The #PrimaryCareCovidChat Archive
What have leaders in primary care been talking and tweeting about during the pandemic?
In the spring of 2020 Mathematica and 26 leading health care organizations* launched the #PrimaryCareCovidChat on Twitter, a recurring social-media based conversation about challenges facing practices and practitioners in the time of COVID-19.
Twitter chats are in many ways a series of shared links to articles, studies, essays, and more. We've collected the links shared by cohosts of our #PrimaryCareCovidChats to create a unique archive drawn from our discussions.
Learn more about Mathematica's work on health and our scalable COVID-19 services.
Payment Reform
#PrimaryCareCovidChat: May 13, 2020
A4: Full and open participation for NPs in value-based payment models is critical as the health system shifts to promoting integrative, coordinated care. #PrimaryCareCovidChat #NPsLead https://t.co/gMDNirziXI
— AANP (@AANP_NEWS) May 13, 2021
A tweet from the May 13 #PrimaryCareCovidChat.
American Association of Nurse Practitioners:
Center for Health Care Strategies: It’s Not Just Risk: Why the Shift to Value-Based Payment is also about Provider Flexibility
Center for Consumer Engagement in Health Innovation:
Commonwealth Fund: Paying More for Primary Care: Can It Help Bend the Medicare Cost Curve?
Larry A. Green Center:
Mathematica: Rural Hospitals Can Align Financial Incentives and Population Health Under Alternative Payment Methods
Milbank Memorial Fund:
Primary Care Development Corporation: Primary Care Spend: State Policy Overview
Primary Care and Behavioral Health Integration
#PrimaryCareCovidChat: November 19, 2020
So much experience & knowledge in this #PrimaryCareCovidChat! Next question:
— Mathematica (@MathematicaNow) November 19, 2020
Q3 How can we better care for a primary care workforce that is struggling with increased rates of anxiety, depression, and burnout? Have you tried new routines to support your own mental health? pic.twitter.com/tB403ElzbR
A tweet from the November 19 #PrimaryCareCovidChat.
American Association of Nurse Practitioners:
American College of Physicians Online: Physician Well-Being and Professional Fulfillment
Annals of Internal Medicine:
California Health Care Foundation:
- Behavioral Health Integration and Total Cost of Care
- Expansion of Transitions Clinic Network in California
- Training Psychiatric Mental Health Nurse Practitioners – Fact Sheet
- Project Aims to Treat Doctor Shortage, Lack of Diversity with New Medical Residencies
- CIN Resource Page
- New Laws Strengthen California’s Response to Mental Health Issues
- Life Experiences Help Peer Counselors Assist Others with Mental Health Issues
Center for Consumer Engagement in Health Innovation:
Center for Health Care Strategies: Advancing Primary Care Innovation in Medicaid Managed Care
Commonwealth Fund: How Practices Can Advance the Implementation of Integrated Care in the COVID-19 Era
DeBeaumont Foundation: Solutions for Local Leaders to Improve Mental Health and Well-Being During and Post-COVID-19
Health Affairs: How We Are Integrating Behavioral Health into Primary Care
Health Leaders: How to Reduce Anxiety and Burnout at Primary Care Practices
Inseparable U.S.: This Pandemic is Pushing Us to the Brink (organization web page)
Integrated Care News: Integrated Care Map
Journal of Clinical Psychology in Medical Settings: The Cost Effectiveness of Embedding a Behavioral Health Clinician into an Existing Primary Care Practice
Kaiser Family Foundation:
Mathematica:
Michigan Department of Health and Human Services: Protected Health Information Consent Tool
Milbank Memorial Fund:
NCBI Bookshelf: Mental Health Care in the Primary Setting
National Academy of Medicine: Components of the Next Generation of Integrated Care
National Center for Integrated Behavioral Health: Resources
National Library of Medicine:
North Carolina Medical Journal: Alternative Payment Models and Team-Based Care
Oxford Academic: Cost Savings Associated with an Alternative Payment Model for Integrating Behavioral Health in Primary Care
Primary Care Collaborative:
Primary Care Development Corporation: Providers Highlight Need to Increase Support for Primary Care—During COVID-19 and Beyond
Substance Abuse and Mental Health Services Administration: COVID-19 and Behavioral Health Disparities for Black and Latino Communities
3rd Conversation: 3rd Conversation
Wiley Online Library: Challenges and Barriers in Mental Healthcare Systems and Their Impact on the Family
Primary Care and Issues of Health Care Equity
#PrimaryCareCovidChat: September 17, 2020
A4. My personal thoughts #PrimaryCareCovidChat pic.twitter.com/0843r1xu4M
— Llew Brown (@LlewBrown) September 17, 2020
A tweet from the September 17 #PrimaryCareCovidChat.
