Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
Page 15
Page 16
Page 17
Page 18
Page 19
Page 20
Page 21
Page 22
Page 23
Page 24
Page 25
Page 26
Page 27
Page 28
Page 29
Page 30
Page 31
Page 32
SUMMER 2015 COMMUNIQU 7 FEATURES CRAIG MAGNATTA Leading The Charge In Michigan For PRIMARY CARE by Pat Grauer It was established in 2006 as part of the Michigan Department of Community Health transitioned to a non-prot in 2011 and now is an organization comprising nearly 90 institutions including medical schools universities unions employers professional groups and insurers. Its the Michigan Primary Care Consortium and its at the forefront of advocacy education and transformation of primary care in our state. Leading this charge is MSUCOMs Craig Magnatta a 1978 alumnus and a clinical faculty member of family and community medicine. The chairperson of the MPCC board he has also served as the president of the Michigan Association of Osteopathic Family Physicians and the Michigan Osteopathic Association and is a member of the boards of trustees of the American Osteopathic Association DOCARE International and the Michigan Osteopathic College Foundation. Q What is the status of primary care in Michigan A With the public now required to have insurance there is an increased number of patients more than 300000 who havent had care for many years and are now coming into our ofces. Primary care physicians are very important to help coordinate their care and help them to work through the system so that they can get what they need. There isnt sufcient capacity for this and these physicians are busier than ever before. We need more primary care doctors and other providers. Q What is the Michigan Primary Care Consortium A Our organization is made of provider groups doctors nurses physician assistants and nurse practitioners purchasers like Ford and General Motors insurers public organizations pharmaceutical groups and educators. We have quite a diverse collection of people who are members of MPCC and this gives us a broad and comprehensive approach to the issues. Q What kind of things is MPCC doing A Were convening educating and advocating for primary care transformation in the state. Were pleased that the denition of a patient-centered medical home we crafted in 2007-08 for Michigan is the model being tested around the country to improve the quality of care lessen duplication and reduce costs. We created a white paper for the legislature on the high debt load of health professions students. Weve advocated for training of more primary care professionals of all kinds physicians physician assistants nurse practitioners social workers psychologists so that there is continuity of care. Weve written white papers on primary care in crisis transforming primary care practice and payment activating consumers of primary care and rebuilding the primary care workforce. Weve developed toolkits for example on the patient- centered medical home. We started the adult immunization initiative for Michigan and because were so diverse were able to disseminate that information efciently to various groups and the public for education and advocacy. Q What about reimbursement of primary care physicians A For years medical systems have reimbursed procedures that specialists do more highly than the thought processes that primary care physicians must use. Some of that is changing as the federal government is trying to compensate these doctors better in order to stimulate growth in the area. As they establish patient-centered medical homes nationwide and realize there are some savings that will create more money available to primary care providers. At present 40 to 50 percent of physicians are employed by corporations instead of serving in private practice. Thats mainly because the cost of running the business has increased and students who are graduating with a mortgage-equivalent of debt for their education cant take on another mortgage-equivalent of debt to set up practice. I was in private practice for 30 years and about ve years ago we transitioned into practices owned by hospital systems. Q Did that change the way you related to patients A I feel the only thing that Ive had to change is the adoption of the electronic medical record and I feel that detracts from good doctor- patient relationships. I dont take a computer into the room unless we need to review some test results. I take notes on paper and then transfer them over after Ive seen the patient. Even when youre part of a corporate group you can make little modications to fulll its requirements and still ensure good human interactions with your patients. Q What advice would you share with our students and physicians A Im proud that MSUCOM has been proactive in exposing students early to primary care having them work in physician ofces during their preceptorships and providing the Primary Care Ambulatory Clerkship during the third and fourth years. I want to encourage physicians to represent the osteopathic profession and to continue to show that it is different and distinct even with the ongoing unication of graduate medical education. We need to act as role models to show the students why we decided to go into medicine in the rst place to help people. The osteopathic profession has always used a more family-oriented and hands-on approach and people are very open to that. Craig Magnatta