Stakeholder Changes for Involvement in Medical Homes [2012-13]

Posted on November 10, 2013 by Dr. David Edward Marcinko MBA MEd CMP™

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Update on the Patient Centered Medical Home Movement

By: www.MCOL.com

The medical home, also known as the patient-centered medical home (PCMH), is a team based health care delivery model led by a physician, PA, NP or ANP that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. It is “an approach to providing comprehensive primary care for children, youth and adults”.

The provision of medical homes may allow better access to health care, increase satisfaction with care, and improve health. Joint principles that define a PCMH have been established through the cohesive efforts of the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), and American Osteopathic Association (AOA).

MHs

Assessment

With a medical home, care coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology, and appropriately trained staff to provide coordinated care through team-based models.

Additionally, payment models that compensate PCMHs for their effort devoted to care coordination activities and patient-centered care management that fall outside the face-face patient encounter may help encourage coordination.

More:

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The 2010 Chronic Care and Prevention Congress

Posted on April 19, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

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The Future of Population Health and Disease Management in 2010, and Beyond

[By Ann Miller; RN, MHA]

According to our two new books, Forward contributor David B. Nash MD MBA FACP Dean, Jefferson School of Population Heath at Thomas Jefferson University, states that chronic diseases are the nation’s most overwhelming healthcare cost drivers.

The Statistics

In fact, we’ve all heard the statistics which suggest that 75% of health care costs are spent on chronic care treatments.

Chronic Care and Prevention

And so, the upcoming Chronic Care and Prevention Congress will seek to lead the nation in developing best practices for the treatment and prevention of chronic disease. David will give the Opening Keynote Address on Thursday, May 13th 2010 entitled The Future of Population Health and Disease Management in 2010 and Beyond.

Other Topics and Issues to be Addressed

  • Aligning Reimbursement Models and Financial Incentives
  • Physician Engagement and the Patient-Centered Medical Homes
  • Consumer Engagement and Behavioral Modification
  • Innovative Health Information Technology Applications
  • Best Management Practices in Diabetes, Obesity, Cardiology and Renal Disease

The Themes

We believe you will walk away from the Congress with the ability to connect the dots, drawing together the key themes of population health, disease management, chronic care coordination, and much more.

Registration Information

For more information regarding the Congress or to register with the $895 rate, please contact World Congress directly at 800-767-9499 or visit http://www.worldcongress.com/Events/

Assessment

We hope to see you there and report back to us on your thoughts and impressions.

Foreword.Nash

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Should Specialists Staff Medical Homes, etc?

Posted on December 14, 2009 by Dr. David Edward Marcinko MBA MEd CMP™

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Are they Even Needed?

[By Staff Reporters]

In an op-ed piece originally published in HCPLive.com, by Alan Berkenwald MD, the approaching fire storm over the “patient-centered medical home” model reminds us of the destructive powers seen with some early restrictive HMO models.

Enter – Exit – ReEnter the Gatekeepers

Once seemingly destined to revolutionize organized medicine, and empower patients and primary care physicians, the HMO model of “gatekeepers” nearly destroyed it.

Assessment

And so, can we learn from past failures with this new medical home model? Or, are they even needed?

Related posts from Kevin Pho MD:

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On Medical and Other Patient-Centric Specialty Homes

Posted on May 15, 2009 by Dr. David Edward Marcinko MBA MEd CMP™

New Guidelines Released

By Dr. David Edward Marcinko; MBA, CMP™

[Publisher-in-Chief]

dem23According to Chris Silva, AMA News on May, 12 2009, new medical home guidelines have just been released.

Physician Input

Four physician organizations have developed new guidelines for medical home projects to ensure consistency and help define how a patient-centered home model should look. The 16 guidelines include recommendations on who should collaborate on the projects, how they should choose practices to participate, what type of support should be provided to practices, how practices should be reimbursed, and what each project should do to analyze and report results.

Link: http://www.ama-assn.org/amednews/2009/05/11/gvse0512.htm

Assessment

Physician groups hope clarity and consistency will lead to broader acceptance of the programs. But, what about mental health homes or dental homes; how about podiatry or optometric homes, etc? What about patient mobility?

Is this concept even viable given our increasingly mobile society? Or, is this philosophy fixed in the last century; especially in light of the Obama Administration’s HIT, and eHR initiatives? Was the fluid health 2.0 culture even considered? What are we missing?

Conclusion

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