Can a Patient-Centered Medical Home Lead to Better Patient Outcomes? The Quality Implications of Geisinger’s ProvenHealth Navigator

2011 ◽  
Vol 27 (3) ◽  
pp. 210-216 ◽  
Author(s):  
Daniel D. Maeng ◽  
Thomas R. Graf ◽  
Duane E. Davis ◽  
Janet Tomcavage ◽  
Frederick J. Bloom
Keyword(s):  
Patient Outcomes ◽  
Medical Home ◽  
Care Delivery ◽  
Quality Care ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Care Delivery Model ◽  
Short Period ◽  
Patients With Diabetes ◽  
Stage Renal Disease

One of the primary goals of the patient-centered medical home (PCMH) is to provide higher quality care that leads to better patient outcomes. Currently, there is only limited evidence regarding the ability of PCMHs to achieve this goal. This article demonstrates the effect of PCMHs in improving certain clinical outcomes, as shown by the ProvenHealth Navigator (PHN), an advanced PCMH model developed and implemented by Geisinger Health System. In this study, the authors examined the claims data from Geisinger Health Plan between 2005 and 2009 and estimated the effect of PHN on reducing amputation rates among patients with diabetes, end-stage renal disease, myocardial infarction, and stroke. The results show that, despite its relatively short period of existence, PHN has led to significant improvements in certain outcomes, further illustrating its potential as a care delivery model to be adopted on a wider scale.

scholarly journals Patient Centered Medical Home transformation at an academic medical center

2015 ◽  
Vol 5 (1) ◽  
pp. 34
Author(s):  
Randy Wexler ◽  
Jennifer Lehman ◽  
Mary Jo Welker
Keyword(s):  
Family Medicine ◽  
Patient Outcomes ◽  
Medical Home ◽  
Medical Center ◽  
Academic Medical Center ◽  
Lessons Learned ◽  
Patient Centered Medical Home ◽  
Model Of Care ◽  
Patient Centered ◽  
Academic Medical

Background: Primary care is playing an ever increasing role in the design and implementation of new models of healthcare focused on achieving policy ends as put forth by government at both the state and federal level. The Patient Centered Medical Home (PCMH) model is a leading design in this endeavor.Objective: We sought to transform family medicine offices at an academic medical center into the PCMH model of care with improvements in patient outcomes as the end result.Results: Transformation to the PCMH model of care resulted in improved rates of control of diabetes and hypertension and improved prevention measures such as smoking cessation, mammograms, Pneumovax administration, and Tdap vaccination. Readmission rates also improved using a care coordination model.Conclusions: It is possible to transform family medicine offices at academic medical centers in methods consistent with newer models of care such as the PCMH model and to improve patient outcomes. Lessons learned along the way are useful to any practice or system seeking to undertake such transformation.

scholarly journals Patient Outcomes at 26 Months in the Patient-Centered Medical Home National Demonstration Project

2010 ◽  
Vol 8 (Suppl_1) ◽  
pp. S57-S67 ◽  
Author(s):  
C. R. Jaen ◽  
R. L. Ferrer ◽  
W. L. Miller ◽  
R. F. Palmer ◽  
R. Wood ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered

Data-driven transformation to an oncology patient-centered medical home.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 285-285 ◽  
Author(s):  
John David Sprandio ◽  
Brian Flounders ◽  
Maureen R. Lowry ◽  
Susan Higman Tofani
Keyword(s):  
Medical Home ◽  
Hospital Admissions ◽  
Care Delivery ◽  
Point Of Care ◽  
Performance Status ◽  
Clinical Decision ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Oncology Patient ◽  
Nccn Guidelines

285 Background: Consultants in Medical Oncology and Hematology (CMOH) implemented an EMR in 2003. It fell short in the compilation and presentation of meaningful data upon which to base clinical decisions. CMOH created a new workflow and effectively integrated the EMR with a practice-developed clinical decision support software (CDSS) called Iris. Methods: A project team outlined the data sources required in making a clinical decision and reviewed staff workflow. Within six months, they developed a system for displaying data from internal and external sources into a single scrollable screen for use by the physician at the point of care. Results: Iris promotes a rapid-learning cycle that results in 1) improved adherence to NCCN guidelines; 2) enhanced access and continuity of symptom management; 3) enhanced communication, tracking, and coordination of care; 4) reduction in ER utilization/hospital admissions; 5) a performance status driven approach to end of life care; 6) a systematic measurement of physician performance. This approach enabled CMOH to meet the NCQA’s criteria for level III Patient-Centered Medical Home in 2010. Conclusions: Implementation of EMRs alone does not improve health care delivery. Rather, it is the merger of clinical operations workflow and technology infrastructure delivering consumable data to providers that drives quality improvements and enhancements to the value of cancer care. [Table: see text]

scholarly journals Veteran Patient Perspectives and Experiences During Implementation of a Patient-Centered Medical Home Model

2017 ◽  
Vol 5 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Anaïs Tuepker ◽  
Summer Newell ◽  
Christina Nicolaidis ◽  
Marie-Elena Reyes ◽  
Maria Carolina González-Prats ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Medical Home ◽  
Care Delivery ◽  
Hybrid Approach ◽  
The United States ◽  
Patient Centered Medical Home ◽  
Veterans Health ◽  
Health Administration ◽  
Patient Centered

Background: The Veterans Health Administration (VA) has implemented the largest shift to a patient-centered medical home (PCMH) model of care in the United States to date. Objective: We interviewed veterans about their experiences of primary care to understand whether they observed changes in care during this period as well as to learn which characteristics of care mattered most to their experiences. Method: Qualitative interviews were conducted with 32 veterans receiving primary care at 1 of 8 VA clinics in the northwest United States. Interviews were analyzed using an inductive–deductive hybrid approach by an interdisciplinary team that included a veteran patient. Result: Participants noticed recent positive changes, including improved communications and shorter waits in clinic, but rarely were aware of VA’s PCMH initiative; a strong relationship with the primary care provider and feeling cared for/respected by everyone involved in care delivery were key components of quality care. The needs of the veteran community as a whole also shaped discussion of care expectations. Conclusion: The PCMH model may provide benefits even when invisible to patients. Veteran awareness of population needs suggests a promising role for veteran involvement in further PCMH transformation efforts.

scholarly journals Rationale and design of a patient-centered medical home intervention for patients with end-stage renal disease on hemodialysis

2015 ◽  
Vol 42 ◽  
pp. 1-8 ◽  
Author(s):  
Anna C. Porter ◽  
Marian L. Fitzgibbon ◽  
Michael J. Fischer ◽  
Rani Gallardo ◽  
Michael L. Berbaum ◽  
...  
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Home Intervention ◽  
Stage Renal Disease ◽  
End Stage
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