WIB_PCMH_Juice Worth the Squeeze

Question: Is Patient Centered

Medical Home (PCMH) Worth the Squeeze?

Col (ret) Doug Anderson

[email protected]

Feb 2013

A Short History and Evolution of PCMH

Time To Evaluate the Success of the AFMS PCMH Program? Vector

Check? Toot your horn with internal and external audiences?

Identify gaps and seams?

How Others Are Evaluating PCMH

Why Not an IDOTS System To Studying the dimensions of PCMH Success?

Current studies indicate PCMH implementation takes four to five years

to yield substantial results and these could come in various forms.

However, many health systems are conducting evaluations well below

this timeframe and may be drawing premature conclusions. As such, we

came up with the It Depends on The Situation or IDOTS system of

evaluation when it comes to answering questions or directing studies

and analyses.

Conducting special studies and analyses may require development of a

“menu” of Input, Process, and Output (IPO) measures. For example,

leaders wanted to know the effect of emergency room utilization with

overall continuity and satisfaction while others may be interested in the

impact of HEDIS or how well leaders are allocating (e.g. promised FTEs,

versus actual) and managed resources.

Developing an IDOTS system based on IPO, senior medical leadership

could clarify the intent and guard against drawing wrong conclusions.

Were All in This Together and Others Could Learn from the AFMS Experience …. And vice versa

Integration should be a strategy not a side bar conversation

Answer: Yes, however …1. Sustain PCMH: Assess staff satisfaction now …..

2. Develop an IDOTS special studies plan to assess and evaluate the various aspects of PCMH

3. Remember, it takes 5-7 years for PCMH to mature so don’t draw premature conclusions

a. Let the relationships flourish!

b. Study effect of discontinuity during PCSs

c. Give coordination of care time

4. Promote PCMH to internal and external audiences with fact based success stories

a. Local collaboration with public health and community leaders builds healthier communities!

5. Improve integration of chronic disease management programs such as Diabetes using the AFMS Diabetes Center of Excellence (DCOE)

6. Expand the role of the pharmacists and others to assist with engagement and adherence

7. Integrate digital health and proactive patient engagement tools and principles (especially before and after visits) to create quantum leap success

PS

Comments?

Note: the comments made are the author’s own not an official position; references to a company or organization do not represent an endorsement

.. you may share this document as free thought leadership knowledge

For every heartache, setback or failure carries with

it the seeds of greater or equivalent benefits …”

Col (ret) Doug AndersonDoctoral Student: Health Administration, Central Michigan University

H: 304-263-4405 / C: 703-282-7669On LinkedIn? Yes

Lets Blog: deadhacmu2015.wordpress.comTwitter: @Doug_Anderson57

Enjoy The Show: www.slideshare.net/DouglasAndersonSend Comments: [email protected]