• IIMH Offerings
• Participation
• What You Will Need
• For Accreditation Information
• Termination
• Conflict of Interest
• Web Privacy
• The Faculty
• Charges for IIMH
• Frequently Asked Questions

"Wow. I mean, wow. Where have you guys been all my life??"

We kid you not. This is a response that we received after a lead story related to this work appeared in the New York Times. (6/7/09: If All Doctors Had More Time To Listen) While we are always pleased to receive accolades, IIMH is built on more than anecdotal accolades. IIMH is built on years of research and testing.

Click here for DETAILED CURRICULUM.

• Implement components of the patient-centered medical home
• Evaluate the effectiveness of the patient-centered medical home components over time
• Use the health information technologies in the patient-centered medical home
• Minimize unwanted variation and fragmentation of services

Invaluable communication afforded among peers and those with more experience.

Direct coaching by Faculty members is a valuable addition for a practice or group of practices, employers, or health insurers.

Some sponsors may wish to explore more extensive practice "on-boarding" techniques including a regional kickoff meeting or deeper practice support with practice mentoring conference calls. Some groups (such as those serving Medicaid) wish to explore new options to better manage their practices and or patient populations.

Health insurance plans, employers, medical societies, etc can choose to take the IIMH program and distribute it themselves at a much reduced cost.

Contact us for details/discussion.

What Participation Means

Reading; Conference Calls; List-Serve Use; Patient Survey Use; Practice Business Process and Workflow Revision; Data Collection and Review; Time Management for personal and CME purposes: 8 to 9 hours for conference calls, 6 hours for reviewing materials and brief YouTube overviews, and 6 hours for implementing changes and evaluating the results.

What Participants Need

Web Browser; Internet Connection; Adobe Acrobat Reader; Telephone; An email address to which your patients can send their HowsYourHealth data if they choose to do so; To acknowledge the business associate agreement with Venix Corp. if you plan to use the HowsYourHealth HIPAA secure patient registry.

Accreditation of IIMH

The Dartmouth-Hitchcock Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing education for physicians.

The Dartmouth-Hitchcock Medical Center designates this educational activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

For more information regarding accreditation of this activity contact The Center for Continuing Education in Health Sciences at Dartmouth-Hitchcock Medical Center, contact us.

Termination Date

Date of Original Release: February 2010
Termination Date: February 2013
To obtain CME credit, you must register at the beginning of the course, complete the evaluation and certification of attendance and request your CME certificate within 90 days of course completion.

Conflicts of Interest

The following course director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Institute for the Ideal Medical Home, February, 2010 have reported the following financial interest or relationship* with various companies or discussion of off-label uses. The planning committee member(s), course director(s), author(s) and anyone in a position to control the content had their conflict(s) resolved by altering that individual’s control of content for that area of the activity or as noted below.

L. Gordon Moore, MD ~ is a paid employee of HelloHealth.

John Wasson, MD ~ Statement of Conflict of Interest (COI) Resolution for John Wasson, MD is appended. He is Course Director of the Institute for Ideal Medical Home (IIMH) and Developer and Distributor of HowsYourHealth (HYH) family of tools under license with the Trustees of Dartmouth College.

Other planning committee member(s), speaker(s), course director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) whose product may be germane to the content of their presentations, or which are supporting this program, and no discussion of off label uses. There were no individuals in a position to control the content who refused to disclose.

* A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Web Privacy Information

The Faculty of IIMH

Course Director/Chairman and Contact for General Information

• John Wasson MD: Professor of Community and Family Medicine and General Internal Medicine; Herman O. West Professor of Geriatrics at Dartmouth Medical School; Former Director of the Centers for Aging; Research Director of the oldest Practice-Based Primary Care Research Network: The Dartmouth / Northern New England Primary Care Research Network (COOP); Institute for HealthCare Improvement Co-Director for Idealized Office Practice and IMPACT.

• Pamela Hageny, BSW, MBA has over 25 years of health care experience in a variety of settings, primarily working with physicians in provider practice organizations and academic settings. She coaches and manages quality initiatives and chronic disease care processes.
• L. Gordon Moore MD is a national leader in improving health care in primary care and medical office practices. He has led the Ideal Medical Practices project (www.IdealMedicalPractices.org) where practicing physicians are demonstrating improved experience of care and clinical outcomes for the patients they serve. He is a faculty member of the Institute for Healthcare Improvement in the domain of office practice redesign.

