Annual Report 2012

Engaging communities to transform primary care

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FROM THE EXECUTIVE DIRECTOR

Dear PCP Community,

It is comforting to know when someone is looking out for you. It’s even better if they have the power to ward off harm, right things that are wrong, and guide you through important decisions. These might sound like the characteristics of your favorite superhero, but they are also the daily ambitions of primary care clinicians. The relationship with your primary care provider should be one of the most trusted ones in your life. Sadly, many Americans do not have a primary care provider.

Over the past year, I have learned so much from each of you about the challenges facing our primary care workforce pipeline. Countless trainees have shared stories of being actively discouraged from pursuing primary care careers. Clinicians have lamented that their patient interactions are reduced to 8-minute encounters. And educators note struggling to teach the next generation while simultaneously attempting to keep pace with the unrelenting demands of modern primary care practice.

I have been inspired by your commitment to overcome these challenges while continuing to recruit and support a new generation of leaders in primary care. At PCP we are united by the belief that primary care is central to solving our country’s health care crisis. We know the revitalization of primary care is no small undertaking. From the outset, our work at PCP has been guided by the philosophy that we can accomplish more when we work together. Over the past year, it has been extraordinary to see more and more individuals and groups join the PCP network, attracted by those same values. It is clear to us. This is no longer just a network–it’s a movement.

The members of PCP’s 22 chapters have embraced the spirit of team and banded together across different disciplines, professions and stages of training to promote primary care in local academic settings, advance new models of care delivery, and reform training. Their successes have been inspiring and have given us all renewed faith in primary care and a sense of our collective power. We’ve moved from a world of probability to one of possibility.

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Our national team is committed to connecting our community members, sharing your inspiring stories, and highlighting your strategic successes. We have developed a unique set of leadership trainings to help you engage others, build strong teams, and take your advocacy and clinical innovation efforts to a new level. It’s been profoundly rewarding to watch you employ these skills in your local efforts. There are now new primary care courses, rotations, deanships and mentorship opportunities at medical education institutions across the country because you had a vision for change and took action.

I believe that together, we can fix our ailing, fragmented health care system. We are in the early stages of a long battle to establish primary care as the rightful foundation of that system, and insist on accountability from our institutions of medical education. Victory will be ours when we realize our capacity to make a profound difference, especially when we are joined together in the fight. That growing sense of possibility, opportunity and teamwork is one we will continue to cultivate here at PCP.

We hope that you will view 2013 in the same way that we do–as a time of incredible possibility for expanding the reach of the PCP network, deepening the connections among our members, and building one primary care “win” upon another. This is our moment.

Thank you,

Melissa Gillooly Executive Director

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Accessible. Personal. Proactive. Comprehensive. Coordinated. Life-long.

This is how primary care in America should be described. Unfortunately, it is more often characterized as “broken,” “disjointed,” or “wasteful.” Our nation’s primary care system is failing and needs to be fixed.

Our mission at Primary Care Progress is to develop a new generation of leaders to transform primary care and establish it as the foundation of health care. By supporting these leaders’ efforts to improve primary care delivery and training in local communities, we can ensure America the high-value primary care system it desperately needs.

OUR VISION

Below: Dr. Karly Pippitt, faculty advisor for the PCP chapter at University of Utah, with her clinic team and a patient, for the Voices for Primary Care campaign.

“This is more than an interest group. It’s a primary care

movement.”

- Bob Chestnut4th year medical student

University of Utah chapter leader

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PCP formed with a belief that trainees have a critical role to play in the revitalization of our primary care system.

In 2009 Harvard Medical School surprised the primary care community by announcing plans to defund the school’s Primary Care Division. In response, a group of primary care trainees launched a grassroots campaign, motivating the local primary care community to work with medical school leaders on a new vision for primary care delivery and training at Harvard. This spirited collaboration led to the creation of the Center for Primary Care at Harvard—and the formation of Primary Care Progress.

Today, PCP focuses on mobilizing medical trainees to transform primary care, providing leadership training, and helping a new generation see a promising future for itself in primary care.

PCP is a connected community of over 2,000 primary care supporters, advocates, leaders, and visionaries. We are students, residents, clinicians, patients, and educators; we represent all disciplines of primary care, and the full spectrum of professions that make up the primary care team. What unites us is a belief in the profound value of primary care, a common commitment to fixing primary care now, and the certainty that we can reinvent primary care only if we leverage all of the resources and passion of our diverse community.

