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Home > Medical Practice
Medical Home Improvement Guide Volumes I-II
Medical Home Improvement Guide Volumes I-II
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Like the convenience of receiving a PDF the same business day, but still want a hard copy of this book? Order both versions and save 35 percent!

HIN's Medical Home Improvement Guide Series is a two-volume set on the practicalities of the PCMH, from 23 early adopters of the medical home model from their perspectives as health plans, healthcare providers, case managers, physician practices and medical directors. You'll get answers to questions on reimbursement and funding models, physician practice transformation, tools and technology, engaging the population, marketing the medical home, metrics and measurements, trends, care coordination, the employer perspective and underserved populations.

Titles in the series:

Medical Home Improvement Guide Vol. I: FAQs on Patient-Centered Care

A growing number of multi-stakeholder pilots and physician practices around the country is closely examining — and testing — the potential of the patient-centered medical home (PCMH) model to transform primary care.

To provide essential background on this emerging model, the Healthcare Intelligence Network has assembled responses to the most frequently raised questions regarding the PCMH in a single comprehensive resource. In the Medical Home Improvement Guide Vol. I: FAQs on Patient-Centered Care, 10 early adopters of the PCMH provide answers to more than 50 questions on the practicalities of the PCMH, from their perspectives as health plans, healthcare providers, case managers, physician practices and medical directors.

In this 38-page special report, you'll benefit from their experience as they tackle a range of PCMH topics in an indexed, easy-to-read Q&A format. A sampling of questions covered in Medical Home Improvement Guide Vol. I: FAQs on Patient-Centered Care include:

  • Reimbursement and Funding Models:
    • Grants and funding opportunities: what's out there?
    • How can payments be coordinated across multiple payors and health plans?
    • How do you develop transition payment strategies?
    • How much is PCMH implementation going to cost?
  • Practice Transformation:
    • Should physician practices invest in patient registries?
    • Can the PCMH be adapted to small practices?
    • What is the role of the nurse/coach in the PCMH?
    • How can a practice survive the cultural change from pilot to practice?
  • Tools and Technology:
    • Which practice tools are essential to the medical home model?
    • How does an EMR handle confidential information on behavioral health issues?
  • Engaging the Population:
    • How does the PCMH track and refer patients?
    • How can the patient's family be included in the medical home?
  • Marketing the Medical Home:
    • How can an organization diffuse best practices to remote sites?
    • What are the best ways to communicate with patients?
  • Metrics and Measurements:
    • How do you measure improvement outcomes generated by the medical home?
    • How can a payor reward a physician practice for quality improvement?
  • Related Trends:
    • Retail clinics: helping or hurting the medical home Effort?
    • Can community collaborations simplify data-gathering efforts?
    • What are the PCMH implications for medical malpractice?
  • and many more.
Among the early adopters sharing their experiences in this one-of-a-kind resource are:
  • Dr. James Barr, medical director for Partners in Care;
  • Dawn Bazarko, senior vice president of clinical innovations for UnitedHealthcare;
  • Roberta Burgess, a nurse case manager with Community Care Plan of North Carolina with Heritage Hospital in Tarboro, North Carolina;
  • Dr. Lonnie Fuller, medical director for the Pennsylvania Medicaid ACCESS Plus PCCM-DM Program;
  • Anne Hernandez, director of operations of APS Healthcare;
  • Lesley Reeder, R.N., B.S.N., quality improvement specialist for the Colorado Department of Health Care Policy and Financing
  • Dr. George Rust, senior consultant for APS Healthcare and interim director of the National Center for Primary Care at Morehouse School of Medicine
  • Elizabeth Reardon, President, Reardon Consulting, National Council for Community Behavioral Healthcare Integrated Care Consulting Team
  • Julie Schilz, co-chair of the Center for Multi-stakeholder Demonstrations and IPIP manager for the Colorado Clinical Guidelines Collaborative;
  • Barbara Walters, M.D., senior medical director of Dartmouth-Hitchcock Medical Center.

