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All About the Patient Centered Medical Home (PCMH)
1. All About the Patient
Centered Medical Home
What it is and making it work.
Confidential and Proprietary
2. The PCMH…
Confidential and Proprietary
• Objectives:
• Share about the process of obtaining recognition as a Patient-Centered
Medical Home (PCMH)
• Discuss the options for PCMH certification.
• Discuss the benefits of the process for community health delivery
organizations, and faith-based clinics.
3. The PCMH…
Confidential and Proprietary
• Outline:
• A little about us…
• The Patient-Centered Medical Home Model
• The Path to Recognition
• Examples of the PCMH in Practice
• The Unique Opportunities for Christian Health Ministries and PCMH
4. The PCMH…
Confidential and Proprietary
• The PCMH Model:
• Core Features:
• Personal Provider
• Provider Directed Medical Practice
• Whole Person Orientation
• Care is Coordinated and/or Integrated
• Quality and Safety
• Enhanced Access
• Payment Reform
5. The PCMH…
Confidential and Proprietary
• The PCMH Model:
• The Origins of the PCMH Model:
• 1967 - Pediatric Health Homes (AAP)
• 1978 - Tenets of MHs (WHO)
• 1990 - MH in Literature (IOM)
• 2002 - 37 Criteria of MHs (AAP)
• 2004 - Chronic Care Model (E. Wagner)
• 2010 - PPACA Signed into Law
• 2012 - ACA Funding for PCMH/FQHCs
6. The PCMH…
Confidential and Proprietary
• The PCMH Model:
• PCMH and the ACA:
• Title II Subtitle I
• Sec. 2303 – Payment. See Amendment by Reconciliation Act below
• Sec. 2703. State option to provide health homes for enrollees with
chronic conditions.
• Sec. 2706. Pediatric Accountable Care Organization demonstration
project.
• Title III
• Sec. 3021. Establishment of Center for Medicare and Medicaid
Innovation within CMS.
• Title V
• Sec. 5301. Training in family medicine, general internal medicine,
general pediatrics, and physician assistantship.
• Sec. 5501. Expanding access to primary care services and general
surgery services.
• Health Care and Education Reconciliation Act
• Sec. 1202. Payments to primary care physicians.