Medical Home Bulletin
  Complimentary from the publishers of Medical Home News                  March, 2015  
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  Sponsor Message  
Quote
  “There is much about the PCMH for which we still need more evidence, such as which features most impact outcomes. We know, for example, that expanding hours of access to care on weekends and in the evenings keeps patients from using the emergency room unnecessarily. However we don't know which aspects of the PCMH most impact quality of care, population health outcomes, and even cost control. We have strong suspicions, but we need more empirical evidence. Much of this work is being done now in the Comprehensive Primary Care Initiative (CPCI) and the Multipayer Advanced Primary Care demonstration (MAPCP). Finally, we need evidence around the ways in which patient, family, and caregiver input into the quality improvement process can impact the Triple Aim. As we learn more about what most impacts outcomes, we can streamline and simplify the certification process, helping practices, payers, and ultimately patients and their families.”
- Marci Joy Nielsen, PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative (PCPCC).
 
Factoid
  "HCMC re-engineered its outpatient model toward intensive, multidisciplinary, team-based care....HCMC conducted a review of the utilization experience of the clinic. The initial small sample showed striking progress in reducing over-service. Inpatient admissions were reduced by 45 percent, and emergency department visits decreased almost 40 percent. Ambulatory care contacts increased by nearly eight-fold."
 
 
  Excerpted from: Medical Home News, Volume 7 Number 3, March 2015, "Better Care for the Over-Serviced: Lessons from an Ambulatory ICU"  
What's News
Drug Interactions and the Medical Home
AHC Media, February 23, 2015
       
A Multidisciplinary Intervention for Reducing Readmissions Among Older Adults in a Patient-Centered Medical Home
American Journal of Managed Care, February 19, 2015
  Creating A Medical Home is About Improvement, Not Checking Boxes
In the Trenches Blog/American Academy of Family Physicians, February 17, 2015
 
     
  Patient-Centered Medical Home Implementation and Use of Preventive Services: The Role of Practice Socioeconomic Context.  
  JAMA Internal Medicine, abstract only, February 16, 2015  
     
  Using Community Input to Build a Medical Home
H&HN Daily, February 12, 2015
 
     
  IBD specialty medical home relies on psychiatrist, insurer to succeed
Family Practice News, February 6, 2015
 
     
  Becoming a Medical Home Can Boost Reimbursement
Physicians Practice, February 2, 2015
 
       
This Month in Medical Home News
 
  • Better Care for the Over-Serviced: Lessons from an Ambulatory ICU by Paul E. Johnson, MD
  • Comparing Apples and Oranges by Andrew Braunstein
  • Editor’s Corner – Bonnie T. Jortberg, PhD, RD, CDE and Michael Fleming, MD, FAAFP on RDNs and the Medical Home Team
  • Medicare Begins Paying for Chronic Care Management by By Rick L. Hindmand and Marc I. Goldsand
  • Thought Leader’s Corner: "What area is most in need of further research when it comes to patient-centered medical home implementation?"
  • Industry News with briefs regarding CMS; PCPCC, Health Affairs and Lowes; AJMC; and HealthIT Analytics
  • Catching Up With … Rushika Fernandopulle, MD, MPP
  • Click here to view page one of this issue
  • Click here to subscribe to Medical Home News, or find out more

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