PCMH Model: Patient Centered Medical Home Model
comparative Essay
707 words
Patient Centered Medical Home Model While looking at patient centered medical home (PCMH) it is important to understand the value of the model and why it has been the center of the health care community for some time. Research indicates that the United States statistically spends more capital per gross product than any other country, yet the often fails to meet quality standards and is by far less efficient. Therefore there has been a push to organize primary care in a way that models high quality care while meeting the full range of the patient care and their needs. At the core of PCMH holistic care. Holistic care is care that is focused on the whole person. This form of care coordinates health care all elements of the person, not just …show more content…
“Such coordination is particularly critical during transitions between sites of care, such as when patients are being discharged from the hospital. Medical home practices also excel at building clear and open communication among patients and families, the medical home, and members of the broader care team,” (U.S. Department of Health & Human Services, 2016). The moment care is being coordinated within teams the accessibility then becomes a key component of the PCMH model. Under accessibility services in the PCMH model there is a shorter wait times when patients have urgent needs. Third party pay organizations are involved in area of the model and often provide around the clock telephone access, or electronic such as email to clinicians. Access is created in response to the preference of the …show more content…
As the Center for Medicare Service (CMS) look at utilizing the templates outlined for Accountable Care Organizations (ACOs) the health care system is seeing more of the PCMH model is being widely implemented. In order for the PCMH model to enhance the quality of patients, physicians, advanced practice nurses, physician assistants, nurses, pharmacists, nutritionists, social workers, educators, pastoral clergymen, and care coordinators remember quality is the result of the sincere effort that with the skillful execution is not an accident and it represents a cascade of wise choices. “PCMH is a conceptually sound approach to organizing patient care and appears to hold promise, especially for improving the experiences of patients and staff involved in the health care system,” (Jackson et al.,
In this essay, the author
- Explains the value of the patient centered medical home model and why it has been the center of health care community for some time.
- Explains that holistic care is care that is focused on the whole person. it coordinates health care all elements of the person, not just preoccupied with the illness.
- Explains that a patient centered medical home model accomplishes the whole patient-centered care by utilizing team-based care that was first modelled in 1967.
- Explains the value of the patient centered medical home model and why it has been the center of health care community for some time.
- Explains that holistic care is care that is focused on the whole person. it coordinates health care all elements of the person, not just preoccupied with the illness.
- Explains that a patient centered medical home model accomplishes the whole patient-centered care by utilizing team-based care that was first modelled in 1967.
- Explains that coordination is critical during transitions between sites of care, such as when patients are being discharged from the hospital. medical home practices excel at building clear and open communication among patients and families.
- Explains that accessibility is a key component of the pcmh model. third party pay organizations provide around the clock telephone or electronic access to clinicians.
- Explains that primary care medical home models have a dutiful commitment to improvement the quality of care. the model utilizes research and encourages evidence-based practices.
- Concludes that the affordable care act includes key principles that align with the concepts of the pcmh model.
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1415 wordsRead More - PCMH Case Studyexplanatory essayThe United States is in a constant state of healthcare reform at this time. With this reform comes the need for change. Patient Centered Medical Home (PCMH) is a new healthcare system for providing care to given populations. As the healthcare reform is in full swing at this time we will briefly review a patient population that is benefited by PCMH, what conditions are followed by PCMHs, who pays for the services provided, what type of insurance are included by PCMHs, what providers are in the PCMHs, how the providers paid in the PCMH system, and the results of the current progress of the PCMH.
In this essay, the author
- Explains that the united states is in a constant state of healthcare reform at this time. patient centered medical home (pcmh) provides care to given populations.
- Explains that pamh is designed to provide care to their patients from birth to death in all areas of care. this includes a comprehensive healthcare team with the primary care providers and the rest of the provider and healthcare staff.
- Explains that the payers can vary greatly from plan to plan, but include fee for services in all areas of care provided.
- Explains that the united states is in a constant state of healthcare reform at this time. patient centered medical home (pcmh) provides care to given populations.
- Explains that pamh is designed to provide care to their patients from birth to death in all areas of care. this includes a comprehensive healthcare team with the primary care providers and the rest of the provider and healthcare staff.
- Explains that the payers can vary greatly from plan to plan, but include fee for services in all areas of care provided.
