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All About the Patient Centered Medical Home What it is and making it work. Confidential and Proprietary

All About the Patient Centered Medical Home (PCMH)

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Page 1: All About the Patient Centered Medical Home (PCMH)

All About the Patient Centered Medical

HomeWhat it is and making it work.

Confidential and Proprietary

Page 2: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

• Objectives:• Share about the process of obtaining recognition as a Patient-

Centered Medical Home (PCMH)• Discuss the options for PCMH certification.• Discuss the benefits of the process for community health delivery

organizations, and faith-based clinics.

Page 3: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

• Outline:• A little about us…• The Patient-Centered Medical Home Model• The Path to Recognition• Examples of the PCMH in Practice• The Unique Opportunities for Christian Health Ministries and PCMH

Page 4: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

• The PCMH Model:• Core Features:

• Personal Provider• Provider Directed Medical Practice • Whole Person Orientation• Care is Coordinated and/or Integrated• Quality and Safety• Enhanced Access• Payment Reform

Page 5: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

• The PCMH Model:• The Origins of the PCMH Model:

• 1967 - Pediatric Health Homes (AAP)• 1978 - Tenets of MHs (WHO)• 1990 - MH in Literature (IOM)• 2002 - 37 Criteria of MHs (AAP)• 2004 - Chronic Care Model (E. Wagner)• 2010 - PPACA Signed into Law• 2012 - ACA Funding for PCMH/FQHCs

Page 6: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

• The PCMH Model:• PCMH and the ACA:

• Title II Subtitle I• Sec. 2303 – Payment. See Amendment by Reconciliation Act

below• Sec. 2703. State option to provide health homes for enrollees

with chronic conditions.• Sec. 2706. Pediatric Accountable Care Organization

demonstration project.• Title III

• Sec. 3021. Establishment of Center for Medicare and Medicaid Innovation within CMS.

• Title V• Sec. 5301. Training in family medicine, general internal

medicine, general pediatrics, and physician assistantship.• Sec. 5501. Expanding access to primary care services and

general surgery services.• Health Care and Education Reconciliation Act

• Sec. 1202. Payments to primary care physicians.

Page 7: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary http://www.kff.org/insurance/upload/7692_02.pdf

Page 8: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

Page 9: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

Page 10: All About the Patient Centered Medical Home (PCMH)

The PCMH…

Confidential and Proprietary

Page 11: All About the Patient Centered Medical Home (PCMH)

Team Leadership for Non-Managers

For complete presentation, please contact Väth Consulting

at www.vathconsulting.com or [email protected]