Health Quality Innovation

The Maine Patient Centered Medical Home Pilot

Recognizing the essential role of primary care in our healthcare system, the Maine Quality Forum (MQF),Quality Counts, and the Maine Health Management Coalition are working together to lead the Maine Patient Centered Medical Home (PCMH) Pilot. Following an initial planning period, the group selected a group of 26 primary care practices in May 2009 to implement the PCMH model as a first step in ultimately achieving the goal of statewide implementation of a patient centered medical home model.

The Pilot has engaged all major private and public payers in the state to provide an alternative reimbursement model to participating practices that recognizes the infrastructure and system investments needed to deliver care in accordance with the PCMH model, and rewards practices for demonstrating high quality and efficient care.

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The Washington Patient Centered Medical Home Collaborative

The Patient-Centered Medical Home Collaborative is a learning process for medical teams to improve primary care for their patients. Through 2011, 33 teams in Washington will create patient-centered medical homes. In a medical home the physician and care team build strong relationships with the patient and the patient’s family. The team coordinates care with specialists or other health providers. Patient-centered care makes the patient a partner in health care decisions.

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The Vermont Blueprint for Health

The Vermont Blueprint for Health is a vision, a plan and a statewide partnership to improve health and the health care system for Vermonters. The Blueprint provides the information, tools and support that Vermonters with chronic conditions need to manage their own health – and that doctors need to keep their patients healthy.The Blueprint is working to change health care to a system focused on preventing illness and complications, rather than reacting to health emergencies.

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The Colorado Patient Centered Medical Home Pilot

Colorado is the site of a Multi-Payer, Multi-State Patient Centered Medical Home Pilot that includes multiple participants at both the local and national level.  The Patient Centered Medical Home (PCMH) is not a place but an approach to providing continuous, comprehensive, coordinated care, with a partnership between patients and their personal healthcare team, as part of an integrated medical neighborhood.

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The Pennsylvania Chronic Care Initiative

The present system of providing health care was designed to treat acute illness, not control chronic diseases.  In the face of rising levels of chronic disease and spiraling health care costs; governments, businesses, insurance companies and Pennsylvania families have, out of necessity, chosen to limit health care services, benefits and visits as a way to cut cost.

Evidence is mounting around the country that exactly the opposite approach to chronic disease is more successful.  Early, consistent and persistent health care intervention for those with chronic disease will likely be more cost-effective and will dramatically improve the quality of life for anyone with chronic disease.

In May 2007 the Pennsylvania Chronic Care Management, Reimbursement and Cost Reduction Commission was created to develop a strategic plan for treating chronic disease that would improve the quality of care for those with these conditions while reducing avoidable illnesses and their costs.

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