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Today's Patient-Centered Medical Home Care Team

Posted by Matthew Smith on Aug 22, 2014 3:32:00 PM

Patient Centered Medical Home, PCMHThe Patient Centered Medical Home (PCMH) is a model of primary care delivery designed to strengthen the patient-clinician relationship by replacing episodic care with coordinated care and a long‐term healing relationship. It can lower costs of care through its focus on patient self-management and engagement, rather than only disease treatment.

PCMH encourages teamwork and coordination among clinicians and support staff to give patients' better access to care and to take a greater role in making care decisions. Key PCMH components include understanding patients’ preferences and culture, shared decision making between patient and clinician, and patients’ willingness to establish and work toward personal health goals. 

The following chart by Healthcare Intelligence Network spells out who is on today's Patient-Centered Medical Home care team.

Healthcare Intelligence Network - Who's on the Patient-Centered Medical Home Care Team?

Topics: patient centered medical homes, PCMH, Patient Centered Medical Home, Coordinated Care

What is the Difference Between a Medical Home and an ACO?

Posted by Matthew Smith on Sep 17, 2012 9:27:00 AM

Patient Centered Medical HomeThe Patient-Centered Medical Home (PCMH) model was proposed by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association in 2007. It is, in essence, an enhanced primary care delivery model that strives to achieve better access, coordination of care, prevention, quality, and safety within the primary care practice, and to create a strong partnership between the patient and primary care physician. Like accountable care organizations, the medical home model is referenced many times in the current Affordable Care Act as one way to improve health outcomes through care coordination.


The Accountable Care Organization is also based around a strong primary care core. But ACOs are comprised of many "medical homes"—in other words, many primary care providers and/or practices that work together. Some have even dubbed ACOs the "medical village." The difference is that ACOs would be accountable for the cost and quality of care both within and outside of the primary care relationship. As such, ACOs must include specialists and hospitals in order to be able to control costs and improve health outcomes across the entire care continuum. ACOs by nature would be larger than a single medical home or physician’s office. There are many known benefits of the ACO structure over the medical home model, including the ability to better manage the care for a greater population of people with a larger budget. Being able to use the dollars across a wider range of patients and conditions allows for better overall cost management, less variation within the population, and the ability to track and trend for quality.

Topics: Accountable Care, ACO, ACA, patient centered medical homes, Accountable Care Organizations

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