WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Produced in collaboration with the Journal of the American Medical Association (JAMA)
Date: May 22, 2014
Featuring:
The patient-centered medical home (PCMH) is getting a hard look this year. In a study published in JAMA in February 2014, the largest of its kind, researchers followed 32 primary care practices certified as PCMHs over a three-year period, and were unable to find any impact on overall health care costs or patients’ utilization of health care services, including emergency departments.
To put it mildly, this was not welcomed news by the health care improvement community — especially those who are looking to PCMHs as one jewel in the crown of a redesigned primary care system that offers patients more integrated, coordinated, cost-effective care. Headlines such as “Medical Homes Haven’t Saved Money or Substantially Improved Care” and “Medical Homes May Not Be The Answer” suggested just the opposite.
This is not the entire story. The state of Minnesota recently issued a report on its success with PCMHs. And, where focused work is underway elsewhere, the uptake of process improvements is encouraging. But the study in JAMA has functioned as a sort of wake-up call, which many experts, including champions of PCMHs, believe is timely and beneficial. On this WIHI, we pulled together some of these experts for an intensive look at the early results and critical next steps for the patient-centered medical home.
WIHI: Success at the Right Speed: Learning from Toyota
WIHI: The Meaningful Methodology of Patient- and Family-Centered Care
WIHI: Momentum for Maternity of the Safest Kind
WIHI: The Next Wave of Reform for Medical Education
WIHI: The Health Care Tune-Up Show! Leading with Logic and Emotion
WIHI: Message to Managers: Crises Happen. Plan Ahead!
WIHI: Tipping the Scales: Fresh Ideas to Combat Obesity
WIHI: Adverse Events and Their Aftermath: SOS from Clinicians
WIHI: Gimme Housing, Not the ED: A New Campaign for Housing the Homeless
WIHI: Patient Safety Officer: One Person’s Title, Everyone’s Responsibility
WIHI: OpenNotes and the Electronic Medical Record
WIHI: All Hospitals in Favor of Saving Money: Say “Patient Flow!”
WIHI: Getting Down to Business…and Health Care Reform
WIHI: New Ways to Reduce Diagnosis Errors
WIHI: The Future of Nursing
WIHI: Quality Care During Advanced Illness: What Do Patients Want That Works?
WIHI: Run, Don’t Walk! The Urgent Need for Patient Safety
WIHI: Reducing Avoidable Visits to the Emergency Department
WIHI: The Medical Home
WIHI: Next Waves of Health Care Reform
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