The Patient Centered Medical Home, The Family Medicine Model
The Patient Centered Medical Home, The Family Medicine Model
The Patient Centered Medical Home, The Family Medicine Model
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Hitting the “Sweet Spot”<strong>Family</strong> <strong>Medicine</strong><strong>Model</strong>Practice aswe know it<strong>Patient</strong>-centeredPhysician-directed
What is the <strong>Family</strong> <strong>Medicine</strong><strong>Model</strong> of the PCMH?• It provides a Vision for the future practice offamily medicine.• It is a Guide for office redesign that promisesbetter results for patients and for you.• It provides a Path to fortify primary care andestablish its value in our health system.
What Does the <strong>Family</strong> <strong>Medicine</strong> <strong>Model</strong>of the PCMH Really Meanfor <strong>Patient</strong>s and for Me?As we go through the essential buildingblocks of the medical home, we will outline:• What <strong>Patient</strong>s should expect toexperience.• What the Practice needs to do to providethat experience.
Building the <strong>Medical</strong> <strong>Home</strong>on the <strong>Family</strong> <strong>Medicine</strong> Foundation!Core Values of the Discipline• Continuous Healing Relationship• Whole-person Orientation• <strong>Family</strong> and Community Context• Comprehensive Care<strong>Family</strong> <strong>Medicine</strong> Foundation
Culture ofImprovementPerformanceMeasurementReliableSystems• Learning Organization• Staff education• Team meetings• <strong>Family</strong> medicine coremeasures• <strong>Patient</strong> satisfaction surveys• Lab and referral tracking• Check list and reminders• Evidence-based decisionsupport toolQualityMeasures<strong>Family</strong> <strong>Medicine</strong> Foundation
Convenient AccessPersonalized CareCare Coordination• Same-day appointments• After-hours accesscoverage• Online patient services• Reminders• Personal Health Record• Shared decision-making• Self-management support• Referral management• Patent engagement andeducation• Prevention screening andservicesQualityMeasures<strong>Patient</strong>Experience<strong>Family</strong> <strong>Medicine</strong> Foundation
FinancialManagement• Budgets• Cash flow• Accounts receivablePersonnelManagement• Job descriptions• Team developmentClinical Systems• Lab testing• Prescriptions• Registries• Lab testing• Prescriptions• RegistriesPracticeOrganizationQualityMeasures<strong>Patient</strong>Experience<strong>Family</strong> <strong>Medicine</strong> Foundation<strong>Family</strong> <strong>Medicine</strong> Foundation
Business & ClinicalConnectivity &Evidence-BasedClinical Data AnalysisProcess AutomationCommunication<strong>Medicine</strong> Support& Representation• Intra-office teamcoordination• Results, referrals andprocedures tracking• Schedule and resourcemanagement• E-prescribing• Clinical messaging withpatients• Health informationexchange• Evidence-basedtemplate fordocumentation• Access to onlinemedical information•Clinical decision support• All patient, all conditionregistry• Quality measurementcollection and analysis• Reporting to thirdpartiesPracticeOrganizationHealth ITQualityMeasures<strong>Patient</strong>Experience<strong>Family</strong> <strong>Medicine</strong> Foundation<strong>Family</strong> <strong>Medicine</strong> Foundation
<strong>Patient</strong>sOffice StaffPhysiciansCommunityGreatOutcomesPracticeOrganizationHealth ITQualityMeasures<strong>Patient</strong>Experience<strong>Family</strong> <strong>Medicine</strong> Foundation
<strong>The</strong> <strong>Patient</strong> <strong>Centered</strong> <strong>Medical</strong> <strong>Home</strong><strong>The</strong> <strong>Family</strong> <strong>Medicine</strong> <strong>Model</strong>GreatOutcomesPracticeOrganizationHealth ITQualityMeasures<strong>Patient</strong>Experience<strong>Family</strong> <strong>Medicine</strong> Foundation<strong>Patient</strong>-centered | Physician-directed
Practice-basedCare TeamPracticeManagement<strong>The</strong> <strong>Family</strong> <strong>Medicine</strong> <strong>Model</strong> and theTransforMED ApproachPracticeOrganizationGreatOutcomesHealth ITHealthInformationTechnologyCareManagementQuality andSafetyQualityMeasures<strong>Patient</strong>Experience<strong>Family</strong> <strong>Medicine</strong> FoundationAccess toCare andInformationContinuity ofCare ServicesPracticeServices
TransformingHealth Care inAmericaTransforming<strong>Medical</strong>Practices
What’s in it for <strong>Family</strong> <strong>Medicine</strong>?• We will demonstrate and promote thevalue of our discipline within the healthcare system.• We will increase profitability andefficiency in family medicine practiceswhile exceeding patient expectations.• We will attract more students to choosefamily medicine.
What’s in it for <strong>Family</strong> <strong>Medicine</strong>?We can leverage the fact that health carereform is a top priority in the nationalagenda- EHR/IT support in the economic stimulus plan- Payment for quality, IT and e-prescribing- Primary care as central focus of reformed systemWe can increase satisfaction for- <strong>Patient</strong>s- Staff−You
What Should You and Your PracticeDo Now?• Be positive and take bold steps to makethe needed changes in your practice.• Learn from those family physicians whohave already made the changes.• Take the TransforMED <strong>Medical</strong> <strong>Home</strong> IQ.– www.transformed.com• Take advantage of <strong>Medical</strong> <strong>Home</strong>resources from the AAFP/TransforMED– www.aafp.org/medicalhome
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