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Complimentary from the publishers of
Medical Home News
June 4, 2013 |
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“We experienced two related
sustainability issues -- one financial and one operational. Our PCMH was
partially funded by a pilot program, and when it was completed we did
not have the revenues to continue our innovative programs and the
additional salaries. Our providers increased their work hours to cover
the deficit. Hopefully, real payment reform will begin before we burn
out. Secondly, we have been providing such comprehensive care that the
providers found it difficult to complete all their tasks consistently.
We stopped monitoring our performance measures as rigorously as before.
This was the result of staff changes, registry inadequacy, change
fatigue, and the implementation of new innovations. We took a step back,
reaffirmed our vision and priorities, reassigned responsibilities and
reorganized our team meetings, and are now enthusiastically back on
track. Both of these issues are direct results of inadequate payment for
the PCMH.” R. Scott Hammond, M.D., FAAFP, Associate Clinical Professor,
University of Colorado School of Medicine, Medical Director, Westminster
Medical Clinic.
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A pilot study of 450
children in which ECC [early childhood caries] were first treated
surgically, and then the caregivers and families were educated on how to
stop cavities and prevent new ones, saw the proportion of high risk
children decline with consecutive visits, the number referred to
hospital operating rooms declined by 36%, and the number developing new
decay declined by 28%.
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Source: Medical Home
News, June 2013, Volume 5, Number 6, Common, Chronic, and Preventable:
Early Childhood Caries |
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Healthy home? Californians with 'medical home' more likely to get flu
shots
UCLA Center for Health Policy Research Press
Release, May 29, 2013 |
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Patient-Centered Medical Homes: Changing how doctors get paid mean
better care?
Kansas City Business Journal, May 29, 2013 |
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Medical Home Transition Long but Worth It
MedPage Today, May 20, 2013 |
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Patient Experience Over Time in Patient-Centered Medical Homes |
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American Journal of
Managed Care, May 17, 2013 |
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Relationships Are a Critical Part of Building Medical Homes
The American Academy of Family
Physicians/Leader Voices Blog, May 15, 2013 |
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- Extending the Walls of the Medical Home: How
Mobility Will Permanently Disrupt Healthcare Delivery by William C.
Thornbury, Jr., MD
- Building on the PCMH Momentum: The Primary
Connection by Thomas J. Foels, MD, MMM, and Pamela Menard, NP, MBA
- Editor’s Corner: Common, Chronic, and
Preventable: Early Childhood Caries - Rob Compton, DDS
- Community Clinic Recognizes ACA Medicaid
Enrollment Begins with Engagement and Screening by Ankeny Minoux and
Steven Abramson
- Thought Leader’s Corner: “PCMH
transformation is hard and requires resources, but what about
sustainability? What resources are needed to sustain PCMH
changes? Have you seen or experienced any back-sliding into old
habits?”
- Industry News with briefs regarding Annals
of Family Medicine , CMS, Aetna, new England Journal of Medicine and
NCQA
- Catching up with … Allan Goroll, MD, MACP
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Click here to view page one of this issue
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Medical Home News, or find out more
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