Medical Home Bulletin
  Complimentary from the publishers of Medical Home News                       September, 2018
 
 
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Quote
  “The great standard in medicine is to say that only providers can give medical advice, and medical assistants have limits on what they know, and the front-desk people aren’t supposed to know anything. I’ve always advocated that you can allow people to use common sense, and educate them to go even beyond that. But that’s not universally done, and I think a lot of medical practices underutilize the front desk staff and don’t educate them in terms of what we do ‘out back.’.”
Hans Duvefelt, M.D., Medical Director, Bucksport Regional Health Center; Family Practice Physician, Pines Healthcare.
 
Factoid
  More than 80 percent of ACOs improved quality of care for Medicare beneficiaries, while reducing spending by nearly $3.4 billion in its first three years... However, half of the spending reductions came from only 36 ACOs, or 8 percent of all ACOs.
 
 
  Excerpted from: Medical Home News, Volume 10 Number 9, September2018, Editor's Corner: "Patient-Centered Care Will Have To Become More Person-Centered In Order To Cut Costs ," by Bruce Chernof, M.D. and Mark McLellan, M.D.  
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Patient- and Family-Centered Care: Improving Care through Mutually Beneficial Partnerships

This presentation will review the 4 core principles of patient- and family-centered care, specifically: dignity and respect, information sharing, participation and collaboration. We will discuss how patient- and family-centered care leads to improved outcomes for patients, family members, and communities, high-lighting the various ways that individuals can get involved and how patient and family engagement can shape the future of health care.

 
 
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HealthSprocket List
 
  Family Medicine: percentages of 7 medication therapy problems identified by pharmacists in a PCMH

1. Nonadherence: 51%
2. Adverse reaction: 14%
3. Continue reading here

Notes: from "Pharmacist-Delivered Comprehensive Medication Management Within Family Medicine Practices: An Evaluation of the SCRIPT Project," by Gregory Castelli, PharmD; Jennifer L. Bacci, PharmD, MPH; Sarah Krahe Dombrowski, PharmD; Maria Osborne, PharmD; Aaron Difilippo, PharmD; Patricia M. Klatt, PharmD; Melissa Somma McGivney, PharmD.

Source: Family Medicine, September 2018
 
     
 
This Month in Medical Home News
 
  • School-Based Medical Homes Begin to Take Hold in NYC Through Collaborative with Montefiore Health System by Ron Shinkman
  • The Impact of Medical Home Model on Costs and Utilization Among Co-Morbid HIV-Positive Medicaid Patients by Paul Crits-Christoph, Robert Gallop, Elizabeth Noll, et. al.:
  • Editor’s Corner: Drs. Bruce Chernof and Mark McLellan on making coordinated care more personalized
  • ThoughtLeaders' Corner: "Do you believe the rise in popularity of retail clinics as CVS MinuteClinics will have any impact on medical homes and the care they deliver?"
  • Industry News with briefs regarding: Kansas Blues, Michigan Blues
  • Catching Up With ...Hans Duvefelt, MD
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