Innovation and Challenge of the Patient-Centered Medical Home Model || With 100% Accurate Solutions

Innovation and Challenge of the Patient-Centered Medical Home Model || With 100% Accurate Solutions Innovation and Challenge of the Patient-Centered Medical Home Model || With 100% Accurate Solutions Defining the Medical Home - ANSWER - Approach to primary care that is: -person-centered (supports patients & families in managing decisions and care plans) -Comprehensive (whole-person care provided by a team) -Committed to Quality and Safety (maximizes use of health IT, decision support & other tools) -Accessible (care is delivered with short waiting times, 24/7 access & extended in-person hours) -Coordinated (care is organized across the 'medical neighborhood') Today vs. Future - ANSWER - Today: -treating sickness/episodic -fragmented care -specialty driven -isolated patient files -utilization management -fee for service -payment for volume -adversarial payer-provider relations -"everyone for themselves" Future: -managing populations -collaborative care -primary care driven -integrated electronic records -evidence-based medicine -shared risk/reward -payment for value -cooperative payer-provider relations -joint contracting Health system transformation requires... - ANSWER - -delivery reform -payment reform -benefit redesign -public engagement Significant Problems in Primary Care - ANSWER - -rising healthcare costs - $2.4 trillion (17% of GDP) -gaps/variations in quality and safety -poor access to primary care providers -below-average population health -increasing aging population & chronic diseases Results of Primary-care centric projects - ANSWER - across 300+ studies, better primary care has proven to increase quality and curtail growth of health care costs PCMH