Patient-Centered Medical Home Core Principles
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Nebraska is in the first year of its Medicaid Patient-Centered Medical Home pilot (www.hhs.state.ne.us/med/pilot/implementation.htm) which was created by LB 396 passed in the 2009 legislative session. Two clinics in separate Nebraska communities have been chosen. One is a family medicine clinic in Lexington, Nebraska. The other is a combined pediatric and family medicine clinic in Kearney, Nebraska.
In addition, the primary care state medical societies (family physicians, pediatricians, and general internists) and the Nebraska Medical Association have all signed on to a PCMH core principals document that specifies the need to move to a payment model for care based on the joint principles document and supported by a blended payment model (combination of patient management fees, fee for service, and incentive payments). A joint committee has also been set up under the umbrella of the Nebraska Medical Association to meet with insurers to advocate for private insurance payment for the PCMH. So far, Blue Cross Blue Shield of Nebraska is starting its second phase of PCMH pilots which will expand to about 200 providers in 2011. Other insurers have yet to step up. The committee is also looking into potential legislative options for the 2012 legislative year.
In a medical home, you and your staff take care of patients with less hassle and better results. Information technology helpls to keep things organized and supports a more efficient workflow. Streamlined office function and incentives from payers contribute to your bottom line.
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TransforMED is focused on practice redesign and affiliated with the American Academy of Family Physicians (AAFP). TransforMED is studying and implementing transformed models of high performance practices that meet the needs of both patients and practices.
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POLST
The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm program is designed to improve the quality of care people receive at the end of life. It is based on effective communication of patient wishes, documentation of medical orders on a brightly colored form and a promise by health care professionals to honor these wishes.
