Design and implementation of patient-centered medical home models and evaluation of their effectiveness in improving the quality and efficiency of patient care.
Coordinated Care. Optimal Outcomes.
The patient-centered medical home model, with its emphasis on primary care and care coordination, has the potential to change healthcare. Truven Health Analytics has the expertise and services needed to accelerate that transformation.
As an independent third party, we work with stakeholders across healthcare to design, implement, and evaluate programs. Our data, analytics, and benchmarking tools provide the insights needed to improve patient outcomes, lower costs, and enhance health system performance.
Issues Driving the Medical Home Model
Americans receive only about half of recommended evidence-based care. Experts say half of U.S. healthcare spending produces no benefit to the patient, and some of it causes harm. Furthermore, the U.S. spends more on healthcare per capita than any other country in the world, yet our healthcare system performs inconsistently. For example, the gap between U.S. average rates of diabetes and blood pressure control and rates achieved by the top 10% of health plans translates into approximately 40,000 preventable deaths and $1B-$2B in medical costs. Employers and researchers have identified the many ways high healthcare costs in the U.S. harm the competitiveness of American employers.
The Patient-Centered Medical Home
A patient-centered medical home aims to provide cost-effective and coordinated access to a comprehensive range of medical services. In the patient-centered medical home model, payers reimburse providers for delivering services in patient-centered ways. In addition, wider use of electronic medical records and increased adoption of clinical decision support guides evidence-based clinical decision-making, and can drive better patent care. By leading a team of qualified specialists, the primary care physician can drive improvements in care and disease management.
Patient-centered medical homes require payers to experiment with new ways to reimburse providers, rather than only paying for face-to-face office visits. Employment-based coverage is the most prominent form of U.S. health insurance; employers can create payer performance requirements that align incentives with the goals of improved quality and efficiency and engage providers in joint efforts to improve patient health.
Truven Health Patient-Centered Medical Home Solutions
The team of cross-market experts at Truven Health can help you establish a successful medical home model through the following services:
- Medical home program design and implementation
- Analysis of administrative claims and practice information systems data
- Provider quality and efficiency performance reporting
- Provider outreach and recruitment
- Program Web site design, development, and hosting
Results of patient-centered medical home pilot programs have been promising.
One health plan reduced ER visits by 50%
Another facility lowered total hospital inpatient days by 24%
A community care facility projected savings of over $500 million
For more information, download Proof in Practice, the 2009 Patient-Centered Primary Care Collaborative (PCPCC) pilot guide.