PCMH- joint principles: payment reform - answer✔structure payment models work w/ policy
makers and insurance companies
key functions of PCMH: comprehensive care - answer✔physical and mental health needs (team-
based approach)
key functions of PCMH: patient-centered - answer✔relationship-based health care (patients
and families are core members)
key functions of PCMH: coordinated care - answer✔coordinated care across all aspects of the
larger health care system
key functions of PCMH: accessible services - answer✔24/7
key functions of PCMH: quality and safety - answer✔based on research
how conducted the study that found evidence supporting the effectiveness of the PCMH? -
answer✔Agency for Healthcare Research and Quality (AHRQ)
what did the AHRQ find? - answer✔favorable effects on quality of care/ experience of care
inclusive results on professional experience
cost and service showed limited favorable effects
what are the 4 stages of implementation? - answer✔laying the foundation, building
relationships, changing care delivery, reduction barriers to care
stage 1: laying the foundation - answer✔engaged leadership, quality improvement strategy
stage 2: building relationships - answer✔empanelment, continuous and team-based healing
relationships
Stage 3: Changing Care Delivery - answer✔organized, evidence-based care, patient-centered
interactions
Stage 4 - Reducing Barriers to Care - answer✔enhanced access, care coordination
engaged leadership - answer✔need to allocate resources and make the case for transformation
to staff (have to have a leader in facility-health admin)
quality improvement strategy - answer✔these strategies provide the framework and tools to
plan, organize and monitor improvement
safety net - answer✔where people go when they have nowhere else to go
empanelment - answer✔assigning individual patients to individual primary care provided and
care teams
(see right provider at the right time for the patient)
continuous and team-based healing relationships - answer✔recognizing others as partners in
patient care (ring around the patient)
organized, evidence-based care - answer✔using evidence-based guidelines that are embedded
into daily clinical workflows
had to change care methods if doctors practiced the same way for 20+ years
patient-centered interactions - answer✔patient should take ownership in their health care
decision making, behavior change and self-management
enhanced access - answer✔the commitment to providing patients 24/7 access to their health
care team (have someone always there)
care coordination - answer✔assuming accountability for the patients to reduce fragmentation
and duplication of services
what does the future look like for the PCMH? - answer✔foundational organizational structure
in primary care
importance of iron triangle in PCMH - answer✔contributes to improved quality, increased
access, lower costs
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