Tool to Assess Ongoing Costs of PCMH

评估 PCMH 持续成本的工具

• 批准号: 8627776
• 负责人: MICHAEL K MAGILL
• 金额: $ 10万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8627776
• 关键词: Tool; Assess; Ongoing; Costs; PCMH

Tool to Assess Ongoing Costs of PCMH Project Summary/Abstract The Patient-Centered Medical Home (PCMH) model is expected to help achieve the triple aims of access, quality, and cost effectiveness. Transformation of a practice to a PCMH model requires many changes, including addition of new staff to perform new services, new work flows and systems to implement new avenues for patient access, and new systems to manage the health of a population of patients. Many of these activities and the infrastructure to support them are not covered by current reimbursement models. As practices are transforming to a PCMH model, it is essential that sufficient up-front investments be made available so that practices can create the infrastructure necessary to support high-quality, safe, continuous, coordinated, comprehensive care. It is critical to develop knowledge about the costs of on-going maintenance of the new services required in a PCMH model. With this project, we have an important opportunity to contribute to effective primary care payment reform and to the sustainability of primary care transformation by rigorously defining costs for maintaining PCMH practices. This project will apply a PCMH Cost Dimensions Tool developed to assess the costs to practices associated with activities to achieve PCMH recognition status in 21 practices that differ with regard to their: 1) NCQA PCMH Recognition status (Level III or not), 2) ownership (network of centrally owned practices or independent practices), 3) payers (fee-for-service commercial plans, Medicare, Medicaid, Federally Qualified Health Centers), and 4) patient populations (socio-economic status, health status). Applying the PCMH Cost Dimension Tool in these diverse settings will allow us to examine the ways in which practices and their associated cost structures differ across settings. The findings from this study will be useful to a variety of stakeholders. They will be useful to payers in establishing financial incentives for practices to implement and operate PCMH practices. They will be useful to policy makers in establishing programs that encourage and support the development of PCMH practices. They will be useful to practices in predicting the costs they may experience in maintaining a transformed PCMH practice.

评估PCMH的持续费用的工具 项目摘要/摘要 以患者为中心的医疗屋（PCMH）模型有望帮助实现三重目标 访问，质量和成本效益。将实践转换为PCMH模型 需要许多更改，包括增加新员工来执行新服务，新工作流程 和实施新途径以供患者使用，以及管理的新系统 患者人群的健康。其中许多活动以及支持的基础设施 当前的报销模型没有涵盖它们。 随着实践转换为PCMH模型，至关重要的是足够的前期 进行投资，以便实践可以创建必要的基础设施 支持高质量，安全，连续，协调，综合护理。发展至关重要 了解持续维护PCMH所需的新服务的成本 模型。有了这个项目，我们有一个重要的机会来为有效的初选做出贡献 严格的护理支付改革和初级保健转型的可持续性 定义维护PCMH实践的成本。 该项目将应用开发的PCMH成本维度工具来评估成本 与活动相关的实践，以实现PCMH识别状态的21种实践 与其不同：1）NCQA PCMH识别状态（III级与否），2）所有权 （集中惯例或独立实践的网络），3）付款人（费用服务费 商业计划，医疗保险，医疗补助，联邦合格的健康中心）和4）患者 人口（社会经济地位，健康状况）。应用PCMH成本尺寸工具 这些不同的设置将使我们能够检查实践及其相关的方式 成本结构在各个环境之间有所不同。 这项研究的发现将对各种利益相关者有用。他们将有用 付款人建立经济激励措施以实施和操作PCMH 实践。他们将对政策制定者建立鼓励和 支持PCMH实践的发展。它们对于预测的实践将很有用 他们可能会在维护变换的PCMH实践方面经历的成本。

项目成果

The cost of sustaining a patient-centered medical home: experience from 2 states.

维持以患者为中心的医疗之家的成本：来自两个州的经验。

• DOI: 10.1370/afm.1851
• 发表时间: 2015
• 期刊: Annals of family medicine
• 影响因子: 4.4
• 作者: Magill,MichaelK;Ehrenberger,David;Scammon,DebraL;Day,Julie;Allen,Tatiana;Reall,AndreuJ;Sides,RhondaW;Kim,Jaewhan
• 通讯作者: Kim,Jaewhan