- Explains that medicaid, medicare, and medicare part b and chip plans cover the care in the pcmh. only people with government or state funded healthcare insurance qualify for the plans.
- Explains the participating providers that started the pcmh care in illinois in 2009 were quality quest, osf healthcare, peoria health department, health alliance, acp, heartland community clinic, and caterpillar.
- Explains the use of fee-for-services coding for the care provided in the pcmh.
- Explains that illinois health connect saved the state of il approximately $531 million between 2007 and 2010, leading to the smart act, which required 50% of medicaid participants to be in a health care coordination team by 2015.
- Explains how pcmh systems progress, how providers are paid, what types of insurance offer, who pays for the services provided, and what conditions are followed. the united states is currently in a period of health care reform.
1186 wordsRead More - Advantages Of Patient Centered Medical Homeargumentative essayTheir conclusion was that improving primary care is the pillar to achieving the triple aim outcomes. The PCMH is an up-and-coming innovation, and the model is quickly growing. Stronger evaluations are needed to provide more information on how to clarify and target the model to establish that the ample efforts of practices needed to adopt the model are most effective. (Peikes D, Zutshi A, Genevro J, Smith K, Parchman M, Meyers D.
In this essay, the author
- Explains that the patient-centered medical home (pcmh) is a model of primary care, where patients are treated with respect, compassion, and trusting relationships with providers and staff.
- Explains that there has been controversy on whether or not the patient-centered medical home is effective in improving patient care.
- Concludes that improving primary care is the pillar to achieving the triple aim outcomes. stronger evaluations are needed to clarify and target the model.
- Explains that the patient-centered medical home (pcmh) is a model of primary care, where patients are treated with respect, compassion, and trusting relationships with providers and staff.
- Explains that there has been controversy on whether or not the patient-centered medical home is effective in improving patient care.
- Concludes that improving primary care is the pillar to achieving the triple aim outcomes. stronger evaluations are needed to clarify and target the model.
- Explains that they tested the philosophy of the patient centered medical home model by reviewing data of 70007 children without special needs. they used logistic regression for complex sample surveys to model each result with the medical home.
- Concludes that their study provided evidence that the medical home is beneficial to health care utilization, child health, and health-promoting behavior outcomes in children without special needs.
- Analyzes rosenthal's article, the medical home: growing evidence to support a new approach to primary care.
- Explains that team-directed medical practice is also considered a medical home principle in this article.
- Explains that whole-person orientation is the personal physician or provider upholds responsibility for all of the patient’s health care needs and organizes care with other professionals. clinical excellence is augmented by information technology into medical practice.
- Opines that evidence-based medicine and decision-making support tools should be put into practice and technology for information that has potential to support patient care, performance measurement, patient education, and communication.
- Concludes that patient-centered medical home and diabetes are being used nationwide. the shift toward a pcmh and its practice differs among the different demonstration projects.
- Opines that the evidence provided by these articles proves the pcmh model indeed improves patient care, as well as reducing errors, and increasing satisfaction.
1059 wordsRead More - Accountable Care Organizations: A Case Studyexplanatory essayAccountable Care Organizations (ACOs) are groups of doctors, hospitals, and other healthcare providers, who come together to coordinated in order to provide high-quality care to Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, received the efficient, effective quality of care, and also avoiding unnecessary duplication of services and preventing medical errors. Moreover, while aiming to improve the quality of care and patient outcomes and lowering costs.
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- Explains that accountable care organizations (acos) are groups of doctors, hospitals, and other healthcare providers, who come together to provide high-quality care to medicare patients.
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- Explains the medicare shared saving program, a program that helps medicare fee-for-service program providers become an aco.
- Describes the advance payment aco model as a supplementary incentive program for selected participants in the shared saving program.
- Explains that the pioneer aco model is designed for health care organizations and providers that are already experienced in coordinating care for patients across care setting.
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- Opines that health information technology (hit) infrastructure needs to be fixed in order for acos to reach their full potential.
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- Opines that health information technology (hit) infrastructure needs to be fixed in order for acos to reach their full potential.
- Explains the benefits of acos for patients, providers, and stakeholders. medicaid and medicare have financial incentives to partner with healthcare organizations to deliver better outcomes at lower costs.