We have chapters at 22 colleges, medical schools, and allied health programs around the country, as well as an inspired online community. We provide tailored leadership trainings that empower chapter members to take their advocacy and clinical innovation efforts to new levels. We’re also doing our part to connect the larger primary care community,

OUR STORY

Above: Harvard Town Hall, 2009

WHO IS PCP?

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Above: Wellesley chapter members celebrate National Primary Care Week.

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and to create greater awareness of the need to replace our system of primary care training and delivery with a new, more inspired, more patient-centered, more meaningful primary care.

As more primary care trainees and advocates join our network and share their stories, our collective sense of possibilities gains strength, and our skills and knowledge expand together. We are astounded by what we’ve built together in our short history, but we have a long way to go. And

we need help - for we have much change to engineer before every patient receives the kind of care we’d want for our own family.

Previous efforts to revitalize primary care have been hampered by lack of collaboration and a reliance on technical fixes that don’t change the way we think or how we work together. Primary Care Progress is changing that.

PCP is guided by a commitment to teamwork, harnessing our collective passion, experience, perspectives and power to address problems. Whether we’re working to create a new division of family medicine or create a new primary care innovation collaborative, we’re creating an inclusive, engaging space where everyone has a chance to play a role in local change. We believe skills in community engagement, team-building and change management are critical to advocacy and clinical innovation, but most health professional training programs are not teaching these skills. PCP works to fill this void by providing training in critical leadership skills and helping trainees employ these skills to take action to advance primary care in their communities. Interwoven in all of these programs is the use of new media to inspire others and elevate the dialogue on the value of primary care.

OUR ACCOMPLISHMENTS

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22 CHAPTERS

1,972ONLINE

COMMUNITY MEMBERS

Our chapters continue to grow in number, size, and diversity. In 2012, we expanded our network to include 22 chapters based at medical and health professional schools around the country.

For many members, participation in these interprofessional, trainee-led groups are their first opportunity to become involved in the movement to transform primary care. PCP employs an organizing model that engages clinicians, trainees, educators, and other allied health professionals across family medicine, internal medicine and pediatrics. Unlike traditional student interest groups, these chapters identify problems plaguing their local primary care environment and mobilize efforts to remedy those problems. These activities involve the creation of new programs, like primary care innovation collaboratives, while others take the form of a longer campaign, such as convincing medical school leaders to fund a neglected primary care program. Our national team caters to these varied local efforts, providing advocacy training, leadership development, media attention, tools and strategic support to help chapters reach their goals. We continue to be in awe of the successes these chapters have achieved, including establishing new primary care deans, creating new primary care courses, hosting educational primary care community summits, and offering unique clinical innovation opportunities at medical training institutions across the country.

CHAPTERS

LEADERSHIP TRAININGPCP is building the next generation of primary care leaders, offering training in leadership practices critical to primary care advocacy and foundational to clinical innovation efforts.

Current models of primary care training leave graduates ill-prepared to function in new models of primary care and for leadership in change efforts. PCP has found a way to fix that, and has worked with 138 chapter leaders throughout the year, offering one-on-one trainings to help them develop leadership practices focused on team-building and change management that complement their burgeoning clinical skills. These leadership practices enable trainees to successfully mount community action campaigns, and assist them in being active members of the local clinical innovation process. The PCP team also conducted in-person trainings at institutions including Stanford and Yale Universities, as well as advocacy training at the conferences of the American Medical Student Association (AMSA) and the Family Medicine Education Consortium (FMEC).

In September, PCP organized the inaugural Gregg Stracks Leadership Summit, our first inter-chapter training. The summit was

Above: Scenes from the 2012 Gregg Stracks Leadership Summit

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Igniting this national movement requires the sharing of ideas and stories.

