PHP 0310 Lecture 16: 03-06- Patient Centered Medical Homes
10 Mar 2017
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Document Summary
In expansion states, increase in patients with medicaid in these health centers: medicaid expansion associated with improved quality on 4/8 measures examined, asthma treatment, pap testing, bmi assessment, hypertension control. Patient centered medical homes (pcmhs: what needs to be improved in primary care, access, cost, quality, patient and provider experience. Ehr: quality and safety ensured, evidence-based medicine and clinical decision-support tools guide decision making, physicians engage in performance measurement and improvement activities. It supports patient care, performance measurement, patient education, and enhanced communication: patients and families participate in quality improvement activities at the practice level, enhanced access. Support adoption and use of it for quality improvement. Impact on physician work life: one-on-one vs. team care, participant/leader in team care. Study: pchm associated with modest changes in most utilization measures and provided similar quality compared with ehrs and paper records (5 year follow up) Interpreting mixed results: goal: achieve the triple aim.
