Patient Centered Medical Home

The Patient Centered Medical Home (PCMH) is an approach to providing comprehensive primary care.

The PCMH represents a comprehensive health care model that facilitates partnerships between individual patients, their provider teams, and the patient's family.

PCMH is patient care delivery that is holistic and coordinated.

Key Elements Include:

Patient-centered care Team approach to care

Use of advanced information systems Whole person orientation

Care provided in a community context Redesigned primary care offices

Personal medical home designation Elimination of access barriers

Focus on quality and safety

The transformation to a PCMH is estimated to take 3 to 5 years.

For “Highlights of the path to PCMH,” click here.

PCMH includes the following Payers:

Blue Cross Blue Shield

Resources -

Capabilities list

Interpretive Guidelines to PCMH Domains of Function

PCMH Resources:

JPA Training Webinars

HOME

Accountable Systems of Care

· How to create accountable care organizations

Coordination of Care

Continuing Medical Education (CME)

· CME programs

E-prescribing

Resources

· Clinicians Guide

Vendors

· Allscripts

· DrFirst

· National ePrescribing

· RxNT

· SureScripts

Extended Access Initiative

Individual Care Management

· Self Management Support Training Materials

· Team Care

· TransforMed

Linkage to Community Services

· Central Michigan 2-1-1

Patient Provider Partnership Initiative

· Engaging the Consumer

· Guidelines for Distribution of the Patient Partnership Document

· Patient Centered Medical Home Presentation

· PCMH Patient-Provider Agreement1(One page document template)

· PCMH Patient-Provider Agreement2(One page document template)

· PCMH Patient-Provider Agreement (Brochure Template)

· PCMH flyer

Patient Registry Initiative

· Cielo Registry

· Evidenced Based Guidelines - Michigan Quality Improvement Consortium (MQIC)

· PCMH Disease Registries

· Phytel

Patient Web Portal

Performance Reporting Initiative

Preventive Services

Self Management Support

· Self-Management Overview

Specialist Referral Process

Test Results Tracking & Follow-up

Other Resources

· American Academy of Family Practice (AAFP) PCMH Web site

· Institute of Healthcare Management - Model of Improvement

· Mackinac Learning Collaborative

· Michigan Primary Care Consortium

· National Committee on Quality Assurance (NCQA)

· National Committee on Quality Assurance (NCQA)/BCBSM requirements

· Patient-Centered Primary Care Collaborative

Practice Transformation

Webinars