAFP’s 2015 Annual Session & Primary Care Summit. We look forward to seeing you later this week at The Woodlands Waterway Marriott. Below is some information about the conference. If you have any questions or concerns, please call (512) 329-8666 or email firstname.lastname@example.org.
TAFP Registration Desk Location and Hoursmore
Wednesday, Nov. 11 | 12 - 6 p.m. | Waterway Ballroom Foyer
Thursday, Nov. 12 | 7 a.m. - 2:30 p.m. | Waterway Ballroom Foyer | 3:30 p.m. - 7 p.m. | Town Center Foyer
Friday, Nov. 13 | 6:30 a.m. - 6 p.m. | Town Center Foyer
Saturday, Nov. 14 | 6:30 a.m. - 6 p.m. | Town Center Foyer
Sunday, Nov. 15 | 6:30 a.m. - 12:30 p.m. | Town Center Foyer
By Adrian N. Billings, MD, PhD, FAAFP
Why do I precept medical students? Luckily, I ask myself this question less and less frequently because I enjoy having these junior colleagues with me, especially at 2 a.m. while delivering babies. However, I recently explored this question with some reflection on my past seven years of precepting around 100 medical students and 20 resident physicians in my practice.
Unequivocally, the answer to the preceding question is that I precept medical students because my patients receive better care if I have a medical student working with me. It does not matter how fresh a medical student is into clinical training, two sets of eyes and two sets of brains examining and thinking about a patient’s problem are better than my own brain by itself. I have had preclinical students consider and make diagnoses that I have not been able to. Even if the students don’t make the correct diagnosis and they hear zebra hoofbeats instead of horse hoofbeats, this mental task causes me to consider a broader and more thorough differential diagnosis with their valuable input. I consider it an honor and privilege to be entrusted by medical schools with these young student physicians.more
By Dale Ragle, MD
TAFP President, 2014-2015
This will be my final letter to you as TAFP president. It has been an honor and privilege to serve you and our outstanding organization.
This is an exciting and challenging time for family medicine. Health care reform and the sustainable growth rate repeal are expanding the rolls of the insured and will transition us from a volume-based payment system to a quality-based system over the next several years. Some analysts are concerned that increasing the number of insured may strain our health care system in the absence of increasing the physician workforce. While increasing the insurance rolls will generally increase access to care in the younger population, the resultant strain on our health care system could make it more difficult for certain vulnerable populations, such as elderly patients already on Medicare, to access the health system. This effect could be magnified in our state, which has about a 20 percent uninsured rate, unfortunately the highest in the nation.more