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September 02, 2009

Featured Topic: The Patient-Centered Medical Home

A Patient-Centered Medical Home (PCMH) provides an interdisciplinary coordinated approach to delivering primary care and other services to patients based on their needs. There are currently more than two dozen different PCMH pilot projects and as many different models represented across the country.

The featured innovations describe two medical home programs that serve different populations.

The featured QualityTools provide practical resources to facilitate the implementation of medical homes.
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Innovation Profiles:
- updated Bilingual, Bicultural Asthma Intervention Program Significantly Improves Outcomes for Poor, Inner-City Youth
- updated Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System
- updated Low-Tech Medication Reconciliation Process Emphasizing Standardized, Easy-to-Execute Roles Significantly Reduces Rate of Unreconciled Medications
- updated Multifaceted Program Increases Reporting of Potential Errors, Leads to Action Plans to Enhance Safety
- updated Remote Consultations Provide On-Demand Access to Stroke Specialists for Network of 31 Emergency Departments, Facilitating Rapid Stroke Treatment and Patient Transfers
- updated Team-Based Ownership Over Defined Patient Panels Supported by Information Technology Enhances Provision of Evidence-Based Care
- Bilingual, Culturally Competent Community Health Workers Increase Insurance Enrollment, Access to Care, and Self-Efficacy Among Low-Income Latinos
- Cardiac Unit Features Acuity-Adjustable Rooms and Other Patient-Centered Programs, Leading to Well-Above Average Outcomes and Patient Satisfaction
- Clinics Adopting Plan-Supported Medical Home Model Enhance Access, Improve Quality, and Reduce Admissions Among Medicaid Managed Care Enrollees
- Comprehensive, Patient-Centered Program Incorporates Strategies That Help HIV Patients Maintain Their Health, Leading to Enhanced Adherence, Better Outcomes, and Fewer Deaths
- Mobile Clinic Provides Comprehensive Medical Home for Homeless and At-Risk Youth, Reducing Use of Emergency Department and More Followup Care
- Redesign of Telemetry Unit Admission and Transfer Criteria Leads to Improved Patient Flow and Reduced ED Waiting Times

QualityTools:
- Adherence Readiness Assessment
- Cardiovascular Diseases: Patient Brochures and Clinician Fact Sheets
- Initial History and Physical Assessment Form
- Medical Home Tools and Forms
- National Center of Medical Home Initiatives for Children With Special Needs Tools/Resources
- Stroke Toolkit
- The Patient-Centered Medical Home: A Purchaser Guide

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Last updated: September 02, 2009.
 
 
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