Comparison between Nurse Practitioners and MD Providers in Diabetes Care

Shared by Cathy Wheeler, Fan Free Clinic: Interesting article in The Journal for Nurse Practitioners “Comparison between NP and MD Providers in Diabetes Care.” Click PCMH Impact Research in the top menu to browse more studies and evaluations.

Health Homes: What Healthcare’s “One Stop Shopping” Models Mean for Behavioral Health

Shared by Peter Prizzio, The Daily Planet: Medicaid Health Homes: Care Coordination in the States Charles Ingoglia, MSW, Senior Vice President for Public Policy and Practice Improvement, and Laira Roth, Policy Associate, National Council for Community Behavioral Healthcare Individuals with multiple chronic conditions represent our healthcare system’s most costly and complex cases. Recent studies show that comorbid behavioral and medical conditions are the expectation — not the exception. In fact, 68% of people with a mental illness also have a physical health condition such as cardiovascular disease, diabetes, and hypertension. These high-need individuals often receive uncoordinated, inefficient care, resulting in higher costs … Continue reading

Nurse Case Management services for diabetes

Shared by Peter Prizzio, The Daily Planet Case Management Associates LLC, Richmond, Virginia   Case Management Associates LLC is a unique Nurse Owned organization providing a wide range of educational resources regarding Diabetes and Heart Disease. Our educators have more than 20 years of Nursing and disease management experience. Case Management Associates LLC of Richmond, Virginia, is your diabetes education specialist providing resources and nurse case management for your benefit. We provide Diabetes Education and Nurse Case Management Services to Physicians, Community Health Care Centers, Churches and other places of worship, fitness centers and other entities in the Richmond Tri-City area.  We also offer Diabetes … Continue reading

Small Primary Care Practices Face Four Hurdles- Including A Physician-Centric Mind-Set In Becoming Medical Homes

Shared by Sally Graham,  Goochland Free Clinic and Family Services: This article, “Small Primary Care Practices Face Four Hurdles—Including A Physician-Centric Mind-Set—In Becoming Medical Homes“reviews four characteristics of small primary care practices that inhibit their ability to adopt new models of care including the PCMH model. It then discusses internal factors that will enhance a practice’s ability to redesign their approach to care and expands the recommendations to include the health care neighborhood and its role, payment reform, and new mental health models.

New Behavioral Health Measures Endorsed

The National Quality Forum (NQF) has previously endorsed performance measures related to behavioral health, specifically focused on mental health and substance abuse. NQF recently approved 10 new measures which are applicable to all care delivery settings – including primary and specialty care. Behavioral Health and Chronic Care measures: 0027: Medical Assistance With Smoking and Tobacco Use Cessation (NCQA) Advising Smokers and Tobacco Users to Quit Discussing Cessation Medications Discussing Cessation Strategies 0028: Preventive Care & Screening: Tobacco Use: Screening & Cessation Intervention (AMA-PCPI) 1932: Diabetes screening for people with schizophrenia or bipolar disorder who are prescribed antipsychotic medications (SSD) (NCQA) 1934: Diabetes monitoring for people with diabetes and schizophrenia (NCQA) 1927: Cardiovascular … Continue reading

Interactions between a PCMH and a PCMH Neighbor

The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices This position paper by the American College of Physicians, published in 2010, addresses how Patient Centered Medical Home (PCMH) organizations interface with specialty/subspecialty practices. This paper posits that the specialty/subspecialty practice should be a PCMH Neighbor (PCMH-N). The concept of a PCMH-N draws from the idea that the success of the PCMH model is dependent on the availability a “hospitable and high-performing medical neighborhood” that aligns their processes with the critical elements of the PCMH. In the case of the Greater Richmond PCMH Collaborative, the PCMH-N is not limited … Continue reading

Collaborative Chronic Care Models Improve Outcomes and Can be Framework for Integrated Care

A new study finds that practices using Chronic Care Models (CCMs) see improvement in mental and physical outcomes for individuals with mental disorders. These results hold true across a variety of care settings, and the study found no differences in total health care costs between the CCM and comparison models. The study finds significant effects of the CCMs on depression, quality of life (both physical and mental), and social role function.  Therefore, CCMs are shown to improve outcomes without increases in total health care costs. Based on the potential presented in this study, Chronic Care Models can be used in … Continue reading

About Half the States are Implementing Patient-Centered Medical Homes for their Medicaid Population

Half of state Medicaid programs are taking new approaches to provider payment—focusing on chronically ill populations, using shared teams, aligning payments with national quality standards, and implementing shared-savings programs—to help primary care practices become patient-centered medical homes for their low-income patients. 19 of the 25 states that have implemented payment changes are paying providers a permember per-month care management fee to perform the functions of a PCMH. Minnesota designed a care management fee that was adjusted according to the number of a patient’s chronic conditions. Many states are asking practices to link payments with meeting standards of care, like those … Continue reading