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What is a Patient Centered Medical Home ? ,[object Object],[object Object]
Background Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Across the globe doctors are miserable because they feel like hamsters on a treadmill. They must run faster just to stand still… The result of the wheel going faster is not only a reduction in the quality of care but also a reduction in professional satisfaction  and an increase in burnout among doctors.” Morrison and Smith, BMJ 2000;321:1541 Primary Care: Currently an Impossible Job?
[object Object],[object Object],[object Object],Primary Care: Currently an Impossible Job?
Primary Care Score vs. Total  Expenditures , 1997 Starfield 10/00 00-133 US NTH CAN AUS SWE JAP BEL FR GER SP DK FIN UK Starfield 10/00 IC 1731
Primary care score vs rank in  outcomes * Rank based on patient satisfaction, expenditures per person, 14 health indicators, and medications per person in Australia, Belgium, Canada, Denmark, Finland, Germany, Netherlands, Spain, Sweden, United Kingdom, United States
 
Total cost of healthcare  vs availability of Primary Care
Total cost of healthcare  vs availability of Specialists
Quality Rank  vs availability of Primary Care
Quality Rank  vs availability of Specialists
The numbers say: primary care delivers better health outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient-Centered Care is: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Addressing Care Coordination   through the PC-MH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Principles of the  Patient Centered Medical Home ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Primary Care — Will It Survive? Thomas Bodenheimer, M.D. Perspective August 31,  2006
[object Object],[object Object],Primary Care — Will It Survive? Thomas Bodenheimer, M.D. Perspective August 31,  2006

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What is a PCMH

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  • 3. “ Across the globe doctors are miserable because they feel like hamsters on a treadmill. They must run faster just to stand still… The result of the wheel going faster is not only a reduction in the quality of care but also a reduction in professional satisfaction and an increase in burnout among doctors.” Morrison and Smith, BMJ 2000;321:1541 Primary Care: Currently an Impossible Job?
  • 4.
  • 5. Primary Care Score vs. Total Expenditures , 1997 Starfield 10/00 00-133 US NTH CAN AUS SWE JAP BEL FR GER SP DK FIN UK Starfield 10/00 IC 1731
  • 6. Primary care score vs rank in outcomes * Rank based on patient satisfaction, expenditures per person, 14 health indicators, and medications per person in Australia, Belgium, Canada, Denmark, Finland, Germany, Netherlands, Spain, Sweden, United Kingdom, United States
  • 7.  
  • 8. Total cost of healthcare vs availability of Primary Care
  • 9. Total cost of healthcare vs availability of Specialists
  • 10. Quality Rank vs availability of Primary Care
  • 11. Quality Rank vs availability of Specialists
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  • 17.