Patient Centered Medical Home (PCMH)
WITH COMPLETE SOLUTIONS GRADED
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PCMH Definition - ANSWERS:approach to providing primary care, partnership between
HC team and patient focus on whole health
Primary Care Definition - ANSWERS:services provided by clinicians who are
accountable for addressing a large majority of personal health care needs
Patient-Centered Definition - ANSWERS:HC that establishes a partnership among
practitioners, patients, and families, so patients have the support they need to
participate in their own care
History of PCMH - ANSWERS:the term is not new, but the structure and assessment is
growing, physician groups have been the driving force for development
PCMH - principles - ANSWERS:developed by four physician organizations for basis
defined by other organizations and standards
PCMH - Components - ANSWERS:personal physician, physician directed medical
practice, whole person orientation, coordinated, integrated care, quality and safety,
enhanced access, payment reform
PCMH - recognition - ANSWERS:NOT mandatory, linked to higher payments from
some health plans
NCQA - ANSWERS:first organization to adopt standards in 2008, must complete 40
core criteria and at least 25 elective criteria
Recognition Components - ANSWERS:standards closely reflect the components of a
PCMH
PCMH Benefits - ANSWERS:improvements reported for cost and utilization reduction
and quality, evaluated for clinical and financial effectiveness
PCMH Concerns - ANSWERS:PCP shortage, initial investment, turf wars, difficulty
playing as a team, lack of understanding
Pharmacists the need - ANSWERS:lots of meds, lots of room for improved use,
improved use impacts patient outcomes and costs
Pharmacists the issues - ANSWERS:underused in primary care settings, lack of
awareness of skill and knowledge, payment and cost, turf wars
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