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All About the Patient
Centered Medical Home
What it is and making it work.
Confidential and Proprietary
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.
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
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
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
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.
The PCMH…
Confidential and Proprietary http://www.kff.org/insurance/upload/7692_02.pdf
The PCMH…
Confidential and Proprietary
$1000 $1300
$15,000/ mo
$40
$120
The PCMH…
Confidential and Proprietary
$1000
$1300
$15,000/ mo
$40
$120
The PCMH…
Confidential and Proprietary
Team Leadership for Non-Managers
For complete presentation, please contact Väth Consulting
at
www.vathconsulting.com or kyle@vathconsulting.com

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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.
  • 7. The PCMH… Confidential and Proprietary http://www.kff.org/insurance/upload/7692_02.pdf
  • 8. The PCMH… Confidential and Proprietary $1000 $1300 $15,000/ mo $40 $120
  • 9. The PCMH… Confidential and Proprietary $1000 $1300 $15,000/ mo $40 $120
  • 11. Team Leadership for Non-Managers For complete presentation, please contact Väth Consulting at www.vathconsulting.com or kyle@vathconsulting.com