Patient Centered Medical Home Is Favored
Model of Integrated Care Delivery

Just five years ago, patient-centered medical homes (PCMH) were a vaguely familiar concept that many healthcare organizations erroneously associated with remote monitoring of patients, in-home care or a physical structure.

Today, the PCMH is a favored model of integrated care delivery and a cornerstone of accountable care two core elements of healthcare reform. In fact, more than half of the 115 healthcare organizations responding to Healthcare Intelligence Network's fifth annual e-survey on medical homes said they had established a medical home for their population, and one third said that they will join an accountable care organization (ACO) in the next 12 months.

Download a summary of the 2011 Patient-Centered Medical Home survey results.

Responses to the survey revealed insight into the populations that would benefit from this model of care, components of a medical home, PCMH interest in the ACO model and the effects of the PCMH on utilization and cost.

Nearly half of the survey respondents said that Medicare and commercial populations were targeted most often for medical home programs; in 2010, Medicare accounted for more than 60 percent of the target population, with Medicaid and commercial accounting for nearly one half. Pediatrics accounted for more than 40 percent of the target population, a figure that has nearly doubled since 2009, according to the HIN research report, 2011 Medical Home Performance Benchmarks: Adoption, Utilization and Results. For more information, please visit:

Similar to the year before, the majority of 2011 respondents said it took anywhere from 12 to 18 months to convert to a medical home, at a cost ranging from $150,000 to several million dollars.

EHRs continued to be an effective health technology tool in the medical home, with e-prescribing also playing a large part in the program. And besides physicians, nurse practitioners and case managers continued to be a large part of the PCMH team. Eighty percent of respondents with case managers on their PCMH care team said that they have a case manager embedded in their physician practice, a figure that has grown by 15 percent in the last year.

The top five challenges that were faced in adopting a PCMH are: staff buy-in; reimbursement; physician-led care; certification/recognition and the whole person approach.

Medical Home Adoption Challenges

The 2011 Medical Home Performance Benchmarks: Adoption, Utilization and Results delivers the latest metrics and measures on current and planned PCMH initiatives, providing actionable data on PCMH effectiveness, targeted populations and conditions, medical home team members, health IT in use, reimbursement, ROI and much, much more.

New data in the 2011 edition: Medical home participation in ACOs; preferred medical home accreditation and recognition programs; the growth of co-located case managers in the medical home; and impact of 2010 PPACA legislation on the PCMH model.

For more about the report, including a complete table of contents and ordering information, please visit:

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