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Patient Centered Medical Homes Well answered already passed

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Patient Centered Medical Homes Well
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What is a patient centered medical home and how has this concept been included in the patient
protection and ACA - correct answer ✔✔Patient centered medical home is an alternative
practice model aimed at reducing costs, coordinating care efforts and utilizing health
information technology as well as obtaining better quality outcomes for patients. It is woven
into the ACA of 2010 and is broadly defined in 3502 of that act to further population health
initiatives for communities as well as preventative health and ongoing care for chronic illnesses



Following the passage of ACA, how pervasive has the usage of PCMHs been in the delivery of
health care services? - correct answer ✔✔It has been robust. Half of the states have been
implementing PCMHs for their Medicaid populations.



What are the essential elements of a PCMH? - correct answer ✔✔A patient can be said to have
a medical home if she has a personal physician who provides a first point of contact as well as
ongoing comprehensive and coordinated care that moves away from the traditional referral
based gatekeeper system. Medical home exists when other elements are present as well.
Including teams of providers with diverse medical backgrounds who leverage health information
technology to manage a defined panel of patients for both acute and chronic conditions in a
proactive patient centered manner.



What distinguishes a PCMH from a traditional care delivery model? - correct answer ✔✔1.
Integration of health information

2. patient centered engagement in care

3. A team practice approach

If they have all of these characteristics, they can apply for recognition as a PCMH. Given that
there are a number of bodies setting criteria for medical homes, no single organization is
responsible for recognizing PCMHs

, Summarize 3 tier PCMH recognition process established by the National committee for Quality
Assurance - correct answer ✔✔3 tier process (tier 3 is the highest)

The NCQA recognition process is a three-tier process with six "must pass" elements.

1. Access during office hours

2. Use of data for patient population management

3. Care management supporting the self-care process for patients

4. referral tracking and follow-up

5. Implementation of continuous quality improvement



How do the NCQA requirements for a PCMH align with the criteria for a PCMH as specified in
section 3502 of ACA? - correct answer ✔✔In 3502, a PCMH is defined as a model of care with
six core features:

1. use of personal physicians

2. whole person orientation

3. Coordinated and integrated care

4. safe and high quality care through evidence informed medicine

5. Appropriate use of health information technology

6. continuous quality improvements

7. expanded access to care

8. payment that recognizes added value from additional components of patient centered care



How does the implementation of an electronic health record serve as a critical step in
transforming a more traditional medical practice into a PCMH care delivery platform? - correct
answer ✔✔Proper utilization of health information technology allows for integration of
processes across every aspect of the medical home, from appointment scheduling and follow up
to analysis and evaluation of patient populations. use of health information technology is
important to receive successful recognition from the NCQA.

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