HHP- 4040 Final Exam Content
Study Guide
what does PCMH stand for? - Answer Patient Centered Medical Home
how were payments model before PCHM? - Answer not standardized
deterred health care providers from practicing primary care
what did the PCMH models support? - Answer transition from fee-for-service models
quantity payment for quality
what was developed in response to "Crossing the Quality Chasm"? - Answer PCMH
what was the name of the ground breaking report that caused the PCHM? - Answer
Crossing the quality chasm
1967 intellectual roots PCMH - Answer origin linked to the American Academy of
Pediatrics (AAP)
1978 intellectual roots PCMH - Answer Alma Ata Declaration: primary care push
1992 intellectual roots PCMH - Answer AAP published the first policy statement about
the medical home and offered an operational definition
early 2000's intellectual roots PCMH - Answer development of chronic care model
2007 intellectual roots PCMH - Answer 4 national physician organizations issued joint
principles of the patient-mch
Alma Ata - Answer being referred and patients did not follow this
things were being missed: no relay of information, people offended
what highlighted the need of a medical home for children? - Answer Standards of Child
health Care
who created the Standards of Child Health Care? - Answer American Academy of
Pediatrics (AAP)
PCMH- joint principles: personal physician - Answer include primary care doctor
PCMH- joint principles: physician-directed medical practice - Answer team of care
providers
PCMH- joint principles: whole-person orientation - Answer look at the individual person
holistically
,PCMH- joint principles: care coordination - Answer integration coordinate care with
multiple different entities
PCMH- joint principles: quality and safety - Answer have most efficient and effective use
of health services
PCMH- joint principles: enhanced access - Answer 24/7 healthcare access
PCMH- joint principles: payment reform - Answer structure payment models work w/
policy makers and insurance companies
key functions of PCMH: comprehensive care - Answer physical and mental health needs
(team-based approach)
key functions of PCMH: patient-centered - Answer relationship-based health care
(patients and families are core members)
key functions of PCMH: coordinated care - Answer coordinated care across all aspects
of the larger health care system
key functions of PCMH: accessible services - Answer 24/7
key functions of PCMH: quality and safety - Answer based on research
how conducted the study that found evidence supporting the effectiveness of the
PCMH? - Answer Agency for Healthcare Research and Quality (AHRQ)
what did the AHRQ find? - Answer favorable effects on quality of care/ experience of
care
inclusive results on professional experience
cost and service showed limited favorable effects
what are the 4 stages of implementation? - Answer laying the foundation, building
relationships, changing care delivery, reduction barriers to care
stage 1: laying the foundation - Answer engaged leadership, quality improvement
strategy
stage 2: building relationships - Answer empanelment, continuous and team-based
healing relationships
Stage 3: Changing Care Delivery - Answer organized, evidence-based care,
patient-centered interactions
Stage 4 - Reducing Barriers to Care - Answer enhanced access, care coordination
engaged leadership - Answer need to allocate resources and make the case for
transformation to staff (have to have a leader in facility-health admin)
, quality improvement strategy - Answer these strategies provide the framework and
tools to plan, organize and monitor improvement
safety net - Answer where people go when they have nowhere else to go
empanelment - Answer assigning individual patients to individual primary care provided
and care teams
(see right provider at the right time for the patient)
continuous and team-based healing relationships - Answer recognizing others as
partners in patient care (ring around the patient)
organized, evidence-based care - Answer using evidence-based guidelines that are
embedded into daily clinical workflows
had to change care methods if doctors practiced the same way for 20+ years
patient-centered interactions - Answer patient should take ownership in their health
care decision making, behavior change and self-management
enhanced access - Answer the commitment to providing patients 24/7 access to their
health care team (have someone always there)
care coordination - Answer assuming accountability for the patients to reduce
fragmentation and duplication of services
what does the future look like for the PCMH? - Answer foundational organizational
structure in primary care
importance of iron triangle in PCMH - Answer contributes to improved quality, increased
access, lower costs
PCMH future directions... - Answer transparent performance
standardized reimbursement models
not limited to primary care; organizational concept can be used amount all providers
how can PCMH be applied? - Answer care management- attempt to achieve Triple Aim in
health care
where does care management fit in the triple aim? - Answer improving health of
populations
3 points of triple aim - Answer improving patient experience
reducing costs of health care
improving health of populations
