1 / 37

The Patient Centered Medical Home in the Information Age

rod
Download Presentation

The Patient Centered Medical Home in the Information Age

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. The Patient Centered Medical Home in the Information Age STFM NorthEast Region Meeting October 31, 2009 Ted Epperly, M.D. Program Director and CEO, Family Medicine Residency of Idaho – Boise, Idaho Clinical Professor of Family and Community Medicine University of Washington School of Medicine Board Chair American Academy of Family Physicians

    2. Health Care Reform Coverage Cost Insurance Delivery

    3. Five Ages of Civilization

    4. Simple Rules for the 21st Century Health Care System

    5. Simple Rules for the 21st Century Health Care System

    6. America’s Rankings

    7. $2,300,000,000,000

    8. National Health Spending in Billions

    9. Health Spending Everything Else

    16. Rationale for the Benefits of Primary Care for Health Greater Access to Needed Services Better Quality of Care A Greater Focus on Prevention Early Management of Health Problems Cumulative Effect of Primary Care to more Appropriate Care Reducing Unnecessary and Potentially Harmful Specialist Care

    17. Rationale of a Primary Health Care Based System Decreased Morbidity and Mortality More Equitable Distribution of Health in Populations Lower Cost of Care Better Self-Reported Health Primary Care Physicians achieve Better Outcomes than do Specialists at much Lower Costs Increasing the Number of Specialists is Associated with Lower Quality, Increased Cost, Increased Morbidity, and Increased Mortality

    18. “Too many specialists are as dangerous to the quality and quantity of medical care in a community as too few.” - Stanley R. Truman, M.D. President Elect AAGP September 13, 1949

    19. Medicine Work Force

    20. Number of Physicians Per Capita

    21. Which System is More Stable?

    22. Why? Salary Lifestyle Increasing Medical School Debt Perceived Prestige Rising Overhead Unfunded Mandates

    23. The Future of Family Medicine Charge “Develop a strategy to transform and renew the specialty of family practice to meet the needs of people and society in a changing environment.”

    24. New Model of Family Medicine Personal Medical Home Patient-Centered Care Team Approach Elimination of Barriers to Access Advanced Information Systems Redesigned Offices

    25. New Model of Family Medicine (cont’d) Whole-Person Orientation Care Provided within a Community Context Emphasis on Quality and Safety Enhanced Practice Finance Commitment to Provide Family Medicine’s Basket of Services

    26. Joint Principles of the Medical Home (AAFP, ACP, AAP, AOA) Personal Physician Physician Directed Medical Practice Whole Person Orientation Care is Coordinated and Integrated Quality and Safety are Hallmarks Access is Enhanced Payment Reform

    27. Patient Centered Medical Home Place Process

    28. Family Medicine Value Continuity Comprehensiveness Coordination Integration

    29. Family Physician

    30. Payment The current United States health care system fails to deliver comprehensive primary care because of the way primary care is financed. The payment structure will be based on a blended payment model.

    31. Fee-For-Service Fee-for-service payments will continue for face-to-face visits. (Payments for care management services that fall outside of the face-to-face visit, as described below, should not result in a reduction in the payments for face-to-face visits). These payments encourage physicians to remain accessible to patients.

    32. Care Management Fee All levels of Patient Centered Medical Homes will receive payment, through a care management fee. The amount of the fee will increase for each of the levels of designation (1, 2 and 3 based on the NCQA designation).

    33. Pay for Performance A performance-based payment will recognize achievement of quality and efficiency goals through pay for reporting and pay for performance mechanisms.

    34. Family Medicine: Unique Value Proposition Creation of a Medical Home Improved Access Relationships and Continuity Focus on Prevention and Health Promotion Early Management Decreased Morbidity and Mortality More Equitable Distribution of Care Integration and Coordination Better Quality of Care Lower Cost of Care

    35. Family Medicine’s Value

    36. “The only limit to our realization of tomorrow will be our doubts of today, so let us move forward with strong and active faith.” - Franklin D. Roosevelt

    37. “Never, never, never, give up.” - Winston Churchill

More Related