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The Patient Centered
Medical Home
Marwah Zagzoug
Wafa Hetany
Sara Abubotain
April 19, 2011
W.H.
Introduction
• What is it?
• What does it do?
Patient-Centered Medical Home (PCMH) is an approach to
providing compre...
www.scmao.com
Introduction
Improve
patient care
and reduce
costs
Provide more
effective,
equitable, and
efficient
health
s...
www.scmao.com
History of the PCMH Concept
 Introduced by American Academy of Pediatrics
(AAP) in 1967
 Initially referre...
www.scmao.com
Operational Characteristics
Continuous
Comprehensive
Family-centered
Coordinated
Accessible
Compassionate
Cu...
www.scmao.com
Joint Principles of PCMH (2007)
(Rosenthal, 2008)
W.H.
Patient Personal Physician
 Trusted personal physician
 Physician who provides, manages and
facilitates care
 Care is c...
Family Medicine Foundation
Great
Outcomes
Heath
Information
Technology
Practice
Organization
Patient
Experience
Quality
Me...
Current Challenges
S.A.
CEO OF New York-Presbyterian Hospital
In 2014: 32 million more Americans will have
health insurance and will need access ...
PCMH Future
The PCMH has the potential to become an
important component of health reform
Truly transforming the U.S. hea...
How to tell if you have a PCMH?
 Can you get an urgent appointment within 24 hours?
 Can you reach someone in the practi...
Times are Changing
Communication
Access
Convenience
Coordination
Responsiveness
Patients today are savvy consumers of heal...
Patient Expectations
75% want the ability to interact with their
physician online (appointments, prescriptions,
test resu...
Path to Recognition
Follow the roadmap
M.Z.
www.scmao.com
PCMH Distribution
As of December 2010 there are 7,676 clinicians in 1,506
recognized PCMH practices in the U...
Great Outcomes
Patients
• Enjoy better health
• Share in health care
decisions
Payers &
Employers
• Ensures quality & effi...
References
 Backer, L.. (2009). Building the case for the Patient-Centered
Medical Home. Family Practice Management, 16(1...
References
 Patient-Centered Primary Care Collaborative. (2009). Proof in Practice: a
compilation of patient centered med...
That concludes our presentation
Speakers:
Wafa Hetany
Sara Abubotain
Marwah Zagzoug
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The Patient Centered Medical Home

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This presentation explains the concept of the patient-centered medical home (PCMH), its function and its intended effects. A brief overview of the history of PCMH is also provided, as well as a discussion of its operational characteristics, its principles and outcomes, and what is expected in the future for the PCMH model.

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The Patient Centered Medical Home

