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: Working Toward Health Equity
WIHI: SBAR: Structured Communication and Psychological Safety in Health Care
WIHI: Violence Prevention and Community Health
WIHI: Patients as Partners in QI Research
WIHI: New Leadership Skills for Better Health and Health Care
WIHI: Improving Safety and Satisfaction in Ambulatory Care
WIHI: Who’s Conversation Ready? How Health Care Can Respect End-of-Life Wishes
WIHI: New Staffing Models for Primary Care
WIHI: Recognizing Person- and Family-Centered Care: Always Events at IHI
WIHI: On the (Virtual) Road with Mobile Clinics and Population Health
WIHI: Integrating Physical and Behavioral Health
WIHI: Slowdown in the Growth of US Health Care Spending
WIHI: The Ground Game of the Partnership for Patients
WIHI: Large-Scale Change Across a Country: Learning from Scotland
WIHI: Measure Up, (Blood) Pressure Down: 80% by 2016
WIHI: Reliable Practices for Responding to Natural Disasters: Lessons from Long Island Jewish and Hurricane Sandy
WIHI: Home for Life, Aging, and Aging in Place
WIHI: Engaging Patients in Safety — Live from London and the International Forum on Quality and Safety
WIHI: Community Health Needs Assessments, Part 2: Lessons from North Carolina
WIHI: Community Health Needs Assessments, Part 1
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