patient centered medical home projects and pilots from vision to reality
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Patient Centered Medical Home Projects and Pilots From Vision to Reality. Terry McGeeney MD, MBA President and CEO, TransforMED. Access to Care & Information Health care for all Same-day appointments After-hours access coverage Accessible patient and lab information - PowerPoint PPT PresentationTRANSCRIPT
Patient Centered Medical HomeProjects and Pilots
From Vision to Reality
Terry McGeeney MD, MBAPresident and CEO, TransforMED
Access to Care & Information• Health care for all• Same-day appointments• After-hours access coverage• Accessible patient and lab
information• Online patient services• Electronic visits• Group visits
Practice Management• Disciplined financial management• Cost-Benefit decision-making• Revenue enhancement• Optimized coding & billing• Personnel/HR management• Facilities management• Optimized office design/redesign• Change management
Practice-Based Services
• Comprehensive care
for both acute and chronic conditions
• Prevention screening and services
• Surgical procedures
• Ancillary therapeutic & support
services
• Ancillary diagnostic services
Care Management
• Population management
• Wellness promotion
• Disease prevention
• Chronic disease management
• Patient engagement and
education
• Leverages automated
technologies
Care Coordination• Community-based services• Collaborative relationships Emergency room Hospital care Behavioral health care Maternity care Specialist care Pharmacy Physical Therapy Case Management
• Care transition
Practice-Based Care Team
• Provider leadership
• Shared mission and vision
• Effective communication
• Task designation by skill set
• Nurse Practitioner / Physician
Assistant
• Patient participation
• Family involvement options
Quality and Safety• Evidence-based best practices• Medication management• Patient satisfaction feedback• Clinical outcomes analysis• Quality improvement• Risk management• Regulatory compliance
Health Information Technology• Electronic medical record• Electronic orders and reporting• Electronic prescribing• Evidence-based decision
support• Population management
registry• Practice Web site • Patient portal
2009 TransforMED
Why Patient Centered Medical Home
The Patient Centered Medical Home creates a framework for change
The Patient Centered Medical Home creates a common language for change
The Patient Centered Medical Home creates an opportunity for change
2009 TransforMED
Virtual evaluation to include “Medical Homeness” with the MHIQ (Medical Home Implementation Quotient, Leadership assessment, Change Readiness assessment, Health Information Technology assessment
Site visit by evaluation team Detailed report with PCMH gap analysis Unique practice project list and timeline developed in
conjunction with the practice
Practice Evaluation
2009 TransforMED
www.transformed.com/mhiq
2009 TransforMED
The majority of the pilots In-person facilitation includes at least quarterly visits to
practice by facilitator and appropriate experts Facilitator is assigned for the term of a pilot/project—
typically 2 years Facilitators are all experienced with at least 10 years of
experience with varied skill sets—PhD’s in change/leadership, Nurse Practitioners, MBA’s, lean six sigma’s, etc (important for credibility with the practices
In-Person Practice Facilitation
2009 TransforMED
Virtual assessment component Designated facilitator for the term of the pilot/project Weekly or Bi-weekly calls or video conferencing with
providers and staff on separate calls Aggressive on-line support Practice Management is a critical component Delta-Exchange participation with private zones for
pilots
Virtual and in-person facilitation
2009 TransforMED
Immediately connect with practices and maintain the change momentum
Access to useful PCMH resources: ”best-practices,” forms and templates, live webinars and how-to-articles
Ask questions and get useful answers from TranforMED Facilitators and Delta-Exchange Members
2009 TransforMED
Shared learning is a critical success factor Meetings are a combination of teaching, break-out
sessions and shared learning Adequate time for networking and celebration of
successes Visiting “faculty” to tell their stories Typically from 2 to 4 per year (virtual facilitation
generally involves more collaborative meetings)
Collaborative Meetings
2009 TransforMED
It is important to document milestones The role of recognition should be to document
transformation, not drive transformation Most pilots use NCQA Practice recognition is generally driven by payment
incentives
Practice Recognition
2009 TransforMED