  1. 1. The Patient Centered Medical Home Marwah Zagzoug Wafa Hetany Sara Abubotain April 19, 2011
  2. 2. W.H. Introduction • What is it? • What does it do? Patient-Centered Medical Home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults. The PCMH is a health care setting that facilitates partnerships between individual patients, and their personal physicians. (Fisher, 2008)
  3. 3. www.scmao.com Introduction Improve patient care and reduce costs Provide more effective, equitable, and efficient health services. Encourage primary care providers to assume responsibility of all aspects of patient care. Intended Effects: (Fisher, 2008) W.H.
  4. 4. www.scmao.com History of the PCMH Concept  Introduced by American Academy of Pediatrics (AAP) in 1967  Initially referred to a central location for medical records.  The PCMH model received formal recognition in 2007 by  American Academy of Family Physicians (AAFP),  American Academy of Pediatrics (AAP),  American College of Physicians (ACP),  American Osteopathic Association (AOA).  Since then, they have been endorsed by more than 12 physician organizations. (Homer, Cooley, & Strickland, 2009) W.H.
  5. 5. www.scmao.com Operational Characteristics Continuous Comprehensive Family-centered Coordinated Accessible Compassionate Culturally effective care (Homer, Cooley, & Strickland, 2009) W.H.
  6. 6. www.scmao.com Joint Principles of PCMH (2007) (Rosenthal, 2008) W.H.
  7. 7. Patient Personal Physician  Trusted personal physician  Physician who provides, manages and facilitates care  Care is coordinated or integrated across healthcare system  More accessible practice with increased hours and easier scheduling  Enhanced payment that recognizes the added value of delivering care through the PCMH model  Assistance to practices seeking transformation  Support to practices adopting HIT for QI The PCMH Model W.H.
  8. 8. Family Medicine Foundation Great Outcomes Heath Information Technology Practice Organization Patient Experience Quality Measures The PCMH Model  Practice Organization  Build a productive & supporting environment  Put Finances In Order.  Health Information Technology  Connect & communicate.  Depends on clinical decision support tools.  Quality Measures  Install a system to collect data.  Use the system to improve care.  Patient Experience  Provide same-day appointments.  Free-up appointment slots  Educate and train staff. (Backer, 2009) W.H.
  9. 9. Current Challenges S.A.
  10. 10. CEO OF New York-Presbyterian Hospital In 2014: 32 million more Americans will have health insurance and will need access to care. Baby boomers are reaching retirement age, and facing the increased medical needs of old age Physicians shortage 6,000 to 8,000 new physicians needed annually on top of the 16,000 that are currently produced each year S.A.
  11. 11. PCMH Future The PCMH has the potential to become an important component of health reform Truly transforming the U.S. health care system around personalized medical homes embedded in highly functional medical neighborhoods will require  better staffing models;  more robust electronic information tools;  aligned incentives for quality and efficiency within payment and regulatory policies; and  a culture of greater engagement of patients, their families, and communities. S.A.
  12. 12. How to tell if you have a PCMH?  Can you get an urgent appointment within 24 hours?  Can you reach someone in the practice by phone at night or on weekends?  Can you get test results quickly via e-mail or telephone, or on- line?  If you have a chronic condition, is there a system for tracking how you’re doing?  Does the practice include non-MD staff members such as nutritionists or nurse practitioners to help you manage your medications or chronic conditions?  Does your primary-care doctor keep track of your treatment by specialists? S.A.
  13. 13. Times are Changing Communication Access Convenience Coordination Responsiveness Patients today are savvy consumers of healthcare and have higher expectations M.Z.
  14. 14. Patient Expectations 75% want the ability to interact with their physician online (appointments, prescriptions, test results). 77% want to ask questions without a visit. 75% want email access as part of their overall care. 62% of patients say access to these services would influence their choice of physicians M.Z.
  15. 15. Path to Recognition Follow the roadmap M.Z.
  16. 16. www.scmao.com PCMH Distribution As of December 2010 there are 7,676 clinicians in 1,506 recognized PCMH practices in the US. (National Committee for Quality Assurance [NCQA] , 2011) M.Z.
  17. 17. Great Outcomes Patients • Enjoy better health • Share in health care decisions Payers & Employers • Ensures quality & efficiency • Avoids unnecessary costs. Practices • Team works effectively together. • Resources support the delivery of excellent patient care. Physicians • Physicians focus more on delivering excellent medical care PCMH Outcomes M.Z.
  18. 18. References  Backer, L.. (2009). Building the case for the Patient-Centered Medical Home. Family Practice Management, 16(1), 14-8.  Fisher, E. (2008). “Building a Medical Neighborhood for the Medical Home.” New England Journal of Medicine 359 (12): 1202-1205.  Fischer, J. (2011). CEO OF NewYork-Presbyterian Hospital Discusses Impact of Health Care Reform on American Medical Centers and Medical Innovation. Retrieved from: http://nyp.org/news/hospital/reform-medical-center.html  Homer, C., Cooley, W., & Strickland, B.. (2009). Medical Home 2009: What It Is, Where We Were, and Where We Are Today. Pediatric Annals, 38(9), 483-90.  Landon, B. Gill, J. Antonelli R and Rich, E. (2010). Prospects for rebuilding primary care using the patient-centered medical home. PubMed  National Committee for Quality Assurance [NCQA] (2011). Retrieved April 15, 2011 from: http://www.ncqa.org/LinkClick.aspx?fileticket=QKn%2BiVilJ9Q %3D&tabid=631&mid=2435&forcedownload=true
  19. 19. References  Patient-Centered Primary Care Collaborative. (2009). Proof in Practice: a compilation of patient centered medical home pilot and demonstration projects. Retrieved April 15, 2011 from: http://pcpcc.net/files/Grumbach_et-al_Evidence-of-Quality_ %20101609_0.pdf  Rosenthal, T. (2008). “The Medical Home: Growing Evidence to Support a New Approach to Primary Care.” Journal of the American Board of Family Medicine 21 (5): 427-440.  Rittenhouse, D. and Shortell, S. (2009). The Patient-Centered Medical Home: Will It Stand the Test of Health Reform? PubMed.  Rosenthal, M. Beckman, H. Forrest, D., Huang ,E, Landon, B and Lewis, S. (2010). Will the patient-centered medical home improve efficiency and reduce costs of care? A measurement and research agenda. PubMed  Sinsky, C. (2011). The patient-centered medical home neighbor: A primary care physician's view. PubMed  Strickland, B., Jones, J., Ghandour, R., Kogan, M., and Newacheck, P. (2011). The Medical Home: Health Care Access and Impact for Children and Youth in the United States. Pediatrics, 127(4): 604 - 611.
  20. 20. That concludes our presentation Speakers: Wafa Hetany Sara Abubotain Marwah Zagzoug

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