Page 24 The Patient Centered Medical Homes Impacton Cost and Quality
P. 24


Policymakers and advocates VKRXOG FRQWLQXH WKHLU VXSSRUW IRU SD\PHQW UHIRUPV WKDW UHZDUG
FDUH GHOLYHU\ LQQRYDWLRQV DQG DFKLHYH WKH JRDOV RI WKH 7ULSOH $LP 7KLV LQFOXGHV DOLJQLQJ SD\PHQW
LQFHQWLYHV ZLWK FDUH GHOLYHU\ LQQRYDWLRQV WKDW HQFRXUDJH SDWLHQW FHQWHUHG WHDP EDVHG SULPDU\
FDUH LQFUHDVLQJ VXSSRUW IRU SD\PHQW LQQRYDWLRQV DQG HYDOXDWLRQ SURMHFWV VXFK DV WKRVH LQ DOO SD\HU
DQG PXOWL SD\HU SLORWV LGHQWLI\LQJ VXFFHVV IDFWRUV DQG EHVW SUDFWLFHV WKDW FRQWULEXWH WR LPSURYHG
KHDOWK DQG WR GLVVHPLQDWH WKLV LQIRUPDWLRQ EURDGO\ DQG SURYLGLQJ LQFHQWLYHV DW WKH VWDWH UHJLRQDO
DQG QDWLRQDO OHYHOV WKDW HQFRXUDJH SD\PHQW DQG FDUH GHOLYHU\ UHIRUPV WKURXJK 0HGLFDUH 0HGLFDLG
KHDOWK LQVXUDQFH H[FKDQJHV DQG $&2V

Physicians, clinicians, health professionals, health plans, and academic medicine partners VKRXOG
VXSSRUW FDUH GHOLYHU\ LQQRYDWLRQV WKDW VWUHQJWKHQ WKH SULPDU\ FDUH LQIUDVWUXFWXUH DQG ZRUNIRUFH
7KLV LQFOXGHV LQYHVWLQJ LQ HGXFDWLRQ DQG WUDLQLQJ IRU KHDOWK FDUH SURIHVVLRQDOV ZRUNLQJ LQ WHDPV WR
DGYDQFH SDWLHQW FHQWHUHG SULPDU\ FDUH WKH XVH RI KHDOWK ,7 SRSXODWLRQ KHDOWK PDQDJHPHQW DQG
FDUH FRRUGLQDWLRQ SURPRWLQJ WKH ZLGHVSUHDG DGRSWLRQ RI PHDQLQJIXO XVH 08 HOHFWURQLF KHDOWK
UHFRUG VWDQGDUGV LQWHURSHUDELOLW\ DQG KHDOWK LQIRUPDWLRQ H[FKDQJH +,( DQG VXSSRUWLQJ SUDFWLFHV
ZKR DGRSW QRQ IDFH WR IDFH SDWLHQW YLVLWV XVLQJ WHOHKHDOWK DQG RWKHU LQQRYDWLRQV DQG UHZDUGLQJ
SURYLGHUV DSSURSULDWHO\ IRU DGRSWLQJ WKH KHDOWK ,7 QHFHVVDU\ WR VXSSRUW WKLV WUDQVLWLRQ
(PSOR\HUV SXUFKDVHU DQG KHDOWK EHQH÷W GHVLJQ FRQVXOWDQWV VKRXOG GHVLJQ HPSOR\HH KHDOWK
EHQH÷WV WKDW SURPRWH ZHOOQHVV DQG SUHYHQWLRQ DQG LQFHQWLYL]H DQG HQKDQFH DFFHVV WR SURYLGHUV DQG
SUDFWLFHV WKDW GHOLYHU SDWLHQW FHQWHUHG SULPDU\ FDUH 7KLV LQFOXGHV VXSSRUWLQJ WKH DGRSWLRQ RI YDOXH
GULYHQ UHLPEXUVHPHQW PRGHOV DQG VWURQJ SDUWQHUVKLSV ZLWK 3&0+ DQG $&2 SURYLGHUV QHWZRUNV
DQG KHDOWK V\VWHPV RQ WKH ÜVXSSO\ VLGH Ý DV ZHOO DV UHZDUGLQJ HPSOR\HUV IRU XVLQJ YDOXH EDVHG
SXUFKDVLQJ DQG GHYHORSLQJ HPSOR\HH ZHOOQHVV DQG SUHYHQWLRQ SURJUDPV RQ WKH ÜGHPDQG VLGH Ý

