Medical Home Monitor
Medical Home Monitor
June 1, 2009
Vol. II, No. 3

Medical Home Monitor Archives

Medical Home Q&A:
Powering the PCMH
with Health IT

Medical Home Monitor

Q: Which health IT capabilities are essential to the medical home, and which are helpful but not critical?

A: We would love to see every practice have a full-blown interoperable certified EHR at a cost of $50,000 per physician per year, plus another $20,000 per year in ongoing maintenance. Unfortunately, itís not reality, and Iím not quite sure that we really need all of those bells and whistles at the practice to drive value for their patients. There are some minimum requirements that should be in place; chronic disease registries, e-prescribing and secured e-mail communication are critical to making a PCMH happen. I donít believe that the intention is to invest $50,000 to $100,000 for each physician to adopt technology. Itís really not about technology. Itís about the information that you get from technology that enables the practice to deliver value. (George Chedraoui, healthcare leader with IBM and immediate past president of Bridges to Excellence.)

For more medical home metrics and measurements for achieving ROI, please visit:

Five States Funded to Transform Safety Net Clinics into Medical Homes

A national safety net medical home initiative will provide $6 million to help 68 community health centers in five states transform themselves into PCMHs. Health centers in Colorado, Idaho, Massachusetts, Oregon and Pennsylvania will receive training and ongoing support to improve how they deliver care to more than 500,000 patients.

Funded by The Commonwealth Fund and eight co-funders, the initiative is led by Qualis Health, a Seattle-based quality improvement organization. Working closely with the MacColl Institute for Healthcare Innovation, Qualis Health will support health centers' efforts to improve the coordination of information between primary care and specialty care or community providers, use health IT to identify patients with unmet needs and improve care for those with chronic conditions, and systematically obtain feedback from patients for quality improvement.

The goals of the initiative are to transform these health centers and to promote state policies that will ensure that the model is sustained and spread throughout each state. At the end of the initial grant period, all 68 health centers should be recognized as replicable models of excellence.

For more information, please visit:

HealthSounds Podcast: Health IT Tool of Choice

Medical Network One requires its physicians to use population-based patient registries to improve care and prepare for the office and technology transformation required to accommodate the PCMH model. MedNetOne CEO Ewa Matuszewski describes how her health IT tool of choice can be a stepping stone to further implement IT within an organization and how health IT supports the joint principles of the PCMH.

To listen to this complimentary HIN podcast, please visit:

Medical Home Can Reduce Disparities in ER Utilization

Having a medical home can help reduce disparities in ER utilization by children with special healthcare needs, according to Baylor College of Medicine (BCM) researchers. Dr. Jean Raphael, lead author and assistant professor of pediatrics at BCM and other researchers used data from the 2005-2006 National Survey of Children with Special Health Care Needs to analyze racial/ethnic disparities in ER use to determine if having a medical home, as opposed to a "usual source of care," helped reduce these disparities.

The researchers found that children who had just a usual source of care were more likely to visit the ER than those who had a medical home. "With just a usual source of care, you may not have access to integrated healthcare delivery, including appropriate referrals, timely care, interpreter services or culturally sensitive communication with your PCP," said Dr. Raphael. "The medical home serves as your partner, your built-in care, your home base for receiving healthcare."

Racial/ethnic disparities in ER utilization were reduced when children had medical homes as opposed to a usual source of care, said Dr. Raphael. He noted that at least 15 percent of children have special healthcare needs. "These are kids with severe chronic disease ranging from severe asthma to children who need tubes to feed and breathe," said Dr. Raphael. "This group is of particular interest, as they represent a resource-intense and medically fragile population."

For more information, please visit:

HIN Survey of the Month: Healthcare Trends in 2009 - Mid-Year Adjustment

Healthcare organizations are recalibrating business plans, projects and priorities mid-year in response to the recession, pending healthcare reform and high numbers of unemployed, uninsured and underinsured. Find out how the current financial environment is impacting healthcare trends by completing HIN's Survey of the Month on Healthcare Trends in 2009: Mid-Year Adjustment by June 30. Youíll get a free executive summary of the compiled results. Your responses will be kept strictly confidential.

Complete the survey by visiting:

Patient Registries: The Track to Better Quality Healthcare

Besides creating realistic views of clinical practices, patient outcomes, safety and comparative effectiveness, patient registries support evidence development and decision-making and are associated with improved management of chronic illness. Learn how 150 healthcare organizations use registries to identify and track patients with defined diseases or conditions — an essential first step toward health IT implementation.

To download this complimentary white paper, please visit:

Model Medical Homes: Benchmarks and Case Studies — Save 20 percent when you order by June 5

Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care is a landmark publication that provides actionable information on PCMH awareness and adoption levels as well as key benchmarks for organizations to evaluate their progress. This exclusive 65-page report analyzes the responses of more than 220 healthcare organizations to HIN's 2009 Industry Survey on the Patient-Centered Medical Home Model. Supplemented with more than 40 easy-to-follow graphs and tables, this essential resource delivers advice and guidance from leading medical home strategists on key aspects of PCMH implementation as well as case studies on the PCMH adoption experience from Geisinger Health Plan, MetCare, the National Council for Community Behavioral Healthcare, the HealthQuilt Quality Health Record pilot project and others. A comprehensive "For More Information" section rounds out this essential resource.

Use ordering code MHMP to reserve your specially priced copy by June 5 by visiting:

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Publisher: Melanie Matthews,;

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