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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Lessons learned from implementing the patient-centered medical home.

Ellen P Green1, John Wendland, M Colette Carver

  • 1University of Delaware, 416C Purnell Hall, Newark, DE 19711, USA.

International Journal of Telemedicine and Applications
|September 13, 2012
PubMed
Summary

Transitioning to a Patient-Centered Medical Home (PCMH) involves practical challenges. Addressing issues like provider buy-in and office culture is key for successful implementation of this primary care model.

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Area of Science:

  • Healthcare Management
  • Primary Care Innovation
  • Quality Improvement in Medicine

Background:

  • The Patient-Centered Medical Home (PCMH) is a primary care model focused on coordinated, comprehensive patient care to enhance health outcomes.
  • Traditional primary care practices face challenges when transitioning to the PCMH model.
  • The National Committee for Quality Assurance (NCQA) provides standards for PCMH recognition.

Purpose of the Study:

  • To identify and analyze practical challenges encountered during the transition of primary care practices to a PCMH model.
  • To offer insights into addressing common obstacles in PCMH implementation.
  • To examine the implications of NCQA standards on practice transformation.

Main Methods:

  • Gathering experiences from organizations at a PCMH workshop.
  • Analyzing qualitative data from organizational experiences.
  • Conducting a literature review on PCMH implementation challenges.

Main Results:

  • Key challenges include interpreting NCQA guidance, securing provider buy-in, utilizing electronic medical records effectively, modifying office culture, and reconfiguring physical workspace.
  • The NCQA standards offer a framework but lack specific, location-dependent details.
  • The perceived vagueness in NCQA standards allows for adaptable implementation strategies.

Conclusions:

  • Successful PCMH transition requires addressing practical operational and cultural challenges.
  • Flexibility in adapting NCQA guidelines to specific practice needs is crucial for effective PCMH implementation.
  • Further research and shared experiences can refine strategies for PCMH transformation.