- Explains that accountable care organizations (acos) are a practical response to triple aim initiatives to provide quality, equitable and affordable health care.
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In this essay, the author
- Explains that as health care professionals we strive to provide the best care that we can daily, but what drives the care we give?
- Describes evidence-based care as care that is based on scientific knowledge obtained through research, so that the health care team optimizes their entire panel of patients, with the most up to date practice.
- Explains that evidence-based management uses research evidence and applies it to managerial strategies to improve the performance of health care organizations.
- Explains that as health care professionals we strive to provide the best care that we can daily, but what drives the care we give?
- Describes evidence-based care as care that is based on scientific knowledge obtained through research, so that the health care team optimizes their entire panel of patients, with the most up to date practice.
- Explains that evidence-based management uses research evidence and applies it to managerial strategies to improve the performance of health care organizations.
- Explains that innovative care delivery models are generally nursing driven, or they are interdisciplinary care delivery models that carry a heavy nursing component and in an acute care setting, including transitional care to home setting.
- Opines that patient centered care is at the center of our health care goals. evidence based practice needs to begin in the managerial position and trickle down to staff.
721 wordsRead More - Patient Centered Care (PCC)opinion essayThe PCC is a promising model that aims to strengthen the health care system. Leaders and other health care providers should work together to improve the involvement of patients, families and the caregivers in this health care system. Hence it provides a chance to the patient to involve in their own care, increasing the quality of life, clinical outcomes and patients’ satisfaction while reducing the health care costs. This enabled PCC to become a major goal for many HCO’s.
In this essay, the author
- Argues that the largest yet most neglected health care personnel is the patient. the phrase ‘patient centered care’ is in vogue, but its meaning is poorly understood.
- Opines that the pcc is a promising model that aims to strengthen the health care system.
- Opines that pcc falls short of achieving its importance in nation's health care. health care providers have a duty to help patients in formal and informal evidence-based decision making.
- Argues that the largest yet most neglected health care personnel is the patient. the phrase ‘patient centered care’ is in vogue, but its meaning is poorly understood.
- Opines that the pcc is a promising model that aims to strengthen the health care system.
- Opines that pcc falls short of achieving its importance in nation's health care. health care providers have a duty to help patients in formal and informal evidence-based decision making.
- Opines that leaders should ensure the best physical environment in which the care is provided. they should provide a vast variety of supporting technology like health care information technology (hit), email conversations, portal web facilities.
- Argues that hcos should monitor and measure their performance to guarantee the best quality relationship between physician and patient.
507 wordsRead More - The PCMH Modelexplanatory essayIt will also have the opportunity to increase the patient satisfaction within the PCMH model. Most members whose health is managed through this system report a greater satisfaction. The PCMH model would allow the practice to have the most recent technology that will allow the patient to get the best care and allow for little to no gaps in their health care (Adamson, 2011). I would continue to provide administrative support for the practice and coordinate the other non- clinical departments to help ensure that both the non -clinical and clinical sides run
In this essay, the author
- Explains that in the pcmh model, the care coordinator manages on the patient's behalf, specialists, labs, and pharmacists to devise a more efficient approach to treatment.
- Opines that providers' motivation to embrace pcmh is influenced by their perception of the environment and the control they believe they have. having policies in place that can create a path can make it easy for providers to accomplish the desired changes.
- Explains that some providers are worried about switching to a pcmh model due to its financial returns. they argue that for all the financial changes the practice needs to undertake, the incentives need to be higher.
- Explains that in the pcmh model, the care coordinator manages on the patient's behalf, specialists, labs, and pharmacists to devise a more efficient approach to treatment.
- Opines that providers' motivation to embrace pcmh is influenced by their perception of the environment and the control they believe they have. having policies in place that can create a path can make it easy for providers to accomplish the desired changes.
- Explains that some providers are worried about switching to a pcmh model due to its financial returns. they argue that for all the financial changes the practice needs to undertake, the incentives need to be higher.
- Explains that physicians can outsource aspects of their patient's care and coordinate the health plan together with the patient. the full-range approach for patient care requires the primary healthcare provider and the patients themselves to maintain complete knowledge.
