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Overview of PCMH

The Patient-Centered Medical Home is a model of care that puts patients at the forefront of care. PCMHs build better relationships between people and their clinical care teams. 

As payers look to reward value, and as consumers receive care from an increasing number of providers, it is imperative that all members of the care team share information and collaborate with each other – and patients -- to optimize outcomes. 

  • Fragmented care results in poorer care. Higher rates of fragmentation are associated with higher costs, lower quality and higher rates of preventable hospitalizations.1
  • Integrated care produces better outcomes. Communicating information for shared patient populations results in better care.2
  • Payers are increasingly supporting PCMH. Because the PCMH model can help patients avoid costly complications, public and commercial payers are increasingly turning to the PCMH model of care.3

Research shows that patient-centered medical homes: 

  • Improve Quality: Patients get the treatment that they need, when they need it. 
  • Reduce costs: They prevent expensive and avoidable hospitalizations, emergency room visits and complications. This is especially true for patients with complex chronic conditions. 
  • Improve the patient experience: They provide the personalized, comprehensive coordinated care that patients want. 
  • Improve staff satisfaction: PCMHs have systems and structures that help staff work more efficiently. 

NCQA helps primary care practices transform into a PCMH through its Patient-Centered Medical Home Recognition Program.


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Frandsen, B.R., Joynt, K.E., Rebitzer, J.B. & Jha, A.K. (2015). Care Fragmentation, Quality, and Costs Among Chronically Ill Patients. American Journal of Managed care, 21(5), 355-362.
2 A. Shih, K. Davis, S. Schoenbaum, A. Gauthier, R. Nuzum, and D. McCarthy, Organizing the U.S. Health Care Delivery System for High Performance, The Commonwealth Fund, August 2008.
3 Edwards Samuel T, Asaf Bitton, Johan Hong, and Bruce E. Landon (2014). Patient-Centered Medical Home Initiatives Expanded in 2009–13: Providers, Patients, and Payment Incentives Increased, Health Affairs. http://content.healthaffairs.org/content/33/10/1823.full 


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No support has been received for the development of the content or expenses and honoraria of faculty associated with this activity.

 

Medical Boards Awarding Maintenance of Certification Credit for Recognition

For information on medical boards that may be offering maintenance of certification credit for recognition, please visit our Recognition Program Resources page.