PCMH: Shouldn't Patients Have Their Say?
Recent research that casts a pall on the cost and quality effectiveness of the patient-centered medical home is far from the final word on what patients—especially older, expensive ones—say they want from their physicians.
A few weeks ago I wrote about the compelling research published in the Journal of the American Medical Association that showed no effect on healthcare costs from the patient-centered medical home designation and little improvement in quality of care.
The results reported by JAMA are more than a little concerning for people who theorize that team-based, well-coordinated care is more efficient and less costly, and ultimately benefits patients' health.
They're especially concerning for physician practices that feel they need to make the substantial investment required to achieve PCMH designation. Increasingly, that designation—particularly the top achievement, Level III—is being required of primary care practices in order to attain incentives from payers and other healthcare partners.
Though the research reaches troubling conclusions in both ROI and improvement in quality, it certainly does not end the debate or the push for PCMH designation from payers and others.
In an attempt to find as neutral a source as I could regarding this research and the uncertain future of the PCMH, I spoke recently with Christopher Langston, PhD, program director for the John A. Hartford Foundation, a nonprofit based in New York that attempts to improve the health of older adults.
The foundation provides grants for research and education in geriatric medicine, nursing, and social work. It conducted a recent poll of older Americans who overwhelmingly supported the ideas embodied in the PCMH construct, and he also found the results from the JAMA article "troubling."
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Interventional Radiology No Longer a Sub-Specialty
- Top Reason for Nurse Turnover: Managers
- CEO Exchange: Pressure is On to Partner, Drive Quality
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- 3 Strategies for Retaining Millennial Employees
- Two NY hospitals to offer free hip and knee replacement surgeries for qualifying patients in December
- Hospital mergers may lead to higher prices
- Healthcare data of 1 million NJ patients compromised since 2009