- Opines that the pcmh model will reduce administrative costs by enhancing the cost effectiveness of health care management and increase patient satisfaction.
417 wordsRead More - Patient Centered Careexplanatory essayPatient satisfaction is an important indicator for measuring quality in health care and affects clinical outcomes, patient retention, medical malpractice claims, and efficient patient centered delivery of quality health care. While hospitals’ performance on national patient experience surveys gain greater public attention, and are tied to financial rewards, hospitals are making every effort to enhance the patient experience and delivery of patient centered care. The patient centered care model not only benefits patients to become more empowered and receive better care, but also assist hospitals by improving HCAHPS scores which increase hospital ranking; attain better financial performance; improve patient outcomes; respond
In this essay, the author
- Explains that patient satisfaction is an important indicator for measuring quality in health care and affects clinical outcomes, patient retention, medical malpractice claims, and efficient patient centered delivery of quality healthcare.
- Explains that hospitals are changing business practices to gain patient satisfaction, such as competitive pricing on lab work, procedures, and outpatient treatments.
- Explains that business practices are necessary for an organization and make a great effort to focus on patient-centered care. hospital policies include 24/7 visitation, in-room sleeping accommodations for family, and allow patients to listen and participate in care rounds.
- Explains that patient satisfaction is an important indicator for measuring quality in health care and affects clinical outcomes, patient retention, medical malpractice claims, and efficient patient centered delivery of quality healthcare.
- Explains that hospitals are changing business practices to gain patient satisfaction, such as competitive pricing on lab work, procedures, and outpatient treatments.
- Explains that business practices are necessary for an organization and make a great effort to focus on patient-centered care. hospital policies include 24/7 visitation, in-room sleeping accommodations for family, and allow patients to listen and participate in care rounds.
- Explains that regulatory requirements are established to ensure patient safety, establish basic standards of care, and are administered by state and federal agencies.
- Explains that the pay-for-performance movement and the emphasis on ensuring patient and family satisfaction with the hospital experience have focused attention on the extent of hospital environment is patient-centered.
943 wordsRead More - Patient-Centered Care Essayopinion essayPatient-centered primary care is beginning to form the cornerstone of quality health care, although there remains to be a separation from ideal patient care and the reality of the situation. Health care services that are focused on the specific needs of each individual are an important step forward to making an improvement in overall health outcomes and patient satisfaction with health services.
In this essay, the author
- Opines that patient-centered primary care is beginning to form the cornerstone of quality health care, although there remains to be a separation from ideal patient care and the reality of the situation.
- Explains the picker institute's eight8 primary dimensions of patient-centered care, which were created with hospital care in mind, but are equally relevant to primary care services.
- Opines that patients should be able to easily access health care services by making an appointment and consulting with a health professional. this goes beyond the practicing physician and should include the entire primary care team.
- Opines that patient-centered primary care is beginning to form the cornerstone of quality health care, although there remains to be a separation from ideal patient care and the reality of the situation.
- Explains the picker institute's eight8 primary dimensions of patient-centered care, which were created with hospital care in mind, but are equally relevant to primary care services.
- Opines that patients should be able to easily access health care services by making an appointment and consulting with a health professional. this goes beyond the practicing physician and should include the entire primary care team.
- Explains that a "2020 vision" for health care in america includes access to services, patient-centered care, decisions based on scientific evidence, and affordable health insurance for all individuals.
- Explains that the practitioner-patient relationship is complemented by technology guidance and methods of communication. medical records are technology-based and accessible by patient and health professionals from any location to allow continuity of care.
- Opines that the promotion and implementation of patient-centered primary care should be a focus of current practitioners, in the interest of improving overall patient health outcomes.
634 wordsRead More - Team Based Care Modelcomparative essayDue to the dramatic increase in health care cost, health care experts advocates a team based care model in which health providers communicate and work together to meet the needs of patients, especially those with chronic conditions. Traditionally, patients visit multiple specialists, pharmacists, primary care doctors for different health issues. This norm has resulted in creating a complicated communication gap between health providers, as primary caregivers often are clueless to the other conditions or complications the patients have, confusing patients’ ability to follow clinical decisions, hence increasing hospitalization rates. In order to better serve patients’ needs, reduce hospitalization rates and ultimately reduce healthcare cost,
In this essay, the author
- Advocates a team-based care model in which health providers communicate and work together to meet the needs of patients, especially those with chronic conditions.
