Patient-Centered Medical Home Capacity and Ambulatory Care Utilization

The patient-centered medical home (PCMH) has increasingly received attention as a model of care to potentially remedy the cost and quality problems that confront the US health care system, including and especially ambulatory care–related issues. This study examined the association between physician practices’ PCMH capacity and 3 indicators of ambulatory care utilization: (1) emergency department utilization, (2) ambulatory care sensitive hospitalization rate, and (3) 30-day all-cause readmission rate. Results show that overall PCMH capacity is associated with lower rates, and technical aspects of the PCMH in particular were associated with lower utilization rates while interpersonal capabilities were not.

Download Full-text

Patient Centered Medical Home transformation at an academic medical center

Journal of Hospital Administration ◽

10.5430/jha.v5n1p34 ◽

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.

Download Full-text

The Patient-Centered Medical Home in Oncology: From Concept to Reality

American Society of Clinical Oncology Educational Book ◽

10.14694/edbook_am.2015.35.e82 ◽

2015 ◽

pp. e82-e89 ◽

Cited By ~ 14

Author(s):

Ray D. Page ◽

Lee N. Newcomer ◽

John D. Sprandio ◽

Barbara L. McAneny

Keyword(s):

Medical Home ◽

Cancer Care ◽

Financial Risk ◽

Cost Curve ◽

Patient Centered Medical Home ◽

Financial Risks ◽

Fee For Service ◽

Payment Reform ◽

Patient Centered ◽

The Cost

In recent years, the cost of providing quality cancer care has been subject to an epic escalation causing concerns on the verge of a health care crisis. Innovative patient-management models in oncology based on patient-centered medical home (PCMH) principles, coupled with alternative payments to traditional fee for service (FFS), such as bundled and episodes payment are now showing evidence of effectiveness. These efforts have the potential to bend the cost curve while also improving quality of care and patient satisfaction. However, going forward with FFS alternatives, there are several performance-based payment options with an array of financial risks and rewards. Most novel payment options convey a greater financial risk and accountability on the provider. Therefore, the oncology medical home (OMH) can be a way to mitigate some financial risks by sharing savings with the payer through better global care of the patient, proactively preventing complications, emergency department (ED) visits, and hospitalizations. However, much of the medical home infrastructure that is required to reduced total costs of cancer care comes as an added expense to the provider. As best-of-practice quality standards are being elucidated and refined, we are now at a juncture where payers, providers, policymakers, and other stakeholders should work in concert to expand and implement the OMH framework into the variety of oncology practice environments to better equip them to assimilate into the new payment reform configurations of the future.

Download Full-text

Establishing the Role of the Pharmacist in the Patient-Centered Medical Home… The Opportunity is Now

Journal of Pharmacy Technology ◽

10.1177/875512250902500502 ◽

2009 ◽

Vol 25 (5) ◽

pp. 287-291 ◽

Cited By ~ 3

Author(s):

Richard W Dettloff ◽

Patricia Glosner ◽

Susannah Motl Moroney

Keyword(s):

Medical Home ◽

Medical Setting ◽

Patient Centered Medical Home ◽

Coordinated Care ◽

Patient Centered ◽

Medication Therapy ◽

Quality Of Patient Care ◽

The Us ◽

Care Coordinators

The patient-centered medical home (PCMH) is an approach to delivering comprehensive, continuous, coordinated care across all life stages and has been hypothesized to be one potential solution to the discrepancy between the high cost but low quality of health care in the US. Although a plethora of literature exists on how pharmacy interventions can improve the quality of patient care through medication therapy management programs, there is a paucity of data supporting pharmacists' involvement in PCMHs. Pharmacists are uniquely trained and positioned to make important contributions to PCMHs as medication care coordinators. The opportunity is now for pharmacists to establish their role within this medical setting.

Download Full-text