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In
theory, assigning a medical home—accessible, continuous,
comprehensive, family-centered, coordinated, compassionate and
culturally effective healthcare—to every individual should
pay off in more effective, patient-centric care. In practice, however,
establishing medical homes can be time-consuming and challenging,
especially for those with chronic conditions and in high-disparity and
underserved populations.
Congress
passed legislation in late 2006 that adds financial weight to the idea
of the patient-centered medical home, which has its roots in
pediatrics. By funding the Medicare Medical Home Demonstration as part
of the Tax Relief and Health Care Act of 2006, Congress authorized the
payment of a “care coordination fee” to
participating physicians in eight states who manage patients with
multiple chronic conditions.
"The Medical Home: Pathway to
Patient-Centric Primary Care," addresses the value and
challenges of medical homes from the viewpoints of organizations
already trying to establish medical homes for their populations.
Covered in this 40-page special report are funding and implementation
hurdles, successful methods for identifying members and redesigning
office practices to move toward an advanced medical home model.
This
report also summarizes the results of a 2006 HIN e-survey that
identified opportunities for educating the healthcare industry on
medical homes. More than half of survey respondents were either
unfamiliar with medical home terminology or confused it with a physical
structure.
In
"The Medical Home: Pathway to
Patient-Centric Primary Care," an accomplished panel of
contributing authors furnish details on the following:
- Enhancing
chronic care programs through medical homes and modifying this approach
for other populations;
- Building
partnerships that foster a community care model;
- Commentary
and suggestions from early adopters of medical home models who
responded to the 2006 e-survey;
- The
role of health coaches, case workers and the patient in the
establishment of a medical home;
- How
to triangulate interventions to achieve best-practice outcomes;
- Funding,
identification and program launching strategies; and
- Reallocating
resources to optimize program success.
Throughout
this 40-page report, these respected thought leaders detail their
findings:
- Elizabeth
Reardon, consultant with the Office of Community Programs,
Commonwealth Medicine, a division of the University of Massachusetts
Medical School;
- Anne
Hernandez, director of operations of APS Healthcare;
- Dr.
George Rust, senior consultant for APS Healthcare and interim
director of the National Center for Primary Care at Morehouse School of
Medicine.
Table
of Contents
- Survey
Identifies Medical Homes Knowledge Gap
- The
Medical Home’s Pediatric Roots
- Targeted
Populations
- Medical
Homes Increase Patient Satisfaction and Improve Outcomes
- Early
Adopters Share Strategies for Success
- The
Role of the Primary Care Provider
- An
Overview of Medical Homes, the Hub of Healthcare
- Key
Components of Medical Homes
- Enhancing
Chronic Care Programs Through Medical Homes
- Modifications
for Other Populations
- Challenges
to Medical Homes
- Tools
and Resources
- APS
Healthcare Helping to Establish Medical Homes for Members
- Georgia
Disease Management Program
- Strong
Partnership Leads to Community Care Model
- Why
Members Don’t Use Medical Homes
- Health
Coaches Can Guide Members to Medical Homes
- Bringing
Best Practice Perspectives Where They’re Needed Most
- The
Value of a Primary Care Home
- Primary
Care Homes and High Disparity Populations
- Usual
Care Does Not Provide the Best Outcome
- Triangulate
Interventions to Achieve Best-Practice Outcomes
- Q&A:
Ask the Experts
- Funding
Medical Homes and Implementing Measures
- Successful
Methods for Identifying People and Initiating Care Management
- Redesigning
the Office to Move Toward an Advanced Medical Home
- The
Trend Toward Retail Clinics
- Glossary
- For
More Information
- About
the Authors
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