- Explains that patients with chronic conditions need assistance to carry out the instructions and be empowered to create lifestyle changes in order to be in better control of their health. instead of placing the main focus of patients care management in the hands of physicians, team based care divides the responsibility to educate and improve patients’ health conditions among caregivers.
- Explains the benefits of a team-based care model, such as the communication portal between health providers, ensuring that all team members are aware of all aspects and conditions of the patients.
- Advocates a team-based care model in which health providers communicate and work together to meet the needs of patients, especially those with chronic conditions.
- Explains that patients with chronic conditions need assistance to carry out the instructions and be empowered to create lifestyle changes in order to be in better control of their health. instead of placing the main focus of patients care management in the hands of physicians, team based care divides the responsibility to educate and improve patients’ health conditions among caregivers.
- Explains the benefits of a team-based care model, such as the communication portal between health providers, ensuring that all team members are aware of all aspects and conditions of the patients.
352 wordsRead More - Florence Nightingale Patient Centered Careexplanatory essayFor over a century the improvement of health care has been championed by individuals and groups from Florence Nightingale to The Institute of Medicine (IOM). In the time of Ms. Nightingale, cleanliness and nutrition became the focus of improvement. Now, in the twenty and twenty-first century, the IOM has established guidelines and practices that bring the greatest balance between patient centered care and organized medicine since the early days of reform. Utilizing science to identify practices that produce measurable and quantifiable for the patient, six fundamental values called Aims, were developed to create a safe, effective, accessible healthcare system. Theses Aims state that Health Care must be safe, effective, patient centered,
In this essay, the author
- Explains that the institute of medicine (iom) has established guidelines and practices that bring the greatest balance between patient centered care and organized medicine since the early days of reform.
- Explains that the first aim declares that health care must be safe. bed sores, medication errors, and other harm that befell patients were considered acceptable repercussions of medical care.
- Explains that the second aim states that health care must be effective. it prescribes using science to guide treatment choices and care decisions. effective treatments are well documented making access to information reasonable.
- Explains that the institute of medicine (iom) has established guidelines and practices that bring the greatest balance between patient centered care and organized medicine since the early days of reform.
- Explains that the first aim declares that health care must be safe. bed sores, medication errors, and other harm that befell patients were considered acceptable repercussions of medical care.
- Explains that the second aim states that health care must be effective. it prescribes using science to guide treatment choices and care decisions. effective treatments are well documented making access to information reasonable.
- Explains that the third aim declares that health care must be patient centered. first, honoring the individual, their needs, cultural awareness, and other sensitivities.
347 wordsRead More - Essay On Patient Centered Careexplanatory essayPatient-centered care (PCC) is a health care model focused on actively involving the patient in all aspects of planning, implementation, and monitoring of care. It integrates respect for the patient’s needs, values and beliefs into the healthcare process. Important aspects of PCC are collaborative care, family-centered care, and comfort. PCC allows the patient to have autonomy and encourages active participation in making decisions regarding their treatment.
In this essay, the author
- Explains patient-centered care (pcc) is a health care model focused on actively involving the patient in all aspects of planning, implementation, and monitoring of care.
- Explains that most healthcare settings advocate pcc, but there is often no clear definition. misinterpretation is one of the most prominent barriers to the concept.
- Explains that effective communication with families is a fundamental concept of the pcc model and seeks to educate the patient and their families on treatment, care, and interventions so informed decisions can be made.
- Explains patient-centered care (pcc) is a health care model focused on actively involving the patient in all aspects of planning, implementation, and monitoring of care.
- Explains that most healthcare settings advocate pcc, but there is often no clear definition. misinterpretation is one of the most prominent barriers to the concept.
- Explains that effective communication with families is a fundamental concept of the pcc model and seeks to educate the patient and their families on treatment, care, and interventions so informed decisions can be made.
- Explains that a nurse's primary responsibility is to ease the patient’s discomfort. physical comfort is critical and re-positioning is common to alleviate pain and promote comfort.
- Explains that patient-centered care is the most effective and efficient way to provide optimal care and ensure all patient needs are met.
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