Innovations
Low-Overhead Medical Home Leverages Information Technology to Attract Both Providers and Patients in Underserved Rural Areas 5/22/2013
A low-overhead medical home leverages information technology to produce a financially viable, high-quality primary care experience that proves to be attractive to both physicians and patients in an underserved rural area.
Community Health Collaborative Reduces Inappropriate Emergency Department Use by Providing Access to Health Care, Social Support for Low-Income Clients 5/15/2013
A community health collaborative helps vulnerable populations secure and retain insurance coverage, access primary care, and connect to a medical home, leading to fewer emergency department visits, higher provider revenues, and high levels of provider satisfaction.
Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization 5/8/2013
A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.
Policy
Public-Private Partnership Supports Medical Homes in Managing Medicaid Enrollees via Disease/Case Management and Other Initiatives, Leading to Higher Quality and Significant Cost Savings 5/8/2013
A state-based, public–private partnership supports medical homes in managing the care of Medicaid managed-care enrollees, leading to higher quality and significant reductions in utilization and costs.
Policy
County-Based Accountable Care Organization for Medicaid Enrollees Features Shared Risk, Electronic Data Sharing, and Various Improvement Initiatives, Leading to Lower Utilization and Costs 5/8/2013
A county-based accountable care organization integrates medical, behavioral, and social services and assigns a care coordinator to newly enrolled Medicaid beneficiaries to promote use of appropriate services, leading to fewer readmissions and emergency department visits and lower costs.
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QualityTools
The Patient-Centered Medical Home: A Resource Guide for Integrating Comprehensive Medication Management to Optimize Patient Outcomes (Second Edition) 4/10/2013
This guide for payers, plans, provider groups, patient advocacy groups, and all medication therapy management service providers discusses the rationale for including comprehensive medication management services in integrated patient-centered care.
A Collaborative Partnership: Resources to Help Consumers Thrive in the Medical Home 1/30/2013
This guide for health care organizations and stakeholders provides resources to improve consumer participation to help design and inform the needed patient focus of the patient-centered medical home.
Patient-Centered Medical Home 1/30/2013
This Web site from the American Academy of Family Physicians provides step-by-step project plans and tools to build a patient-centered medical home.
Systems of Care/Patient-Centered Medical Home Initiative: Primary Care–Specialty Care Compact 1/30/2013
The purpose of the compact is to improve care and build and sustain trusted medical neighborhoods through a defined communication protocol.
The Patient-Centered Medical Home and Specialty Physicians 1/30/2013
This Web page from the American College of Physicians provides resources to further develop the Patient-Centered Medical Home model to integrate into specialty and subspecialty practices.
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