• Neil Baker M.D. has expertise in the science of improvement, behavior change, and evidence based medicine. He has worked with the Institute for Healthcare Improvement (IHI), the National Initiative for Children's Healthcare Quality (NICHQ), and IMPACT BC in British Columbia on a wide range of issues in healthcare including variation reduction, appropriate use of specialty services, reducing avoidable emergency department visits, systems design for chronic illnesses, patient-centered care and self management support, and reliability.
• Virginia (Ginna) Leigh Hamilton Crowe, RN Ed.D has worked with organizations such as departments of health, educational programs, and clinical systems that desire to improve the care delivery, efficiency, and experience of healthcare for patients and staff.
• Connie Davis, MN, ARNP RN has worked for many on improving interactions between clinicians, patients and families. Most recently she has worked with with the Institute for Healthcare Improvement for the Indian Health Service's Chronic Conditions Initiative and for Impact BC, working on the Patients as Partners program
• Marjorie M. Godfrey, MS, RN has worked with health systems in the United States, Sweden, Canada, Norway, France, Kosovo, Tunisia, Chile, Ireland and the United Kingdom to support innovation and transformation of their health care system using clinical microsystem frameworks and theory. She is the developer of the Clinical Microsystem website, www.clinicalmicrosystem.org.
• Anna Maria Izquierdo, MD PhD Executive Director of Care for Your Health, Inc., has worked with low income neighborhoods all her career. She has recently established a non-profit organization that uses a model of federated micropractices embedded in the community to deliver care to resident of low income neighborhoods.
• Suzanne Mercure BA has been a benefits manager at many large corporations (such as Wang, Bull, Edison International) and has served with NCQA and the National Business Coalition on Health. She is currently project director to NBCH for a cooperative agreement with Centers for Disease Control and Prevention.
• Eugene Nelson DSc, MPH is Director of Quality Administration for the Dartmouth-Hitchcock Medical Center and Professor, Healthcare Improvement Leadership Development within The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School. He is a national leader in health care improvement and the development and application of measures of system performance, health outcomes, and customer satisfaction. He helped launch the Institute for Healthcare Improvement and served as a founding board member
• Cory Sevin RN, MSN, NP has co-directed the Institute for HealthCare Improvements Office Practice Impact Program. Areas of knowledge and experience include Advanced Access, Planned Care Redesign, Office Efficiency, Workforce issues and successful Spread/Sustainability.
• Catherine Tantau BSN, MPA is an internationally recognized authority on access, efficiency and flow systems in health care. She has written numerous articles in the peer reviewed literature on these subjects and was Chair and Faculty member for the First National "Waits and Delays" collaborative with the Institute for Health Care Improvement.
• Ideal Medical Practice Clinicians we also draw on the skills of 20 physicians who have years of practical experience building ideal medical homes and documenting that their patients receive exactly the care they want and need.

Frequently Asked Questions

Based on our experience with both Office Redesign by the Institute for HealthCare Improvement (1999-2009) and the Ideal Medical Practices (IMP) Curriculum (2006-2009) we have learned about the feasibility and effectiveness of helping busy practices - large and small, free-standing or system affiliated.

This program is built on repeated observations that for most practices, office time is money and that unforeseen circumstances during office hours often thwarts full participation. Rather than missing many hours of patient care and incurring the expense of travel, we provide a web-based curriculum during hours not typically conflicting with patient care time. By "boiling down the best" from many years of testing and feedback the Faculty has addressed the challenge of limited time.

If your practice is motivated to make dramatic changes, this much time is all you will need to learn how to use the methods and tools needed to attain practice transformation.

Yes. All practices are alike and also different. What all practices have in common is the "clinical microsystem": the smallest workforce and unifying information environment that serves the needs of a defined group of patients. Sometimes this clinical microsystem is called a "team" or "teamlet" or simply the "practice group". Again, based on the Faculty's extensive past experiences we recommend that you identify members of this clinical microsystem and ask them to be the participants in IIMH. At a minimum the lead physician must be a participant. If the clinical microsystem is part of a large health system it must be sure that leadership will be highly supportive of the work with the Institute for the Ideal Medical Home. For sponsoring system leaders and employers the IIMH offers a special track.

What are the Payment Policies for IIMH?

By taking advantage of lowest cost technologies IIMH is able to offer so much for so little. For example, most of the scheduled time uses YouTube, email list-serve, and conference calls. Between scheduled times the participants always take advantage of peer and Faculty communication via list-serve.

We expect a Fall Session to cost $400 per practice and $100 additional for 20 hours Category 1CME.

Regarding the use of Hows Your Health as an educational tool for your patients and the course curriculum: At any time during or after the course, you may discontinue using Hows Your Health and have patient information in the HIPAA secure registry sent to you as an Excel document.