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Patient-Centered Medical Home
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The Patient-Centered Medical Home (PCMH) is an approach for providing comprehensive, coordinated primary care to adults, youth, and children. It facilitates partnerships between individual patients and their personal physicians, and when appropriate, the patient's family. Below are links to the different accreditation bodies and the process for a health center to become a PCMH.

 

Accrediting Agencies


Three national organizations stand out among the multitude of PCMH-recognizing and accrediting programs. Only the Accreditation Association for Ambulatory Health Care (AAAHC), The Joint Commission (TJC), and the National Committee for Quality Assurance (NCQA) have PCMH programs that are truly national in scope, have been formalized in a published set of standards, and have evidence of being used by a large number of medical organizations as the primary and preventive care delivery model.

   

While the AAAHC, Joint Commission, and NCQA define their standards differently, each shares a similar focus: to identify medical practices that exemplify the PCMH principles and practices while setting a standard for other practices to achieve. Each organization’s PCMH program is based on joint principles of the PCMH developed by the medical associations that developed the PCMH concept:

  • Having a personal physician/provider in a team-based practice.
  • Having a whole-person orientation.
  • Providing coordinated and/or integrated care.
  • Focusing on quality and safety.
  • Providing enhanced access.

Program Comparisons

CMH Recognition vs. Accreditation

The Health Resources and Services Administration (HRSA), Bureau of Primary Health Care (BPHC) supports Health Center Program grantees in achieving PCMH recognition. Click here  for a chart that provides a comparison between accreditation and recognition.  

 

AAAHC vs. TJC

BPHC supports Health Center Program grantees in achieving ambulatory health care accreditation. Click here for a chart that provides a comparison between HRSA’s contracted accreditation organizations— AAAHC and TJC.

 

A Comparison of the National PCMH Accreditation and Recognition Programs by the MGMA Group

This comparison focuses on how four national programs meet the guidelines and can assist an organization in better understanding the elements of the various programs while focusing on their most important elements. In developing this report, Medical Group Management Association (MGMA) contacted the four organizations to confirm the accuracy of the information and ensure that users can better understand the strengths and weaknesses (if any) of each program and make an informed choice as to which program can best benefit their organizations.

  

A Comparison of NCQA 2014 Medical Home Recognition to 2014 TJC PCMH Certification for Ambulatory Care Organizations

While there are differing approaches to the evaluation and scoring process, the standards comparison indicates TJC's 2014 PCMH certification requirements are comparable to NCQA's 2014 PCMH Level 3 requirements. This tool, prepared by TJC, compares the evaluation and scoring processes and the description of standards between the NCQA and TJC.

 

The Business Case for Achieving PCMH Designation

This white paper provides an overview of the business case for PCMH designation from a practice perspective.

 

PCMH Learning Community

In 2012, MPCA launched the Patient-Centered Medical Home Learning Community for Michigan health centers. This learning community is a combination of virtual and in-person training sessions to implement PCMH principles, provide current and innovative subject matter expertise, establish periods of peer-to-peer activity and implementation, and, most importantly, promote sustainability of lessons learned long after project completion. As an outcome, participating health centers were positioned to receive NCQA level 3 PCMH designation and meaningful use achievement. Learn more about the PCMH Learning Community for Michigan Health Centers.

 

Advanced Primary Care Practice Demonstration

The Federally Qualified Health Center (FQHC) Advanced Primary Care Practice demonstration project, operated by the Centers for Medicare and Medicaid Services (CMS) in partnership with HRSA, tested the effectiveness of doctors and other health professionals working in teams to coordinate and improve care for up to 195,000 Medicare patients. Participating FQHCs were expected to achieve Level 3 Patient-Centered Medical Home recognition, help patients manage chronic conditions, and actively coordinate care for patients. This project demonstrated the PCMH model can improve quality of care, promote better health, and lower costs.

Participating Michigan Health Center Sites

  • Family Health Care
  • Cassopolis Family Clinic Network
  • East Jordan Family Health Center (East Jordan and Bellaire)
  • Family Medical Center of Michigan
  • Hackley Community Care Center
  • Ingham Community Health Centers (Sparrow and St. Lawrence)
  • InterCare Community Health Network (Pullman, Bangor and Holland)
  • MidMichigan Community Health Centers (Roscommon)

 

The summary below highlights findings based on the Technical Assistance (TA) strategies utilized within the FQHC APCP Demonstration. (Click image below to view larger)

 

 

Michigan Primary Care Transformation Project

The Michigan Primary Care Transformation (MiPCT) Project was a three-year, multi-payer, statewide project aimed at reforming primary care payment models and expanding the capabilities of PCMHs throughout the state. The selection of Michigan as one of eight states in the Multi-Payer Advanced Primary Care Practice Demonstration sponsored by CMS, was the catalyst for bringing together Medicare, Michigan Medicaid Managed Care, Blue Cross Blue Shield of Michigan, and Blue Care Network to improve upon the strong PCMH foundation in the state and create a uniform, sustainable primary care platform.

Participating Michigan Health Center Sites

  • Alcona Health Center (four sites)
  • Cherry Health (three sites)
  • Sterling Area Health Center
  • Thunder Bay Community Health Service

Resources

For more information, contact Simmi Isaac or visit the PCMH Resource page.

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