Medical Home Improvement Guide Vol. II: More FAQs on Patient-Centered Care

Picking up where Volume I leaves off, the Medical Home Improvement Guide Vol. II: FAQs on Patient-Centered Care provides insightful responses from healthcare thought leaders at IBM, Aetna, Humana, the Virginia Health Quality Center and more to more than 40 questions on the adoption of the PCMH by employers, hospitals and physician practices.

With healthcare poised for a major transformation under the Obama administration, the patient-centered medical home (PCMH) is increasingly positioned as a panacea for primary care. The 32-page Medical Home Improvement Guide Vol. II: FAQs on Patient-Centered Care drills deeper into the PCMH and its impact on physician practice workflow, employer healthcare costs, the hospital as medical home and non-urgent emergency room utilization.

A sampling of questions answered by the Medical Home Improvement Guide Vol. II: FAQs on Patient-Centered Care include:

  • Hospital as Medical Home:
    • How can a hospital function as a medical home?
    • How does a hospital manage a medical home network?
    • What is the initial investment for a hospital-based medical home?
  • Patient Engagement and Education:
    • What are some resources to support patients with heart disease and diabetes?
    • What are some patient education opportunities in the ED?
    • What are the benefits and attraction of medical home assignment for patients?
    • What is the patient's choice in medical home assignment?
  • Funding and ROI:
    • What are some incentives for medical home participation?
    • What are optimal copayments and physician fee schedules?
    • Should patient satisfaction be measured and what impact can patient satisfaction have on a practice's care delivery, long-term success and ROI?
    • What is a reasonable time period to expect ROI on medical home implementation?
  • Care Coordination:
    • What are some simple workflow changes that can help transform a physician practice to a medical home?
    • What are optimal patient caseloads?
    • How is disease management deployed in the medical home?
    • Who coordinates care and administers patient care plans?
  • The Employer Perspective:
    • Why should employers care about the medical home?
    • How can payors overcome employer resistance to the PCMH and get them on board with this concept?
  • Underserved Populations:
    • What are the challenges of creating a medical home for patients with behavioral health issues?
    • How does the PCMH address care gaps for vulnerable populations?
    • How can a hospital redirect ED patients with non-urgent conditions to a medical home?
  • Related Trends:
    • How are Internet portals being used in the PCMH?
    • How are home visits being utilized in the PCMH?
    • What are some opportunities for community collaborations?
  • and many more.
The following is a partial list of industry thought leaders whose responses are contained in this resource:
  • Marcus Barnes, director of the Richland Care Medical Home, Palmetto Health;
  • Dawn Bazarko, senior vice president of clinical innovations for UnitedHealthcare;
  • Roberta Burgess, nurse case manager with Community Care Plan of North Carolina with Heritage Hospital in Tarboro, North Carolina;
  • George Chedraoui, healthcare leader with IBM and immediate past president of Bridges to Excellence;
  • Dr. Charles DeShazer, market vice president, clinical innovations at Humana;
  • Nachi De Los Santos, project coordinator, Virginia Health Quality Center;
  • Chris Corbin, program manager for physican strategies at Humana;
  • Joe Eppling, assistant vice president of post acute and behavioral health services at East Jefferson General Hospital;
  • Dr. Lonnie Fuller, medical director for the Pennsylvania Medicaid ACCESS Plus PCCM-DM Program
  • Dr. James Glauber, medical director for Neighborhood Health Plan of Massachusetts;
  • Dr. Don Liss, regional medical director for the mid-Atlantic region of Aetna;
  • Dr. John Michos, medical director of the Virginia Health Quality Center;
  • Dr. Anita Murcko, medical director of clinical informatics and provider adoption with the Arizona Health Care Cost Containment System (AHCCCS)
Publication Date: April 2009
Number of Pages: 70
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