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: The How and Why of Deprescribing
WIHI: Connecting Patient Experience to Strategic Aims
WIHI: How to Build Better Behavioral Health in the Emergency Department
WIHI: Addiction Treatment Demystified: Proven, Practical Steps for Complex Care.
WIHI: Strategic Pathways to Population Health
WIHI: Giving Patients and Families the Tools to be Health Care Improvers
WIHI: How to Make Change Happen: An Introduction to IHI's Psychology of Change Framework
WIHI: Pursuing Health Equity in North Carolina
WIHI: Sustaining and Strengthening Safety Huddles
WIHI: Mobility Matters for Age-Friendly Care
WIHI: Mindfulness and Patient Safety
WIHI - Aging in Place with a Disability and Dignity
WIHI: Practicing More Careful and Thoughtful Diagnosis
WIHI: What's in a Name? Health Care's Chief Quality Officer.
WIHI: Opioid Crisis: Changing Habits and Improving Pain Management
WIHI: Discovering Your Way to Greatness
WIHI: The Careful and Kind Patient Revolution
WIHI: Health Care Innovation and R&D - Taking Stock at Ten Years
WIHI: A New Emergency Checklist for Office-Based Surgery
WIHI: QI Takes on Veteran and Chronic Homelessness
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