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Framing the Medical Home Model of
Care: Blueprint from Early Adopters |
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Framing the
Medical Home Model of Care: Blueprint from Early Adopters
In
the face of a primary care crisis, Framing the
Medical Home Model of
Care: Blueprint from Early Adopters chronicles the
provider and payor
experiences on the road to establishing medical homes for their
respective populations. This 45-page resource describes the skills,
technology, cultural change and financial incentives necessary to
transform a physician practice into a medical home. It also presents a
game plan for health plans that are ready to embrace and reimburse this
model of care.
Dawn
Bazarko, senior vice president of clinical innovations for
UnitedHealthcare, offers a payor's perspective as agent for the medical
home based on UnitedHealthcare's experience from its medical home
pilot. She shares feedback from consumer focus groups and suggests
methods for dispelling consumers' misperceptions about the medical
home. She provides guidance on consumer education and activation
strategies and tips for marketing the medical home and measuring its
outcomes. She also discusses opportunities for value-added partnerships
for medical homes in care and disease management programs offered by
external entities.
From
the physician standpoint, the medical home provides multiple
opportunities to reframe traditional care delivery, reshape medical
professionals' attitudes, improve practice processes and share
innovations with other providers. Dr. Lonnie Fuller, medical director
for the Pennsylvania Medicaid ACCESS Plus PCCM-DM Program, describes
the four requirements of the advanced medical home, including a
critical cultural shift in the practice from "physician as boss" to one
of collaboration and support. He weighs in on the workload, staff
training and technology required to support the medical home model in a
practice, and suggests how payment reform and collaboratives can help
move practices toward clinical excellence.
In Framing the
Medical Home Model of Care: Blueprint from Early
Adopters,
Ms. Bazarko and Dr. Fuller furnish details on the following:
- Defining the payor's
role as agent of the medical home;
- Helping practices meet
the medical home designation;
- Distinguishing the
medical home model from the traditional HMO
"gatekeeper" model;
- Understanding the
patient's role in the medical home partnership;
- Enabling patient
activation and education;
- Marketing the medical
home to consumers;
- Measuring the medical
home's outcomes;
- Supporting the medical
home model with training, technology and disease
management;
- Meeting the four
requirements of the advanced medical home for
successful practice transformation;
- Avoiding the "master
craftsman" syndrome in medicine;
- Using "Diffusion of
Innovation" theories to spread best practices;
and
much more.
This
report also summarizes the results of a 2008 HIN e-survey that
captured medical home awareness and implementation levels by healthcare
industry sector. The survey analysis also reveals the motivation,
strategies and outcomes behind medical home adoption.
Table
of Contents
- Advancing
The Patient-Centered Medical Home with UnitedHealthcare
- Primary Care in
Crisis
- Defining &
Evaluating the Patient-Centered Medical Home
- A Proven Approach
to Patient-Centered Medical Homes
- Patient
Relationship & Care Coordination Critical to Consumers
- Stakeholders’
Roles in the Medical Home Partnership
- Physicians and
Patients Evaluate the Experience
- Marketing the
Medical Home
- Case
Study in Practice Transformation: The Medical Home for the Medicaid
Population
- HEDIS Data
Indicates Need for Improvement
- Prescription for
Primary Care
- Advanced Medical
Home Requirements
- Practice
Transformation Skills and Support
- Collaborations and
Best Practice Diffusion
- Q&A:
Ask the Experts
- Measuring
Improvement Outcomes
- Managing
Communications Among Providers
- Developing
Transition Payment Strategies
- Grants and Funding
Opportunities
- Diffusing Best
Practices to Remote Sites
- Engaging Reluctant
Practices
- Launching the
Program
- Care Advocate Job
Description
- Handling
Confidential Information
- Building a
Communications and Marketing Strategy
- Coordination Across
Multiple Payors and Health Plans
- Glossary
- For
More Information
- About the Authors
Publication Date: April 2008
Number of Pages: 45
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