Page 6 The Patient Centered Medical Homes Impacton Cost and Quality
P. 6
EXECUTIVE SUMMARY
7KLV DQQXDO UHSRUW KLJKOLJKWV UHFHQWO\ SXEOLVKHG FOLQLFDO TXDOLW\ DQG ÷QDQFLDO RXWFRPHV RI SDWLHQW
FHQWHUHG PHGLFDO KRPH 3&0+ LQLWLDWLYHV IURP DFURVV WKH 8QLWHG 6WDWHV $W WKH WLPH RI WKLV ZULWLQJ
PRUH WKDQ FRPPHUFLDO DQG QRW IRU SUR÷W KHDOWK SODQV LQFOXGLQJ WKH QDWLRQÚV ODUJHVW DUH OHDGLQJ
LQLWLDWLYHV JURXQGHG LQ WKH SKLORVRSK\ RI SDWLHQW FHQWHUHG FDUH DQG WKH 3&0+ 'R]HQV RI WKH
QDWLRQÚV ODUJHVW HPSOR\HUV LQFOXGLQJ %RHLQJ ,%0 ,QWHO 6DIHZD\ DQG /RFNKHHG 0DUWLQ DUH RIIHULQJ
DGYDQFHG SULPDU\ FDUH DQG 3&0+ EHQH÷WV WR WKRXVDQGV RI HPSOR\HHV ,Q WKH SXEOLF VHFWRU PLOOLRQV
RI EHQH÷FLDULHV DUH UHFHLYLQJ SDWLHQW FHQWHUHG SULPDU\ FDUH WKURXJK VWDWH 0HGLFDLG SURJUDPV
WKH )HGHUDO (PSOR\HH +HDOWK %HQH÷WV SURJUDP 0HGLFDUH WKH 86 PLOLWDU\ DQG WKH 9HWHUDQV
$GPLQLVWUDWLRQ ,Q DGGLWLRQ PLOOLRQV PRUH SDWLHQWV DUH DWWULEXWHG WR WKH WKRXVDQGV RI SULYDWH
SUDFWLFHV FRPPXQLW\ KHDOWK FHQWHUV KRVSLWDO DPEXODWRU\ FDUH QHWZRUNV LQGHSHQGHQW SK\VLFLDQ
DVVRFLDWLRQV DQG RWKHU RUJDQL]DWLRQV WKDW KDYH DGRSWHG WKLV DSSURDFK WR SULPDU\ FDUH &OHDUO\ WKH
PRPHQWXP IRU WKH 3&0+ FRQWLQXHV WR EXLOG
3UR÷OLQJ D VKRZFDVH RI 3&0+ LQLWLDWLYHV WKLV UHSRUW IRFXVHV RQ VWXGLHV UHOHDVHG EHWZHHQ $XJXVW
DQG 'HFHPEHU DQG LGHQWL÷HV ZKHUH WKH\ DUH KDSSHQLQJ ZKR LV OHDGLQJ WKHP DQG
KLJKOLJKWV WKH RXWFRPHV WKH\ DUH DFKLHYLQJ ,Q DGGLWLRQ WR WKH UHVXOWV IURP WKHVH PRVW UHFHQW
VWXGLHV WKH UHSRUW LQFOXGHV D VXPPDU\ RI 3&0+ LQLWLDWLYHV WDNLQJ SODFH WKURXJKRXW WKH 86 VLQFH
ZKLFK FDQ EH IRXQG LQ $SSHQGL[ $ RQ SDJH UHøHFWLQJ GLIIHUHQW VWXGLHV RUJDQL]HG E\
VWDWH DQG ORFDWLRQ $OWKRXJK WKH HYLGHQFH LV HDUO\ IURP DQ DFDGHPLF SHUVSHFWLYH DQG WKLV UHSRUW
GRHV QRW UHSUHVHQW D IRUPDO SHHU UHYLHZHG PHWD DQDO\VLV RI WKH OLWHUDWXUH WKH H[SDQGLQJ ERG\ RI
UHVHDUFK SURYLGHG KHUH VXJJHVWV WKDW ZKHQ IXOO\ WUDQVIRUPHG SULPDU\ FDUH SUDFWLFHV KDYH HPEUDFHG
WKH 3&0+ PRGHO RI FDUH ZH ÷QG D QXPEHU RI FRQVLVWHQW SRVLWLYH RXWFRPHV
$ VXPPDU\ RI NH\ SRLQWV IURP WKLV \HDUÚV UHSRUW LQFOXGH
1. PCMH studies continue to demonstrate impressive improvements across a broad
range of categories including: cost, utilization, population health, prevention,
access to care, and patient satisfaction, while a gap still exists in reporting impact
on clinician satisfaction.
Total Cost Fewer Inpatient Fewer Improvement in Improved Increase in Preventive Improvement in
Studies Reductions Fewer ED Visits Admissions Readmissions Population Health Access Services Satisfaction
PEER-REVIEW/ACADEMIA
Reported (n=13) 61% 61% 31% 13% 31% 31% 31% 23%
outcomes
(n=8) (n=8) (n=4) (n=1) (n=4) (n=4) (n=4) (n=3)
INDUSTRY REPORTS
Reported (n=7) 57% 57% 57% 29% 29% 14% 29% 14%
outcomes
(n=4) (n=4) (n=4) (n=2) (n=2) (n=1) (n=2) (n=1)
:KLOH UHFRJQL]LQJ WKDW ÜRQH VL]H GRHV QRW ÷W DOO Ý WKHVH VWXGLHV IRXQG WKDW 3&0+ LQLWLDWLYHV
FRQWLQXH WR GHPRQVWUDWH LPSURYHPHQWV DFURVV D QXPEHU RI PHWULFV LQ SHHU UHYLHZHG DFDGHPLF DQG
LQGXVWU\ JHQHUDWHG VWXGLHV 7KH PRVW FRPPRQ UHSRUWHG PHWULFV LQFOXGH
• Decreases in the cost of care, VXFK DV SHU PHPEHU SHU PRQWK 3030 FRVWV UHWXUQ RQ
LQYHVWPHQW DQG WRWDO FRVW RI FDUH RI SHHU UHYLHZHG DQG RI LQGXVWU\ JHQHUDWHG
VWXGLHV
• Reductions in the use of unnecessary or avoidable services, VXFK DV HPHUJHQF\ GHSDUWPHQW
RU XUJHQW FDUH YLVLWV RI SHHU UHYLHZHG DQG RI LQGXVWU\ JHQHUDWHG VWXGLHV
LQSDWLHQW DGPLVVLRQV SHHU UHYLHZHG DQG LQGXVWU\ JHQHUDWHG VWXGLHV DQG KRVSLWDO
UHDGPLVVLRQV RI SHHU UHYLHZHG DQG RI LQGXVWU\ JHQHUDWHG VWXGLHV
PAGE 6