Study Guide
what does PCMH stand for? - Answer Patient Centered Medical Home
how were payments model before PCHM? - Answer not standardized
deterred health care providers from practicing primary care
what did the PCMH models support? - Answer transition from fee-for-service models
quantity payment for quality
what was developed in response to "Crossing the Quality Chasm"? - Answer PCMH
what was the name of the ground breaking report that caused the PCHM? - Answer
Crossing the quality chasm
1967 intellectual roots PCMH - Answer origin linked to the American Academy of
Pediatrics (AAP)
1978 intellectual roots PCMH - Answer Alma Ata Declaration: primary care push
1992 intellectual roots PCMH - Answer AAP published the first policy statement about
the medical home and offered an operational definition
early 2000's intellectual roots PCMH - Answer development of chronic care model
2007 intellectual roots PCMH - Answer 4 national physician organizations issued joint
principles of the patient-mch
Alma Ata - Answer being referred and patients did not follow this
things were being missed: no relay of information, people offended
what highlighted the need of a medical home for children? - Answer Standards of Child
health Care
who created the Standards of Child Health Care? - Answer American Academy of
Pediatrics (AAP)
PCMH- joint principles: personal physician - Answer include primary care doctor
PCMH- joint principles: physician-directed medical practice - Answer team of care
providers
PCMH- joint principles: whole-person orientation - Answer look at the individual person
holistically
,PCMH- joint principles: care coordination - Answer integration coordinate care with
multiple different entities
PCMH- joint principles: quality and safety - Answer have most efficient and effective use
of health services
PCMH- joint principles: enhanced access - Answer 24/7 healthcare access
PCMH- joint principles: payment reform - Answer structure payment models work w/
policy makers and insurance companies
key functions of PCMH: comprehensive care - Answer physical and mental health needs
(team-based approach)
key functions of PCMH: patient-centered - Answer relationship-based health care
(patients and families are core members)
key functions of PCMH: coordinated care - Answer coordinated care across all aspects
of the larger health care system
key functions of PCMH: accessible services - Answer 24/7
key functions of PCMH: quality and safety - Answer based on research
how conducted the study that found evidence supporting the effectiveness of the
PCMH? - Answer Agency for Healthcare Research and Quality (AHRQ)
what did the AHRQ find? - Answer favorable effects on quality of care/ experience of
care
inclusive results on professional experience
cost and service showed limited favorable effects
what are the 4 stages of implementation? - Answer laying the foundation, building
relationships, changing care delivery, reduction barriers to care
stage 1: laying the foundation - Answer engaged leadership, quality improvement
strategy
stage 2: building relationships - Answer empanelment, continuous and team-based
healing relationships
Stage 3: Changing Care Delivery - Answer organized, evidence-based care,
patient-centered interactions
Stage 4 - Reducing Barriers to Care - Answer enhanced access, care coordination
engaged leadership - Answer need to allocate resources and make the case for
transformation to staff (have to have a leader in facility-health admin)
, quality improvement strategy - Answer these strategies provide the framework and
tools to plan, organize and monitor improvement
safety net - Answer where people go when they have nowhere else to go
empanelment - Answer assigning individual patients to individual primary care provided
and care teams
(see right provider at the right time for the patient)
continuous and team-based healing relationships - Answer recognizing others as
partners in patient care (ring around the patient)
organized, evidence-based care - Answer using evidence-based guidelines that are
embedded into daily clinical workflows
had to change care methods if doctors practiced the same way for 20+ years
patient-centered interactions - Answer patient should take ownership in their health
care decision making, behavior change and self-management
enhanced access - Answer the commitment to providing patients 24/7 access to their
health care team (have someone always there)
care coordination - Answer assuming accountability for the patients to reduce
fragmentation and duplication of services
what does the future look like for the PCMH? - Answer foundational organizational
structure in primary care
importance of iron triangle in PCMH - Answer contributes to improved quality, increased
access, lower costs
PCMH future directions... - Answer transparent performance
standardized reimbursement models
not limited to primary care; organizational concept can be used amount all providers
how can PCMH be applied? - Answer care management- attempt to achieve Triple Aim in
health care
where does care management fit in the triple aim? - Answer improving health of
populations
3 points of triple aim - Answer improving patient experience
reducing costs of health care
improving health of populations
