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What is the role of School-Based Health Centers with the Patient Centered Medical Home?

What is the role of School-Based Health Centers with the Patient Centered Medical Home?. Head to Toe 2011 Preconference Jane W. McGrath MD University of New Mexico School of Medicine. What is the Patient Centered Medical Home?. PCMH The Joint Principles Document Personal physician

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What is the role of School-Based Health Centers with the Patient Centered Medical Home?

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  1. What is the role of School-Based Health Centers with the Patient Centered Medical Home? Head to Toe 2011 Preconference Jane W. McGrath MD University of New Mexico School of Medicine

  2. What is the Patient Centered Medical Home? • PCMH • The Joint Principles Document • Personal physician • Physician directed medical practice • Whole person orientation • Care is coordinated and/or integrated • Quality and safety are hallmarks

  3. PCMH a Central Tenant of Health Reform • Affordable Care Act • Health Homes in Medicaid, grants to states • CMS Center for innovation $10 billion to test delivery and payment models • State grants to promote community health teams that support PCMH • Community-based collaborative care network program • Pediatric Accountable Care Organizations • Community Health Center Expansion

  4. New Reality of Medical Care • Triple Aim • Population health • Cost per capita • Experience of care • Demonstrate value • Chronic disease management • Reduce costs • Improve the experience of care • Coordinate care

  5. National Quality Strategy • Triple Aim • Better care, improve quality, more patient centered, reliable, accessible and safe • Healthy people/healthy communities • Affordable care

  6. How Has PCMH Demonstrated Value? • Group Health of Puget Sound • 16% decrease in hospital admissions • 29% decrease in ER visits • ROI for every $1 spent on extra support for PCMH saved $1.50 on utilization

  7. Challenges in New Mexico • Lack of primary care providers • Lack of clear direction and funding • Most providers still using paper charts • Handful of practices certified as level 1 by NCQA

  8. Bernalillo Pilot Project

  9. CHIPRA Project • First cohort of pilot SBHCs • Fall 2011 • Medical Home Index • Enhancing Medical Home Approach • Technical assistance • Quality improvement • Best practice guidelines • Managing chronic disease

  10. Keep Up With Health Reform • Helpful websites and documents: • www.pcmhri.org/.../aafp-aap-acp-and-aoa-release-joint-principles-pcmh- recognition-and-accreditation-programs • www.pediatricmedhome.org • www.healthcare.gov/center/reports/nationalqualitystrategy032011.pdf • www.medicalhomeimprovement.org • www.medicalhomenews.com • www.npr.org/health

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