We have learned that coordinating care of patients — particular care of Medicare patients — is complex and time consuming for physicians.
A breakthrough study quantifies just how complex and challenging care coordination really is. The study is reported in the February 17 issue of Annals of Internal Medicine and is entitled Primary Care Physicians’ Links to Other Physicians Through Medicare Patients: [...]
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Archive for the "Care Providers & Care Coordination" category
by David C. Kibbe MD, MBA
What would you call health care software that:
Is Web-based and networkable, therefore highly scalable and inexpensive to purchase and use;
Provides a ‘unified view’ of a patient from multiple sources of data and information;
Is designed to be used interactively – by providers and patients alike – to coordinate care and create [...]
Would you like to receive a complimentary issue of a new publication — Medical Home News ? Click on the link and then on “Sample Issue” in the upper left corner.
Here’s a preview of the first issue:
Introducing Medical Home News
An Annotated Guide to the Medicare Medical Home Demonstration (MMHD)
Subscriber’s Corner
Johns Hopkins Lipitz Center to Assist [...]
by Thomas Wilson, PhD, DrPH and Vince Kuraitis
What’s the right metaphor for Medicare Health Support (MHS), CMS’ major experiment with disease management for Medicare beneficiaries? We prefer to look it as a bridge failure that presents an opportunity to improve future engineering and design.
We’ve now had the time to read, reread, and reread again the very [...]
Dr. Steven H. Landers writes a thoughtful article in today’s JAMA . He asks why the term Medical Home doesn’t include the patient’s home:
“…the Medical Home initiative, as currently articulated, ironically fails to emphasize the complex chronically ill patient’s actual home. This represents a failure to recognize the profile of the highest-risk beneficiaries driving much [...]
There’s a new house being built in the vacant lot across the street. It’s the medical home, and it is going to be occupied by several primary care physician families (PCs).
From what’s been said, the PCs are nice folks and will make good neighbors. They’re friendly, many are Episcopalian, they like white picket fences, and they [...]
by David C. Kibbe, MD MBA
The basic premise of the medical home concept is continuous, uninterrupted care that is managed and coordinated by a personal provider with the right tools that will lead to better health outcomes.
In 2007, the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic [...]
I’ve been critical in the past when CMS has been silent in explaining their thinking, so I’ll start this post by congratulating CMS on sharing a flood of details about the upcoming Medicare Medical Home Demonstration project.
An email from CMS arrived in my inbox this morning at 2 am. That email notified me that they have [...]
This morning the Disease Management Care Blog brought an interesting toolkit to my attention. It was published by AHRQ in August 2008, so it’s very recent.
This toolkit describes how to implement the Chronic Care Model (CCM) in your medical practice. The CCM is embedded in the Patient Centered Medical Home (PCMH) model and can be [...]


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