History of Patient-Centered Medical Homes

The medical home is the way that medical care is leaning towards. The quality of care is becoming more important. There are many insurance companies and medical practices that survey their patients to see what they think about the practice or their provider. This information is becoming more important. People have been complaining for years about how they feel like a number. People have also complained about not being able to reach their medical provider. The medical industry is finally listening.

The trends that I see that are necessary is access and care management. The access is important for the patient to be seen by a medical provider and the patient being able to reach their medical provider. The same day appointments and extended hours are important for patients to have access to medical care when they need it. The telehealth is a great option for people that are not able to come into the office . I see this being used by members of the military. The patient portals are helpful with communicating with medical providers electronically. The portals also give patients access to view their medical records. The care management is important because it can help with the costs of medical care. Care management is focused on providing quality care to the patient  and keeping costs as low as possible. The care management looks at the cost of staff, overhead, and the revenue being generated. These things are important in trying to reduce costs while still providing quality care.

Bleser, W. K., Miller-Day, M., Naughton, D., Bricker, P.L., Cronholm, P.F., Gabbay, R. A. (2014). Strategies for achieving whole-practice engagement and buy-in to the patient-centered medical home. The Annals of Family Medicine. 12(1), 37-45.

“The Patient-Centered Medical Home: Frequently Asked Questions (FAQ).” Benefits and Challenges of the Patient-Centered Medical Home | Patient-Centered Primary Care Collaborative, Patient Centered Primary Care Collaborative, 15 Aug. 2018, www.pcpcc.org/about/medical-home/faq.

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Todd Jeffries posted Aug 15, 2018 7:26 PM

Perhaps most importantly, the Patient-Centered Medical Home has shown that no delivery model is one-size-fits-all.” (Long, 2014). I believe there are two trends that will take effect in the future: smart homes and elimination of face-to-face conversations. In the 1990’s most people did not have a cell phone. As of 2030, people will move from basic style living into a smart home. As a healthcare administrator, it's our job to stay ahead of the time; therefore, increase profitability towards the hospital.

As Generation X and Generation Y will become more dominant in the workforce, someone will create a smart home (and an app). This will be more advanced than any Google home or Samsung home devices. The smart home will enable features like security (amount of people coming in and out the home), voice-activated emergency services and sensory warnings (motion, vitals, etc.) from heat given off the human body. This will ultimately give first responders an update on the patient’s condition while in route and upon arrival. A smart home will be able to set reminders for blood pressure medication or diabetes/insulin shots.  In case of a murder, the home will be able to take pictures of anyone who came in and out of the home within a specific timeframe. Elderly patients no longer must wear electronic devices around their neck in case of a fall or injury. They will ask the smart home to contact emergency services and be able to speak with dispatcher right over the smart home Bluetooth device.  

Within a smart home, patients who live in a rural area will now be able to have medical appointments within their own home. Their 6k high definition television will be able to have video conference calls displayed on the tv screen. Instead of patients driving to medical appoints (able to save on pollution, gas, and risk of car accidents) patients will receive care right within their home. Physicians can gather weekly, monthly or semi-annual vitals (per homeowner’s permission) to gather deep analysis of patient history. Patients will receive medication within Amazon’s 2-day medical express service. While other ancillary services like x-ray and laboratory will be schedule home visits along with your primary care plan.

In the future, I believe technology will change the course of people’s lives and daily medicine. The innovation of these technologies will help rural area mothers give birth at home vs in a car, save rural area patients higher deaths than urban patients. Patient-Centered Medical Homes will disintegrate into a home-base service model. Moreover, these are ways to decrease wait times, dissolve the rapid increase of ER visits and increase patient satisfaction.

Long, T. (2014). Patient-centered medical home: The future of healthcare delivery? Postgraduate Medical Journal, 90(1067), 486. doi:http://dx.doi.org.ezproxy.trident.edu:2048/10.1136/postgradmedj-2014-132898

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Talisha Adams posted Aug 13, 2018 1:47 PM

Hello Class,

Patient-Centered Care is defined as the care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. One of the fundamental responsibilities of a healthcare professional is to maintain improved standards of quality within the profession (Howard et al, 2016). The patient-centered medical home, while not a new concept, has evolved to define a model of primary care excellence that is patient-centered, comprehensive, coordinated, accessible, and committed to quality and safety (Patient-Centered Primary Care Collaborative, n.d.). Major milestones for primary care and the medical home’s history show how the concept has evolved over the years to benefit customers in a respectful and dignified environment.  From 1967 to 2013 the advances made have been incredible.

  Notably the first trend I will discuss occurred in 2010 where the Patient Protection and Affordable Care Act (ACA or health care reform law) implementation brought about a new trend of enhancing primary care and medical homes. Through the act the trend of primary care payment increases through Medicare and Medicaid, expansion of insurance coverage, and significant investments in medical home pilots, workforce development and training, prevention and wellness, community health centers, and additional care delivery innovations were born. This trend has since spread throughout the states with each state implementing provisions through this law to better serve their patient-centered medical home future consumers.

The second trend is from the regulatory stand point of the ACA, it is dynamically changing the way health care business is being conducted both on the provider and consumer sides. This trend creates a consumer centric customer based operating model that is totally new to medical care providers. Patient-centered medical homes are evolving and as such I believe in the very near future insurance companies and big business health care providers will be forced to improve their business relations with patient-centered medical homes. These homes now offer a wider array of services than were offered when they first established back in 1967. In addition to the trends discussed improving patient satisfaction and team-based care have to be a priority to all patient-centered medical homes in the future.

Reference

Howard, H. A., Malouin, R., & Callow-Rucker, M. (2016). Care managers and knowledge shift in primary care patient-centered medical home transformation. Human Organization, 75(1), 10-20.