MedWorm: Medical Homes

The Patient-Centered Medical Home and Health Information Technology

Telemedicine and e-Health — Fri, 03 Feb 2012 15:28:40 +0100

Telemedicine and e-Health , Vol. 0, No. 0. (Source: Telemedicine and e-Health)

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Kansas Medicaid reform plan wins points with state's medical society

American Medical News - GOVERNMENT — Fri, 03 Feb 2012 13:07:47 +0100

The proposal won't cut physician pay but will set quality goals and establish medical homes. (Source: American Medical News - GOVERNMENT)

Health insurer could boost PCP pay by half

Modern Medicine — Wed, 01 Feb 2012 05:00:00 +0100

National insurer WellPoint announced a medical home program that could raise your compensation by 50%. Eligibility won’t be easy and could affect your whole practice. (Source: Modern Medicine)

Social-Emotional Screening for Infants and Toddlers in Primary Care

PEDIATRICS — Wed, 01 Feb 2012 05:00:00 +0100

Recommendations in pediatrics call for general developmental screening of young children; however, research suggests social-emotional development, in particular, is important as an initial indicator of general well-being versus risk, and may warrant inclusion in screening protocols. Via a social-emotional screening program, significant percentages of children can be identified as being at risk for social-emotional problems, and colocation of an early childhood psychologist promotes the ability to effectively address young children’s social-emotional development within their medical home. (Read the full article) (Source: PEDIATRICS)

School-Based Health Centers and Pediatric Practice

PEDIATRICS — Wed, 01 Feb 2012 05:00:00 +0100

School-based health centers (SBHCs) have become an important method of health care delivery for the youth of our nation. Although they only represent 1 aspect of a coordinated school health program approach, SBHCs have provided access to health care services for youth confronted with age, financial, cultural, and geographic barriers. A fundamental principle of SBHCs is to create an environment of service coordination and collaboration that addresses the health needs and well-being of youth with health disparities or poor access to health care services. Some pediatricians have concerns that these centers are in conflict with the primary care provider’s medical home. This policy provides an overview of SBHCs and some of their documented benefits, addresses the issue of potential confli...

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Dispensing Medications at the Hospital Upon Discharge From an Emergency Department

PEDIATRICS — Wed, 01 Feb 2012 05:00:00 +0100

Although most health care services can and should be provided by their medical home, children will be referred or require visits to the emergency department (ED) for emergent clinical conditions or injuries. Continuation of medical care after discharge from an ED is dependent on parents or caregivers’ understanding of and compliance with follow-up instructions and on adherence to medication recommendations. ED visits often occur at times when the majority of pharmacies are not open and caregivers are concerned with getting their ill or injured child directly home. Approximately one-third of patients fail to obtain priority medications from a pharmacy after discharge from an ED. The option of judiciously dispensing ED discharge medications from the ED’s outpatient pharmacy withi...

Translating Concepts of the Patient-Centered Medical Home (PCMH) Into Teaching Opportunities (Harald Lausen DO)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 31 Jan 2012 05:00:00 +0100

This presentation provides a summary of the evidence for the medical home in improving the quality, efficiency, and cost of health care. Then it provides ten examples of student assignments that might be implemented by preceptors that are reflective of the characteristics of the pcmh. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Medicaid Medical Homes in North Carolina Save $894 Million Medicaid Medical Homes in North Carolina Save $894 Million

Medscape Today Headlines — Thu, 26 Jan 2012 21:38:53 +0100

Something as simple as same-day appointments keeps patients healthier and out of the hospital, a medical home physician says. Medscape Medical News (Source: Medscape Today Headlines)

Medicaid medical homes saved $1 billion in North Carolina

American Medical News - GOVERNMENT — Mon, 23 Jan 2012 11:45:21 +0100

However, sicker enrollees and those eligible for both Medicare and Medicaid have posed more challenges for the program. (Source: American Medical News - GOVERNMENT)

Can Better Access to Health Care Really Lower Costs?

RWJF News Digest - Public Health — Mon, 23 Jan 2012 05:00:00 +0100

Concierge medicine versus patient-centered medical homes: debating the benefits of enhanced patient access to care. (Source: RWJF News Digest - Public Health)

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Columbus medical homes move forward without state training grants

bizjournals.com Health Care:Biotechnology headlines — Wed, 18 Jan 2012 20:51:46 +0100

With its own privately coordinated medical home project in full swing, Central Ohio is not part of a growing state initiative to train primary care doctors as wellness quarterbacks. The state is investing $1 million in training for 50 primary care practices to convert to the patient-centered medical home model, which emphasizes coordination, prevention and follow-up in the hopes of keeping patients out of emergency rooms and hospitals. The initiative by the Ohio Department of Health and the state Office of Health Transformation is centered on Athens, Dayton, Toledo and the Akron/Canton region... (Source: bizjournals.com Health Care:Biotechnology headlines)

Study: Medical homes boost morale, don’t help burnout

Modern Medicine — Wed, 18 Jan 2012 05:00:00 +0100

Physicians in Patient-Centered Medical Homes report greater job satisfaction but are not immune to burnout, a recent study found. One area of dissatisfaction: Rewards. (Source: Modern Medicine)

Medical homes boost morale but don’t help burnout

Modern Medicine — Wed, 18 Jan 2012 00:35:51 +0100

Physicians in Patient-Centered Medical Homes report greater job satisfaction but are not immune to burnout, a recent study found. One area of dissatisfaction: Rewards. (Source: Modern Medicine)

Report: Medical home presents 'promising' model for complex patients

Cardiovascular Business News — Fri, 13 Jan 2012 16:22:08 +0100

Despite sometimes extreme differences among five patient-centered medical home-like healthcare organizations that researchers identified as promising models for treating patients with complex healthcare needs, they generally shared several qualities that researchers considered essential. (Source: Cardiovascular Business News)

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Cigna partners with Weill Cornell to form ACO

Cardiovascular Business News — Thu, 12 Jan 2012 14:50:40 +0100

Cigna and the Weill Cornell Physician Organization, an 850-member group practice in New York City, are partnering to create a collaborative accountable care organization (ACO) initiative, which will adopt a healthcare delivery model similar to the ones demonstrated by accountable care organizations and patient-centered medical homes. (Source: Cardiovascular Business News)

Availability Of Key Attributes Of Primary Care, Medical Home, Decrease Risk Of Death

Health News from Medical News Today — Thu, 12 Jan 2012 09:00:00 +0100

Greater access to features of high-quality primary care - comprehensiveness, patient-centeredness and extended office hours - is associated with lower mortality, according to a new national UC Davis study. Published in the January-February issue of the Annals of Family Medicine, the research is the first to link the availability of three specific attributes of primary care with reduced risk of death... (Source: Health News from Medical News Today)

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Good primary care can lower death rate

Health News - UPI.com — Thu, 12 Jan 2012 02:40:09 +0100

DAVIS, Calif., Jan. 11 (UPI) -- Efforts to have U.S. adults get a "medical home" -- high-quality primary care -- could yield major public health benefits, researchers say. (Source: Health News - UPI.com)

Report: Medical home employees have high morale, levels of job satisfaction

Cardiovascular Business News — Wed, 11 Jan 2012 14:06:54 +0100

The patient-centered medical home (PCMH) delivery model is expected to coordinate and improve the quality of care, but little research has investigated the effects of the PCMH on provider and support staff morale, according to a report published Jan. 9 in the Archives of Internal Medicine. To learn how they feel, researchers surveyed employees of healthcare organizations with PCMH-like characteristics and received positive overall responses. (Source: Cardiovascular Business News)

