扩大基本卫生服务是改善群体健康、减低医疗花费的重要举措。介绍了美国当前被广泛推崇的一种基本卫生服务理念——医疗之家(patient centered medical home,PCMH),详细分析了其特点及实施过程,并探讨了PCMH在我国基本卫生管理中的应用...扩大基本卫生服务是改善群体健康、减低医疗花费的重要举措。介绍了美国当前被广泛推崇的一种基本卫生服务理念——医疗之家(patient centered medical home,PCMH),详细分析了其特点及实施过程,并探讨了PCMH在我国基本卫生管理中的应用前景。展开更多
To maintain productivity in today＇s healthcare market, it is important for institutions to have a delivery system that allows for transformation and adaptation. This paper introduces the Medical Home Transformation M...To maintain productivity in today＇s healthcare market, it is important for institutions to have a delivery system that allows for transformation and adaptation. This paper introduces the Medical Home Transformation Model which demonstrates the effectiveness of employing a team of embedded coaches within a five-step capacity building program in conjunction with learning collaboratives, the adaptation medium. This model demonstrates the effectiveness of concurrently employing the coaching lifecycle and a five-step capacity building program. Moreover, the model details the formation of multidisciplinary teams at each clinical site, meaningful data reporting at site and physician levels and best practice sharing at collaboratives and seminars. A discussion then demonstrates the success of MMG （Montefiore Medical Group） as it applies the model to its ambulatory care network of 22 health centers in effort to achieve PCMH （Patient Centered Medical Home） recognition, improve clinical outcomes, and document financial benefits. While PCMH is currently the sought after delivery system framework, this paper will also demonstrate the adaptability of the model to any prescribed framework which continues advancement toward the ＂Triple Aim＂. Such a model has enabled MMG to surpass national standards of clinical care within a conf＇wmed vulnerable population and has placed MMG at the forefront for primary care delivery system reform.展开更多
文摘To maintain productivity in today＇s healthcare market, it is important for institutions to have a delivery system that allows for transformation and adaptation. This paper introduces the Medical Home Transformation Model which demonstrates the effectiveness of employing a team of embedded coaches within a five-step capacity building program in conjunction with learning collaboratives, the adaptation medium. This model demonstrates the effectiveness of concurrently employing the coaching lifecycle and a five-step capacity building program. Moreover, the model details the formation of multidisciplinary teams at each clinical site, meaningful data reporting at site and physician levels and best practice sharing at collaboratives and seminars. A discussion then demonstrates the success of MMG （Montefiore Medical Group） as it applies the model to its ambulatory care network of 22 health centers in effort to achieve PCMH （Patient Centered Medical Home） recognition, improve clinical outcomes, and document financial benefits. While PCMH is currently the sought after delivery system framework, this paper will also demonstrate the adaptability of the model to any prescribed framework which continues advancement toward the ＂Triple Aim＂. Such a model has enabled MMG to surpass national standards of clinical care within a conf＇wmed vulnerable population and has placed MMG at the forefront for primary care delivery system reform.
