National Medical Home Recognition and Accreditation Programs: the following national organizations have developed medical home recognition and accreditation programs that have been recognized by payers in different geographic areas. What is the Patient-Centered Medical Home? Guidelines for PCMH Demonstration Projects : In April , the primary care professional societies released a set of guidelines intended to provide direction to demonstration projects in the planning phase and to facilitate more meaningful interpretation and understanding of the "lessons learned" from the different projects.
Learn more about pandemic program and policy changes. Competencies categorize the criteria. Competencies do not offer credit. Knowing and Managing Your Patients: Sets standards for data collection, medication reconciliation, evidence-based clinical decision support and other activities.
Patient-Centered Access and Continuity: Guides practices to provide patients with convenient access to clinical advice and helps ensure continuity of care. The primary care medical home delivers accessible services with shorter waiting times for urgent needs, enhanced in-person hours, around-the-clock telephone or electronic access to a member of the care team, and alternative methods of communication such as email and telephone care. The primary care medical home demonstrates a commitment to quality and quality improvement by ongoing engagement in activities such as using evidence-based medicine and clinical decision-support tools to guide shared decision making with patients and families, engaging in performance measurement and improvement, measuring and responding to patient experiences and patient satisfaction, and practicing population health management.
Sharing robust quality and safety data and improvement activities publicly is also an important marker of a system-level commitment to quality. You can also view a list of foundational articles on the PCMH. This is accomplished through an emphasis on team-based care delivery, a whole-person approach to patient care, collaborative relationships between individuals and their physicians, and the use of evidence-based medicine and clinical decision support tools, Pantely says.
A PCMH typically consists of a variety of primary care providers: primary care physicians, physician assistants, nurse practitioners, social workers, and sometimes midwives. PCMH practices vary in size but are typically larger than non-PCMH practices because of the volume needed to implement the required infrastructure. The primary care team has a central role in ensuring access, coordination and comprehensiveness of patient care. Pantely says PCPs take on larger roles in patient care in exchange for increased revenue.
Additional roles may include making efforts to reduce unnecessary hospital admissions or screening, diagnosing and treating mental health conditions. Implementing the functions of a PCMH by addressing timely access to care, coordination and comprehensiveness, patient engagement, and continuous quality improvement can help achieve these goals. It now recognizes roughly 1 in 5 eligible primary care clinicians, totaling just under 70, individuals.
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