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Having established a firm foundation over two decades of patient-centered care, the medical home model is poised for a makeover, expanding to medical neighborhoods and opening the door to specialists' enhanced role in care coordinationwhile embracing value-based compensation models that reward quality over quantity.
Those are just two of the trends explored in 2014 Healthcare Benchmarks: The Patient-Centered Medical Home, the Healthcare Intelligence Network's in-depth analysis of medical home adoption, tools, technologies, challenges, benefits and outcomes.
This 60-page report, now in its seventh year, is designed to meet business and planning needs of physician practices, clinics, health plans, managed care organizations, hospitals and others by providing critical benchmarks in medical home implementation and results.
Based on HIN's PCMH survey administered in February 2014, this resource takes the industry's pulse on patient-centered activity.
As the healthcare C-suite has come to expect, this resource delivers the latest metrics and measures on current and planned PCMH initiatives, providing actionable data on PCMH effectiveness, targeted populations and conditions, medical home team members, health IT in use, reimbursement models, ROI and much, much more.
New data in the 2014 edition:
- Trends in inclusion of specialists in patient-centered medical homes;
- Prevalence of medical home neighborhoods integrated systems of care that take on more risk and truly manage population health across the spectrum of care;
- Measurement of operational, patient engagement and health utilization metrics as measures of medical home success;
- Categorical assessments of challenges associated with medical home construction;
- Examination of value-based physician reimbursement models;
- Popularity of state-specific accreditation and recognition programs for medical homes;
- Impact of ACA's 2014 "10 Essential Health Benefits" mandate on medical homes; and
- Best-in-class workflows, tools and processes in use in medical homes; and
- Tactics to overcome the challenges of medical home implementation.
This year's report continues to track medical home participation in ACOs; the explosion of practice-based case management in the medical home; and medical home accreditation and recognition pathway.
The 2014 edition also contains useful tables comparing key PCMH trends from 2009 through 2014, providing a valuable quick-reference to PCMH evolution and expansion in the last five years.
This all-new research report is supported with more than 50 graphs and tables and delivers strategies and lessons learned from leading medical home adopters in their own words.
This report provides a high-level look at overall responses and also drills down to sector-specific views on PCMH activity in the following areas:
and much more.
Adoption of the medical home model;
- Impact of medical home adoption on patient satisfaction, provider experience, care coordination, medication adherence and other key processes;
- Financial effect of the PCMH on key metrics of provider reimbursement, healthcare utilization, operating costs, ER visits and hospital admissions;
- Targeted PCMH populations, percentage of population assigned to PCMHs, number of lives covered by medical homes; number of participating physicians;
- Data on the expanding role of the embedded case manager;
- Key aspects of physician practice transformation, including duration, implementation cost and patient/provider engagement strategies;
- Key roles on the medical home team players — health coach, case manager, dietitian, social worker, nurse practitioner and more;
- Top physician compensation models in use by medical homes;
- Prevalence of incentives for PCMH participation (by providers/members/patients);
- Metrics to measure the effectiveness of the PCMH;
- Top health technologies in use in operating medical homes and
metrics for measuring PCMH effectiveness;
- Frank commentary on the challenges, benefits and impact of medical home construction;
This report is part of the HIN Healthcare Benchmarking series, which provides continuous qualitative data on industry trends to empower healthcare companies to assess strengths, weaknesses and opportunities to improve by comparing organizational performance to reported metrics.