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PPT : Innovative Solution : History of the PCMH Concept
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* Introduced by American Academy of Pediatrics (AAP) in 1967
* Initially referred to a central location for medical records
* The medical home concept was expanded in 2002 to include:
o Accessible
o Continuous
o Comprehensive
o Family-centered
o Coordinated
o Compassionate
o Culturally sensitive care
* In 2007, the AAP, the American Academy of Family Physicians (AAFP), the American Osteopathic Association (AOA), and the American College of Physicians (ACP) adopted a set of joint principles to describe a new level of primary care.
“Joint Principles” of the Patient-Centered Medical Home
* A personal physician who coordinates all care for patients and leads the team.
* Physician-directed medical practice – a coordinated team of professionals who work together to care for patients.
* Whole person orientation – this approach is key to providing comprehensive care.
* Coordinated care that incorporates all components of the complex health care system.
* Quality and safety – medical practices voluntarily engage in quality improvement activities to ensure patient safety is always being met.
* Enhanced access to care – such as through open-access scheduling and communication mechanisms.
* Payment – a system of reimbursement reflective of the true value of coordinated care and innovation.
Growing Support for the Patient- Centered Medical Home
* Partnerships are developing as more and more stakeholders see value in the Joint Principles.
* The Patient Centered Primary Care Collaborative (PCPCC) is a coalition of major employers, consumer groups, patient quality organizations, health plans, labor unions, hospitals, physicians and others to develop and advance PCMH.
* The PCPCC has well over 500 members.
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