Incredible progress is occurring in primary care delivery and provider training, yet many in the primary care community are unaware of these exciting innovations. Primary Care Progress works tirelessly to highlight new models of care, new roles of team members, and new ways of training to inspire and to give network members actionable ideas. We have sought to spread these ideas far and wide using traditional and social media, highlighting stories of success and building new connections throughout the community. Over the past year, we have seen our website membership and social media following grow substantially. With almost 2,000

an interactive, skills-building and action-generating experience. The two-day event brought together 57 interdisciplinary medical trainees representing undergraduates, medical students, medical residents, physician assistant and nurse practitioner students from across the country. Led by the PCP field team and legendary organizer Marshall Ganz, participants took their leadership practices to a new level and honed strategic plans for local action in an energizing and interprofessional setting. An engaging media training was also incorporated into the summit to help participants develop new content, consider new dissemination strategies and use social media to share their stories to promote the value and promise of primary care. A final highlight for summit participants was the keynote address from Dr. Jeff Brenner, primary care physician and advocate and the subject of Atul Gawande’s New Yorker article, “The Hot Spotters.” Feedback from summit participants was extremely positive, with many noting that the training was unlike anything they had experienced in the health care space.

SHARING STORIES OF PRIMARY CARE

“PCP provides exceptional opportunities for both personal development and leadership growth. I have never found another organization that supported my personal growth while also training me to effectively advocate for patients and work well in teams.”

- Dr. Sarah Smithson Internal Medicine physician and faculty

University of North Carolina

“Having learned about my colleagues’ motivations to choose primary care, and having worked with them as a team to define strategies to promote primary care in our shared community, I left the retreat with a deeper sense of commitment to my colleagues and to our organization as a whole. In addition, I am now convinced of the critical need for leadership training in medical schools wishing to prepare medicine’s future leaders.”

- Nyasha George 4th year medical student Yale Chapter Leader

registered users and nearly 2,000 followers and fans on Facebook and Twitter, PCP has become an online home for thousands of primary care advocates, who use our website and community to access resources and make connections with others who are passionate about primary care. Behind the scenes, we’ve worked to improve the function and form of our website and to provide resources such as toolkits and internal forums for our chapter members.

Through our blog, Progress Notes, we share the diverse perspectives and experiences of primary care advocates at all stages of their careers. Based on demand from readers and contributors, we now publish Progress Notes twice a week, and by the end of 2012, posted our 200th entry. We also created “Conversations in Primary Care,” an interview and webinar series with primary care leaders about changes they have been a part of or would like to see in primary care.

Our webinar series with Emmy Award- winning filmmaker David Grubin captured the insights of high profile leaders in primary care. Our “Stories of Innovation” video series highlighted key innovators and innovative programs in primary care around the country, from a student in Baylor College of Medicine

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addressing clinic workflow issues to the Family Medicine Residency at Brown University that empowers residents to lead group diabetes visits. PCP is telling stories from a unique perspective, highlighting the human element, and sharing rarely heard stories from the primary care community. We’re rebranding primary care by harnessing media in ways not typically seen in health care.

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VOICES FOR PRIMARY CARE

Primary Care Progress is redefining primary care. During National Primary Care Week (NPCW), PCP launched “Voices for Primary Care,” a social marketing campaign that featured almost 1,000 messages from students, clinicians, patients, and thought leaders about why they value primary care. We created a companion website to spotlight the campaign as well as resources for anyone participating in NPCW across the country.

Above: A few of our favorite submissions from the “Voices for Primary Care” campaign.

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“I was hitting some of the doldrums of my hospitalist rotation, and it was great to take a step back, and think about some of the

reasons I want to go into primary care, and learn about some of the incredible people

leading innovation in this space.”

- Anoop Raman 4th year medical student

Tufts University

CLINICAL INNOVATION NETWORK

Michael O’Brien 4th year medical student Buffalo Chapter Leader

At PCP we believe exposure to exciting advances in primary care is one of the best ways to help trainees see a future career in primary care and learn critical skills in clinical innovation.

Unfortunately, the vast majority of trainees aren’t exposed to these innovations or the inspiring mentors who are taking action to change the system. PCP is working to fill this gap. In 2012, we launched our Clinical Innovation Network, an informal nationwide collaborative of up-and-coming leaders in primary care that features regular webinars highlighting innovations in care delivery and primary care education, and helps members begin to translate exposure to innovation into on-the-ground change. In 2012 we hosted two major webinars. The first webinar was an interactive discussion with leaders of Iora Health, a cutting-edge primary care start-up. The second was a virtual tour of San Francisco General Hospital’s transformed internal medicine teaching clinic, with clinic leaders and a second-year resident. Since these sessions, network members have connected with Iora Health for rotations and educators have shared how they incorporate residents on their care teams.

