In another disappointing development, SIM staff announced at the meeting that they will not be adopting patient-centered medical home (PCMH) standards recommended by the SIM Practice Transformation Taskforce. Lesley Bennett and Dr. Edmund Kim presented to the steering committee on months of work by the taskforce researching and carefully negotiating reasonable recommendations, building on successful national standards, that are achievable for CT practices but demonstrate meaningful quality for consumers. Ms. Bennett and Dr. Kim described lengthy, collaborative discussions to work out a consensus proposal, including cultural competence standards of care. SIM staff cited the difficulty that some providers have encountered reaching national PCMH standards and doubts from some providers about quality improvements. However the number of nationally recognized PCMHs in CT continues to grow every month and there is an abundance of evidence on the effectiveness of nationally recognized PCMHs including the stability of those improvements between certifications.
In good news, the SIM Equity & Access Committee continued to work through shared savings policy options and make recommendations to monitor and prevent inappropriate underservice and adverse selection. Hopefully our hard work will be adopted by SIM leadership when we are finished.