Healthcare Improvement Initiatives

Patient-Centered Medical Home
PCMH


The Patient-Centered Medical Home (PCMH) is an innovative approach to health care which focuses on five main objectives:

  • Accessible Services, to include same-day appointments and access to after-hours care
  • Comprehensive Care of the patient, including physical and mental health needs and referrals as indicated. May be provided internally or through a "virtual team" using community resources.
  • Patient-centered, team-based approach to health care involving physicians, mid-levels and other clinical staff including the patient, and family if applicable.
  • Care that is coordinated and/or integrated to assure that patients get the care they need where and when they need it.
  • Improving quality and outcomes by using evidence-based care medicine, clinical decision support tools, information technology, registries, etc.

Practices that wish to become a PCMH may choose to become officially recognized by voluntarily completing a detailed recognition process to demonstrate that they have the capabilities to provide patient-centered services as set forth in the medical home model. The most common recognizing body is the National Committee for Quality Assurance (NCQA).

Multiple payer demonstrations are underway across the country and payment structures are anticipated to change with favor toward PCMH recognized practices. In North Carolina, Blue Cross and Blue Shield are already offering an incentive program through their Blue Quality Physician Program which requires that a practice, along with other criteria, be recognized as a PCMH by NCQA. Physicians qualifying for the program can negotiate an increase in reimbursement from BCBS of NC.

Greensboro AHEC Regional Extension Center (REC) provides services tailored to assist your practice as you go on your journey to become a PCMH. By utilizing the RECs services for PCMH, your practice will receive:

  • In-person fee-based consulting services regarding survey process and documentation requirements
  • Gap analysis to determine areas for improvement
  • Process mapping and redesign, as applicable
  • Assistance with quality improvement projects, as applicable
  • Research regarding policies protocols and practices
  • Tools and examples of documentation to submit for review
  • State-wide network of resources (from other NC RECs)
  • Other services as applicable based on practice needs assessment

For more information, contact Jennifer Foreman at jennifer.foreman@conehealth.com