The Model P
The Maine Deal
It Takes a Team
Power to the People
Bright Ideas
100
A model for changing both the delivery of and payment for primary care services
What is the Patient Centered Medical Home model?
100
Maine-based effort to test the PCMH model
What is the Maine PCMH Pilot?
100
Community Care Teams
What is the name for community-based care management teams that support the most high-needs, high-cost patients of the PCMH Pilot practices?
100
Patients!
Who are the key "customers" of practices in the Maine PCMH Pilot?
100
Patient guides (or welcome kit)
What tool has the QC Consumer Advisory Committee been helping to create for PCMH Pilot practices?
200
Primary care practices
What type of medical, oral health, behavioral health practices are typically the target of "medical home" efforts?
200
26
What is the number of primary care practices currently in the Maine PCMH Pilot?
200
Eight
How many Community Care Teams are there currently in the Maine PCMH Pilot?
200
Patient & Family Advisory Councils
What type of new groups have over half the practices in the Maine PCMH Pilot brought together to give them input on ways to improve their practice?
200
Peer navigators
What innovative practice have some PCMH Pilot practices used to help patients better navigate the health care system?
300
Improved patient experience, improved outcomes and controlling costs
What are the goals of PCMH?
300
50
What is the number of new primary care practices that will be joining the Pilot in Jan 2013?
300
Top 5%
What portion of the practice population are Community Care Teams expected to support?
300
Time
What do most patients say they want more of from their primary care practices?
300
Patient portals
What are some primary care practices using to let patients have access to their electronic medical records?
400
Private payers (employers) and public payers (Medicaid, Medicare), Health Resource and Service Administration (Grant Opportunities)
Who's paying for PCMH changes?
400
Maine Quality Forum, Maine Quality Counts, Maine Health Management Coalition
What three organizations are serving as conveners (sponsors) of the Maine PCMH Pilot?
400
Nurses, social workers, behavioral health workers, pharmacists, and others - as needed!
What types of staff are members of a Community Care Team?
400
Someone who knows me, cares about me, and coordinates my care
How do many patients define a good primary care provider?
400
Visit summaries
What are some primary care practices offering to patients at the end of their visit to summarize the key points of the visit?
500
New "per member per month" (PMPM) care management fees, in addition to ongoing fee-for-service payments
What is the most common payment model for primary care practices in PCMH efforts?
500
Medicare, Medicaid, Anthem, Aetna, and Harvard Pilgrim Health Care
What are the payers participating in the Maine PCMH Pilot?
500
Patients with high rates of hospitalization or Emergency Dept. use
What are two populations of patients who might benefit from Community Care Team support?
500
Patient experience surveys
What type of surveys are Pilot practices asked to conduct to help them to identify areas for improvement in the practice?
500
Your good ideas!
What would help PCMH practices become even more patient-centered?
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