Improved Access to Primary Care Reduces MortalityImproved Access to Primary Care Reduces Mortality

Medscape Today Headlines — Mon, 09 Jan 2012 22:00:51 +0100

Individual patient data show that better access to primary care facilities with specific attributes, including some attributes emphasized in medical home literature, lowers the risk for mortality. Medscape Medical News (Source: Medscape Today Headlines)

Medical Home Concept Lowers Mortality (CME/CE)

MedPage Today State Required CME — Mon, 09 Jan 2012 21:00:00 +0100

(MedPage Today) -- Higher patient-reported access to primary care attributes that are characteristic of a medical home was associated with a significantly lower mortality risk over a six-year period, researchers reported. (Source: MedPage Today State Required CME)

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Five Johns Hopkins Community Physicians Sites Receive Highest Level of Recognition from National Nonprofit Organization- 1/6/12

Johns Hopkins Medicine News — Mon, 09 Jan 2012 09:13:56 +0100

The National Committee for Quality Assurance (NCQA), a private, nonprofit organization that accredits and certifies a wide range of health care organizations, has recognized all five of Johns Hopkins Community Physicians’ (JHCP) sites that applied for Patient-Centered Medical Home program recognition. JHCP facilities in Canton Crossing, Hagerstown, Montgomery, Water’s Edge and the Wyman Park Internal Medicine offices were acknowledged for excellent patient-centered care and for achieving high marks in the program. (Source: Johns Hopkins Medicine News)

Patient-Centered Medical Home Characteristics and Staff Morale in Safety Net Clinics [Original Investigation]

Archives of Internal Medicine — Mon, 09 Jan 2012 05:00:00 +0100

Conclusions Providers and staff who perceived more PCMH characteristics in their clinics were more likely to have higher morale, but the providers had less freedom from burnout. Among the PCMH subscales, the quality improvement subscale score particularly correlated with higher morale, greater job satisfaction, and freedom from burnout. (Source: Archives of Internal Medicine)

The Potential Impact of the Medical Home on Job Satisfaction in Primary Care: Comment on "Patient-Centered Medical Home Characteristics and Staff Morale in Safety Net Clinics" [Invited Commentary]

Archives of Internal Medicine — Mon, 09 Jan 2012 05:00:00 +0100

(Source: Archives of Internal Medicine)

A Meta-analysis of the Efficacy of Nonphysician Brief Interventions for Unhealthy Alcohol Use: Implications for the Patient-Centered Medical Home. - Sullivan LE, Tetrault JM, Braithwaite RS, Turner BJ, Fiellin DA.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

Brief physician interventions can reduce alcohol consumption. Physicians may not have the time to provide brief interventions, and it is unclear whether nonphysicians can do so effectively. We conducted a systematic review and meta-analysis to examine the ... (Source: SafetyLit: All (Unduplicated))

New ACP Ethics Manual reflects reimbursement, health IT trends

CMIO.net: The News Weekly for Health IT Executives — Thu, 05 Jan 2012 12:17:34 +0100

As health IT use and efforts to lower costs remain on the healthcare community's collective consciousness, the American College of Physicians (ACP), updated it's Ethics Manual to reflect changes among areas of concern including confidentiality, the use of social media, stewardship of resources, pay-for-performance reimbursement programs and patient-centered medical homes. (Source: CMIO.net: The News Weekly for Health IT Executives)

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Medical home model saves N.C. nearly $1B

CMIO.net: The News Weekly for Health IT Executives — Wed, 04 Jan 2012 16:15:24 +0100

The North Carolina Department of Health and Human Services has reportedly saved $984 million through fiscal years 2007 and 2010 by enrolling 1.1 million of the state’s Medicaid beneficiaries in medical homes, according to an analysis commissioned by the state legislature. (Source: CMIO.net: The News Weekly for Health IT Executives)

Number of First-Contact Access Components Required to Improve Preventive Service Receipt in Primary Care Homes

Journal of General Internal Medicine — Wed, 04 Jan 2012 06:56:44 +0100

CONCLUSIONS Having an increasing number of first-access components in a primary care office may improve preventive services receipt, and more components may be required for those services requiring greater provider contact (e.g., prostate exam) versus those that require less (e.g., mammography). In primary care redesign, the largest gains in preventive services receipt likely will come with redesign of multiple components simultaneously. While our study is a necessary step towards broadly understanding the relationship between first-contact access and preventive service receipt, other important questions remain. Certain components may drive greater improvements in the receipt of different services, and the effect of some of these components may depend on individual patient...

Can Integrating Health Literacy into the Patient-centered Medical Home Help us Weather the Perfect Storm?

Journal of General Internal Medicine — Wed, 04 Jan 2012 06:56:39 +0100

ABSTRACT Improving health literacy is one key to buoying our nation’s troubled health care system. As system-level health literacy improvement strategies take the stage among national priorities for health care, the patient-centered medical home (PCMH) model of care emerges as a compelling avenue for their widespread implementation. With a shared focus on effective communication and team-based care organized around patient needs, health literacy principles and the PCMH are well aligned. However, their synergy has received little attention, even as PCMH demonstration projects and health literacy interventions spring up nationwide. While many health literacy interventions are limited by their focus on a single point along the continuum of care, creating a “room” for he...

CareFirst BCBS and ACP offer new tool to advance development of patient-centered medical homes

EurekAlert! - Social and Behavioral Science — Wed, 04 Jan 2012 05:00:00 +0100

(American College of Physicians) CareFirst BlueCross BlueShield today announced that it has joined with the American College of Physicians to make available the ACP's Medical Home Builder® 2.0 tool to participating CareFirst Patient-Centered Medical Home practices. (Source: EurekAlert! - Social and Behavioral Science)

AHRQ provides guidelines for evaluating medical homes

Cardiovascular Business News — Tue, 03 Jan 2012 16:35:41 +0100

Patient-centered medical homes (PCMH), healthcare organizations that employ a coordinated delivery model designed to provide cost-effective care, are emerging as efforts to cure the fragmented nature of the healthcare system have escalated. However, there are few standards to guide evaluations of PCMHs' effectiveness, which has prompted the Agency for Healthcare Research and Quality (AHRQ) to make PCMH evaluation recommendations. (Source: Cardiovascular Business News)

Accreditation Launches for Accountable Care Organizations

Clinical Neurology News — Sun, 01 Jan 2012 05:00:00 +0100

The National Committee on Quality Assurance has launched a program to accredit accountable care organizations. The program offers three levels of accreditation based on the readiness of the ACO. As with the NCQA's recognition program for patient-centered medical homes, achieving accreditation at each level is based on accruing a certain number of points by meeting standards and fulfilling some “must-pass” criteria. (Source: Clinical Neurology News)

Investments in medical home model starting to pay dividends.

Annals of Family Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Stream G PMID: 22230836 [PubMed - in process] (Source: Annals of Family Medicine)

Organizing care for complex patients in the patient-centered medical home.

Annals of Family Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Rich EC, Lipson D, Libersky J, Peikes DN, Parchman ML PMID: 22230832 [PubMed - in process] (Source: Annals of Family Medicine)

Primary care attributes and mortality: a national person-level study.

Annals of Family Medicine — Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSIONS Greater reported patient access to selected primary care attributes was associated with lower mortality. The findings support the current interest in ensuring that patients have access to a medical home encompassing these attributes. PMID: 22230828 [PubMed - in process] (Source: Annals of Family Medicine)

If You Build It, Will They Come? A Qualitative Evaluation of the Use of Video-based Decision Aids in Primary Care.

