4 Reasons PCMH Principles Aren't Going Away

Philip Betbeze, for HealthLeaders Media , March 7, 2014

Whether those tools are used effectively isn't measured. Practices are still learning, and clinicians are still figuring out the best way for their organizations to achieve goals of good patient outcomes, and they're still staffing up or rearranging the type of work that the physician's assistants should do to improve outcomes.

This is not surprising. You can have all the technological links in the world, and you can be certified, but if your practitioners don't use those tools to better communicate and connect with patients and their services at other sites, its promise is stillborn. Indeed, these softer skills are harder to quantify, but critical to the work. And aren't evaluated in the drive to achieve certification.

3. Principles pass the common sense test.

The principles of patient-centered care are still relatively new, especially to patients. And they aren't used to it. Patients are used to being on their own for healthcare outcomes, and the fact that a patient navigator is following up with them on needed care is unfamiliar. Old habits are hard to break.

It's common sense that acting on the principles of the PCMH, not just fulfilling the requirements to get the designation, should reduce healthcare costs and improve quality. If the PCMH designation leads to patients, payers and employers holding practices accountable for outcomes, it has promise.

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2 comments on "4 Reasons PCMH Principles Aren't Going Away"

Arun K. Potdar (3/9/2014 at 4:02 PM)
The analysis of the analysis is excellent and it corrosponds with my own life experiences working in the Medical Practice Management areas. However there is another angle that needs to be discussed which is touched briefly in this report. That is the area of Pardigm Shift happening in the health care provider industry. I found lot of resistance from the clinicians whenever a new approach to practice management was discussed. Similarly, allied trades supporting the practice management like PA and Practice managers are not prepared for facing the PCMH during their training phases. Clinicians also do not see a buy-in values in operating in these environments and as you mentioned, ' taking responsibility of a patient beyond the practice premises is still not accepted as a duty but looked upon as added burden because of lack of incentives that can be seen immediately as one sees in a FFS arrangement. If this Paradigm shift has to succeed then the seeds must be sowed in the key operator's training areas at their schools and that includes Medical and other clinically allied educational institutes. Existing practices have a major attitude problem where getting a 'Certificate' is drilled in the psyche of the management as a goal that ends with a wall hanging of said certificate. This is the hard part of conversion of mindsets because clinicians themselves do not have a full buy -in of PCMH principles. Thanks for the meaningful insight.

Jeff Angel (3/7/2014 at 2:10 PM)
Phillip, I'm glad we specialists don't practice medicine the way consultants and most insurance-paid think-tanks and masters of public health officials take these studies that dispute your efforts!!Its a disgrace to the medical profession to discount the data!!!Common sense? and you demonize specialists every day, when we practice gold standard medicine? Its sickening to be on my side of your game, yes game. Profiteers and carpetbaggers(consultants, attorneys, managers) want a piece of a small pie[INVALID]-thats what is driving this. Medical inflation is very low over past few years my man.[INVALID]-demographics of population, pure and simple is problem. We have to ration care. Medical homes by primary care docs who don't have the depth of knowledge to properly [INVALID] screenings even for simple musculoskeletal problems or Ob, or gi, etc, etc. is a non-winner except for taking care of chronic conditions. WAKE UP, you are wrong, and now wanting to cry that data proves it!! A sore throat doesn't need a team!!!!!!And a fractured femur or torn cuff doesn't need months of therapy!!!!! The most efficient care is precise diagnosis, with precise speciacilized care when needed. It costs a lot. Rationing end of life care and tiered treatments based on ones production in society is answer. LOL, your article is repulsive from a scientist and doctor who has spent 30 years practicing on data!!!!!!!!!!!!!!!!!!!!!!




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