Advancing Patient-Centered Medical Home Innovation

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Advanced primary care models, like patient-centered medical homes, can provide the coordination mechanisms and decision support to improve quality, cost, and satisfaction.

Santé & Médecine

Advancing Patient-Centered Medical Home InnovationMoving from Concept to Practice

What are the major deficiencies in ourcurrent health care delivery system? ,[object Object]

Does not allocate adequate resources to support prevention and the improvement of health

Does not clearly define patient and provider responsibilities

Is not based on a foundation of partnerships between patients/providers/payors,[object Object]

Deaths that should not occur in the presence of effective health care Age-Standardized Death Rates (Per 100,000) USA Since we spend more than anyone else…. Should we expect more value? USA in last place on this quality measure Source: Health Affairs, January 2008

“Every system is perfectly designed to achieve the results it gets.” Donald Berwick, M.D. Institute for Healthcare Improvement (IHI)

What can be done to address these deficiencies? ,[object Object]

A good place to start transformation at a local level is the advancement of patient-centered medical home (PCMH) innovation.,[object Object]

What is a patient-centered medical home? ,[object Object]

At the core is a physician-directed team committed to coordinating care based on patients’ needs and priorities, communicating directly with patients and their families, and integrating care across settings and practitioners. ,[object Object]

How will we evaluate improvements? Evaluation of Patient-Centered Medical Homes focused on: ,[object Object],- Be immediately accessible for patient concerns - Promptly treat acute illness - Create new opportunities to provide preventive care and chronic disease management ,[object Object],- Prevent needless emergency department visits - Intervene early to reduce hospitalizations ,[object Object],[object Object]

Need primary care organization commitment to transforming their care delivery model

Need patient engagement in managing/improving their own health care,[object Object]

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