Famly Medicine — Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSIONS: While previous studies have described expected barriers to hypothetical DA distribution, our analysis reveals barriers reported by physicians, staff, and patients based on actual experience in practice. Decision aids can improve patient participation in health decisions. However, physicians and patients have to recognize a need for these tools before they will be adopted in practice. PMID: 22241338 [PubMed - in process] (Source: Famly Medicine)

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Abstracts from the Proceedings of the 2011 Society of Teachers of Family Medicine (STFM) Conference on Medical Student Education.

Teaching and Learning in Medicine — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Mendoza MD, Little DN Abstract The Society of Teachers of Family Medicine (STFM; http://www.stfm.org ) is a community of professionals devoted to teaching family medicine through undergraduate, graduate, and continuing medical education. This multidisciplinary group of physicians, educators, behavioral scientists, and researchers works to further STFM's mission of improving the health of all people through education, research, patient care, and advocacy. The STFM held its 37th Conference on Medical Student Education in Houston, Texas, from January 20 to 23, 2011. The unifying theme of the conference was sustaining and cultivating innovations in family medicine education. Kevin Eva, Ph.D., from the University of British Columbia opened the conference with a plenary presenta...

Why Nursing is Vital to the Patient-Centered Medical Home.

Rehabilitation Nursing — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Miller Phd Rn Crrn Faha Faan ET PMID: 22271214 [PubMed - in process] (Source: Rehabilitation Nursing)

GAPNA President Message

Geriatric Nursing — Sun, 01 Jan 2012 05:00:00 +0100

Elizabeth Galik It is an exciting time to be involved in the care of older adults. The burgeoning aging population with declining numbers of clinicians with geriatric expertise, health care reform, and the advancement of new models of care, such as medical homes, will require advanced practice nurses who care for older adults to serve as clinical experts, work collaboratively with members of the interprofessional team, and inspire and educate the next generation of clinicians. During the past year, the Gerontological Advanced Practice Nurses Association (GAPNA) completed a strategic planning process to set goals and priorities so that we may continue to grow and be successful in an ever-changing health care environment. GAPNA’s mission is to promote excellence in advanced practice nursi...

The Value of the Medical Home for Children Without Special Health Care Needs

PEDIATRICS — Fri, 30 Dec 2011 05:00:00 +0100

This study is the first to demonstrate an association between the medical home and beneficial health care utilization, child health, and health-promoting behavior outcomes in children without special health care needs. (Read the full article) (Source: PEDIATRICS)

Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science Into Lifelong Health

PEDIATRICS — Fri, 30 Dec 2011 05:00:00 +0100

Advances in a wide range of biological, behavioral, and social sciences are expanding our understanding of how early environmental influences (the ecology) and genetic predispositions (the biologic program) affect learning capacities, adaptive behaviors, lifelong physical and mental health, and adult productivity. A supporting technical report from the American Academy of Pediatrics (AAP) presents an integrated ecobiodevelopmental framework to assist in translating these dramatic advances in developmental science into improved health across the life span. Pediatricians are now armed with new information about the adverse effects of toxic stress on brain development, as well as a deeper understanding of the early life origins of many adult diseases. As trusted authorities in child health an...

Immunizing Parents and Other Close Family Contacts in the Pediatric Office Setting

PEDIATRICS — Fri, 30 Dec 2011 05:00:00 +0100

Additional strategies are needed to protect children from vaccine-preventable diseases. In particular, very young infants, as well as children who are immunocompromised, are at especially high risk for developing the serious consequences of vaccine-preventable diseases and cannot be immunized completely. There is some evidence that children who become infected with these diseases are exposed to pathogens through household contacts, particularly from parents or other close family contacts. Such infections likely are attributable to adults who are not fully protected from these diseases, either because their immunity to vaccine-preventable diseases has waned over time or because they have not received a vaccine. There are many challenges that have added to low adult immunization rates in the...

Going It Together: Persistence of Older Adults’ Accompaniment to Physician Visits by a Family Companion

Journal of the American Geriatrics Society — Wed, 28 Dec 2011 05:00:00 +0100

ConclusionsOlder adults’ accompaniment to physician visits typically persists, most often by consistently involved family companions. Findings have implications for the patient–physician partnership and the patient‐centered medical home. (Source: Journal of the American Geriatrics Society)

Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home.

Quality in Primary Care — Mon, 26 Dec 2011 11:06:02 +0100

CONCLUSIONS: Transforming practices to more patient-centred models of care will be a priority for primary care providers. Identifying opportunities and challenges associated with implementing change is critical for successful improvement programmes. Successful strategies for enhancing the adoption and uptake of PCMH elements should leverage areas of concordance between practice members' perceived needs and planned improvement efforts. PMID: 22186171 [PubMed - in process] (Source: Quality in Primary Care)

Letters: Readers comment on Medical Economics stories

Modern Medicine — Sun, 25 Dec 2011 05:00:00 +0100

Letters discuss Patient-Centered Medical Homes, family medicine, patient care, and financial clearance. (Source: Modern Medicine)

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Medical home project aims to equip practices in identifying, treating children exposed to violence [NEWS AND FEATURES]

AAP News — Sun, 25 Dec 2011 05:00:00 +0100

(Source: AAP News)

Mental Health Care: The Times They Are a-Changin'Mental Health Care: The Times They Are a-Changin'

Medscape Today Headlines — Fri, 23 Dec 2011 19:17:38 +0100

Medical homes. Accountable care organizations. Dr. Jeffrey Lieberman discusses how psychiatry fits into these and other evolving healthcare models. Medscape Psychiatry (Source: Medscape Today Headlines)

State Changes Immunization Policies

Blogged_Arteries — Thu, 22 Dec 2011 06:00:00 +0100

Children with private insurance that covers vaccines can no longer get routine vaccinations at public health clinics and are now referred to their medical home under new immunization policies the Texas Department of State Health Services (DSHS) implemented Jan. 1. (Source: Blogged_Arteries)

Pharmacost Involement in the Patient Centered Medical Home (Jonathan Matthew Kline Pharm.D.)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Thu, 22 Dec 2011 05:00:00 +0100

Outlines the role a pharmacist can fill in a PCMH, current pharmacist activities in a PCMH, other successful disease state management activities in literature and reimbursement issues. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Report: Care management saved N.C. nearly $1B

bizjournals.com Health Care:Physician Practices headlines — Wed, 21 Dec 2011 21:30:33 +0100

Care management saved N.C. Medicaid nearly $1 billion over four years, according to a new analysis by a national health care consulting firm. The report by Milliman Inc., an actuarial firm based in San Diego, examined the impact of the state’s support for primary care “medical homes” – a system to coordinate health care for Medicaid recipients. Milliman’s report, which was required by the General Assembly, found that recipients with a medical home get better care and consumed fewer Medicaid resources than those who lack a medical home, according to a news release issued by Gov... (Source: bizjournals.com Health Care:Physician Practices headlines)

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GraceMed extending hours of Mother Mary Anne Clinic

bizjournals.com Health Care:Physician Practices headlines — Wed, 21 Dec 2011 20:14:30 +0100

GraceMed Health Clinic is expanding the hours of its recently acquired Mother Mary Anne Clinic sooner than initially planned. CEO Dave Sanford says the clinic will be open 8 a.m. to 9 p.m. starting Jan. 2. “Since its inception, the Mother Mary Anne Clinic has exclusively been an immediate or urgent care center,” Sanford says. “With expanded hours, the clinic will now be available as a medical home, a place for residents of the area to receive continuous care from the same provider.” GraceMed took over operations of the clinic from Via Christi Health earlier this month... (Source: bizjournals.com Health Care:Physician Practices headlines)

