Innovations: Patient-Centered Care

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Monitoring Medical Home Implementation

7/10/2013 - The Patient-Centered Medical Home Assessment is a self-assessment tool that was developed by the MacColl Center for Health Care Innovation and Qualis Health for the Safety Net Medical Home Initiative to help practices understand to what degree they function as a medical home and to identify opportunities for improvement.

Tool

Becoming a Medical Home: Implementation Guides

7/10/2013 - The patient-centered medical home is a model of primary care that can improve health care quality as well as clinicians', staff members', and patients' experiences. The model can also increase efficiency. As part of the Commonwealth Fund-supported Safety Net Medical Home Initiative, Qualis Health and the MacColl Center for Health Care Innovation have identified eight key strategies that primary care sites can implement to become patient-centered medical homes.

Tool

Defining and Measuring Person-Centered Care in Assisted Living

2/27/2012 - The Centers for Medicare and Medicaid Services (CMS) is in the process of identifying person-centered attributes and indicators for its Medicaid home and community-based services programs. To assist CMS and assisted living stakeholders, the Center for Excellence in Assisted Living, a nonprofit collaborative of 11 national organizations, has published recommendations for person-centered HCBS attributes and assisted living indicators.

Tool

Measuring Staff Morale in Safety Net Medical Home Adoption

1/9/2012 - With Commonwealth Fund support, Sarah Lewis, M.S.P.H., of the University of Chicago, and colleagues have developed two surveys and a scoring algorithm to capture the experiences of safety net providers and staff as they adopt medical homes.

Tool

The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation's Largest Integrated Delivery System

9/16/2011 - In April 2010, the U.S. Veterans Health Administration (VA) embarked on an ambitious three-year plan to build patient-centered medical homes in more than 900 primary care clinics across the nation. Its model organizes care around an interdisciplinary team of providers who work together to increase access and clinical effectiveness by identifying and removing barriers to high-quality care.

Case Study

Evaluating Medical Home Adoption in the Safety Net

7/18/2011 - With Commonwealth Fund support, Jonathan M. Birnberg, M.D., of the University of Chicago, and colleagues have developed an evaluation scale customized for safety-net clinics.

Tool

Minnesota: Health Homes Tie Together State, National Health Reform Concepts

1/20/2011 - Minnesota plans to use the ACA's Medicaid health homes option to build on its current statewide medical home initiative, which began in 2003. Jeffrey Schiff, M.D., the medical director of health care programs at Minnesota's Department of Human Services, said that the provision "is very compatible with our program.

State Profile

Rhode Island Quality Institute: A Statewide Partnership to Improve Health Care Quality

12/28/2010 - Rhode Island was the first state to begin moving toward establishing statewide public–private partnerships for quality improvement and is the only state to have established an independent nonprofit organization to house and coordinate such efforts.

Case Study

Montefiore Medical Center: Integrated Care Delivery for Vulnerable Populations

10/19/2010 - Montefiore Medical Center, an academic medical center in New York City, has created an integrated system of care for its primarily low-income patients. This patient-centered system of hospitals, community clinics, and school-based clinics uses innovative practices for managing chronic disease, provides access to high-quality specialty hospital care, and employs targeted care management and robust health information technology in support of integrated care.

Case Study

Oklahoma: Enhancing Access Through Medicaid Rate Increases and Medical Homes

3/18/2010 - Over the past five years, Oklahoma has used a combination of rate increases, outreach, administrative simplification, and a medical home initiative to enhance access to care in SoonerCare, the state's Medicaid program.

State Profile

St. Mary's Health Center: Focus on Core Measures Improves Quality

4/14/2009 - In 2005, under pressure to improve performance on indicators of financial well-being, patient satisfaction, and clinical quality, St. Mary's Health Center leadership made a deliberate decision to focus on Centers for Medicare and Medicaid Services process-of-care measures, or "core" measures.

Case Study

Oklahoma Heart Hospital: Clinician Leaders Establish Culture of Quality

4/14/2009 - Oklahoma Heart Hospital, a for-profit hospital in Oklahoma City, Okla., has consistently demonstrated high adherence to process-of-care or "core" measures and high patient satisfaction.

Case Study

Brigham and Women's Hospital--"Moving the Needle Takes People, Processes, and Leadership

12/19/2008 - Brigham and Women's Hospital is a leading hospital nationally on measures of patient satisfaction.

Case Study

Duke University Hospital: Organizational and Tactical Strategies to Enhance Patient Satisfaction

12/19/2008 - Duke University Hospital leaders say that ensuring patient satisfaction requires both organizational and tactical strategies.

Case Study

Flowers Hospital: Nearing Perfection on Core Measures

12/19/2008 - Flowers Hospital, a community hospital located in southeast Alabama, climbed from average to exemplary on process-of-care, or "core" measures, across four clinical areas--heart attack, heart failure, pneumonia, and surgical infection prevention--in just two years.

Case Study