Sea Girt NJ USA -- July 11, 2013: Cognizant that the patient-centered medical home (PCMH) is not only a key pathway to patient satisfaction but also a legitimate stepping stone to an accountable care organization (ACO), construction of medical home initiatives continues unabated around the country.
Fifty-two percent of 2012 HIN survey respondents* have established medical home programs for their populations; 59 percent of these are now or soon will be part of an ACO.
Closer inspection of the PCMH reveals considerable efforts to engage and educate patients, fortify the model with a framework of IT and infrastructure and indoctrinate doctors in the medical home's dual priorities of care coordination and healthcare quality.
Those are some of the objectives of medical home initiatives profiled in New Models in the Patient-Centered Medical Home: Incentives, Infrastructure and IT to Support Accountable Care.
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Beginning with an overview of 2012 PCMH trends, this 50-page special report offers snapshots of thriving medical home initiatives and their particular area of focus:
Florida Blue's statewide medical home model, and lessons learned from the 2011 rollout that transitioned the payor from a pay for performance emphasis to a medical home model. Barbara Haasis, RN, CCRN, senior clinical lead, quality reward and recognition programs at Florida Blue, describes the transition, provides details on the following areas:
- The criteria for which physician practices were selected to participate in the program;
- The shared savings approach through which practices will be reimbursed;
- The role of a nurse educator in helping the practices transform;
- Reporting practice results to drive further improvement;
- Results in total cost of care from physicians originally enrolled in the pay-for-performance program, now in the first quarter of the PCMH.
A four-pronged approach by Horizon Blue Cross Blue Shield of New Jersey's consumer engagement team to more closely involve consumers and health plan members in its medical home program, first launched in 2008. Jay Driggers, director of consumer experience and engagement at Horizon BCBSNJ, shares how Horizon approaches engagement, including:
- Seven key consumer engagement objectives;
- The impact of stand-alone pilots on consumer engagement, from iPhone apps to telemonitoring;
- A best practice approach to driving awareness and education of the patient-centered medical home to build a connection between a patient and a practice, including the use of a patient touchpoint map to increase a patient's 'stickiness' to a practice;
- Results from Horizon's patient engagement approach; and
- Using PCMH patient engagement techniques to position for accountable care.
Order your copy of New Models in the Patient-Centered Medical Home: Incentives, Infrastructure and IT to Support Accountable Care today at:
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