Patient Centered Medical Home Model
According to the Center for Medical Home Improvement, when people receive care in a Medical Home:
- Patient and family-centered care is increased;
- Family worry and burden are reduced; and
- Care coordination and chronic condition management lead to:
- Reduced emergency room and hospital use;
- Reduced redundancy in testing, referral and procedures; and
- Increased efficiency and effectiveness.
Coordinated Care views Health Homes as an expansion of the Patient-Centered Medical Home (PCMH) model with increased emphasis on linkages to community and social supports, and the coordination of medical and behavioral health care, in keeping with the needs of members with co-morbid chronic conditions. Coordinated Care encourages network PCPs to become NCQA-recognized PCMHs and Designated Health Home providers through contracts with both preferred networks and individual PCPs.
Coordinated Care is committed to supporting its network providers in achieving recognition as Patient Centered Medical Homes (PCMH) and will promote and facilitate the capacity of primary care practices to function as medical homes by using systematic, patient-centered and coordinated care management processes.
Coordinated Care will actively partner with our providers, with community organizations, and groups representing our members to increase the numbers of providers who are recognized as PCMHs (or committed to becoming recognized) and who achieve the meaningful use of health information technology (HIT).
Coordinated Care has dedicated resources to ensure its providers achieve the highest level of PCMH recognition with a technical support model that will include:
- Readiness survey of contracted providers
- Education on the process of becoming certified
- Resource tools and best practices.
From an information technology perspective, we will be offering several HIT applications for our network providers who are either recognized PCMH’s or are committed to becoming NCQA or Joint Commission accredited medical homes. Our secure Provider Portal offers tools that will help support PCMH accreditation elements. These tools include:
- Online Care Gap Notification
- Member Panel Roster including member detail information
- Trucare Service Plan
- Health Record
- Provider Overview Report
For more information on Patient Centered Medical Home recognition and best practice models visit the following web sites: