Donor Spotlight on Premier Medical Associates
Premier Medical Associates (PMA) was founded in 1993 in Monroeville, PA, and
currently is composed of 100 providers in 10 different office locations serving
more than 100,000 patients. They are the largest multispecialty physician
practice in their region. True to their name, they have “premiered” a model of
care that achieves the Triple Aims of patient satisfaction, improved population
health, and reduced costs. Read on to see how this medical group is leaving
their footprint on the path to value based care.
AMGA Foundation: Premier Medical Associates has been one of our
most active participants, most recently joining the Cardiovascular Disease
cohort of the Together 2 Goal Innovator Track. Why is it critical for AMGA
Foundation to collaborate with member groups to define best practices for these
subgroups of patients with type 2 diabetes?
DeRubeis: The impact of finding best practices is
significant because of the large number of people affected by this condition.
The Centers for Disease Control and Prevention (CDC) estimates the population in
the United States affected by Type 2 diabetes is twenty-nine million.
Studies show that seven in ten people with diabetes age 65 and above die from
some form of heart disease. Adults with diabetes are two to four times
more likely to die from heart disease than adults without diabetes.
Diabetes is one in seven major controllable risk factors for Cardio-vascular
AMGA Foundation: What do you see as PMA’s largest accomplishment in terms of
improved patient outcomes in the past few years? How did participating in AMGA
Foundation’s programs contribute to this success?
DeRubeis: The largest accomplishment at Premier is the ability of the entire
practice to increase blood pressure rates from 62% to 80% from 2013 to 2015 when
PMA was participating in the Measure Up/Pressure Down campaign®. This was
one of the first large population health programs that Premier implemented.
The evidence based planks followed for that campaign were provided by AMGA.
To track whether the effort was successful, performance was communicated
transparently to all providers for the first time. Many of the successes from
this program were used to approach other AMGA quality programs, such as heart
failure, adult immunization and Together 2 Goal®. By participating in these
programs, PMA discovered creative ways to motivate providers and care team
members to engage in various activities. The activities drove teamwork,
shared accountability and created an elevated level of collaboration within our
AMGA Foundation: The Foundation’s strategic vision, Vision 2025, outlines four
distinct pathways leading to improved health for 100,000,000 patients by 2025:
- Advancing Best Practices
through Chronic Disease Collaboration
- Developing Community
Research and Partnerships
- Engaging Patients and
- Innovating New Care Models
How do these pathways align with PMA’s current focus and vision for the
DeRubeis: Premier will continue to be active participants in future programs
aimed at implementing best practices with strategies that provide better
outcomes for our patients. AMGA represents a collaborative group of
successful healthcare organizations that are paving the path to the future of
healthcare and value based medicine. Sharing knowledge within this forum
adds insight and the ability to work as a team to weigh different approaches to
position our organization to be a high performing health system providing
patient-centered care in Western Pennsylvania.
Clinical leaders realize that patients and families who engage in the
management of diseases often have better outcomes. Any opportunity to
connect with the community to raise awareness and influence active participation
in community members’ care only increases our opportunity to be successful in
getting people to live healthier lives. Premier recently is teaming with
the YMCA Diabetes Prevention Program to assist patients with prediabetes and
reduce the risk that they will develop over diabetes.
Premier has invested in support resources throughout the organization to
support quality initiatives and to focus on the needs of patients faced with
chronic disease. Nurse navigators in PMA primary care offices coordinate
care and provide education and follow up for patients. A Quality
Coordinator of Nutrition and Diabetes Education Services conducts educational
sessions for patients and their families on a regular basis. Two clinical
pharmacists monitor medication management across the organization.
Likewise, a Licensed Clinical Social Worker provides resources to our patients
and family members who require such support. The overarching goal is to
continue to provide the tools and resources needed to support initiatives and
organizational goals that improve the outcomes for patients.
AMGA Foundation: Why do you think that AMGA Foundation, with its members, is well
positioned to advance innovative care models that can help correct the
trajectory of chronic disease in America?
DeRubeis: AMGA’s membership is composed of groups that employ 175,000
physicians collectively, who provide care to one in three Americans. The
Foundation activities allow for these high performing systems of care to share
best practices based on quantitative data. The members of AMGA are
front-runners in value-based medicine and are committed to the evolution of
healthcare as the dynamics of the industry change and as tools continue to
advance technologically. AMGA has always been a successful leader at refocusing
organizations and driving best practices across the nation.