Patient-Centered Medical Home is a vision for improve primary care, emphasizing physician-led, prepared, proactive primary care teams providing holistic services to informed, engaged, activated patients and their families. The approach also assumes that primary care physicians will be accountable for quality of care measures and will receive new forms of reimbursement from health plans to acknowledge this expanded role.
In a recent health policy viewpoint article in JAMA, Drs. Don Berwick and Rick Gilfillan noted that, although the CMS Center for Medicare and Medicaid Innovation (CMMI) has done some good during its ten+ years of existence, it has failed to “become the engine that it could be for transforming the nation’s health care finance
This morning, I read about the recently announced next generation version of the CMS Comprehensive Primary Care model, which will require multi-payer participation and will involve up to 5K practices in 20 regions. Sounds interesting. I need to study it in more detail. But based on my initial assessment: I agree with the idea of
First take on new CMS Comprehensive Primary Care Plus model Read More »
During the last 20 years, we have experienced wave after wave of new frameworks for improving health care. Each had its own terminology, ardently promoted and enforced by its zealous advocates. Each had a lifecycle that began with a long incubation period, followed by a period of explosive growth in popularity and influence, rapidly leading
The Humunculus is a metaphor for Clinical Process Improvement Frameworks Read More »
Imagine that you are a new homeowner, shopping for insurance for your new house. You live in an area prone to earthquakes, and you are not a big risk-taker. You decide that you should have earthquake insurance. You are on the web researching earthquake insurance policies. You come across the web site of Acme Insurance,
Identifying and Understanding Analysis Tricks: Regression Toward the Mean Read More »
Here is the original reference to the February, 2007, 3-page consensus document that describes the Joint Principles of the Patient Centered Medical Home. It was created by the four professional societies that are focused on primary care: American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), and American Osteopathic Association (AOA). Very
Reference for Joint Principles of the Patient Centered Medical Home, 2007 Read More »