Kids with a "medical home" have fewer sick visits

Modern Medicine — Wed, 21 Dec 2011 05:00:00 +0100

NEW YORK (Reuters Health) - So-called "medical homes" are usually thought to be helpful for families with special needs kids, but a new report suggests they might benefit all children. (Source: Modern Medicine)

Kids with a "medical home" have fewer sick visits

Reuters: Health — Tue, 20 Dec 2011 19:56:23 +0100

Kids With a "Medical Home" Have Fewer Sick Visits

MedlinePlus Health News — Tue, 20 Dec 2011 19:56:19 +0100

So-called "medical homes" are usually thought to be helpful for families with special needs kids, but a new report suggests they might benefit all children.Source: Reuters Health Related MedlinePlus Page: Children's Health (Source: MedlinePlus Health News)

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The medical home: what health care needs now

Thrive, Children's Hospital Boston — Tue, 20 Dec 2011 13:18:36 +0100

Claire McCarthy MD You may have heard the term “medical home”—it’s been bandied about recently as something we all should have. No, it’s not a nursing home. Nor is it a house well-stocked with Band Aids and Tylenol, or one where doctors live. The American Academy of Pediatrics defines medical home as “a model of care that is accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective.” Well, that sounds exceedingly lovely. Of course we’d all want that. But still, what does it really mean? Let’s get more concrete. You have a medical home if: You can get the care you need when you need it You can easily get the health advice or information you need You can easily get the specialty care, services, or equipment you need Your ...

The patient-centered medical home: the ideal "location" for cardiovascular disease prevention?

The Journal of Cardiovascular Nursing — Tue, 20 Dec 2011 09:06:11 +0100

The patient-centered medical home: the ideal "location" for cardiovascular disease prevention? J Cardiovasc Nurs. 2012 Jan;27(1):5-7 Authors: Hughes S, Thomas T PMID: 22157089 [PubMed - in process] (Source: The Journal of Cardiovascular Nursing)

2011 Hut, Hut, Hut! Huddling With Residents for Efficiency, Education, Happines, and Maybe Even Extra $$$ (David Baltierra MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 20 Dec 2011 05:00:00 +0100

2011 Hot Topics Session Huddling with nursing and clinical staff is an established principle to improve efficiency and care quality as part of the Patient-centered Medical Home. Resident participation in huddles provides increased interaction with staff and improves office flow and scheduling. Residents acquire a practical skill that they can incorporate into their practice immediately. The huddle provides residents and staff teaching in anticipatory guidance, chronic disease management, and preventive care. It allows the preceptor to manage the flow of patients and residents during the session. Use of the huddle allows for enhanced education, increased satisfaction with precepting, and may generate additional revenue through teaching of practice management and coding principles and ident...

Medical Home Model Serves Children Well (CME/CE)

MedPage Today Pediatrics — Mon, 19 Dec 2011 16:43:09 +0100

(MedPage Today) -- Having a medical home was associated with improved healthcare utilization among a large, nationally representative sample of children without special health needs, researchers found. (Source: MedPage Today Pediatrics)

Medical Home Proves Value for Children Without Special NeedsMedical Home Proves Value for Children Without Special Needs

Medscape Today Headlines — Mon, 19 Dec 2011 16:09:23 +0100

When cared for in a medical home setting, children with stable health have better exposure to health-promoting behaviors. Medscape Medical News (Source: Medscape Today Headlines)

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Transform your Practice by Negotiating Change: Take a "Walk in the Woods" (Jay W Lee MD, MPH)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Fri, 16 Dec 2011 05:00:00 +0100

With the growth of the Patient-centered Medical Home (PCMH) as a construct for practice transformation, there has been an increasing need for health care organizations and their leadership to engage in active change management to limit resistance, reduce fatigue, and ensure successful implementation. An effective method of negotiating the change process is known as interest-based negotiation. In this seminar, a community-based family medicine residency program will share its experience with the early stages of PCMH transformation and how interest-based negotiation was utilized to set strategic priorities. Participants will then practice this methodology through role-playing in conflict-based case studies. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

From Medical Home to "Mommy's Home!" : Modeling and MEntoring Work-Life Balance for Female Family Physicians (Anne Jacobson MD, MPH)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Fri, 16 Dec 2011 05:00:00 +0100

A presentation from STFM Spring Conference 2011 around a qualitative project to: 1. identify contemporary practice patterns in which female family practitioners have sought work-life balance 2. identify the personal and professional tradeoffs, and the decision-making process in choosing a particular way of practicing family medicine 3. collect and analyze various mentoring strategies (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Our patients’ stories: using medical robots at home

Thrive, Children's Hospital Boston — Thu, 15 Dec 2011 15:09:31 +0100

When you hear the word robot, which image comes to mind first? Those of us raised on Star Wars and Buck Rogers are likely to identify with the first image, but physically speaking, the robots of today have more in common with your computer and microwave than a Hollywood android. They may look less interesting than your favorite sci-fi film characters, but modern medical robots are still quite helpful. So much so that the Boston Globe recently ran a story about a pilot project that placed a medical robot created by VGo Communications in the home of the Tally family, whose 2 year-old son Aidan is recovering from surgery he received at Children’s Hospital Boston last month to treat his urinary reflux . The VGo robot’s main function is videoconferencing, which connects the Ashland-based ...

BCBSRI: Patient-centered medical home pilot program a success

Cardiovascular Business News — Thu, 15 Dec 2011 14:02:50 +0100

A recently completed three-year pilot program intended to inform the design of a patient-centered medical home model yielded positive results, according to Blue Cross & Blue Shield of Rhode Island (BCBSRI). (Source: Cardiovascular Business News)

SuccessEHS releases Patient-Centered Medical Home (PCMH) Toolkit

Healthcare IT News Press Releases — Thu, 15 Dec 2011 13:42:21 +0100

SuccessEHS announces the release of the new Patient-Centered Medical Home (PCMH) Toolkit, designed to equip clients with a dependable roadmap to NCQA 2011 PCMH recognition, which incorporates and expands upon the meaningful use criteria. The release of the Toolkit complements the robust capabilities within the SuccessEHS solution that support the patient-centered care model, and underscores SuccessEHS's continued commitment to its clients' success in the PCMH arena. read more (Source: Healthcare IT News Press Releases)

CMS innovation center launched 12 projects in first year

American Medical News - GOVERNMENT — Thu, 15 Dec 2011 12:59:56 +0100

Among them are new payment models, ACO initiatives, mentorship programs and plans to turn health centers into medical homes. (Source: American Medical News - GOVERNMENT)

Development of a primary care physician task list to evaluate clinic visit workflow

Quality and Safety in Health Care — Thu, 15 Dec 2011 05:00:00 +0100

Conclusions The task list presented here is a tool that will help clinics study their workflows so they can plan for changes that will take place because of EHR implementation and/or transformation to a patient centered medical home. (Source: Quality and Safety in Health Care)

The Patient-centered Medical Home: The Foundation for ACOs (Leonard Fromer MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 13 Dec 2011 05:00:00 +0100

This slide deck is from the plenary presentation at the Conference on Practice Improvement in Newport Beach, California on December 2, 2011. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

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Independence Blue Cross Teams With American College of Physicians to Improve Primary Care

Medical News (via PRIMEZONE) — Mon, 12 Dec 2011 19:45:00 +0100

PHILADELPHIA, Dec. 12, 2011 (GLOBE NEWSWIRE) -- Independence Blue Cross (IBC) today announced a new collaboration with the American College of Physicians (ACP) to improve primary care. IBC is offering up to 100 practices free, one-year access to a new on-line tool that will help identify ways to better serve their patients. The tool, known as the Medical Home Builder 2.0, is the most recent example of how IBC is working with area physicians and respected professional organizations to promote patient-centered care. Since the beginning of 2011, IBC has more than tripled the number of recognized practices to nearly 200 in southeastern Pennsylvania. (Source: Medical News (via PRIMEZONE))

Independence Blue Cross teams with American College of Physicians to improve primary care

EurekAlert! - Social and Behavioral Science — Mon, 12 Dec 2011 05:00:00 +0100

(American College of Physicians) Philadelphia - Independence Blue Cross (IBC) today announced a new collaboration with the American College of Physicians (ACP) to improve primary care. IBC is offering up to 100 practices free, one-year access to a new on-line tool that will help identify ways to better serve their patients. The tool, known as the Medical Home Builder 2.0, is the most recent example of how IBC is working with area physicians and respected professional organizations to promote patient-centered care. (Source: EurekAlert! - Social and Behavioral Science)

Transitioning to a PCMH: Key Steps... (Cari Miller MSM)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 06 Dec 2011 05:00:00 +0100

This presentation shares information gained from working with more than 275 physicians in more than 100 practices both large and small, including private practices, residency practices and hospital-owned practices. Experts have identified eight key steps that should be initiated when introducing transformative changes into an organization. When some of these steps are overlooked, rushed, not taken or implemented incorrectly, barriers and challenges arise. Information for this presentation focuses on reviewing the eight key steps to change, barriers and challenges that developed in practices on the journey to become a patient-centered medical home when the eight step process was not utilized and interventions that were put in place to assist in overcoming the barriers and challenges that em...

Factors Associated with a Medical Home Among Children with Attention-Deficit Hyperactivity Disorder

Maternal and Child Health Journal — Mon, 05 Dec 2011 17:35:25 +0100

Abstract Providing a medical home to children with Attention-Deficit Hyperactivity Disorder (ADHD) is challenging. Little is known about the factors associated with having a medical home for these children, or how comorbidities affect having a medical home. Our study aims are: (1) identify factors associated with having a medical home and five sub-components of a medical home and (2) determine the effect of medical home on several outcomes for children with ADHD. The sample included 5,495 children with ADHD from the 2007 National Survey of Children’s Health. Descriptive and multivariate analyses were conducted. Children with ADHD alone and children with ADHD plus a physical diagnosis had greater frequencies of having a medical home, or meeting the five sub-components, th...

Building Medical Homes: Lessons from Eight States with Emerging Programs

Rural publications via the Rural Assistance Center — Mon, 05 Dec 2011 15:38:07 +0100

Profiles eight states that are at different stages in the development and implementation of a medical home program. Includes Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia. -- Commonwealth Fund (Source: Rural publications via the Rural Assistance Center)

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Medical Home Access and Health Care Use and Expenditures Among Children With Special Health Care Needs [Article]

Archives of Pediatrics — Mon, 05 Dec 2011 05:00:00 +0100

Conclusions There were few differences in annual health services use and expenditures between CSHCN with and without a medical home. However, the medical home may be associated with lower inpatient expenditures and higher prescription medication expenditures within subgroups of CSHCN. (Source: Archives of Pediatrics)

New 2011 Survey Of Patients With Complex Care Needs In Eleven Countries Finds That Care Is Often Poorly Coordinated [Web First]

Health Affairs — Mon, 05 Dec 2011 05:00:00 +0100

Around the world, adults with serious illnesses or chronic conditions account for a disproportionate share of national health care spending. We surveyed patients with complex care needs in eleven countries (Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States) and found that in all of them, care is often poorly coordinated. However, adults seen at primary practices with attributes of a patient-centered medical home—where clinicians are accessible, know patients’ medical history, and help coordinate care—gave higher ratings to the care they received and were less likely to experience coordination gaps or report medical errors. Throughout the survey, patients in Switzerland and the United Ki...

Shared Leadership: From taking orders to driving innovation (Aaron Gale MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Mon, 05 Dec 2011 05:00:00 +0100

Fostering shared leadership can drive innovative and sustainable change as practices transform into a Patient Centered Medical Home. By putting together teams, aligning around shared goals, and mentoring team members, collaborative work flows can develop that are self sustaining and don't require "heroic" input from traditional or acknowledged leaders. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Providing a Primary Care Medical Home for Children and Youth With Spina Bifida

PEDIATRICS — Thu, 01 Dec 2011 05:00:00 +0100

This report reviews aspects of care specific to the infant with spina bifida (particularly myelomeningocele) that will facilitate optimal medical, functional, and developmental outcomes. (Source: PEDIATRICS)

The Pediatrician's Role in Family Support and Family Support Programs

PEDIATRICS — Thu, 01 Dec 2011 05:00:00 +0100

Children's social, emotional, and physical health; their developmental trajectory; and the neurocircuits that are being created and reinforced in their developing brains are all directly influenced by their relationships during early childhood. The stresses associated with contemporary American life can challenge families' abilities to promote successful developmental outcomes and emotional health for their children. Pediatricians are positioned to serve as partners with families and other community providers in supporting the well-being of children and their families. The structure and support of families involve forces that are often outside the agenda of the usual pediatric health supervision visits. Pediatricians must ensure that their medical home efforts promote a holistically health...

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Medical homes move from pilots to real-world implementation

Managed Healthcare Executive Magazine Online — Thu, 01 Dec 2011 05:00:00 +0100

Patient-centered medical homes (PCMHs) are gaining traction with increasing support from health plans, based on their promise to lower costs. (Source: Managed Healthcare Executive Magazine Online)

NCQA Accreditation Launches for ACOs

Ob.Gyn. News — Thu, 01 Dec 2011 05:00:00 +0100

Starting Nov. 21, the National Committee on Quality Assurance will begin to accredit accountable care organizations. The program offers three levels of accreditation based on the readiness of the ACO. As with the NCQA's recognition program for patient-centered medical homes, achieving accreditation at each level will be based on accruing a certain number of points by meeting standards and fulfilling some “must-pass” criteria. (Source: Ob.Gyn. News)

AAFP, TransforMED Combine Knowledge to Better Serve Members

As We See It: Voices From the AAFP — Thu, 01 Dec 2011 00:40:00 +0100

It was only seven years ago that the Future of Family Medicine report recommended that primary care in the United States adopt a new model of health care focused on creating a medical home for patients. The report also called for creation of a financially self-sustaining national resource center to provide support to FP practices as they transitioned to this new model of care. (Source: As We See It: Voices From the AAFP)

So You Think We Can Dance? The Developing Relationship of the PCMH and the ACO (Greg Kirschner MD, MPH)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Mon, 28 Nov 2011 05:00:00 +0100

This presentation explores the relationship between the Patient Centered Medical Home and the Accountable Care Organization, using dance partners and dance styles as metaphor. Values, accountabilities, resources, and opportunities for each are outlined. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Emergency Docs Warn of Challenges in New Payment Models

RWJF News Digest - Quality/Equality — Sat, 26 Nov 2011 03:36:35 +0100

Where does emergency medicine fit into the new era of medical homes, accountable care organizations and bundled payments? (Source: RWJF News Digest - Quality/Equality)

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Caring Senior Service buys out competitor in San Antonio

bizjournals.com Health Care:Biotechnology headlines — Tue, 22 Nov 2011 21:56:31 +0100

Caring Senior Service has acquired A Serving Heart Senior Care in San Antonio for an undisclosed sum. A Serving Heart Senior Care provides non-medical home care services throughout the San Antonio area. Caring Senior Service also provides home care, such as meal preparation, companionship, transportation, errand running, medication reminders and light housekeeping. The buyout closed on Nov. 8, but was only recently disclosed. All the office staff and caregivers employed at A Serving Heart will remain in place... (Source: bizjournals.com Health Care:Biotechnology headlines)

Patient-Centered Care in a Medical Home Patient-Centered Care in a Medical Home

Medscape Today Headlines — Mon, 21 Nov 2011 11:50:21 +0100

What resources are needed to establish patient-centered medical homes in primary care settings? OJIN: The Online Journal of Issues in Nursing (Source: Medscape Today Headlines)

Patient-centered care in a medical home.

