Slides - University of Utah - School of Medicine

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Medical-Home Capacities Improved access and communication Use of data systems to enhance safety and reliability Care management and coordination Support for patient selfcare Performance reporting and improvement How Capacities Are Measured in NCQA Certification Program Have written standards for key components of access and communication (4 points) and use data to document how standards are met (5). Assess language preference and communication barriers (2). (Total: 11 points) Use data system for nonclinical (2) and clinical (6) information to track patients’ diagnoses (4) and clinical status (6) and to generate reminders (3). Track referrals (4) and laboratory results systematically (7). Use electronic system to order, retrieve, and flag tests (6); write prescriptions (3) and check their safety (3) and cost (2); and improve safety and communication (4). (Total: 50 points) Adopt and implement evidence-based guidelines (3) and use reminders for preventive services (4). Coordinate care with other providers (5) and use non physician staff to manage patient care (3). (Total: 15 points) Develop individualized patient care plans, which assess progress and address barriers to achieving plan goals (5). Actively support patient self-care (4). (Total: 9 points) Measure (3) and report performance to physicians in the practice (3) using standardized measures (2). Report performance externally (1). Survey patients about their experience (3). Set goals and take action
WHAT CAN WE DO TO MOVE TOWARD THE MEDICAL HOME MODEL TODAY? !! Micro level efforts (you and your patient) !! Develop patient oriented goals and care plans !! Activate patients and measure activation !! Learn how to lead health care teams !! Meso level efforts (organization of your clinic) !! Written clinic policy development for medical home certification !! Practice guidelines of conditions (pathways), tracking diagnostic test orders as well as results !! Panel management efforts !! Macro level (fitting into the health system) !! Retainer medicine practices !! ACO development
Page 1 and 2: WHAT ABOUT THE PATIENT-CENTERED MED
Page 3 and 4: THE ARCHETYPE FOR PRIMARY CARE REMA
Page 5 and 6: MEDICAL HOME MODEL Payment Reform (
Page 7 and 8: PCMH is a high level strategy to ch
Page 9 and 10: HEALTHCARE IS A COMPLEX ADAPTIVE SY
Page 11 and 12: OVERLAP BETWEEN PCMH AND ACO’S !!
Page 13 and 14: PCMH EFFECTS: OTHER VARIABLES !! Op
Page 15: NCQA MEDICAL HOME CERTIFICATION !!
Page 20 and 21: Measure Patient Activation (PAM) Fo
Page 22 and 23: MESOSTRATEGIES FROM GROUP HEALTH CO
Page 24 and 25: !! Order sets for common conditions
Page 26 and 27: MEDICAL HOME ALTERNATIVES !! Retain

Slides - University of Utah - School of Medicine

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