Overview The Primary Care Development Corporation概述了初级卫生保健发展有限公司.pptVIP

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Overview The Primary Care Development Corporation概述了初级卫生保健发展有限公司.ppt

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Overview The Primary Care Development Corporation概述了初级卫生保健发展有限公司

* * Primary: Preventing the onset of illness Secondary: Early identification and intervention Tertiary: Preventing complications and maintaining the highest level of functioning DOHMH example? * * * * Foster’s definition of Medical Home Chronic care model Electronic health records and exchange of clinical information Team care Population health management Responsibility for health outcomes Monitoring and measurement Active role of patient/family – patient ‘engagement’ Commonwealth Disparities Barebones Definition have a regular provider or place of care, are able to contact a provider by phone, are able to get advice or medical care on weekends or evenings, and have office visits that are well organized and efficiently run. All that is old is new and vice versa Remember community-oriented primary care (circa 1970?); the guiding concept behind CHCs? Formalization of the Patient-Centered Medical Home Agreement on principles by major professional associations NCQA development of standards and measures; recognition system Growth of a medical home movement Endorsement by 18 professional associations Pilots: 27 pilots; 14 Medicaid; Medicare pilots Patient-Centered Primary Care Collaboration () * * * * * * What We Do (Reducing Cycle Time) Work with leaders to establish goals and select a change team. Train and coach team to measure baseline cycle time, track and map current patient visit flow Teach/share change concepts and principles for redesign, including Bring services to the patient, 2 exam rooms per provider Organize care teams with adequate provider support; leverage provider time Plan and prepare for the day (e.g., huddles, supplies, equipment) On-time performance Real-time communication Do today’s work today Support the Change Team in developing, testing, and refining new patient visit flow over 6-8 week period; spreading to full clinic (2 to 4 weeks); anchoring for sustainability (3 months) What we do: (Appointment Availability) Focus on continuity;