Online Journal of Issues in Nursing — Mon, 21 Nov 2011 06:10:37 +0100

Authors: Carver C, Jessie AT Abstract There is general consensus that our current healthcare delivery system will not be able to supply an adequate workforce, contain costs, and meet the ever-increasing chronic-care needs of the growing and aging population in the United States (US). Some of the major challenges to the U.S. healthcare system are faced by those on the front lines, namely the healthcare workers in primary care. Part of the emerging solution for primary care is the adoption of the Patient-Centered Medical Home Model. The intent of this model is to provide coordinated and comprehensive care rooted in a strong collaborative relationship. Carilion Clinic in Southwestern Virginia is implementing this patient-centered model in which a proactive, multidisciplinary care team...

The Use of Clinical Case Management to Improve Outcomes In PCMH Designated Community Health Centers (Brian Reed MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Mon, 21 Nov 2011 05:00:00 +0100

POWER POINT PRESENTATION TO INCLUDE HOUSTON TEXAS DEMOGRAPHICS, PREVALENCE OF DISEASE, CLINIC PENETRATION OF DISEASE. CASE MANAGEMENT MODEL, INTERVENTIONS, MEDICAL HOME AND OUTCOME REPORTING SPECIFICALLY FOR DIABETES POPULATION. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Medical home disparities for latino children by parental language of interview.

Journal of Health Care for the Poor and Underserved — Wed, 16 Nov 2011 01:21:02 +0100

Authors: Decamp LR, Choi H, Davis MM Abstract Abstract:Examination of Latino children in aggregate ignores important subgroup differences due to the parents' English language ability. Previous reports of the pediatric medical home have not stratified Latino children by parental language differences to compare the two groups directly. We analyzed the 2007 National Survey of Children's Health to determine medical home prevalence among Latino children, stratified by language of parental interview. Most Latino children with a Spanish-language parental interview had a usual source of care, but only one-quarter had a medical home. Striking medical home disparities persisted for Latino children with a Spanish-language interview, even after adjustment for potential conf...

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Improving Developmental Screening with a Pediatric Clinical Coordinator (Stacey Neu MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 15 Nov 2011 05:00:00 +0100

Using a pediatric clinical care coordinator in a patient centered medical home model to improving screening and track referrals of pediatric patients. Presented in December 2011 Practice improvement conference. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Patient Care Improvements May Be Slow With Medical HomesPatient Care Improvements May Be Slow With Medical Homes

Medscape Medical News Headlines — Mon, 14 Nov 2011 22:06:09 +0100

Improvements in patient care may not be dramatic or occur quickly as medical facilities transition to patient-centered medical homes. Medscape Medical News (Source: Medscape Medical News Headlines)

Medical Homes Work for Chronically Ill Patients

MedPage Today Public Health — Mon, 14 Nov 2011 14:12:39 +0100

(MedPage Today) -- Chronically ill patients with medical homes were less likely to report medical errors and had shorter waits to see their doctors, a new survey by the Commonwealth Fund found. (Source: MedPage Today Public Health)

Patient Care Improvements May Be Slow With Medical Homes

RWJF News Digest - Quality/Equality — Mon, 14 Nov 2011 05:00:00 +0100

The goal of transitioning existing primary care practices into patient-centered medical homes (PCMHs) is to improve quality of care and patient satisfaction. (Source: RWJF News Digest - Quality/Equality)

Can an Independent NP Become an ACO?Can an Independent NP Become an ACO?

Medscape Today Headlines — Fri, 11 Nov 2011 14:32:00 +0100

Accountable care organizations. Medical homes. Which can you become if you have an independent practice? Medscape Nurses (Source: Medscape Today Headlines)

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Sicker Adults With A Medical Home Fare Better

Health News from Medical News Today — Fri, 11 Nov 2011 08:00:00 +0100

Chronically and seriously ill US adults stand out for skipping needed care due to costs and struggling with medical debt Chronically and seriously ill adults who received care from a medical home - an accessible primary care practice that helps coordinate care - were less likely to report medical errors, test duplication, and other care coordination failures, according to a new Commonwealth Fund international survey of patients' experiences in the U.S. and 10 other high-income countries... (Source: Health News from Medical News Today)

Exploring the Cost and Clinical Outcomes of Integrating the Registered Nurse-Certified Diabetes Educator Into the Patient-Centered Medical Home

The Diabetes Educator — Thu, 10 Nov 2011 05:00:00 +0100

Conclusions Results of the study indicated that integrating the registered nurse–certified diabetes educator in the patient-centered medical home improves clinical outcomes and is cost-effective. Diabetes education and support are integral components of diabetes management. (Source: The Diabetes Educator)

Erratum: Specialist Physician Practices as Patient-Centered Medical Homes

New England Journal of Medicine — Wed, 09 Nov 2011 22:00:27 +0100

New England Journal of Medicine, Volume 365, Issue 19, Page 1848, November 2011. (Source: New England Journal of Medicine)

Medical homes prove worth, in U.S. and abroad

Healthcare IT News — Wed, 09 Nov 2011 15:04:13 +0100

A new Commonwealth Fund international survey finds that chronically and seriously ill adults who received care from a medical home were less likely to report medical errors, test duplication and other care coordination failures. The survey, which polled patient experiences in the U.S. and 10 other high-income countries, also found that patients connected with medical homes – accessible primary care practices that help coordinate care – had better relationships with their doctors and rated their care more highly. No read more (Source: Healthcare IT News)

Errors less likely in those with a 'medical home'

CTV Health — Wed, 09 Nov 2011 12:00:00 +0100

Chronically and seriously ill adults who receive care through "medical home" practices are less likely to report medical errors, test duplication and gaps in co-ordinated care, a survey of patients in Canada and 10 other countries has found. (Source: CTV Health)

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New international health survey of sicker adults: Those with a medical home fare better

EurekAlert! - Medicine and Health — Wed, 09 Nov 2011 05:00:00 +0100

(Commonwealth Fund) Chronically and seriously ill adults who received care from a medical home -- an accessible primary care practice that helps coordinate care -- were less likely to report medical errors, test duplication, and other care coordination failures, according to a new Commonwealth Fund international survey of patients' experiences in the US and 10 other high-income countries. The Health Affairs article found that patients connected with had better relationships with their doctors and rated their care more highly. (Source: EurekAlert! - Medicine and Health)

New 2011 Survey Of Patients With Complex Care Needs In Eleven Countries Finds That Care Is Often Poorly Coordinated [Web First]

Health Affairs — Wed, 09 Nov 2011 05:00:00 +0100

Investments in Medical Home Model Starting to Pay Dividends

As We See It: Voices From the AAFP — Tue, 08 Nov 2011 23:30:00 +0100

It has been five years since the AAFP adopted a policy stating that every American should have a "personal medical home." In the years since then, the Academy has championed the idea of the patient-centered medical home, or PCMH, with the belief that the PCMH model improves outcomes and lowers health care costs. Although many of you have started -- and in some cases completed -- the long process of transforming your practices into officially recognized medical homes, some of you have decided that the necessary time, money and effort make it too daunting a task relative to an uncertain financial benefit. In short, you want assurances that your sizable investment will pay off. (Source: As We See It: Voices From the AAFP)

