Medical Home Monitor
Medical Home Monitor
December 15, 2008
Vol. I, No. 9

Medical Home Monitor Archives

Medical Home Q&A:
Marketing the Medical Home

Medical Home Pilots in 2009

Q: What type of marketing message entices potential patients to check out the medical home model?

A: In our area, health fairs in the community have been effective because we have so many rural communities in North Carolina. Many times, when the hospitals have a health fair and they sponsor it through the church, if it has a diabetic focus and they’re talking about medical homes or conferences, they bring them to their community. Just about every piece of information that we send out, even printed information that comes from the state, refers to their medical home — not just for diabetes but for their overall care. (Roberta Burgess, R.N., is a nurse case manager with Community Care Plan of Eastern Carolina with Heritage Hospital in Tarboro, North Carolina.)

For more details on the benefits of creating medical homes for patients with diabetes, please visit:

Employer Helps Build the Medical Home Model

"It started about three years ago," remembers Dr. Paul Grundy, IBM's director of healthcare transformation. "We were talking about all the things that large employers in the U.S. like IBM had done to reduce costs and improve quality and we realized we were failing to address a fundamental issue: primary care."

Shortly afterwards, he helped found the Patient-Centered Primary Care Collaborative (PCPCC), a coalition of large employers, consumer organizations and medical providers. They developed a healthcare model based on the premise that more holistic primary care could save money by reducing the incidence of major health problems later in life. Since them, IBM has been working with agencies at both the state and federal level to set up pilot programs and has developed solutions to support the model.

For more of IBM's perspective on the medical home model, please visit:

HealthSounds Podcast: The Hub of a Hospital's Medical Home Network

Palmetto Health's Richland Care Medical Home member services department serves as health navigator and problem solver for its clients, guiding patients to diverse services within the medical home network, explains program director Marcus Barnes. Patient engagement in the Richland Care Medical Home often begins when a prospective client visits the ED, where they learn about the medical home program. Richland Care's staff goes into the community to publicize the program and conduct home visits for the chronically ill. Barnes describes how the three-hospital system has implemented a successful medical home model that has reduced hospital admissions and improved quality of care and health status for its patients.

To listen to this complimentary HIN podcast, please visit:

Merging Medical Home Concepts with HIT Innovation

The University of Missouri (MU) School of Medicine and Cerner Corporation have partnered to merge medical home concepts with HIT innovations to improve patient care quality, safety and clinical outcomes. Their collaboration in the Medical Home Project is designed to create innovations in functions available through the EMR to provide clinicians tools for building a medical home and improving chronic disease care. The team also hopes to create a true medical home by utilizing a connectivity hub linking physician, patient, community and care coordinator. For their efforts, the organizations have been awarded the CHIME 2008 Collaboration Award.

To read more, please visit:

Easing the Strain on Overburdened EDs

As economic conditions drive increasing numbers of unemployed and uninsured to visit EDs for non-emergent care, hospitals and health plans nationwide are looking for ways the ease the strain on overburdened EDs. HIN recently conducted a non-scientific online survey and discovered how 220 organizations — including hospitals, physician organizations, health plans and more — cope with mounting non-emergent ED use.

To download this complimentary white paper, please visit:

Book-of-the-Month Discount on Medical Home Resource

Simple Steps to a Patient Registry: Ticket to Care Coordination, Quality Reporting and Pay for Performance

The patient registry is a cornerstone of the patient-centered medical home (PCMH) and practically a prerequisite for participation in quality measurement and pay-for-performance programs. This 25-page report illustrates how even the solo practitioner can simply and inexpensively implement a population-based registry that provides actionable information on patient needs. The patient registry helps to guide the entire care team in the management of chronic illness and preventive care and has been shown to decrease per-member costs and reduce hospital admissions.

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Contact HIN:
Editor: Patricia Donovan,;
Sales & Marketing Coordinator: Deirdre McGuinness,;
Publisher: Melanie Matthews,;

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