Patient centered Medical Home (PCMH)

I must tell you that I prefer the patient centered preventive medicine and wellbeing with our PHA strategy (personal health assistant) designed in the Humanization of Healthcare project (H2O). But if you are sick instead of going to your primary physician here is an strategy to take into consideration:

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In any case when you read the following you will see that our HOLISTIC approach, PERSONAL relationship, COORDINATION strategies of prevention and wellbeing and ACCESIBILITY 24/7, on the hands of well trained nurses provide quality of care and patient safety and the foundation for a VALUE BASED HEALTH POLICY. And since many years this was considered to be implemented with Decision Support Systems and Health analytics as proposed in Health 4.0.

Since 2007, the American Academy of Family physicians had stablished the principles for the PCMH.

The patient-centered medical home is a structured approach to primary care delivery that stresses putting the patient-provider relationship at the core of all healthcare decision making.  In order to support the entirety of a patient’s primary care needs, a PCMH provider develops a team-based approach to healthcare with an emphasis on preventative services, care coordination, and access to care.

Five main features of a successful patient-centered medical home include:

  1. • Providing comprehensive care by taking into account the patient as a whole person and supporting both mental and physical health with a coordinated care team
  2. • Taking a patient-centered approach to care delivery by developing meaningful relationships with the patient, her family, and her caregivers that takes into account the patient’s socioeconomic and cultural values and preferences
  3. • Employing care coordination strategies by harnessing health information exchange, EHR interoperability, and population health management analytics to ensure that patient health information is accessible and usable at all care sites across the healthcare continuum
  4. • Ensuring the accessibility of services by offering extended hours, alternative sites for care during emergencies, improving the scheduling process, or making use of technologies such as telehealth, mHealth, and home monitoring devices
  5. • Focusing on care quality and patient safety by using evidence-based medicine, clinical decision support tools, healthcare analytics, and best practices to provide a safe, high-quality, satisfactory experience for each and every patient

Providers may adopt some or all of the requirements for being recognized as a PCMH organization based on available resources and goals.  PCMH transformation may or may not be predicated on the implementation of risk-based reimbursement arrangements, but the PCMH actively supports value-based financial structures and certainly shares many of the same principles used by accountable care organizations (ACOs).  Some ACOs even require PCMH recognition as a basis for participation in risk-sharing schemes.

Taken from HealthIT analytics.

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