Discuss the payment method for PCMH.

Discuss the payment method for PCMH.

MHA 507 Mod 3 Module 3 SLP Patient Centered Medical HomeMHA 507 Mod 3 submit to CEModule 3 SLPPatient Centered Medical HomeSLP Assignment ExpectationsFor the Module 3 SLP conduct some preliminary research on a Patient Centered Medical Home demonstration/pilot project in your state. The PCMH project can be a demonstration program initiated by your state government or by an insurance company. Write a 4- to 5-page paper answering the following questions:1. Which populations (e.g. adults children or older adults) and what conditions/diseases are targeted?2. Who are the participating payers?3. What type of insurance product (e.g. HMO or PPO) do the participating payers include?4. Who are the participating providers? (List only the type of providers such as hospitals or community health centers.).5. How are the participating providers reimbursed?6. Briefly describe the result and the progress of this PCMH program (no more than 250 words).Module 3 BackgroundPatient Centered Medical HomeRequired ReadingBleser William K. Miller-Day Michelle Naughton Dana Bricker Patricia L. Cronholm Peter F. Gabbay Robert 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.Heyworth Leonie; Bitton Asaf; Lipsitz Stuart R; Schilling Thad; Schiff Gordon D; Bates David W; Simon Steven R. (2014). Patient-Centered Medical Home Transformation With Payment Reform: Patient Experience Outcomes. American Journal of Managed Care 20(1) 782-785.Herendeen Neil Deshpande Prashant. (2014). Telemedicine and the Patient-Centered Medical Home. Pediatric Annals 43(2). 28-32.Jackson George L; Kendrick Amy S; Gray Rebecca; Williams John W. Jr Powers Benjamin J; Chatterjee Ranee; Bettger Janet Prvu; Kemper Alex R; Hasselblad Vic; Dolor Rowena J; Irvine R. Julian; Heidenfelder Brooke L. (2013). The patient-centered medical home: a systematic review. Annals of Internal Medicine 158(3) 169-178Kennedy Betty M PhD Moody-Thomas Sarah PhD Katzmarzyk Peter T PhD Horswell Ronald PhD Griffin Willene P MSW LCSW. et al. (2013). Evaluating a Patient-Centered Medical Home From the Patients Perspective. The Ochsner Journal 13(3) 343-351.Wang Jason J; Winther Chloe H; Cha Jisung; McCullough Colleen M; Parsons Amanda S; Singer Jesse; Shih Sarah C. (2014). Patient-centered medical home and quality measurement in small practices.The American Journal of Managed Care 20(6) 481-489.Module 3 HomePatient Centered Medical HomeModular Learning OutcomesUpon successful completion of this module the student will be able to satisfy the following outcomes:Caseo Understand the difference between PCMH and HMO.o Discuss the factors for the success of PCMH.SLPo Explore the implementation of PCMH.Discussiono Discuss the payment method for PCMH.Module OverviewAHRQs Definition of the Medical HomeThe medical home model holds promise as a way to improve healthcare in America by transforming how primary care is organized and delivered. Building on the work of a large and growing community the Agency for Healthcare Research and Quality (AHRQ) defines a medical home not simply as a place but as a model of the organization of primary care that delivers the core functions of primary healthcare.The medical home encompasses five functions and attributes:Patient-centered: The primary care medical home provides primary healthcare that is relationship-based with an orientation toward the whole person. Partnering with patients and their families requires understanding and respecting each patients unique needs culture values and preferences. The medical home practice actively supports patients in learning to manage and organize their own care at the level the patient chooses. Recognizing that patients and families are core members of the care team medical home practices ensure that they are fully informed partners in establishing care plans.Comprehensive care: The primary care medical home is accountable for meeting the majority of each patients physical and mental healthcare needs including prevention and wellness acute care and chronic care. Providing comprehensive care requires a team of care providers. This team might include physicians advanced practice nurses physician assistants nurses pharmacists nutritionists social workers educators and care coordinators. Although some medical home practices may bring together large and diverse teams of care providers to meet the needs of their patients many others including smaller practices will build virtual teams linking themselves and their patients to providers and services in their communities.Coordinated care: The primary care medical home coordinates care across all elements of the broader healthcare system including specialty care hospitals home healthcare and community services and supports. Such coordination is particularly critical during transitions between sites of care such as when patients are being discharged from the hospital. Medical home practices also excel at building clear and open communication among patients and families the medical home and members of the broader care team.Superb access to care: The primary care medical home delivers accessible services with shorter waiting times for urgent needs enhanced in-person hours around-the-clock telephone or electronic access to a member of the care team and alternative methods of communication such as e-mail and telephone care. The medical home practice is responsive to patients preferences regarding access.A systems-based approach to quality and safety: The primary care medical home demonstrates a commitment to quality and quality improvement by ongoing engagement in activities such as using evidence-based medicine and clinical decision-support tools to guide shared decision making with patients and families engaging in performance measurement and improvement measuring and responding to patient experiences and patient satisfaction and practicing population health management. Sharing robust quality and safety data and improvement activities publicly is also an important marker of a system-level commitment to quality.Source: Agency for Healthcare Research and Quality Patient Centered Medical Home Resource Center. Available at: http://pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/1483Module 3 OutcomesPatient Centered Medical HomeModuleo Discuss the principles of the patient centered medical home.Caseo Understand the difference between PCMH and HMO.o Discuss the factors for the success of PCMH.SLPo Explore the implementation of PCMH.Discussiono Discuss the payment method for PCMH.

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