Patient-Centered Medical Home (PCMH)

Extending Your EHR to Independent Hospitals and Clinics: Five Considerations

May 17, 2012     Susan Heichert, Mary Bear-Dukes, and Dawn Mitchell
article
Some hospitals and health systems are looking to extend their own EMR solutions to independent hospitals and clinics. The practice became possible with the relaxation of anti-kickback statutes in 2006, but the sense of urgency has heightened in today’s environment. In fact, some organizations are even implementing new EMR solutions internally while extending the same solution to private practices simultaneously.

Wiring Up Our Home

April 23, 2012     Mark Hagland
article
The patient-centered medical home concept is moving forward nationwide, with countless variations on a general theme, along with some universals. Healthcare and healthcare IT leaders agree: wiring up this home means putting all the strategic, process, and technology pieces together for success.

Building the Patient-Centered Medical Home in Pittsburgh

April 22, 2012     Mark Hagland
article
When it comes to care management innovation, clinician and executive leaders at the UPMC health system are moving forward rapidly. Francis X. Solano, M.D., one of the health system’s key physician executives, discusses their PCMH program and its learnings for healthcare IT leaders.

It's about time we start talking CI instead of BI

April 4, 2012    
blog
I don’t understand why application vendors place little importance on reporting requirements. I get the fact that customers like to customize their reports, but why not make that an inherent feature? Maybe that is why the market is constantly creating so many 3rd party Business Intelligence (BI) vendors. But what about Clinical Intelligence (CI) requirements?

When Is 7.69 a Spectacular Number?

April 3, 2012     Mark Hagland
blog
James L. “Larry” Holly, M.D., president and co-founder of Southeast Texas Medical Associates (SETMA), in Beaumont, Texas, has helped lead his colleagues towards a significant optimization of readmissions management for the at-risk patients being cared for by their group. What’s SETMA’s secret?

Unifying a Patient-Centered Medical Home

April 3, 2012     Jennifer Prestigiacomo
article
In upstate New York, where an aging population of primary care providers is leaving the workforce faster than new PCPs can be recruited, community leaders have founded the Adirondack Region Medical Home Pilot Program to increase emphasis on primary, preventive, and chronic care, as well as improving patient communication. Coming together as a patient-centered medical home (PCMH) however has not been without its challenges, which include interfacing clinical information systems and aligning incentives between payers and providers.

$8.5 Million Donated for Safety Net Care Coordination

February 28, 2012    
news
CareFirst BlueCross BlueShield (Washington D.C.) has said it will give more than $8.5 million over three years in funding to help 12 safety net health center programs in Maryland, Virginia and Washington, DC, implement medical home and care coordination programs for the region’s most vulnerable population, the chronically ill. In all, the funded programs are expected to provide services to as many as 66,000 individuals at more than 20 locations throughout the region, according to CareFirst.

Building Accountable Care, Block by Block

January 14, 2012     Mark Hagland
article
Healthcare industry expert Joe Damore of Premier Health Alliance is helping hospitals and health systems nationwide to move forward on the development of accountable care organizations (ACOs). Not surprisingly, key lessons are already being learned by those organizations at the head of the pack.

Many Mountains to Climb

September 26, 2011     Mark Hagland
article
Among the many issues facing these leaders: how to plan for the development of accountable care organizations (ACOs), the patient-centered medical home model, bundled payments, and other federal policy requirements; how to make progress towards meaningful use, under the HITECH Act; how to plan for ongoing infrastructure, interoperability, and mobility development; and how to prioritize a variety of disparate efforts aimed at fulfilling different types of needs. No one medical group leader has all the answers; but our panel of leaders certainly has many important and useful perspectives to share.

Using Patient Engagement Tools to Create PCMHs

May 20, 2011     Jennifer Prestigiacomo
article
To help meet meaningful use and create patient-centered medical homes (PCMHs), Mid-Atlantic Community Health Center Association (MACHC), based in Lanham, Md., decided to support offer patient outreach software from the Dallas-based Phytel to its 19 members. MACHC, a nonprofit membership organization and the primary care association for Maryland and Delaware, provides healthcare to medically underserved and uninsured patients. One of MACHC’s main directives is to provide cutting edge tools for its member organizations to help them build PCMHs.

Care Management: The Payer Perspective

March 17, 2011     Jennifer Prestigiacomo
article
Humana Cares, Humana’s (Louisville, Ky.) chronic care management program, grew out of Green Ribbon Health (GRH), one of the Medicare Health Support Program pilots. The Medicare Health Support Program in 2008 sought to help increase adherence to evidence-based care, reduce unnecessary hospital stays and emergency room visits, and help participants avoid costly and debilitating complications and co-morbidities. Green Ribbon Health in central Florida started as 50/50 partnership between Pfizer (New York, N.Y.) and Humana to provide the acute care management of Medicare recipients.

Report from the National Medical Home Summit

March 16, 2011     David Raths
article
With the Centers for Medicare & Medicaid Services (CMS) expected to issue rules for accountable care organizations (ACOs) as soon as March 23, attendees at this week’s National Medical Home Summit in Philadelphia were eager to learn more about the relationship between the medical home and ACO concepts and the information technology models underpinning them.
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