%PDF-1.5
%
168 0 obj
<>/Metadata 247 0 R/Pages 165 0 R/StructTreeRoot 30 0 R/Type/Catalog>>
endobj
247 0 obj
<>stream
December 2011
2012-12-18T11:10:06.665-05:00
reports
issue_briefs
Grantee
2011
Quality/Equality
2012-12-18T11:11:07.112-05:00
Web Migration
pdf
Completed
1
goals:129
grantmaking_interventions:222
grantmaking_interventions:222/223
grantmaking_interventions:222/224
grantmaking_interventions:240
grantmaking_interventions:240/241
grantmaking_interventions_pct:207
grantmaking_interventions_pct:209
location_type:280
location_type:562
old_program_areas_for_web:142
program_areas:1142
topics:1530
topics:1547
topics:1556
topics:1633
topics:1726
topics:1753
topics:351
topics:431
topics:435
topics:439
topics:441
topics:477
topics:661
topics:952
types_of_support:277
0
1
2011-12-20T00:00-05:00
/content/farm/workflow/model/workflow_program
0
taxonomy_tags:119
taxonomy_tags:120
taxonomy_tags:121
taxonomy_tags:34
taxonomy_tags:52
taxonomy_tags:83
76428
<p>
The patient-centered medical home (PCMH) is a model for delivering enhanced primary care that relies on a team-based approach to coordinate, track, and improve care and focuses on orienting doctors’ offices more toward patients’ needs. The PCMH makes it easier for patients to have access to health care through extended hours, greater use of phone calls and emails, and more staff coordination in managing all aspects of their care.<br />
<br />
Although the PCMH model has been gathering momentum for several years and is being tested nationwide with thousands of practices currently recognized as medical homes, it is soon expected to gain even greater prominence as the Affordable Care Act (ACA) includes several provisions that encourage adoption of the medical home model, including:</p>
<ul>
<li>
<strong>PCMH influence in accountable care organizations (ACO). </strong>Although the ACO provisions do not explicitly mention medical homes, many believe primary care practices belonging to an ACO will need to adopt many of the key attributes of a PCMH to keep their patients healthy and generate savings.</li>
<li>
<strong>Testing of medical homes through the Innovation Center</strong>. The new Center for Medicare and Medicaid Innovation will test the effectiveness of medical homes–along with other payment and delivery system reforms–in bringing down costs and increasing quality.</li>
<li>
<strong>Allowing Medicaid to cover PCMH services</strong>. Medicaid programs will have the option of covering services provided to patients with certain chronic conditions by 'health homes' with the federal government matching 90 percent of state funds spent on these services in the first two years.</li>
<li>
<strong>Allowing private medical home plans</strong>. Health plans are permitted to provide coverage through a PCMH plan if it meets certain criteria and coordinates with the qualified health plan.</li>
<li>
<strong>Requiring insurers to report if they cover medical homes</strong>. The U.S. Department of Health and Human Services is required to establish guidelines for payment structures that incentivize desirable patient outcomes, including through the use of a PCMH.</li>
</ul>
<p>
As the PCMH movement continues to grow and expand, many will look to existing pilot programs for lessons learned and key insights, such as those being implemented by the alliances in 16 communities across America participating in the Robert Wood Johnson Foundation’s <em>Aligning Forces for Quality </em>(AF4Q) initiative. In many AF4Q communities, medical practices are adopting the PCMH model to improve care coordination and ultimately improving outcomes</p>
Reports
71962
Nicole Bianco
full_text_available
quality_equality
Issue Briefs
Full Text Available
/content/farm/workflow/instance/2012/11/rwjf71962/wf_0
0
nicole.bianco
2011-12-01T00:00-05:00
2213230
1
grantee
Aligning Forces for Quality
Can Implementing Patient-Centered Medical Homes Improve Health Care Quality? Insights from Aligning Forces for Quality
Reform in Action: Can Implementing Patient-Centered Medical Homes Improve Health Care Quality?
English
2012-12-18T11:11:07.116-05:00
2011-12-19T14:22-05:00
0
0
Published
english
2012-12-18T11:11:07.117-05:00
Web
rwjf71962
Aligning Forces for Quality
material_single
published
73739
55165
Reform in Action
73739.5557.reforminaction.canimplementingpatient.pdf
0
Single Material Asset
2012-06-26T09:48:46.399-04:00
eburton1
42d9944134fb72fca73eca91963e695e0cfce7e4
Microsoft® Office Word 2007
2012-03-30T15:27:06-04:00
2012-04-06T09:55:55-04:00
Microsoft® Office Word 2007
2012-04-06T09:55:55-04:00
Microsoft® Office Word 2007
null
eburton1
application/pdf
2012-06-26T09:48:47.931-04:00
uuid:ab1b24a9-2bf4-494c-adf8-78fc01fd5b19
uuid:4388fad2-5afb-45a6-af37-0605d94e1c68
endstream
endobj
165 0 obj
<>
endobj
30 0 obj
<>
endobj
31 0 obj
<>
endobj
32 0 obj
[39 0 R 157 0 R 158 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 47 0 R 156 0 R 155 0 R 154 0 R 153 0 R 49 0 R 148 0 R 147 0 R 146 0 R 145 0 R 51 0 R 52 0 R 140 0 R 139 0 R 138 0 R 137 0 R 136 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R]
endobj
33 0 obj
[59 0 R 130 0 R 129 0 R 128 0 R 127 0 R 126 0 R 125 0 R 124 0 R 123 0 R 122 0 R 121 0 R 120 0 R 119 0 R 118 0 R 117 0 R 116 0 R 115 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R]
endobj
34 0 obj
[85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 83 0 R 164 0 R 84 0 R 82 0 R 159 0 R 162 0 R 160 0 R]
endobj
35 0 obj
<>
endobj
36 0 obj
<>
endobj
37 0 obj
<>
endobj
6 0 obj
<>/MediaBox[0 0 612 792]/Parent 165 0 R/Resources<>/Font<>/Pattern<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 2/Tabs/S/Type/Page>>
endobj
7 0 obj
<>stream
x]ms8|]kb֬le3s[\I|\mmq"Dx!@ȾY"At~`ث짟^k^\ۼ|q0˔^YJ%"&yƅ2}CN=z?mb]
{^lsSA"= iv/_0wZ}%b2via$ q$ 8bñ^}qf<tgRiĢLOKG.!oghg8٧|O$%TAfO
'ND} qʾ,K}Wb,o:ebr!1I0U8V$6P$x ~}s1!~L!vψ9^R5֭~@Iφp~4Ϧ)<@_6͆D50ܟyĦę8T<ۨ
UhPs]).CS+]+]/#SJEA>ҔiNFcqV%,hl4N#P^w"=B
R
)>
ʚt4⬼H|4NՃo^k2>(Gt4Q5o!Y$
D/9 /.1!
47oUب=ިGc0MG\V?d1hp?{4#4QLk^YL1,z9%CQ^!D<
a+ F8Gq$=X0Mn-,b_N