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Medical Home Improvement Guide Vol 1: FAQs on Patient-Centered Care

Managed Care Information Center, April 2009, Pages: 38


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A growing number of multi-stakeholder pilots and physician practices around the country is closely examining - and testing - the potential of the patient-centered medical home (PCMH) model to transform primary care.

To provide essential background on this emerging model, the Healthcare Intelligence Network has assembled responses to the most frequently raised questions regarding the PCMH in a single comprehensive resource. In the Medical Home Improvement Guide Vol. I: FAQs on Patient-Centered Care, 10 early adopters of the PCMH provide answers to more than 50 questions on the practicalities of the PCMH, from their perspectives as health plans, healthcare providers, case managers, physician practices and medical directors.

In this 38-page special report, you'll benefit from their experience as they tackle a range of PCMH topics in an indexed, easy-to-read Q&A format.
You'll get answers to questions on reimbursement and funding models, physician practice transformation, tools and technology, engaging the population, marketing the medical home, metrics and measurements, trends, care coordination, the employer perspective and underserved populations.

A sampling of questions covered in Medical Home Improvement Guide Vol. I: FAQs on Patient-Centered Care include:

- Reimbursement and Funding Models:
- - Grants and funding opportunities: what's out there?
- - How can payments be coordinated across multiple payors and health plans?
- - How do you develop transition payment strategies?
- - How much is PCMH implementation going to cost?

- Practice Transformation:
- - Should physician practices invest in patient registries?
- - Can the PCMH be adapted to small practices?
- - What is the role of the nurse/coach in the PCMH?
- - How can a practice survive the cultural change from pilot to practice?

- Tools and Technology:
- - Which practice tools are essential to the medical home model?
- - How does an EMR handle confidential information on behavioral health issues?

- Engaging the Population:
- - How does the PCMH track and refer patients?
- - How can the patient's family be included in the medical home?

- Marketing the Medical Home:
- - How can an organization diffuse best practices to remote sites?
- - What are the best ways to communicate with patients?

- Metrics and Measurements:
- - How do you measure improvement outcomes generated by the medical home?
- - How can a payor reward a physician practice for quality improvement?

- Related Trends:
- - Retail clinics: helping or hurting the medical home Effort?
- - Can community collaborations simplify data-gathering efforts?
- - What are the PCMH implications for medical malpractice?

Among the early adopters sharing their experiences in this one-of-a-kind resource are:

- Dr. James Barr, medical director for Partners in Care;
- Dawn Bazarko, senior vice president of clinical innovations for UnitedHealthcare;
- Roberta Burgess, a nurse case manager with Community Care Plan of North Carolina with Heritage Hospital in Tarboro, North Carolina;
- Dr. Lonnie Fuller, medical director for the Pennsylvania Medicaid ACCESS Plus PCCM-DM Program;
- Anne Hernandez, director of operations of APS Healthcare;
- Lesley Reeder, R.N., B.S.N., quality improvement specialist for the Colorado Department of Health Care Policy and Financing
- Dr. George Rust, senior consultant for APS Healthcare and interim director of the National Center for Primary Care at Morehouse School of Medicine
- Elizabeth Reardon, President, Reardon Consulting, National Council for Community Behavioral Healthcare Integrated Care Consulting Team
- Julie Schilz, co-chair of the Center for Multi-stakeholder Demonstrations and IPIP manager for the Colorado Clinical Guidelines Collaborative;
- Barbara Walters, M.D., senior medical director of Dartmouth-Hitchcock Medical Center.



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Medical Home Reimbursement Models: Funding Patient-Centered Care with Multi-Stakeholder Collaborations

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Principles of a Patient-Centered Practice: Medical Home Guidelines for Staffing, Recognition and Evidence-Based Care

Reimbursement Models for Medical Homes: From Pilot to Practice, a September 24, 2008 webinar on CD-ROM

Improving Physician Performance and Value-Based Reimbursement Levels Through Meaningful Data Sharing - 45-Minute Webinar



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