Paul Grundy

Hopewell Junction, New York, United States Contact Info
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Publications

  • Diabetes Management Within Evolving Health Care Delivery Models: The Osteopathic Perspective

    The Journal of the American Osteopathic Association, April 2015, Vol. 115, eS5-eS7. doi:10.7556/jaoa.2015.057

    The PCMH model represents a framework of partnerships among clinicians, patients, and their families that puts patients’ needs above all else while striving to engage patients in their own care.4 The collaborative efforts of various clinicians are coordinated by a strategically centralized health care practitioner, most often a primary care physician. In the PCMH model, quality of care and patient safety are paramount considerations, with data captured and used for performance evaluation and…

    The PCMH model represents a framework of partnerships among clinicians, patients, and their families that puts patients’ needs above all else while striving to engage patients in their own care.4 The collaborative efforts of various clinicians are coordinated by a strategically centralized health care practitioner, most often a primary care physician. In the PCMH model, quality of care and patient safety are paramount considerations, with data captured and used for performance evaluation and provider accountability. All of the principles integral to the PCMH model align with those that served as the foundation for many of the components of the ACA, including the centerpiece of the ACA: accountable care organizations (ACOs).

    Other authors
    • Carman A. Ciervo, DO;
    • Jay H. Shubrook DO,
    See publication

  • Leveraging the Principles of Osteopathic Medicine to Improve Diabetes Outcomes Within a New Era of Health Care Reform

    The Journal of the American Osteopathic Association, April 2015, Vol. 115, eS8-eS19. doi:10.7556/jaoa.2015.058

    First introduced conceptually decades before the passage of the Patient Protection and Affordable Care Act, the patient-centered medical home (PCMH) has evolved as a foundational element within the larger health care system or medical neighborhood, highlighting a coordinated and comprehensive disease management approach centered on intensive primary care interventions. More recently, in the wake of health care reform, accountable care organizations (ACOs) have been established to help health…

    First introduced conceptually decades before the passage of the Patient Protection and Affordable Care Act, the patient-centered medical home (PCMH) has evolved as a foundational element within the larger health care system or medical neighborhood, highlighting a coordinated and comprehensive disease management approach centered on intensive primary care interventions. More recently, in the wake of health care reform, accountable care organizations (ACOs) have been established to help health plans, physicians, hospitals, home health care practitioners, and other health care providers better coordinate care through an incentive-based payment arrangement. Osteopathic medicine is poised to proactively capitalize on these emerging health care models, with the anticipated end result of improved quality of care and reduced health care costs. As such, osteopathic physicians involved in the prevention and care of patients with type 2 diabetes mellitus need to identify models, best practices, and solutions to advance the medical neighborhood.

    Other authors
    • Carman A. Ciervo, DO;
    • Jay H. Shubrook, DO;
    See publication

  • Patient-Centered Medical Home’s Impact on Cost and Quality Annual Review of Evidence 2013-2014blished January 2015 Made possible with support from the Milbank Memorial Fund The Patient- Centered Medical Home’s Impact on Cost and Quality

    PCPCC

    2015 Patient-Centered Primary Care Collaborative (PCPCC) Annual Review of the Evidence
    summarizes new results from primary care patient-centered medical home (PCMH) initiatives
    published from September 2013 through November 2014 (since the publication of the previous
    Annual Review). Selected cost and utilization outcomes from a combination of peer-reviewed
    studies, state program evaluations, and industry publications are aggregated to present an overview of PCMH and primary care…

    2015 Patient-Centered Primary Care Collaborative (PCPCC) Annual Review of the Evidence
    summarizes new results from primary care patient-centered medical home (PCMH) initiatives
    published from September 2013 through November 2014 (since the publication of the previous
    Annual Review). Selected cost and utilization outcomes from a combination of peer-reviewed
    studies, state program evaluations, and industry publications are aggregated to present an overview of PCMH and primary care innovations happening across the country.
    The evidence for the PCMH described here underscores the impressive and growing trends that tie
    the medical home model of care with reductions in health care costs and unnecessary utilization of
    services; improvements in population health and preventive services; increased access to primary
    care; and growing satisfaction among patients and clinicians. This is positive news for stakeholders of the PCMH and primary care and runs counter to one widely publicized study of an early PCMH pilot,1 which found no cost or utilization reductions.

    Other authors
    • Authors: Marci Nielsen, PhD, MPH Amy Gibson, RN, MS Lisabeth Buelt, Kevin Grumbach, MD
    See publication

  • The Multi-Stakeholder Movement For Primary Care Renewal And Reform

    Health Affairs

    A multi-stakeholder movement for primary care renewal and
    reform has emerged in the United States, out of recognition that the
    achievement of an efficient, effective, and sustainable health system
    requires a vibrant primary care sector. We describe the case for reform
    from the perspective of private purchasers, government, consumers, and
    clinicians; the principles around which these stakeholders have coalesced;
    the groundswell of primary care reform initiatives taking place…

    A multi-stakeholder movement for primary care renewal and
    reform has emerged in the United States, out of recognition that the
    achievement of an efficient, effective, and sustainable health system
    requires a vibrant primary care sector. We describe the case for reform
    from the perspective of private purchasers, government, consumers, and
    clinicians; the principles around which these stakeholders have coalesced;
    the groundswell of primary care reform initiatives taking place across the
    country; and the prospects for this coalition to reshape the character of
    U.S. health care on a stronger foundation of primary care.

    Other authors
    • Kay R. Hagan2, JJennie Chin Hansen3 and Kevin Grumbach4
    See publication

  • Primary Care: Can It Solve Employers’ Health Care Dilemma?

