Patient Centered Medical Home

IMPROVING QUALITY OF CARE BY ORGANIZING CARE AROUND PATIENTS

NCQA-transpThe 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.

Definition

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

Why Apply?

  • 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.