The purpose of this essay is to provide a review of the models which are Chronic Care Model and Patient-Centered Medical Home Model. Also to provide how both achieve quality and safety and add as much information on how both models benefit in providing care to the patients.
In comparison and contrast between Chronic Care Model and Patient-Centered Medical Home Model, it is pertinent to know that Chronic is a condition which “requires ongoing adjustments by the affected person and interactions with the health care system” (Improving Chronic Illness Care, 2006-2011) and is related to the Chronic Care Model which initiates an improved an system between the organization, the community and the level of care. Patient-Centered Medical Home Model however is allocating care that is “timely access to medical services, enhanced communication between patients and their health care team, coordination and continuity of care, and an intensive focus on quality and safety” (Improving Chronic Illness Care, 2006-2011).
Both models provide changes, however, the chronic care relates to patients with an illness where as patient-centered is to provide a improved relationship between the patients and the medical team and to create a transformation of communication and performance as well as provides “quality improvement approach that promotes a partnership between child, the family and the physician care team” (American College of Physicians, 2011).
In the United States, having a model of care has been beneficial because “treatment of acute condition” (Patient-Centered Medical Home, 2007) has been provided. Along with the Chronic Care Model, an extended support of that model, which is the patient centered, is being implemented to include care “to include proactive management of the health care needs of all patients” (Patient-Centered Medical Home, 2007) and not just those patients suffering from chronic illness results. Having this new model will also provide a higher quality of care, be cost effective and ensure an improvement to a healthier patient population.
The key elements that are beneficial to achieve quality and safety goals are “a personal physician, a physician-directed team, whole person orientation,
coordinated, integrated care, emphasis on quality and safety, enhanced access, and appropriate payment structure” (Patient- Centered Medical Home, 2007). Having these elements is pertinent for both models, however a difference is that the patient- centered medical home model does not require that patients “get permission from a primary care doctor to see a specialist” (Patient-Centered Medical Home, 2007) however they are required to have a promising relationship with their primary physicians who can advise on what kind of special care is in need and what specialist can advise them in the best medical care and with the best decisions.
In conclusion, a structure on lower cost is pertinent to providing the right model for the system. Achieving a prosperous medical outcome in the end requires a cost budget that will benefit not only the Health care organization but the patients as well. Another benefit for patients is to implement a low cost strategy that will allow patients to receive medical treatment and also pay out cost that meets the individual’s budget. Creating an income chart would also be a way to know what a patient can afford to pay.
American College of Physicians (2011) Joint principles of a patient. Retrieved February 16, 2011 from http://www.acponline.org/pressroom/pcmh.htm Improving Chronic Illness Care (2006-2011) Patient-Centered Medical Home. Retrieved February 16, 2011 http://www.improvingchroniccare.org/index.php?p=Patient-Centered_Medical_Home&s=224 Patient-Centered Medical Home (2007) BCBSM provider group Incentive program patient-centered medical home overall plan. Retrieved February 16, 2011 from http://www.bcbsm.com/pdf/PC-MH_overall_plan.pdf
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