At the 2018 PCMH Congress, healthcare providers from all practice sizes shared their strategies for successfully operating as a patient-centered medical home (PCMH). Providers shared a number of simple steps that practices can take to adopt and sustain PCMH operations. To note, any practice can implement these strategies to improve practice workflows, not only PCMH practices.
Operating as a PCMH requires coordinating care for an entire patient panel (all screenings, outstanding orders, and other patient-specific needs). Efficient pre-visit planning ensures providers maximize time spent with patients and minimize gaps in care.
Practices can integrate PCMH activities with other program requirements to minimize the overall administrative workload that comes with participating in multiple programs.
One health system found that having a behavioral health clinician on the primary care team improves patient and provider satisfaction, reduces the stigma associated with behavioral health conditions, and improves behavioral health outcomes.
Whole-practice risk stratification (assigning a risk level to each patient and choosing interventions for each risk level) is a new NYS PCMH requirement. It is also a key component of meeting value-based payment arrangement requirements.
Daily PCMH activities, such as holding care team huddles, quickly become habit for a practice. Practices may find it more difficult to keep up with monthly or quarterly activities, such as holding quality meetings or re-assessing performance on utilization measures.
These recommendations are only a sample of the many effective strategies for optimizing practice workflows. Contact NYC REACH at firstname.lastname@example.org to learn more.