Patients, families, caregivers QHHG WR IHHO HQJDJHG DQG HGXFDWHG LQ RUGHU WR FKRRVLQJ EHWWHU KHDOWK
FDUH VHUYLFHV DQG IHHO FRQ÷GHQW LQ QDYLJDWLQJ WKH V\VWHP DQG FRPPXQLFDWLQJ ZLWK WKHLU FDUH WHDP
7KLV LQFOXGHV SURYLGLQJ DFFHVV WR VKDUHG GHFLVLRQ PDNLQJ VHOI PDQDJHPHQW WRROV SDWLHQW KHDOWK
GDWD DQG FRPPXQLW\ UHVRXUFHV ,Q DGGLWLRQ SDWLHQWV VKRXOG EH HQFRXUDJHG WR FKRRVH KLJK TXDOLW\
SDWLHQW FHQWHUHG FDUH WKURXJK VKDUHG VDYLQJV RU RWKHU ÷QDQFLDO LQFHQWLYHV

:H DOVR ORRN WR health service researchers, academics, and economists WR FRQWLQXH WR LGHQWLI\
HIIHFWLYH PHGLFDO KRPH PRGHOV DQG VWUDWHJLHV WR DFFHOHUDWH WKHLU VSUHDG DQG LPSDFW WKURXJKRXW
WKH 86 7KLV LQFOXGHV FRQWLQXHG VXSSRUW IRU UHVHDUFK DQG HYDOXDWLRQ DFURVV WKH SXEOLF DQG SULYDWH
VHFWRU WR LGHQWLI\ FULWLFDO VXFFHVV IDFWRUV HIIHFWLYH SD\PHQW PRGHOV DQG H[HPSODU SDWLHQW DQG IDPLO\
HQJDJHPHQW VWUDWHJLHV )XUWKHU ZH UHFRPPHQG WKH GHYHORSPHQW RI D VHW RI VWDQGDUG FULWHULD WKDW
DVVHVVHV WKH PHGLFDO KRPHÚV LPSDFW RQ FRVW XWLOL]DWLRQ DQG TXDOLW\ DQG WKH DOLJQPHQW RI TXDOLW\ DQG
HI÷FLHQF\ PHDVXUHV DFURVV WKH FDUH FRQWLQXXP

)LQDOO\ ZKLOH XQGHUVFRULQJ WKH FRQVLGHUDEOH FKDOOHQJH RI EULQJLQJ LVRODWHG SULPDU\ FDUH VXFFHVVHV
WR VFDOH ZH EHOLHYH WKH FXUUHQW VWDWH RI 3&0+ HYLGHQFH GHPRQVWUDWHV WKDW D KHDOWK FDUH V\VWHP
WKDW GHOLYHUV EHWWHU SULPDU\ FDUH LV QRW RQO\ QHFHVVDU\ EXW DOVR SRVVLEOH ,Q RUGHU WR VHFXUH WKH
IXWXUH RI WKH 3&0+ DQG WR DQFKRU LWV IRXQGDWLRQDO UROH LQ WKH ODUJHU KHDOWKFDUH V\VWHP ZH PXVW
JDOYDQL]H WKH QHFHVVDU\ UHVRXUFHV WHFKQRORJ\ SD\PHQW UHIRUPV HGXFDWLRQ DQG FXOWXUH FKDQJH WKDW
ZLOO XOWLPDWHO\ UHYROXWLRQL]H WKH ZD\ SULPDU\ FDUH LV SDLG IRU GHOLYHUHG DQG H[SHULHQFHG :H ORRN
IRUZDUG WR RXU ZRUN WRJHWKHU DQG WR D JURZLQJ FROOHFWLRQ RI HYLGHQFH RYHU













PAGE 24
   19   20   21   22   23   24   25   26   27   28   29