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Patient Centered Medical Care

The patient centered medical care model encompasses several programs, all focused on coordinating medical care and improving outcomes. For years Quatris Health and GE Healthcare have served as a necessary partner to many of these facilities, providing a strong base of support and the clinical tools to help streamline care delivery.

Each of our four service lines – sales, service, support, and cloud – collaborate to ensure our eligible providers receive program recognition.

Patient Centered Medical Home (PCMH)
The National Committee for Quality Assurance (NCQA) has pre-validated Centricity Practice Solution versions 11 and 12 for use in Patient Centered Medical Homes (PCMH). The highly collaborative, accountable, and flexible solution seamlessly fits the mission of the NCQA: “to improve the quality of healthcare through measurement, transparency and accountability.” With the implementation of CPS, eligible primary care providers receive autocredit towards their application for PCMH status. At Quatris Health, we appreciate the benefits of this care model for our providers and their patients.

See how Ammonoosuc Community Health Services is delivering award-winning care and achieving Level 3 recognition as a patient-centered medical home.

Ammonoosuc Case Study-PCMH

What is a PCMH?
NCQA description:  “A patient-centered medical home is a model of care that strengthens the physician-patient relationship by replacing episodic care with coordinated care and a long-term healing relationship. Each patient has an ongoing relationship with a personal physician who leads a team at a single location that takes collective responsibility for patient care, providing for the patient’s healthcare needs and arranging for appropriate care with other qualified clinicians. The medical home is intended to result in more personalized, coordinated, effective and efficient {patient} care.

“A medical home achieves these goals through a high level of accessibility, providing excellent communication among patients, physicians and staff and taking full advantage of the latest information technology to prescribe, communicate, track test results, obtain clinical support information and monitor performance.”

What are the key organizational attributes of a PCMH?

  • Patient-centered focus
  • Collaborative care team
  • Data-driven care model
  • Continuous improvement

What are the key elements of Centricity Practice Solution that are helpful to a PCMH?

  • Tools to increase patient access and engagement
  • Care collaboration tools
  • Reporting on patient population data
  • Customizable workflow and templates

Additional Resources:
http://www.ncqa.org/Portals/0/Public%20Policy/HIMSS_NCQA_PCMH_Factsheet.pdf
Free training from NCQA: http://www.ncqa.org/tabid/109/Default.aspx under section “Patient-Centered Medical Home”

OTHER PATIENT CENTERED MEDICAL CARE PROGRAMS
Patient Centered Specialty Practice (PCSP)
NCQA has extended medical home concepts to specialists: NCQA Patient-Centered Specialty Practice Recognition. Now, specialty practices committed to access, communication and care coordination can earn accolades as the “neighbors” that surround and inform the medical home and colleagues in primary care.

Practices that become recognized will demonstrate patient-centered care and clinical quality through: streamlined referral processes and care coordination with referring clinicians, timely patient and caregiver-focused care management and continuous clinical quality improvement.

School-Based Medical Home (SBMH)
The NCQA School-Based Medical Home (SBMH) Recognition for SBHCs is built on the patient-centered medical home (PCMH) model, which puts patients first. It emphasizes team-based care, effective communication and coordination and helps foster relationships between patients and their clinical care teams. The School-Based Medical Home (SBMH) recognition program is a hybrid model that evaluates the performance of school-based health centers. It provides episodic care for students with urgent or emergent needs and collaborative care for both the students and the surrounding community. Centers seeking recognition must complete a PCMH application and be evaluated on a subset of requirements for school-based health centers.

Patricia Barrett, Vice President of NCQA Product Design and Support says, “The School-Based Medical Home Program ensures high quality, coordinated school-based care for underserved children and adolescents who may have no other source of health care.”  Ms. Barrett went on to say, “We are proud of this new recognition program that provides the best standards of practice for our nation’s youth in their schools, where they spend so much of their time.”

What is NCQA Recognition? NCQA Recognition programs are developed from evidence-based concepts, competencies and criteria. These programs distinguish clinicians, practices and care entities that follow medical evidence to deliver quality care and improve over time. Payers, medical specialty boards and others use NCQA Recognition to identify providers that excel in providing high-quality, patient-centered care.

For more information, please contact us at 817-282-0300 or email info@quatris.com.