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The Patient-Centered Medical Home and Health 2.0 Beyond the Bricks

Roadmap PCMH

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The Patient-Centered Medical Home and Health 2.0 Beyond the Bricks

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    1. The Patient-Centered Medical Home and Health 2.0 Beyond the Bricks Jane Sarasohn-Kahn, MA, MHSA THINK-Health and Health Populi blog AHRQ 2009 Conference, Bethesda, MD September 15, 2009

    2. Roadmap – PCMH & Health 2.0 Beyond the Bricks Setting the context: What are PCMH and H2.0? What’s driving them? Where are we ‘today?’ A view from Dr. Jason Mitchell, AAFP A view from Dr. Michael Barr, ACP Reactions from the panelists Questions, answers, prospects for moving Beyond the Bricks

    3. Total U.S. Health Spending in 2007 = $2.2 trillion

    5. “It Stresses Me Out Too Much To Think About Health Care and Costs”

    6. Why We Don’t Get Preventive Care in the U.S.

    7. Americans’ Health-Responses to the Economic Downturn August 2009 In the past 12 months, have you or another family member living in your household…because of the COST? 7

    8. The Patient-Centered Medical Home Definitions “An approach to providing comprehensive primary care that facilitates partnerships between individual patients, their personal physicians, and the patient’s family” It started with kids in 1967: first introduced by American Academy of Pediatrics in 1967, expanded in 1992 and 2002.

    9. The Patient-Centered Medical Home Drivers Enhance access Build on consumer-driven health and patient satisfaction Activate patient engagement and whole-person care Rationalize and coordinate health care processes and utilization Improve outcomes.

    10. Health 2.0 Definitions "The use of social software and IT-based tools to promote collaboration between patients, their caregivers, medical professionals, and other stakeholders in health.”1 "New concept of health care wherein all the constituents (patients, physicians, providers, and payers) focus on health care value (outcomes/price) and use competition at the medical condition level over the full cycle of care as the catalyst for improving the safety, efficiency, and quality of health care.”2

    11. Health 2.0 Drivers Ubiquitous Internet connectivity among health citizens Universal adoption of mobile phones and ? use of smart phones > access to health information online > social networking online overall; health has followed other consumer verticals > consumer-directed care: >OOP costs drive engagement > “DIY” care (esp. in recession – remember KFF tracking poll data).

    13. The promise of moving beyond the institution for health care Achieving optimal health outcomes is a team sport; patient as engaged player Enabling technologies are in place: broadband, mobile (mHealth), Internet Local markets forging ahead…pioneers… Innovating payment: Kaiser, Geisinger, etc. Innovating care delivery: Center for Connected Health Cleveland Clinic The emergence of participatory health care… Let’s listen…

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