Academy Health: Striving Toward a Culture of Health: How Regional Collaboratives Can Advance Funding and Financing to Improve Population Health
American Association of Nurse Practitioners:
American College of Physicians Internist Weekly: ACP Task Force Recommendations on ‘Restoring the Story’
Annals of Internal Medicine:
BMJ Journals: The Primary Care Spend Model, a Systems Approach to Measuring Investment in Primary Care
Bedside Rounds podcast: Episode 52: the Rebuff
CNN Opinion: To Save Black Lives We Need More Black Doctors
Care Innovations: Tackling Bias, Fear, Inequality, and Disrespect
Center for Consumer Engagement in Health Innovation: Healthy Investments: Leveraging Health Plan Capital for Affordable Housing and Community Development
Centers for Medicare and Medicaid Services: What are Quality Measures?
Community Catalyst: COVID-19 Resources and Quick Links
DentaQuest Partnership:
Larry A. Green Center:
Health Affairs: Value-Based Health Care Must Value Black Lives
Healthcare Finance News: How is COVID-19 Changing Health Data Management?
Mathematica:
Milbank Memorial Fund:
Morehouse School of Medicine: COVID-19 Resources
National Academies of Sciences, Engineering, Medicine: A Framework for Equitable Allocation of Vaccine for the Novel Coronavirus
National Institutes of Health Library: Measurement of Health Disparities, Health Inequities, and Social Determinants of Health to Support the Advancement of Health Equity
National Library of Medicine: Understanding How Discrimination Can Affect Health
Primary Care Development Corporation: Provider Recruitment and Retention Financing
Robert Wood Johnson Culture of Health Blog: Energy, Water, and Broadband: Three Services Crucial to Health Equity
Society of Teachers of Family Medicine: New Underrepresented in Medicine (URM) Oversight Committee Appointed
University of Chicago: It is Undeniable: Racism is a Public Health Crisis
Washington Post: Diagnosis for Small Family Doctors: less money, greater hardship, and patients on video
Well Being in the Nation Network: Win Measures
Wiley Online Library: Developing a Framework for Integrating Health Equity into the Learning Health System
Primary Care and Telehealth
#PrimaryCareCovidChat: July 23, 2020
#PrimaryCareCovidChat A2 Colorado lawmakers and @GovofCO recently signed a bill to permanently extend telehealth services. Here’s more on it from @J_Schilz: pic.twitter.com/GjiNZo1fEg
— Mathematica (@MathematicaNow) July 23, 2020
A tweet from the July 23 #PrimaryCareCovidChat.
