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TMA Recommendations


• Advocate for the patient-centered medical home (PCMH) model and financial incentives from both state and private payers. Recognize the significant start-up costs for transforming a typical primary care, fee-for-service practice into a fully functional medical home.


• Provide financial incentives that many physician practices absolutely will need to implement electronic health records (EHRs) and other health information technology.


• Support the use of physician-directed medical teams focused on high-quality, evidence-based care; efficient delivery; and improved access (Right Care, Right Person, Right Time, Right Place).


• Require regulatory agencies to align physician office technology requirements so they minimize the disruption to physician workflow and patient care in the development and use of EHRs and electronic prescribing.


• Encourage development of EHR systems that utilize a common, open platform that will improve care coordination and limit possible


negative impacts to physicians in areas like hospital credentialing.


• Prohibit a health information exchange (HIE) from inappropriately shifting liability for its own negligent acts to physician HIE participants.


• Ensure that evidence-based quality-of-care measures are the primary measures used in any health care quality improvement program and that program design supports the patient-physician relationship.


• Explore collaborative relationships with the federal government that could save Medicare funds by reducing potentially preventable hospitalization conditions while sharing savings with Texas, physicians, health care providers, and local communities.


• Identify and capture possible savings by reducing potentially preventable hospitalizations for workers and retirees covered by the Teacher Retirement System and the Employees Retirement System.


• Increase funding for community-based mental health and substance abuse care.


72 TEXAS MEDICINE September 2012


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