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Advancing Patient-Centered Medical Home Innovation
- 1. Advancing Patient-Centered Medical Home InnovationMoving from Concept to Practice
- 3. Does not allocate adequate resources to support prevention and the improvement of health
- 4. Does not clearly define patient and provider responsibilities
- 6. 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
- 8. “Every system is perfectly designed to achieve the results it gets.” Donald Berwick, M.D. Institute for Healthcare Improvement (IHI)
- 13. A comparison of then and now…
- 15. Need primary care organization commitment to transforming their care delivery model
- 17. A summary on measuring financial ROI? Investment in Patient-Centered Medical Home Model has potential for break-even return (or better) in year 1!
- 18. Introduction to Patient-Centered Medical Home Click below to watch a brief 5 minute overview: http://www.pcpcc.net/content/emmi
Notas do Editor
- Why do we need to improve care coordination?We all could probably all share our perspectives on why care coordination is important.The commonwealth fund offers the perspective on the screen.Health care services are fragmentedPoor communications contribute to fragmentationOverall we have a poorly performing systemDon Berwick who leads the IHI reminds us that….Every system is perfectly designed to achieve the results it gets….Maybe it is time to redesign what we call our system
- Why do we need to improve care coordination?We all could probably all share our perspectives on why care coordination is important.The commonwealth fund offers the perspective on the screen.Health care services are fragmentedPoor communications contribute to fragmentationOverall we have a poorly performing systemDon Berwick who leads the IHI reminds us that….Every system is perfectly designed to achieve the results it gets….Maybe it is time to redesign what we call our system
- A historical perspective – in the 1990’s, managed care was a demand-side strategy developed by plans and employers to decrease inappropriate use of healthcare. Providers found themselves in the role of gatekeeper – not part of their medical training or practice orientation. But – it was a reasonable effort in an attempt to control healthcare costs.Now, PCMH is a supply side strategy developed by plans and providers. Being upstream from the managed care approach, it offers greater potential for improving quality of care and decreasing utilization of high-cost services. Because it is a plan-provider program, employers have been a bit slow to join the effort. Of the published case studies in the PCMH case listing, only two explicitly mention employer involvement – IBM and Roy O Martin Lumber Co in Louisiana.