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PCMH, Medical Neighborhood

Yue Gao, Robert S Nocon, Kathryn E Gunter, Ravi Sharma, Quyen Ngo-Metzger, Lawrence P Casalino, Marshall H Chin
BACKGROUND: The patient-centered medical home (PCMH) model is being implemented in health centers (HCs) that provide comprehensive primary care to vulnerable populations. OBJECTIVE: To identify characteristics associated with HCs' PCMH capability. DESIGN: Cross-sectional analysis of a national dataset of Federally Qualified Health Centers (FQHCs) in 2009. Data for PCMH capability, HC, patient, neighborhood, and regional characteristics were combined from multiple sources...
September 2016: Journal of General Internal Medicine
Shehnaz Alidina, Meredith Rosenthal, Eric Schneider, Sara Singer
BACKGROUND: The term "medical neighborhood" refers to relationships that patient-centered medical homes (PCMHs) seek to establish with other providers to facilitate coordinated patient care. Yet, how PCMHs can accomplish this coordination is not well understood. PURPOSE: Drawing upon organizational theory (; ; ), we explored how PCMHs use coordination mechanisms to build and optimize their medical neighborhoods. METHODOLOGY: We used mixed methods, blending data collected via interviews and surveys with practice leaders and care coordinators at 30 months after a PCMH collaborative intervention in Colorado as well as surveys from all providers from 13 PCMHs before and 30 months after the intervention...
April 2016: Health Care Management Review
Carman A Ciervo, Jay H Shubrook, Paul Grundy
First introduced conceptually decades before the passage of the Patient Protection and Affordable Care Act, the patient-centered medical home (PCMH) has evolved as a foundational element within the larger health care system or medical neighborhood, highlighting a coordinated and comprehensive disease management approach centered on intensive primary care interventions. More recently, in the wake of health care reform, accountable care organizations (ACOs) have been established to help health plans, physicians, hospitals, home health care practitioners, and other health care providers better coordinate care through an incentive-based payment arrangement...
April 2015: Journal of the American Osteopathic Association
Fevzi Akinci, Poonam M Patel
Despite the fact that the United States dedicates so much of its resources to healthcare, the current healthcare delivery system still faces significant quality challenges. The lack of effective communication and coordination of care services across the continuum of care poses disadvantages for those requiring long-term management of their chronic conditions. This is why the new transformation in healthcare known as the patient-centered medical home (PCMH) can help restore confidence in our population that the healthcare services they receive is of the utmost quality and will effectively enhance their quality of life...
October 2014: Hospital Topics
Xiaoyan Huang, Meredith B Rosenthal
The patient-centered medical home (PCMH) is a well accepted primary care delivery vehicle in the United States. The National Committee for Quality Assurance (NCQA) has recognized nearly 27,000 clinicians at more than 5000 sites throughout the country in its PCMH program. State and private payers..
April 10, 2014: New England Journal of Medicine
Daniel B Hoch, Mark C Homonoff, Heidi Moawad, Bruce H Cohen, Gregory J Esper, Amanda Becker, Neil A Busis
Recent health policy initiatives designed to improve care coordination have stimulated the resurgence of the patient-centered medical home (PCMH) model. The details of how primary and specialty care are coordinated within the PCMH model are of interest to specialists. A good medical home "neighbor" must adhere to principles that complement the PCMH team-based approach and personal relationship to the patient. One issue for neurologists considering participation in this model is whether they will function as the principal physician for some patients, only in the role of a consultant, or take some new role...
April 2013: Neurology. Clinical Practice
Sallie Thieme Sanford
No abstract text is available yet for this article.
2012: Seton Hall Law Review
Lawrence S Weisberg
The patient-centered medical home (PCMH) is a model of practice that has been proposed to address the many ills of our current health care delivery and financing systems. At its heart is a primary care practice that provides comprehensive, coordinated, high-quality, personalized care. Integral to the success of the PCMH model is a "neighborhood" of specialists who subscribe to the principles of the PCMH. Nephrologists will have an opportunity to practice within this framework, either as the PCMH itself or, more likely, as "neighbors" to the "home...
November 2011: Advances in Chronic Kidney Disease
Hal F Yee
To achieve the benefits of the patient-centered medical home (PCMH) model, the American College of Physicians has issued a policy paper addressing the relationship between specialist and subspecialist physicians and PCMH practices. This paper represents a significant step toward improving care coordination and quality by demonstrating that this model is supported by numerous specialties and subspecialties, recognizing the importance of building a strong medical neighborhood, and providing a framework that will foster improvements in care at the interface of PCMHs and PCMH neighbors (PCMH-Ns)...
January 4, 2011: Annals of Internal Medicine
Christine A Sinsky
The American College of Physicians' position paper on the patient-centered medical home neighbor (PCMH-N) extends the work of the patient-centered medical home (PCMH) as a means of improving the delivery of health care. Recognizing that the PCMH does not exist in isolation, the PCMH-N concept outlines expectations for comanagement, communication, and care coordination and broadens responsibility for safe, effective, and efficient care beyond primary care to include physicians of all specialties. As such, it is a fitting follow-up to the PCMH and moves further down the road toward improved care for complex patients...
January 4, 2011: Annals of Internal Medicine
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