2 What is a Medical Home?A Medical Home is not a building. It’s a “home base” for your health care needs.A Medical Home is a trusting partnership between a physician led health care team and an informed patient.A Medical Home leads to improved health outcomes for our patients and their families.
3 Who Designed the Medical Home? 1967 – American Academy of Pediatrics“Care for children with special health care needs”2004 – American Academy of Family Physicians“Personal Medical Home”2006 – American College of Physicians“Advanced Medical Home”2007 – AAP, AAFP, ACP and AOA endorsed a combined statement“Joint Principles of the Patient-Centered Medical Home”
4 Joint Principles of the Patient-Centered Medical Home (1) Personal Relationship: Each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care.Team Approach: The Personal Physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing patient care.
5 Joint Principles of the Patient-Centered Medical Home (2) Comprehensive: The personal physician is responsible for providing for all the patient’s health care needs at all stages of life or taking responsibility for appropriately arranging care with other qualified professionals.Coordination: Care is coordinated and integrated across all domains of the health care system, facilitated by registries, information technology, health information exchange and other means to assure that patient get the indicated care when and where they want it.
6 Joint Principles of the Patient-Centered Medical Home (3) Quality and Safety: Quality and Safety are hallmarks of the medical home. This includes using electronic medical records and technology to provide decision-support for evidence-based treatments and patient and physician involvement in continuous quality improvement.Expanded Access: Enhanced access to care is available through systems such as open scheduling, expanded hours, and new options for communication between patients, physicians, and practice staff.
7 A Medical Home is Needed to… Decrease health care costsImprove outcomesCare for our aging and chronic care patientsCoordinate care between visits
8 Benefits of the Medical Home Increased wellness resulting from comprehensive careImproved coordination of careIncreased patient and family satisfactionIncreased professional satisfaction
9 Goals of the Michigan Medical Home Collaboration between patients, families and providers results in optimized patient outcomesPatients become empowered to learn about their conditions, create action plans and set goals with their provider to achieve better healthPreventive and specialty care is coordinatedPatients are able to have access to their primary care physician for both acute and chronic care needs
10 Being part of the Michigan Medical Home means we will: Take care of short term illness and long term chronic diseasesDiscuss your goals and how you would like to improve your healthListen to you and address your concernsHelp you stay healthy by providing information about your health and medical conditions in a way you can understandRespond promptly to your calls, questions and concernsHave a doctor on call after hours for urgent callsRemind you when vaccines and tests are dueNotify you of your test results in a timely mannerHelp coordinate your care with specialty doctors if necessary
11 Having a Medical Home means we trust you to: Follow the care plan that is agreed upon as best you canTell us about all medications and supplements you are takingLet us know when you see other health care providers and ask them to send us a report about your care when you see themKeep your appointments as scheduled, or call to rescheduleCall if you do not receive your test results within 2 weeksUse the “after hours” line only for issues that can’t wait until the next work day
12 Having a Medical Home means we trust you to (cont): Call the office for minor problems instead of going to the Emergency Room, so someone who knows your history can care for youLearn about your insurance so you know what it covers or work with us to help develop a payment planPay your share of the visit fee when you are seen in the officeGive us your feedback so that we can improve our services