Good Neighbors: How Will the Patient-Centered Medical Home Relate to the Rest of the Health-Care Delivery System?
Recent policy focus on models of the patient-centered medical home raises questions about how medical home practices will relate to the rest of the health-care delivery system. This paper presents a conceptual framework of how patients and clinicians might interact in a medical neighborhood; outlines key features of a neighborhood and incentives for medical neighbors to participate in care coordination; identifies the policy considerations in designing neighborhoods; and puts forth a research agenda to support the development and evaluation of medical neighborhoods.
- 2.Barr M, Ginsburg J. The advanced medical home: a patient-centered physician-guided model of health care. Philadelphia: American Coll of Physicians. 2008. Available at: www.acponline.org/running_practice/pcmh.
- 3.Pham HH, O’Malley AS, Bach PB, Wu B, Schrag D. Primary care physicians’ links to other physicians through their medicare patients: the scope of care coordination. Annals of Internal Medicine.Google Scholar
- 4.Trude S. So much to do, so little time: Physician capacity constraints, 1997–2001. Center for Studying Health System Change, Tracking Report No. 8. Washington, DC, May 2003.Google Scholar
- 5.Ginsburg PB and Grossman JM. When the price isn’t right: How inadvertent payment incentives drive medical care. Health Affairs (Millwood). 2005 Jul–Dec;Suppl Web Exclusives:W5-376-84.Google Scholar
- 6.Starfield B. Primary care: balancing health needs, services and technology. New York: Oxford University Press; 1998.Google Scholar
- 7.Molla S et al., eds. Primary care: america’s health in a new era. committee on the future of primary care. Institute of Medicine. National Academy Press. Washington, DC; 1996.Google Scholar
- 9.111th U.S. Congress. The American Recovery and Reinvestment Act. The American Recovery and Reinvestment Act of 2009. H.R.1., S.1., Washington, D.C.; 2009.Google Scholar
- 10.O’Malley AS et al. Use of electronic medical records for coordination of care by physician practices. Forthcoming in JGIM.Google Scholar
- 11.U.S. House of Representatives. America’s Affordable Health Choices Act of 2009. H.R. 3200. Washington, DC, July 14, 2009.Google Scholar
- 12.Tynan A, Draper DA. Getting what we pay for: Innovations lacking in provider payment reform for chronic disease care. Center for Studying Health System Change. Research Brief No. 6. Washington, DC, June 2008.Google Scholar
- 13.Peikes D, Pham HH, O’Malley AS, Scholle S, Torda P, Shapiro R, Maxfield MM. Design of the CMS medical home demonstration. Report to the Centers for Medicare & Medicaid Services, Baltimore MD, June 2008.Google Scholar