2025 ADFM Annual Conference

The Person-Centered Primary Care Measure (PCPCM) is a patient assessment of their longitudinal experience of care with a clinician and care team, evaluating core functions of primary care in the health system. However, the optimal process of implementation across health systems, including how and when to administer the survey, reporting, and process improvement activities tied to survey data, has not been established. We distributed the 11-question PCPCM experience survey to 329,450 patients empaneled across 78 primary care practices between April 2023 and January 2024. We evaluated survey completion parameters, psychometric properties, and mean responses in relationship to patient-level demographic variables. In this large, heterogeneous system of primary care practices, the PCPCM survey was successfully distributed using the Press Ganey (South Bend, IN) platform. We found a low response rate (6.4%), but demonstrated good internal consistency, with a skew toward higher scores. PCPCM scores varied by age, sex, race, primary care provider type, and the number of years the patient had been at their current primary care practice. Responses varied significantly by patient race, but differences were small and not uniform in direction. Black or African American patients were significantly less likely to believe that the care provided by the practice was informed by knowledge of their community, compared with all other racial groups. The PCPCM was implemented successfully in a large network of primary care practices, but more work is needed to improve the response rate. Future work should focus on the use of the PCPCM for practice and provider feedback and validation of individual PCPCM items. Our plan for this session is to present our implementation process, briefly review our initial findings, and future directions. Our hope is that more health systems and primary care practices will implement this important measure of primary care quality.

Health systems’ business development processes have traditionally been designed around fee-for-service revenue opportunities. Health systems that are shifting towards value-based payment models must update how they assess business development opportunities including new clinical programs, growth, and optimization of resources. This presentation describes approaches that primary care leaders can leverage to advocate for business development processes that reflect the impact of value-based payment mechanisms on primary care services. The session sill include panel members discussing experiences leveraging value based care and population health to enhance clinical care, education, research, and health equity. The topic will be viewed from the lenses of academic departments, health systems, and payors.