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What is Patient Centered Medical Home (PCMH)?


What is Patient Centered Medical Home?

The patient centered medical home (PCMH) is best described as a model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety. It is supported by robust health information technology (health IT), provider payment reform focused on patient outcomes and health system efficiencies, and team-based education and training of the health professions workforce.

Seven Joint Principles of PCMH

Personal Physician, Whole Person Orientation, Care is Coordinated and/or Integrated, Physician Directed Medical Practice, Quality & Safety, Enhanced Access, Appropriate Payment Model

PCMH Solution

Primary care patients living in states that rely more on primary care have: lower Medicare spending, lower utilization rates, better quality of care. In the US, adults with a primary care physician had 33% lower costs of care 19% less likely to die from their conditions than those who received care from a specialist. In the US, an increase of just one primary care physician is associated with 1.44 fewer deaths per 10,000 persons. Primary care physician supply is consistently associated with improved health outcomes for chronic conditions, infant mortality, low birth weight and life expectancy

Why it Works

Patients seek the right care at the right place and time. Coordinated care means less duplicate or unnecessary tests. Better management of chronic disease improves population health. They are less likely to seek care from an ER or delay care. Focus on wellness reduces chronic disease. Cost savings from healthier patients, appropriate use of medicine, less ER, less hospital and less readmits.

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