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2013 promises to be an exciting year as we continue to expand our most successful and sought-after initiatives:

Chapter Development – We will continue to build our chapters and enhance their interprofessional and interdisciplinary nature. We’ll increasingly find opportunities for them to collaborate on national initiatives to advance primary care.

Trainings – We will further develop and codify our trainings in leadership and community engagement, offering trainings to hundreds of local leaders to enhance their capacity to lead change in their clinics and communities. Drawing from a framework of strategic organizing and community engagement, the training hones those leadership practices critical to managing change and building and sustaining teams, whether those teams are coming together to deliver better value clinical care, innovate in care delivery or training, or advocate for primary care policy changes.

2013: LOOKING AHEAD

Above: Participants at the Gregg Stracks Leadership Summit watch a presentation on how to use media to share the value of primary care.

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Key elements of the training include:

Public Narrative: How to utilize strategic storytelling to not only frame one’s own calling to lead, but to plant the seeds for creation of a new team based on common values and experiences.

1:1 Relationship Building: How to build intentional relationships as the foundation of diverse, interdependent, engaged teams that can pursue purposeful collective action.

Strategic Campaign Planning: How to develop plans to turn your team’s resources into the power to achieve clear goals.

Action: How to translate strategy into measurable, motivational, and effective action.

Effective Use of Media: How to communicate and “message” primary care in a more compelling and powerful manner.

“I wish Primary Care Progress was around when I was a medical student. PCP is giving voice to the frustrations of an idealistic

generation of medical students who are disappointed with status quo. Best of all, it’s equipping them with the organizing skills to be effective

agents of change.”

- Dr. Jeff Brenner Executive Director

Camden Coalition of Health Care Providers

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Coaching Network and Leadership Committee – In an effort to create more opportunities for local leaders to develop their leadership practices and advance their careers, while also building the national network, PCP will launch two new exciting initiatives: a coaching network and leadership committee. The coaching network will establish more opportunities for peer-to-peer mentorship. Members of our first leadership committee will serve asPCP ambassadors, provide critical feedback to the national team, and generate the underpinnings for a national primary care campaign.

Clinical Innovation Network – We foresee an exciting expansion in the network as more primary care trainees and clinicians come together to share their experiences, learn from the vanguard of primary care innovation, and inspire accelerated transformation in local care delivery and training. To support this process, we’ll continue to identify unique themes to share with the network and develop toolkits and case studies to support trainee engagement in clinical innovation projects in their local community. With the assistance of a new Clinical Innovation Fellow, we will hold 10 webinars in 2013, covering a wide range of topics including behavioral health integration, team-based care, lean process redesign and the use of community health workers in managing chronic conditions. Taken together, these resources will help support a new cadre of teams pushing forward innovation in academic settings.

Above: The University of Utah chapter celebrates its kickoff event in October 2012.

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Media – PCP firmly believes that building community is crucial for creating change in primary care. That’s why we are working on many levels to build our offline and online communities. As we continue to shift the dialogue around the value of primary care, we’ll offer a greater and more diverse set of perspectives. We will continue to utilize a multimedia approach to storytelling, using videos, national campaigns, and interviews to promote the value of primary care and highlight the importance of teamwork, trainee engagement and leadership development in the revitalization of our primary care system.

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FINANCIAL REVIEWFor the year ending December 31, 2012:

Unrestricted Temporarily Restricted

Total

Contributions and Grants 997,548 0 997,548

Other Income 19 0 19

Net Assets released from restrictions 20,000 -20,000 0

Total Revenue $1,017,567 -$20,000 $997,567

Unrestricted Temporarily Restricted

Total

Program Services 723,358 0 723,359

Administration 77,583 0 77,582

Fundraising 37,955 0 37,955

Total Expenses $838,896 $0 $838,896

Change in Net Assets from Operations $178,671 -$20,000 $158,671

Net Assets, beginning of year $242,743 $20,000 $262,743

Net Assets, end of year $421,414 $0 $421,414

In 2012, 86.2% of total expenditures went to program expenses, 9.3% to administration and 4.5% to fundraising.

2012 Expenditures

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