The ACP Medical Home Builder: Good Tools for EveryoneThe ACP Medical Home Builder: Good Tools for Everyone

Medscape Today Headlines — Tue, 08 Nov 2011 13:53:00 +0100

This latest version of the ACP Medical Home Builder provides a range of tools and resources that can help any health professional at any practice level engage in and build a medical home. Medscape Internal Medicine (Source: Medscape Today Headlines)

Health Affairs: Sick adults fare better in medical homes

Cardiovascular Business News — Tue, 08 Nov 2011 11:15:00 +0100

Across 11 countries, adults with complex care needs who had a medical home reported fewer coordination failures with their care, including medical errors and test duplication, as well as better relationships with their doctors and greater satisfaction with care, according to an online first article in Health Affairs. (Source: Cardiovascular Business News)

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Neighborhood Characteristics Associated With Access To Patient-Centered Medical Homes For Children [Health Centers & Health Homes]

Health Affairs — Mon, 07 Nov 2011 05:00:00 +0100

Understanding social determinants of health, such as the social and physical conditions under which children and their families live, work, and play, is essential to reducing disparities and improving the quality of primary care. We studied the relationship between perceptions of neighborhood characteristics such as cohesion, safety, physical environment, and whether children receive care from a patient-centered medical home. We found that place matters. Children were less likely to have access to a medical home if they were from less socially cohesive neighborhoods, less safe neighborhoods, or neighborhoods with fewer amenities. These associations persisted even after adjustment for socioeconomic factors and proved to be more strongly associated than race and income. Our findings undersco...

Patient-Centered Medical Homes In Michigan [Letters]

Health Affairs — Mon, 07 Nov 2011 05:00:00 +0100

(Source: Health Affairs)

Patient-Centered Medical Homes: The Authors Reply [Letters]

Health Affairs — Mon, 07 Nov 2011 05:00:00 +0100

(Source: Health Affairs)

Patient-Centered Medical Home: An Emerging Primary Care Model and the Military Health System

Military Medicine — Fri, 04 Nov 2011 09:28:41 +0100

(Source: Military Medicine)

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Association between parental nativity and autism spectrum disorder among US-born non-Hispanic white and Hispanic children, 2007 National Survey of Children’s Health

Disability and Health Journal — Fri, 04 Nov 2011 04:00:00 +0100

Conclusions: Previous studies comparing ASD prevalence between NHW and Hispanic children based on a composite Hispanic grouping without consideration of parental nativity likely missed important differences between these racial-ethnic groups. Continuing efforts toward improving early identification in Hispanic children are needed. (Source: Disability and Health Journal)

Do Medical Homes Reduce Disparities in Receipt of Preventive Services Between Children Living in Immigrant and Non-immigrant Families?

Journal of Immigrant and Minority Health — Thu, 03 Nov 2011 16:56:23 +0100

Abstract The patient-centered medical home model has the potential to reduce healthcare disparities among immigrant children. The purpose of this study is to examine the relationship between medical home (MH) participation and receipt of preventive services among immigrant children age 0–17. The study employed extant data from the National Survey of Children’s Health, 2007 (NSCH). Logistic regression analyses were employed to assess the relationship between receipt of preventive services and MH status among immigrant and non-immigrant children. Due to primarily the lack of family-centered care, only 40% of immigrant children met the medical home criteria versus approximately 62% of non-immigrant children. Immigrant children have decreased odds of receiving preventive ca...

Making the Medical Home Work (Amy Mullins MD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Thu, 03 Nov 2011 04:00:00 +0100

Making the Medical Home Work Conference on Practice Improvement 2011 (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Patient-Centered Medical Home Services in 29 Rural Primary Care Practices: A Work in Progress

Rural publications via the Rural Assistance Center — Wed, 02 Nov 2011 16:49:19 +0100

Discusses survey responses from 29 rural physician practices from around the country. When asked about their use of specific policies and procedures that are included as criteria to certify patient-centered medical homes, fewer of them would qualify in each of five domains, including access to care, population-based, quality, care management, and clinical information management. -- RUPRI Center for Rural Health Policy Analysis (Source: Rural publications via the Rural Assistance Center)

Determinants of Influenza Vaccination Among Young Children in an Inner-City Community

Journal of Community Health — Tue, 01 Nov 2011 16:51:55 +0100

Abstract Few studies have examined potential factors that contribute to low influenza vaccination rates among minority children. This study aimed to assess the prevalence of early childhood influenza vaccination among young black and Latino children, living in inner-city neighborhoods, and examine the effects of child, caregiver and health system factors. Secondary data analysis was performed using a survey about medical home experiences conducted from May 2007–June 2008. The study sample was limited to children ≥6 months in any influenza season prior to the 2006–2007 influenza season. Bivariate analyses and multivariable logistic regression tested associations between influenza vaccination receipt and socio-demographic and health system characteristics. One-thi...

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Medical Home and Out-of-Pocket Medical Costs for Children With Special Health Care Needs

PEDIATRICS — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: Families with CSHCN incur lower out-of-pocket medical costs when their children receive health care in a setting in which the care-coordination component of the medical home is in place. (Source: PEDIATRICS)

Disparities in Provider Elicitation of Parents' Developmental Concerns for US Children

PEDIATRICS — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: Racial/ethnic and linguistic disparities exist in provider elicitation of developmental concerns. Addressing lack of insurance, medical homes, and specific medical-home components might reduce disparities. (Source: PEDIATRICS)

Providing a Primary Care Medical Home for Children and Youth With Cerebral Palsy

PEDIATRICS — Tue, 01 Nov 2011 04:00:00 +0100

This report reviews the aspects of care specific to cerebral palsy that a medical home should provide beyond the routine health care needed by all children. (Source: PEDIATRICS)

Medical Home and Out-of-Pocket Medical Costs for Children With Special Health Care Needs

PEDIATRICS — Tue, 01 Nov 2011 04:00:00 +0100

This study used objective measures of financial stress. (Read the full article) (Source: PEDIATRICS)

Disparities in Provider Elicitation of Parents' Developmental Concerns for US Children

PEDIATRICS — Tue, 01 Nov 2011 04:00:00 +0100

This study also explores the association of the medical home with provider elicitation of parents' developmental concerns. (Read the full article) (Source: PEDIATRICS)

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The Patient-Centered Medical Home and the Nephrologist

Advances in Chronic Kidney Disease — Tue, 01 Nov 2011 04:00:00 +0100

The patient-centered medical home (PCMH) is a model of practice that has been proposed to address the many ills of our current health care delivery and financing systems. At its heart is a primary care practice that provides comprehensive, coordinated, high-quality, personalized care. Integral to the success of the PCMH model is a “neighborhood” of specialists who subscribe to the principles of the PCMH. Nephrologists will have an opportunity to practice within this framework, either as the PCMH itself or, more likely, as “neighbors” to the “home.” The effective and enthusiastic participation of nephrologists and other specialists will depend on the details of the model, not the least important of which is the financial structure. Dozens of demonstration projects around the cou...

Trends in quality during medical home transformation.

