Many were merely case studies written about clinics that implemented a version of a PCMH. Unfortunately, not a lot of these papers exist. I wanted to look at articles that compared the PCMH model to usual care I felt that this would give more substantial data about the staffing model used in the study. Methodology Initially, I planned to research this topic using PubMed as a search tool, looking only at clinical trials or intervention related studies, because these studies are considered more rigorous. Also, many models target patients with a particular disease, for example: diabetes or autism. Many use a combination of medical assistants (MA), registered nurses (RN) andĤ PATIENT CENTERED MEDICAL HOME 4 electronic health records (EHR) to achieve the goals of a PCMH. Various models of PCMH have been created in the last few years to address these problems. This current system is not financially sustainable and is not meeting the needs of patients. Not only is the system inefficient it is also very expensive costing $7,960 per capita as compared to Japan that only spends $2,878 per capita (Longworth, 2011). No central location exists for patient information to be gathered and reviewed to evaluate the patient s overall condition (Longworth, 2011). Currently, a doctor refers a patient to the specialist, but there is no follow up on the results of the referral. Background The US healthcare system as it stands now is a broken system that delivers fragmented, subpar care (Longworth, 2011). The final staffing proposal is still in progress. This project is to research various staffing models to create support for a proposed staffing plan and to gain awareness about general research about PCMHs. Currently, Adelante Healthcare is looking into ways to implement the PCMH model in one of their clinics.
#GE NMF PCLP SERIES#
In order to officially be recognized as a PCMH, the healthģ PATIENT CENTERED MEDICAL HOME 3 center must meet a series of criteria set by the National Committee for Quality Assurance (Helfgott, 2012). Lastly, electronic health records are used to assist in timely follow up for patients and to automatically identify care opportunities such as vaccinations ( Defining the Medical Home, 2013). Patients have more access to their care providers through or telephone ( Defining the Medical Home, 2013). PCMHs coordinates different aspects of health care, including specialty care and home health, to ensure continuity in care for the patient (Helfgott, 2012). It intends to be comprehensive, which considers physical care in addition to mental health, preventative care, chronic care, and acute care ( Defining the Medical Home, 2013). The purpose of the PCMH is to provide patient centered care by working in partnership with a team of practitioners in conjunction with the patient and their family ( Defining the Medical Home, 2013). This concept was introduced in 1967 by the American Academy of Pediatrics (Jackson, et.al, 2012). The idea is to connect patients with primary care that will coordinate care as well as serve as a central location for health and wellness (Longworth, 2011). 1 Running head: PATIENT CENTERED MEDICAL HOME 1 The Patient Centered Medical Home (PCMH): Looking at Examples and Research on Staffing Models Nancy Chang GE-NMF PCLP Scholar 2013Ģ PATIENT CENTERED MEDICAL HOME 2 Introduction The Patient Centered Medical Home (PCMH) model has been proposed to address current problems in the healthcare system.