    Health affairs

    Employers are beginning to recognize that investing in the primary care foundation of the health care system may help address their problems of rising health care costs and uneven quality. Primary care faces a crisis as a growing number of U.S. medical graduates are avoiding primary care careers because of relatively low reimbursement and an unsatisfying work life. Yet a strong primary care sector has been associated with reduced health care costs and improved quality. Through the…

    Employers are beginning to recognize that investing in the primary care foundation of the health care system may help address their problems of rising health care costs and uneven quality. Primary care faces a crisis as a growing number of U.S. medical graduates are avoiding primary care careers because of relatively low reimbursement and an unsatisfying work life. Yet a strong primary care sector has been associated with reduced health care costs and improved quality. Through the Patient-Centered Primary Care Collaborative and other efforts, some large employers are engaged in initiatives to strengthen primary care.

    Other authors
    • Martin-J. Sepulveda, Thomas Bodenheimer
    See publication

  • The Distribution and Supply of Cuban Medical Personnel in Third World Countries

    American Journal Public health

    A longitudinal pilot study gathered data on the
    onset and prevention of smoking, alcohol, and drug abuse
    among 526 students from two junior-high-schools in California.
    Over two school years, students who were trained to
    resist social pressures toward tobacco, alcohol, and drug use
    began smoking at less than one-half the rate of those who did
    not receive special training. Frequent alcohol and marijuana
    use was also less prevalent among the students who received
    such…

    A longitudinal pilot study gathered data on the
    onset and prevention of smoking, alcohol, and drug abuse
    among 526 students from two junior-high-schools in California.
    Over two school years, students who were trained to
    resist social pressures toward tobacco, alcohol, and drug use
    began smoking at less than one-half the rate of those who did
    not receive special training. Frequent alcohol and marijuana
    use was also less prevalent among the students who received
    such training. (Am J Public Health 1980; 70:719-721.)

    Other authors
    • Peter Buditti
    See publication

Projects

  • Danish Transformation

    - Present

    Transform the danish deliver system to patient centered care away form hospital centric to robust primary care centered on the need so of the patient. In 15 years we have move from 157 hospitals to 21 and from most patient dying in the hospital to most at home were they would prefer. we now have the most satisfied patients in the world with the level of care they get. Every patient knows the name of their primary care provider and can access them 24/7.. Every patient has a way of engaging…

    Transform the danish deliver system to patient centered care away form hospital centric to robust primary care centered on the need so of the patient. In 15 years we have move from 157 hospitals to 21 and from most patient dying in the hospital to most at home were they would prefer. we now have the most satisfied patients in the world with the level of care they get. Every patient knows the name of their primary care provider and can access them 24/7.. Every patient has a way of engaging thier doc via portal and all their data is on line.

    Other creators
    See project

Honors & Awards

  • NCQA National Quality Award

    NCQA

    Given ever two years the NCQA Health Quality Awards recognize leaders and innovators who have worked to improve health care quality by one or more of the following: View introduction video.
    http://www.ncqa.org/tabid/1500/Default.aspx#grundy

    Improving the management or delivery of health care to make the system more effective, efficient and compassionate
    Advancing health care quality through public policy
    Conducting research or analysis that improves the health care system…

    Given ever two years the NCQA Health Quality Awards recognize leaders and innovators who have worked to improve health care quality by one or more of the following: View introduction video.
    http://www.ncqa.org/tabid/1500/Default.aspx#grundy

    Improving the management or delivery of health care to make the system more effective, efficient and compassionate
    Advancing health care quality through public policy
    Conducting research or analysis that improves the health care system
    Developing public education campaigns to promote awareness of critical health issues

    2012
    Helen Darling, President and CEO, National Business Group on Health
    Patricia A. Gabow, MD, CEO, Denver Health and Hospital Authority
    Atul Gawande, MD, MPH, FACS, Surgeon, Writer and Public Health Researcher,
    Paul Grundy, MD, MPH, Corporation’s Global Director, IBM Healthcare Transformation

    2010
    Governor Edward G. Rendell (D-Pennsylvania)
    Governor James H. Douglas (R-Vermont)
    Peter Pronovost, MD, PhD, Johns Hopkins University School of Medicine
    Karen Davis, PhD, President, The Commonwealth Fund

    2008
    Edward Kennedy, United States Senator, Commonwealth of Massachusetts
    Arnold Schwarzenegger, Governor, State of California
    Ron Sims, King County Executive, State of Washington
    Joseph Thompson, MD, MPH, Surgeon General, State of Arkansas,

Languages

  • English

    -

  • Sierra Leone Krio

    -

Organizations

  • National Association of Primary Care of the United Kingdom (NAPC UK)

    Honorary member

    - Present

    http://www.napc.co.uk/

  • Irish National Association of General Practice

    Honorary member

    - Present

    Proud to be named the first International Honorary Member of the Irish National Association of General Practice

  • Institute of Medicine

    Member

    - Present

    Institute of Medicine members are elected for their excellence and professional achievement in a field relevant to the IOM's mission and for their willingness to participate actively in its work. These individuals represent not only the health care professions but also the natural, social, and behavioral sciences, as well as law, administration, engineering, and the humanities. For those at the top of their field, membership in the IOM reflects the height of professional achievement and…

    Institute of Medicine members are elected for their excellence and professional achievement in a field relevant to the IOM's mission and for their willingness to participate actively in its work. These individuals represent not only the health care professions but also the natural, social, and behavioral sciences, as well as law, administration, engineering, and the humanities. For those at the top of their field, membership in the IOM reflects the height of professional achievement and commitment to service.

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