American Association of Family Practitioners: Family Physicians and Employer Coalitions Partner to Address Sustainability and Effectiveness of Primary Care to Improve Health and Wellbeing of All Americans
American Association of Nurse Practitioners:
American College of Physicians Online:
- COVID-19 Practice Management Resources
- Letter to CMS Regarding Extending Telehealth Policy Changes
- Telemedicine: A Practical Guide for Incorporation into Your Practice
- Internists Tell HHS Extending Public Health Emergency is Critical to Ensuring Access to Telehealth
- Letter to CMS ACP Recommendations for Maintaining Certain Telehealth Policies and Waivers after the Public Health Emergency
American Journal of Managed Care: Pandemic Brings Racial, Economic, Healthcare Disparities into Focus
American Medical Association: Why Telehealth Progress Could be Erased if Congress Fails to Act
Annals of Family Medicine: The Primary Care Extension Program, a Catalyst for Change
Arizona Telemedicine Program: Revving Up Your Telemedicine Program in the Time of COVID
California Health Care Foundation:
California Institute for Behavioral Health Solutions:
Center for Consumer Engagement in Health Innovation: Policies to Transform Primary Care, the Gateway to Better Health and Health Care
Center for Optimizing Rural Health: Telehealth 101
Freakonomics: The Doctor Will Zoom You Now
Health Affairs:
- Early Expansion of CMS Medicare Telehealth Expansion During Covid-19
- Ensuring the Growth of Telehealth During COVID-19 Does Not Exacerbate Disparities
- Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19
- Ensuring The Growth Of Telehealth During COVID-19 Does Not Exacerbate Disparities In Care
Health Intelligence: Colorado Expands Telehealth Coverage including Home Health Care Services
Journal of the American Board of Family Medicine: Advancing Primary Care Through Alternative Payment Models
Mathematica:
- Saving Primary Care: Is it Time for a New National Service Corps?
- Telehealth Transformation Under COVID-19 and the Implications for Equitable Care
- Second-Year Results from Comprehensive Primary Care Plus Evaluation Show Supports for Practices Continuing Care Transformation
- Effectively Implementing Telehealth in Primary Care
Milbank Memorial Fund:
National Center for Biotechnical Information: The Evolution of Telehealth: Where have we been and where are we going?
National Opinion Research Center at the University of Chicago: Understanding the Impact of Coronavirus on Older Adults
New England Journal of Medicine:
New York Times: Health Care Comes to Us
Pacific Business Group on Health:
Patient Engagement News: Tips for a Good Telehealth Patient Experience
Perspectives in Health Management Information: Using Health Information Technology to Achieve Health Equity for American Indian and Alaska Native Populations
Primary Care Development Corporation:
How are Primary Care Providers and Practices Managing in the Pandemic?
#PrimaryCareCovidChat: June 18, 2020
A1. Many thoughtful answers to this ? already.
— Dave A. Chokshi, MD (@davechokshi) June 18, 2020
I would add: we know that deferred care has long-term health consequences (see: https://t.co/Uc6yw7Nl9n). We are already seeing this among our primary care patients in NYC. #PrimaryCareCovidChat https://t.co/EVBZewMrNg
A tweet from the June 18 #PrimaryCareCovidChat.
AcademyHealth:
American Association of Nurse Practitioners:
- Delivering Quality Health Care in Correctional Settings
- Coronavirus Telehealth Updates (2019)
- Racism is a Public Health Issue in Need of Decisive Action
- COVID-19 Recommendations for Nurse Practitioners
- Susan Conaty-Buck on the importance of health care informatics
- The Science of Joy and Burnout (video)
- Assessing and Addressing Practitioner Burnout
- Tarik S. Khan Discusses the Importance of Advocating for Patients
- Mental Health During the COVID-19 Pandemic
- Commitment to Addressing Health Disparities During COVID-19
American College of Physicians:
- May 19, 2020 Letter to Alex Azar, HHS
- Letter to Seema Verma re ACP Recommendations for Maintaining Certain Telehealth Policies and Waivers After the Public Health Emergency
- June 1, 2020 Letter to Alex Azar, HHS
- Internists Encourage Several Major Health Insurers and Associations to Keep Telehealth and Other Flexibilities in Place After the COVID-19 Health Crisis
American Geriatric Society:
American Medical Association: 5 Ways Organizations Can Effectively Address Physician Anxiety
Annals of Family Medicine: Racism in Medicine: Shifting the Power
American Psychologist: Payment Reform in the Patient-Centered Medical Home: Enabling and Sustaining Integrated Behavioral Health Care
Bloomberg Business: Blue Shield of California Tries to Fix ‘Dysfunctional’ Health System
California Health Care Foundation:
- Black Lives Do Matter
- Time to Modernize Payment to Health Centers
- Health Disparities by Race and Ethnicity
- Weaving Together Mental and Physical Health Care Outside the Safety Net
- COVID-19 Resources: Telehealth
- Telehealth is Grabbing the Pandemic Spotlight. Can California Do More to Help it Grow?
