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Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care
Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care
Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care
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Healthcare is poised for a major transformation under the Obama administration, and the patient-centered medical home (PCMH) is increasingly positioned as a panacea for primary care. Although awareness and adoption of the PCMH has increased greatly in recent years, many healthcare organizations are only beginning to familiarize themselves with the principles and benefits of patient-centered care.

Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care is a landmark publication that documents the healthcare industry's adoption of the patient-centered medical home model of care. This exclusive 65-page report analyzes the responses of more than 220 healthcare organizations to HIN's 2009 Industry Survey on the Patient-Centered Medical Home Model.

Supplemented with dozens of easy-to-follow graphs and tables, this essential resource delivers advice and guidance from leading medical home strategists on key aspects of PCMH implementation, case studies on the PCMH adoption experience from Geisinger Health Plan, MetCare of Florida and the HealthQuilt Health Information Exchange pilot project, and perspectives from two medical home consultants on physician practice transformation and the integration of behavioral healthcare into the medical home. A comprehensive "For More Information" section rounds out this essential resource.

Download the executive summary of Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care.

Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care provides actionable information on PCMH awareness and adoption levels as well as key benchmarks for organizations to evaluate their progress. Whether organizations have just begun to familiarize themselves with the PCMH or are already knee-deep in the process change that supports PCMH transformation, they will benefit from a review of these medical home metrics and measurements to evaluate and plan their programs and compare performance and transformation data.

This report provides expanded data on:

  • Awareness and adoption of the medical home model by healthcare organizations;
  • Impact of medical home adoption on patient satisfaction, provider experience, care coordination, medication adherence and other key processes;
  • Financial effect of the PCMH on the key metrics of provider reimbursement, healthcare utilization, operating costs, ER visits and hospital admissions;
  • Targeted PCMH populations, percentage of population assigned to PCMHs and number of lives covered by medical homes;
  • Key aspects of physician practice transformation, including duration, implementation cost and patient/provider engagement strategies;
  • Key roles on the medical home team — health coach, dietitians, social workers, nurse practitioners and more;
  • Top reimbursement models in use by active medical homes;
  • Top health technologies in use in operating medical homes and respondents' expectations for healthcare IT funding in the economic stimulus package as it relates to medical homes;
  • Frank commentary on the challenges, benefits and impact of medical home construction;
and much more, including advice and details on medical home adoption from five diverse healthcare organizations:
  • Geisinger Health Plan Medical Home Pilot: Janet Tomcavage, R.N., M.S.N., vice president of health services for Geisinger Health Plan (GHP), shares highlights and outcomes from GHP's successful Pennsylvania-based medical home pilot, with a special focus on the role of the embedded nurse case manager and opportunities that transitions in care present for improving population health status and reducing healthcare costs.
  • HealthQuilt Health Information Exchange (HIE): Health Quality and Interoperability Laboratory for Training (HealthQuilt) is a pilot HIE for the greater Houston area directed by Dr. Kim Dunn, M.D., Ph.D. Dr. Dunn describes HealthQuilt's goal of establishing a “network of networks” around patient medical homes, — community clinics, primary care physicians (PCPs), ancillary services and specialists — that provide care throughout the community; HealthQuilt’s quality health record and its potential for injecting quality and revenue into a physician practice; and improving access to specialty care by underserved populations via innovative doses of telemedicine.
  • Priming Physican Practices for Transformation: The MetCare Case Study: In October 2008, MetCare of Florida made the commitment to transform their medical practices into medical homes for its Medicare patients. Today, they're nearly there. MetCare CMO Dr. Hy Zucker describes the medical home principles built into the MetCare foundation and the training and process changes that have engaged MetCare physicians in the effort.
  • Under One Roof: Integrating Primary Care and Behavioral Healthcare in the Medical Home: Elizabeth (Liz) Reardon, healthcare consultant and a member of the National Council for Community Behavioral Healthcare's National Integrating Consulting Team, shares highlights from programs working to integrate mental health into the medical home model, what new medical homes can learn from the model's earliest residents and some ideas for overcoming the challenges of integrating healthcare for patients with low incomes or healthcare disparities.
  • 15 Essential Process Changes for Medical Home Success: Perspectives from Two Models: Drawing upon her consulting roles in several recent medical home pilots in the Northwest, Barbara Wall, president of Hagen Wall Consulting, shares straightforward advice for payors and providers navigating the transformation process, with an emphasis on engaging and educating patients and members in the medical home.

The 65-page Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care is the one-of-a-kind blueprint that organizations can consult as they construct or renovate their medical homes. Benefit from peers' experiences and advice during healthcare reformation.

Publication Date: June 2009
Number of Pages: 65
ISBN 10: 1-934647-87-X (Print version); 1-934647-88-8 (PDF version)
ISBN 13: 978-1-934647-87-5 (Print version); 978-1-934647-88-2 (PDF version)
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