Annals of Family Medicine — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS Achieving medical home recognition was associated with improvements in quality and patient satisfaction for these clinics, but the rate of improvement is slow and does not always exceed levels in the surrounding community in Minnesota (which are also improving). Expectations for large and rapid change are probably unrealistic. PMID: 22084262 [PubMed - in process] (Source: Annals of Family Medicine)

Make Room for Teaching in the Patient-centered Medical Home.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Cheng A, Loafman M PMID: 22076719 [PubMed - in process] (Source: Famly Medicine)

Performance Enhancement Using a Balanced Scorecard in a Patient-centered Medical Home.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Fields SA, Cohen D Abstract BACKGROUND AND OBJECTIVES: Oregon Health & Science University Family Medicine implemented a balanced scorecard within our clinics that embraces the inherent tensions between care quality, financial productivity, and operational efficiency. This data-driven performance improvement process involved: (1) consensus-building around specific indicators to be measured, (2) developing and refining the balanced scorecard, and (3) using the balanced scorecard in the quality improvement process. Developing and implementing the balanced scorecard stimulated an important culture shift among clinics; practice members now actively use data to recognize successes, understand emerging problems, and make changes in response to these problems. Our experience s...

Applying Health Information Technology and Team-based Care to Residency Education.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: Teaching practices that take into consideration the integration of team-based care and use of electronic health technologies can successfully be used to deliver residency education in the context of the PCMH model. Ongoing assessment provides important information to residency directors and faculty in support of improving the quality of clinical instruction. PMID: 22076716 [PubMed - in process] (Source: Famly Medicine)

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Shared Decision Making: Skill Acquisition for Year III Medical Students.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: As this curriculum has developed, we have acquired a deep appreciation of the benefits and challenges of attempting to teach sophisticated communication and decision-making precepts to medical students who are working to master fundamentals of clinical work and who may or may not see such precepts reinforced in practice. PMID: 22076715 [PubMed - in process] (Source: Famly Medicine)

The Patient-centered Medical Home: A New Perspective for the Family Medicine Clerkship.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Lausen H, Kruse JE, Barnhart AJ, Smith TJ Abstract BACKGROUND AND OBJECTIVES: The Patient-centered Medical Home (PCMH) concept, essential functions of primary care, and an appropriate primary care workforce have been shown to improve health outcomes and reduce health care costs. This paper describes a curriculum that uses the PCMH and related health policy concepts as the foundation for didactic, clinical, and self-directed elements. The PCMH-focused curriculum improved overall student clerkship ratings and maintained student performance on the National Board of Medical Education subject exam. PMID: 22076714 [PubMed - in process] (Source: Famly Medicine)

An Evaluation of Family Medicine Residents' Attitudes Before and After a PCMH Innovation for Patients With Chronic Pain.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: A PCMH innovation for the treatment of chronic pain in primary care can improve family medicine residents' attitudes toward chronic pain patients. PMID: 22076712 [PubMed - in process] (Source: Famly Medicine)

Medical Student Awareness of the Patient-centered Medical Home.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: Medical students appear to have limited exposure and knowledge of the PCMH concept, suggesting the need to develop curricula about the PCMH in medical schools. PMID: 22076711 [PubMed - in process] (Source: Famly Medicine)

Innovation and creativity in education curricula for the medical home.

Famly Medicine — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Rogers J, Juliao TR PMID: 22076710 [PubMed - in process] (Source: Famly Medicine)

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The Hypertension Team: The Role of the Pharmacist, Nurse, and Teamwork in Hypertension Therapy

The Journal of Clinical Hypertension — Tue, 01 Nov 2011 04:00:00 +0100

J Clin Hypertens (Greenwich).Team‐based care is one of the key components of the patient‐centered medical home. Studies have consistently demonstrated that teams involving pharmacists or nurses in patient management can significantly improve blood pressure control. These findings have been demonstrated in several meta‐analyses and systematic reviews. These reviews have generally found that team‐based care can reduce systolic blood pressure by 4–10 mm Hg over usual care. However, these reviews have also concluded that many of the studies had various limitations and that additional research should be conducted. The present state of the art review paper will highlight newer studies, many of which were funded by the National Institutes of Health. Newer strategies involve telephone an...

The lessons health care can learn from Steve Jobs

Thrive, Children's Hospital Boston — Thu, 27 Oct 2011 17:00:44 +0100

By Clement Bottino, MD, Fellow in General Pediatrics at Children’s Hospital Boston’s Primary Care Center Steve Jobs Memorial outside an Apple store. Image flickr/Ron Cogswell Like many people across the country, I was sad to hear about the passing of Steve Jobs. I grew up with the technology Mr. Jobs created. My 5th grade final science project entitled “The Moray Eel” was typed on an Apple II computer. My college soundtrack was powered by a first generation iPod and nowadays I keep in touch with my sister who lives in Spain using face-time on my iPad. The technology Steve Jobs created radically changed how we interact with computers, the way we listen to music, even the way we communicate with each other. Mr. Jobs was an innovator on a grand scale; some say a Thomas Edison or ...

Ethnic Differences in Appointment‐Keeping and Implications for the Patient‐Centered Medical Home—Findings from the Diabetes Study of Northern California (DISTANCE)

Health Services Research — Thu, 27 Oct 2011 04:00:00 +0100

ConclusionsLatinos and African Americans were at highest risk of missing planned primary care appointments. PAK was associated with a greater reliance on same‐day visits and substantively poorer clinical outcomes. These results have important implications for public health and health plan policy, as primary care rapidly expands toward open access to care supported by the patient‐centered medical home model. (Source: Health Services Research)

Mostashari to MGMA: Time is right to adopt EHRs, show MU, move to ACOs

Healthcare IT News — Tue, 25 Oct 2011 13:45:21 +0100

To all those healthcare CIOs out there worried about ICD-10, meaningful use, accountable care organizations, patient-centered medical homes and a host of other government-backed efforts to reform healthcare, Farzad Mostashari, MD, has some words of advice: Don’t stay on the sidelines. In other words, the Department of Health and Human Services’ National Coordinator for Health Information Tehnology says, “it’s never going to be an easier time than now” to adopt an electronic health record, meet meaningful use guidelines and move toward an ACO. Display on Best Hospitals page: No read more (Source: Healthcare IT News)

The promise of the medical home

Modern Medicine — Tue, 25 Oct 2011 04:00:00 +0100

Few concepts generate more enthusiasm as a solution to the nation's healthcare woes than that of the Patient-Centered Medical home. (Source: Modern Medicine)

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Medical home standards not met by half of physician practices

Modern Medicine — Sun, 23 Oct 2011 00:57:50 +0100

Nearly half of physician practices do not meet national standards to qualify quality as a Patient-Centered Medical Home, with smaller, single-specialty groups being the least likely to qualify, according to a new study. Ninety percent of Americans receive care from those smaller practices, however. Learn how solo and single-specialty practices can even the playing field to meet medical home standards. (Source: Modern Medicine)

State hears concerns on proposed Medicaid cuts

bizjournals.com Health Care:Physician Practices headlines — Fri, 21 Oct 2011 20:15:42 +0100

Wisconsin Department of Health Services Secretary Dennis Smith and and Deputy Secretary Kitty Rhoades spent Friday at Wisconsin State Fair Park listening to concerns from Milwaukee-area residents who will be affected from the proposed Medicaid cuts. The town-hall meeting started with an hour-long presentation by Smith who explained the need to cut more than $500 million from the Medicaid program and the reasoning behind the state Department of Health Service's proposal released Sept. 30. That proposal includes shifting 215,000 Medicaid recipients to a lower-cost plan with fewer benefits; increasing the number of medical homes for at-risk individuals and people with chronic conditions; and pay for performance measures for hospitals... (Source: bizjournals.com Health Care:Physician Practic...

Why Half of Physician Practices Aren’t Meeting Medical Home Standards

Physicians Practice — Fri, 21 Oct 2011 12:00:00 +0100

Forty-six percent of physician practices don’t meet national standards to qualify as a "medical home" — but that could change if policy makers and practices take necessary actions. (Source: Physicians Practice)