IMPROVING QUALITY OF CARE BY ORGANIZING CARE AROUND PATIENTS
The Baylor Scott & White Board of Managers has approved the 2015 Shared Savings requirements. All Primary Care practices (including Adult and Pediatric practices) will be required to apply for PCMH recognition through NCQA.
A model of care where patients have a direct relationship with a provider, who coordinates a cooperative team of health care professionals, takes collective responsibility for the care provided to the patient and arranges for appropriate care with other qualified providers as needed.
Primary care is a foundation of the health care system. The PCMH standards reflect elements that make primary care successful. Clinicians must have a broad knowledge of many health care conditions and often follow their patients over years; thus, the quality of the clinician/patient relationship, access and the ability to track care over time are important.
Robust patient-centeredness is a key program goal:
- There is a stronger focus on integrating behavioral healthcare and care management
- Patient survey results help drive quality improvement
- Patients and their families are involved in quality improvement
- Working through the points of criteria provides for improvement of care by strengthening the physician-patient relationship and by replacing episodic care based on illnesses and patient compliant with coordinated care and a long-team healing relationship
- NCQA broadly publicizes recognized physicians. In addition, many private and public health plans and employers are considering projects to recognize and compensate practices as patient-centered medical homes. Thus, the practices earning recognition may qualify for additional payment.