Primary Care Information Project (PCIP)
Program Location:
New York City, NY
Payer Type:
Medicaid
Payers:
state
federal
Reported Outcomes
Description:
The Primary Care Information Project (PCIP) is a bureau of the New York City Department of Health and Mental Hygiene (NYCDOHMH) whose main mission is to improve population health through health information technology and data exchange. PCIP can be categorized as a technical assistance provider and subjectmatter expert, helping large and small primary care practices implement prevention-oriented EHR with built-in core functionality (like quality measure calculations, registry functions, and chronic-disease focused clinical decision support). Primary Care Information Project is leveraging electronic health records (EHRs) and Patient-Centered Medical Home to improve the quality of primary care in underserved communities, and to encourage greater awareness to stay healthy among New York City residents. The project focuses on the New York neighborhoods where health disparities are greatest East and Central Harlem, the South Bronx, and Central Brooklyn.
Payment Model:
As not all providers are eligible for support from current funding sources, NYC REACH is piloting a fee-for-service model for technical assistance that would be available to all, and subsidized through grants or contracts with their parties if available. Having supported the EHR adoption and Patient-Centered Medical Home recognition of so many practices, PCIP has an interest in seeing other payers invest in them as well. PCIP worked closely with the NYSDOH Patient-Centered Medical Home Medicaid initiative, and helped advise HIP/GHI towards the end of their Patient-Centered Medical Home pilot. PCIP also helped recruit practices for Empire’s Patient-Centered Medical Home initiative, and continues to advise on programs for advancing primary care. PCIP is talking with payers to explore a cross-payer program to support practices in achieving Patient-Centered Medical Home designation, but has found that most payers seem only interested in working with their own subset of patients and developing their own sets of standards and measures.
Improved Health:
- In October 2011, PCMH-recognized practices outperformed nonrecognized practices on A1C testing, BMI recorded, blood pressure control in patients with both hypertension and diabetes, smoking status recorded, and smoking cessation intervention measures.
Other Outcomes:
- At baseline, PCMH-recognized practices performed significantly better than nonrecognized practices on 5 of the 7 quality measures
- For both of the blood pressure control measures, the interaction term was significant with an OR greater than 1, indicating that PCMH-recognized practices improved at a faster rate than nonrecognized practices
Data Source(s):
Last updated September 2015