- Could Community Health Workers and Promotores de Salud Help California Respond to COVID-19?
- PRIMed for Health: California Medical Schools Focus on Underserved Communities
Center for Consumer Engagement in Health Care:
Center for Consumer Engagement in Health Innovation: Policies to Inform Primary Care: the Gateway to Better Health and Health Care
Commonwealth Foundation: Reducing Racial Disparities in Health Care by Confronting Racism
The Commonwealth Fund: Reducing Racial Disparities in Health Care by Confronting Racism
Community Catalyst: Statement on the Disproportionate Impact of COVID-19 on Communities of Color
Dartmouth-Hitchcock: DM CEO and President Tours COVID-19 Unit
DentaQuest Partnership: How One Doctor Bridges the Gap Between Medical and Dental Schools
John A. Hartford Foundation:
Harvard Center for Primary Care:
Health Affairs:
- The Changing Landscape of Primary Care
- Staying Connected in the COVID-19 Pandemic: Telehealth as the Largest Safety Net System in the United States
- The Changing Landscape of Primary Care: Effects of the ACA and Other Efforts Over the Past Decade
- To Measure the Burden of EHR Use Audit Logs Offer Promise—But Not Without Further Collaboration
Los Angeles Times: Coronavirus Could Change How You Go to the Doctor
Mathematica:
- Metrics for Assessing Physician Activity Using Health Record Log Data
- What Being Trauma-Informed Can Tell Us in This Time of Crisis
- Expanding Graduate Medical Education in California
- What Being Trauma-Informed Can Tell Us In This Time of Crisis
- Telehealth Transformation Under Covid-19 and the Implications for Equitable Care
Milbank Memorial Fund:
- What’s Next for Primary Care? Lessons from Hurricane Katrina
- Payer Actions Can Help Sustain Primary Care During and After COVID-19
- Behavioral Health Integration and Workforce Development
- Culture, Race and Health: Implications for Racial Inequities and Population Health
- Electronic Consultations: A Triple Win for Patients, Clinicians, and Payers
- Don’t Rebuild the Health System, Reorient It
Milbank Quarterly: Contribution of Primary Care to Health Systems and Health
National Academy of Sciences, Engineering, Medicine: Implementing High-Quality Primary Care
National Library of Medicine:
Primary Care Collaborative:
Primary Care Development Corporation:
June 15th, 2020: Letter to Congress, authored by Brian Schatz et al
Wellbeing Trust:
* AcademyHealth @AcademyHealth; American Academy of Pediatrics @AmerAcadPeds; American Association of Nurse Practitioners @AANP_News; American College of Physicians @ACPinternists; California Health Care Foundation @CHCFNews; Center for Connected Health Policy @CCHPCA; Center for Optimizing Rural Health at Texas A&M @ARCHI_Texas; Center for Consumer Engagement in Health Innovation @CCEHI; Center for Professionalism and Value in Health Care @TheCPVHC; Collaborative; Family Healthcare Association @CFHA_tweet; Commonwealth Fund @commonwealthfnd; Robert Graham Center of the American Academy of Family Physicians @TheGrahamCenter; Larry A. Green Center @GreenCenterOrg; Milbank Memorial Fund @MilbankFund; National Association of Community Health Centers @NACHC; National Black Nurses Association @NBNAInc; National Center for Integrated Behavioral Health @Penn_NCIBH; National Patient Advocate Foundation @NPAF_tweets; Philippine Nurses Association of America @MyPNAA; Primary Care Collaborative @PCPCC; Primary Care Development Corporation @PrimaryCareDev; Share Our Selves @ShareOurSelves; Society of General Internal Medicine @SocietyGIM; Society of Teachers of Family Medicine @STFM_FM; Wellbeing Trust @WellBeingTrust; X4Health @X4_Health