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Component 1: Introduction to Health Care and Public Health in the U.S.

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Component 1: Introduction to Health Care and Public Health in the U.S. 1.9: Unit 9: The evolution and reform of healthcare in the US 1.9d: The Patient Centered ... – PowerPoint PPT presentation

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Title: Component 1: Introduction to Health Care and Public Health in the U.S.


1
Component 1 Introduction to Health Care and
Public Health in the U.S.
  • 1.9 Unit 9 The evolution and reform of
    healthcare in the US
  • 1.9d The Patient Centered Medical Home

2
History of The Medical Home Concept
  • 1967 -- The American Academy of Pediatrics (AAP)
    introduced the medical home concept
  • 2002 -- the AAP expanded the medical home concept
    to include specific characteristics of patient
    care
  • Accessible
  • Continuous
  • Comprehensive
  • Family-centered
  • Coordinated
  • Compassionate
  • Culturally effective

3
History of The Medical Home Concept (continued)
  • The American Academy of Family Physicians (AAFP)
    and the American College of Physicians (ACP) have
    developed their own models for improving patient
    care
  • 2004 AAFP medical home
  • 2006 ACP advanced medical home

4
The Patient Centered Medical Home (PCMH)
  • 2007 -- Joint Principles of the Patient Centered
    Medical Home delineated by
  • American Academy of Family Physicians (AAFP)
  • American Academy of Pediatrics (AAP)
  • American College of Physicians (ACP)
  • American Osteopathic Association (AOA)
  • The PCMH is an approach to providing
    comprehensive primary care
  • The PCMH is a health care setting that
    facilitates partnerships

5
PCMH Characteristics Personal Physician,
Directed Medical Practice
  • Personal physician - each patient has an ongoing
    relationship with a personal physician
  • Physician directed medical practice the
    personal physician leads a team of individuals at
    the practice level
  • The team takes collective responsibility for
    patient care

6
PCMH Characteristics Whole Person Orientation
  • Whole person orientation the personal physician
    is responsible for providing for all the
    patients health care needs
  • Care is provided in all stages of life
  • Care is provided in multiple settings
  • Acute care
  • Chronic care
  • Preventive services
  • End of life care

7
PCMH Characteristics Coordination Of Care
  • Care is coordinated and/or integrated across all
    elements of the health care system and the
    patients community
  • Care is facilitated by technology
  • Clinicians provide care that is culturally and
    linguistically appropriate

8
PCMH Characteristics Quality And Safety
  • Quality and safety measures
  • Patients are encouraged to achieve
    patient-centered outcomes
  • Clinicians use evidence based medicine and
    clinical decision support tools to guide their
    decision making

9
PCMH Characteristics Quality And Safety
(continued)
  • Other quality and safety measures
  • PCMH model uses information technology to support
    patient care
  • Practices agree to undergo voluntary recognition
    process

10
PCMH Characteristics Quality And Safety
(continued)
  • Other quality and safety measures
  • Physicians participate in continuous quality
    improvement and performance measurement
  • Patients participate in decision-making
  • Patients and families participate in quality
    improvement activities

11
PCMH Characteristics Enhanced Access To Care
  • Enhanced access to care facilitated by
  • Open-access scheduling
  • Expanded hours
  • New options for communication
  • Secure messaging and email
  • Use of personal health records

12
PCMH Characteristics Payment
  • Payment appropriately recognizes the added value
    of a patient-centered medical home
  • Reflects the value of patient-centered care
    management work
  • Pays for face-to-face visits as well as services
    associated with coordination of care

13
PCMH Characteristics Payment (continued)
  • Additionally, the PCMH payment model
  • Recognizes case mix differences in the practice
    patient population
  • Allows for additional payments when quality
    improvements are achieved
  • Covers enhanced patient communication access to
    clinicians
  • Supports adoption and use of health information
    technology
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