Register / Log In

IOM: Practices and public health must collaborate


The Institute of Medicine (IOM) believes your practice and your community’s public health officials need to work together.

The traditional separation between primary care physicians (PCPs) and public health professionals is hurting population health, says a new report from the IOM.

The report highlights examples such as the Community Care of North Carolina (CCNC) program, which is a statewide organization to coordinate and improve the care quality for Medicaid recipients. One network, based in Durham, is organized and operated by PCPs, hospitals, health departments, and departments of social services and funded by per capita payments from Medicaid. The network is responsible for improving outcomes and achieving cost savings. The primary care practices that work with the CCNC receive additional per capita payments from Medicaid to help achieve the network’s goals, according to the report.

The report also cites the Healthy San Francisco project in California, run by the city’s health department. It links uninsured residents with primary care practices that are compensated through the project. The report lauds a city-funded program in New York City called Take Care New York. It, in part, assists PCPs with care coordination for patients with diabetes, high cholesterol, hypertension, and smoking.

In the report, the IOM does not advocate for a complete merger of primary care and public health organizations. Every community will be different, and not all will be able to achieve true partnership, it says. In some communities, achieving mutual awareness will mark a significant step forward, but it will be useful to strive for greater integration when possible.

“While integrating fields that have long operated separately may seem like a daunting endeavor, our nation has undertaken many major [healthcare] initiatives,” said committee chairman Paul J. Wallace, senior vice president and director, Center for Comparative Effectiveness Research, in a statement. “It's time we did the same for primary care and public health, which together form the foundation of our population's overall well-being.”

Go back to current issue of eConsult

Related Content

Giving (and getting) back to your community

Doctoring in Haiti: 2 weeks with the poorest of the poor

Institute of Medicine recommends Medicare adjust regional cost calculations

FDA creating mobile app for use during public health crises

Treating the underserved: You call this an incentive?

CMS awarded more than half a billion dollars to successful e-prescribers and participants in its PQRS program. When you average it out, however, it's not as much as you?d think.

If you're fresh out of residency, the Magnolia State wants you, and it is willing to waive its state income tax to get you there. Get the facts before you pack your bags.

If a key part of the healthcare reform law is ruled unconstitutional it could change the way you practice, say health law experts. And one group of your patients is especially vulnerable.

Dozens of physician groups petitioned CMS to change or delay multiple rapidly approaching regulatory deadlines and penalties. Read their list of demands.

Leaving your private practice for academia may not be a smart move if you're motivated by money. See how the salaries compare.


ME091014_LOGO.jpg
 
Stay Connected