Medical Home Transformation
Providing the right care, in the right place, at the right time.
The patient centered medical home (PCMH) emphasizes the central role of primary care and care coordination, with the vision that every person should have the opportunity to easily access high quality primary care in a place that is familiar and knowledgeable about their health care needs.
Increasingly PCMH demonstration projects have shown significant impact on cost, quality and patient experience (see Resources). Many health plans, including Medicare and Mediciad, are revising payment models to reward providers that meet PCMH innovations and have a measurable impact on patient outcomes.
Medical Home and Meaningful Use Services
Access
- Reduce patient wait-times, cycle times and no-show rates
- Create same-day appointment access
- Rightsize provider patient panels
Health IT and Meaningful Use of Electronic Health Records (EHRs)
- Meaningful use of EHR in the medical home
- Selection and implementation of health IT systems
- Optimization of EHRs, including clinical decision support, telehealth; e-prescribing, e-consultations
- Performance measurement and reporting
Care Coordination
- Implementation of health information exchange
- Referral coordination
- Care team development to promote care management and accountability
- Population health and chronic disease management
Patient Experience
- Prepare and oversee patient experience surveys
- Support selection and implementation of patient experience systems
Recognition
- Provide assessments, gap analyses and survey submission for PCMH recognition and Meaningful Use attestation
