Analysis
RMG:
The dashboard is analyzed regularly and the providers and staff were routinely informed of areas where criteria are not being met. Some of these are described here:
Immunizations scheduled were followed and we achieved the desired level to meet certification requirements.
Care Management and Support criteria were met as we identified diabetic patients within our practice with high hemoglobin A1C. We followed these patients with our care coordinators providing higher quality of care and support.
We had challenges with care transitions resulting from specialists’ reluctance to data share, particularly, diabetic eye examinations. This reluctance of the specialists to share data created an inability for our practice to close the …show more content…
Evidence for the benefits and challenges of the PCMH delivery system:
Benefits:
The patient-centered medical homes model is growing and those practices have more non-physician clinicians on staff and higher utilization of electronic health records (Finnegan, 2017). This is crucial with the on-going shortage of health care personnel.
• PCMH practices had at least one physician assistant, nurse practitioner, or certified nurse midwife on staff compared to traditional practices (69% versus 48%)
(Bachert, …show more content…
(See Appendix B). A few of these standards will be discussed here.
Comparison of a traditional primary care practice to the PCMH model:
One of the standards is patient-centered access. This involves having “same-day” appointments for those needing immediate care but not necessarily emergency care. In traditional primary care practices, many times, these “same-day” appointments are not available.
Another standard is team-based care. This standard provides several members of the primary care staff to coordinate the needs of the patient. By creating a care team, the patient has a point of contact reducing fragmentation of care. Traditional primary care practice is more incident-based.
An important standard for discussion is population health management. In the PCMH delivery system, preventive care is proactively addressed utilizing evidence-based guidelines.
Chronic Care Management (CCM) is not an objective in a traditional primary care practice but in PCMH chronic care management, this is an essential piece of the process to ensure improved outcomes of chronic disease
RMG:
The dashboard is analyzed regularly and the providers and staff were routinely informed of areas where criteria are not being met. Some of these are described here:
Immunizations scheduled were followed and we achieved the desired level to meet certification requirements.
Care Management and Support criteria were met as we identified diabetic patients within our practice with high hemoglobin A1C. We followed these patients with our care coordinators providing higher quality of care and support.
We had challenges with care transitions resulting from specialists’ reluctance to data share, particularly, diabetic eye examinations. This reluctance of the specialists to share data created an inability for our practice to close the …show more content…
Evidence for the benefits and challenges of the PCMH delivery system:
Benefits:
The patient-centered medical homes model is growing and those practices have more non-physician clinicians on staff and higher utilization of electronic health records (Finnegan, 2017). This is crucial with the on-going shortage of health care personnel.
• PCMH practices had at least one physician assistant, nurse practitioner, or certified nurse midwife on staff compared to traditional practices (69% versus 48%)
(Bachert, …show more content…
(See Appendix B). A few of these standards will be discussed here.
Comparison of a traditional primary care practice to the PCMH model:
One of the standards is patient-centered access. This involves having “same-day” appointments for those needing immediate care but not necessarily emergency care. In traditional primary care practices, many times, these “same-day” appointments are not available.
Another standard is team-based care. This standard provides several members of the primary care staff to coordinate the needs of the patient. By creating a care team, the patient has a point of contact reducing fragmentation of care. Traditional primary care practice is more incident-based.
An important standard for discussion is population health management. In the PCMH delivery system, preventive care is proactively addressed utilizing evidence-based guidelines.
Chronic Care Management (CCM) is not an objective in a traditional primary care practice but in PCMH chronic care management, this is an essential piece of the process to ensure improved outcomes of chronic disease