Advocacy and policy news for internists
Patient Centered Medical Home Comes of Age
Patient-centered primary care collaborative summit grows in size and significance
The Patient Centered Medical Home (PCMH) clearly is not in the shallow end anymore. The PCMH's team-based patient care model is attracting interest because it places the patient -- and their relationship with a primary care physician -- at the center of care.
The PCMH model calls for a personal physician to provide continuous and coordinated care throughout a patient's lifetime. As envisioned by ACP and other advocates for the PCMH, the PCMH model will be supported by new payment methods to provide higher reimbursements for care provided and coordinated by internists and other primary care physicians. Also, the PCMH will help practices acquire the tools and information systems needed to manage care effectively. Key attributes of a PCMH were described in joint principles developed in 2007 by the ACP, the American Academy of Family Physicians, and the American Osteopathic Association.
The PCMH model of health care delivery has now become a relevant part of the current health reform debate and is being strongly supported by the Patient-Centered Primary Care Collaborative (PCPCC). The PCPCC is a coalition of over 250 employers, consumer advocacy organizations, health plans, and physician advocates (including ACP) that have joined forces to advocate for primary care and the PMCH. The PCPCC has progressed since its first summit meeting a year ago, which focused much of its attention on "What is the PCMH?"
"Now the talk is about how we're going to roll it out," noted Paul Grundy, MD, MPH, chairman of the Patient-Centered Primary Care Collaborative and director of Healthcare Technology and Strategic Initiatives, IBM. "Today, I can respond to doubters with suggestions that they talk to particular individuals about their specific research into the model."
Dr. Grundy spoke last Friday at Healthy Momentum: The Patient-Centered Medical Home Summit, convened by the PCPCC. Nearly 450 health care professionals, administrators and policy makers came to Washington to learn more about the PCPCC effort to implement the PCMH model. Attendees reviewed a report from a PCPCC Work Group on Multi-player Demonstrations, co-chaired by ACP, which describes dozens of projects across the U.S. to roll out and evaluate the impact of the PCMH on quality, cost, and patient and physician satisfaction.
Attendees also learned that the PCMH has strong support among voters. More than 75 percent of the respondents to a Harris Interactive study conducted five weeks ago and released at the Summit said they would increase their support for the next president's health care reform plan if it includes a patient-centered medical home. Advisors from Senators McCain and Obama told the summit attendees that their candidates supported efforts to improve care coordination such as the PMCH.
ACP is an original founding member of the PCPPC and continues to serve on its Executive Committee. Through its leadership in the PCPCC, ACP is able to influence the decisions of the nation's largest employer and consumer advocacy organizations to improve the way general internal medicine and other primary care physician specialties are valued, financed, and reimbursed in the U.S.
October 22, 2008
|»||Heading to ACP's Internal Medicine 2017 Meeting? Check out Health Policy courses |
On Fri. Mar. 31, Examining the Rise in Prescription Drug Pricing and Costs (9:30am-10:30, Rm 1).
On Sat. Apr. 1, 60 Minutes: Special Report on Hot Issues in Health Policy (9:30am-10:30, Rm 8), Climate Change: The Health Perspective (4:00pm-5:00, Rm 2).
|»||Heading to ACP's Internal Medicine 2017 Meeting? Check out Medical Practice Management courses |
On Thur. Mar. 30: Patients before Paperwork: What Can Be Done to Ease Administrative Burdens on Physicians and Their Patients? (8:15am-9:15, Rm 2), ACP's Dragon's Lair: Breathing Fire into Health Care Transformation (11:15am-12:45, Rm 14), Implementing Revenue-Positive and Time-Saving Adult Immunization in Your Practice (11:15 am-12:45, Rm 1), Hospital Inpatient Coding: Thinking inside the Box (2:15 pm-3:45, Rm 7), Opportunities for Subspecialists: Navigating Alternative Payment Models under MACRA (4:30pm-5:30, Rm 8),
On Fri. Mar. 31: There Is No Place like Home: Why Patient-Centered Medical Homes and PCMH Specialty Practices Are Here to Stay (7:00am-8:00, Rm 7), Promise and Peril of Value-Based Payment: What Will You Be Measured On—and Will You Measure Up? (11:15am-12:45, Rm 8), More News You Can Use: Current Best Practice Advice (11:15 am-12:45, Rm 20A), MIPS Reporting: Managing the Health IT Challenges (11:15am-12:45, Rm 7), New Physician/Provider Boot Camp (11:15am-12:45, Rm 2), Outpatient Coding: Do It Right and Get Paid for What You Do (2:15pm-3:45, Rm 1), iPatient/Electronic Health Records (2:15pm-3:45, Rm 7), What May Change Your Practice Tomorrow: Hot Topics in Medical Informatics (4:30pm-5:30, Rm 2),
On Sat. Apr. 1: C. Wesley Eisele Lecture: The Good, the Bad, and the Ugly: Physicians in the Digital Age (8:15am-9:15, Rm 7), Team-Based Care: Interprofessional Practice Innovations in Primary Care (11:15am-12:45, Rm 1), Billing and Coding: What You Didn’t Learn in Residency, and Why It Matters (11:15am-12:45, Rm 8), MIPS or APM: Making the Most of Medicare Payment (11:15am-12:45, Rm 7).
|»||Heading to ACP's Internal Medicine 2017 Meeting? Check out Health Information Technology courses |
On Thur. Mar. 30: Looking Towards 2020: New Care Delivery Models Enabled by Existing and Near Future Technology (11:15am-12:45, Rm 7),
On Fri. Mar. 31: Beyond the Hype and into the Real World: Making Mobile Health (mHealth) Matter for Your Practice (8:15am-9:15, Rm. 7), MIPS Reporting: Managing the Health IT Challenges (11:15am-12:45, Rm 7), iPatient/Electronic Health Records (2:15pm-3:45, Rm 7), What May Change Your Practice Tomorrow: Hot Topics in Medical Informatics (4:30pm-5:30, Rm 2),
On Sat. Apr. 1: C. Wesley Eisele Lecture: The Good, the Bad, and the Ugly: Physicians in the Digital Age (8:15am-9:15, Rm 7), Blogging and Social Media in Health Care (8:15am-9:15, Rm 2), Telemedicine Use in Providing Quality Care (9:30am-10:30, Rm 7), What Physicians Really Need from EHRs to Be Successful in a Value-Based World (2:15pm-3:45, Rm 7), Wearables, Smartphones, Trackers—Oh My: The New Age of Patient Technologies (4:00pm-5:00, Rm 8).
|»||ACP Applauds Court Decision Overturning Ban on Physicians Counseling Patients on Gun Safety |
On February 16, following legal efforts taken by ACP members in Florida, the United States Circuit Court of Appeals for the 11th Circuit overturned Florida state law preventing physicians from counseling patients on firearm safety and violence. ACP has long recommended that physicians ask about gun ownership as a normal part of screening patients. Read more about the case and ACP's involvement in the March 10 issue of The Advocate.