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- Page navigation anchor for Unique Challenges Implementing the PCMH in Residency ProgramsUnique Challenges Implementing the PCMH in Residency ProgramsShow More
Thanks so much for your comment about residency programs. Group Health runs a Family Practice residency program that is implementing the medical home model as part of the system-wide spread. The residency program faces unique challenges when implementing the medical home, especially around issues of continuity. We are looking forward to learning from our residency program about what parts of the model are directly tr...
Competing Interests: None declared. - Page navigation anchor for Still a go for PCMH with the FP residencyStill a go for PCMH with the FP residencyShow More
After presenting the article to a large family practice residency and several faculty members, the conclusion was benefits were still better than the possible negative outcomes. When the PCMH model is completely implemented into our program, the implications discussed would likely not affect us. Our patient failure and ED/urgent care utilization is already elevated. Our patients are turned-over every three years or more...
Competing Interests: None declared. - Page navigation anchor for [Author response] Medical Home Improves Primary and Secondary Prevention[Author response] Medical Home Improves Primary and Secondary PreventionShow More
Thanks for highlighting the important issue of prevention. We agree that preventive care – in addition to good chronic and acute care - is an essential component of high quality primary care. As part of the medical home demonstration, Group Health aimed to put systems in place to improve care across the whole practice for all patients.
In fact, two of the components of the intervention – outreach and pre -vi...
Competing Interests: None declared. - Page navigation anchor for PCMH Must Focus on PreventionPCMH Must Focus on PreventionShow More
Your November/December 2010 article entitled “Implications of Reassigning Patients for the Medical Home: A Case Study” is a great example of the power and limitations of the Patient Centered Medical Home (PCMH) model. Thus far in the literature, the strengths of the PCMH have been focused on secondary prevention of chronic illnesses such as diabetes and hypertension. While the PCMH shows great promise in more optimal man...
Competing Interests: None declared. - Page navigation anchor for The Group Health Cooperative Medical Home is a Success StoryThe Group Health Cooperative Medical Home is a Success StoryShow More
The conversion to a medical home at Group Health Cooperative is an impressive success story. The physicians spend 30 minutes in routine office visits and have an hour a day to communicate with patients online and on the telephone. In co-practice with a PA or NP, they manage a panel of 1800 patients. While the costs of the primary care office are increased from the previous model of a larger panel of patients, the syst...
Competing Interests: None declared.