Internists and the Revolution in Health Care Delivery

Molly Cooke, MD FACPProfessor of Medicine, UCSF

President, American College of Physicians

Central America chapterFebruary 7, 2014

team care

I-A-1

I-A-2

I-A-3

The ACA and the health care delivery system

2010 Community health teams to support PCMH2011 Community-based collaborative care networks Medicaid health homes for chronic conditions2012 Medicare accountable care organizations2013 National demo on bundling payments

I-B-3

Non-MD’s will provide much of care

II-A-1

II-B-1

II-B-3

Frankel 2005; JGIM 20:677- 682 II-C-1

III-A-3

III-B-1

Crossing the quality chasm IOM

Internists must play a key role in as mediators (and mitigators) of the technologization of medicine

III-C-1

Frankel 2005; JGIM 20:677- 682 III-C-2

Frankel 2005; JGIM 20:677- 682 III-C-2

team care