The pace of change in health care delivery is quickening, and patient-focused primary care is at the center. As a result of increased focus on patient-centered value and game-changing initiatives of CMS and its Innovation Center that support the Patient Centered Medical Home (PCMH) model, health care purchasers, payers and providers are moving rapidly to redesign care and payment systems to achieve better outcomes and lower costs.
Better Health is playing a convening role in coordinating health plans, employers and primary care practices to support implementation of the Patient Centered Medical Home model, which aims to provide structured, proactive and coordinated care for patients rather than episodic treatments for illnesses. In a medical home, the primary-care doctor operates as a “home base” for patients, overseeing all aspects of patients’ health and coordinates care with any specialists involved in the patient’s care.
In Ohio, 74 practices have received Level 3 PCMH recognition by the National Committee for Quality Assurance (NCQA), and 15 of them, or 20%, are in Northeast Ohio. But 42% of Ohio physicians who work in PCMH-recognized reside in Greater Cleveland, where collaborative efforts to build a multi-payer PCMH program are logging strong progress.
Founded in the 2011 by Ted Wymyslo, M.D. Director of the Ohio Health Department, the statewide Collaborative is a coalition of primary care providers, insurers, employers, consumer advocates, government officials and public health professionals, who have come together to advance the adoption of the Patient Centered Medical Home (PCMH) model in primary care practices.
The OPCPCC is coordinating statewide efforts to implement best practices to advance patient-centered primary care. By providing a forum for healthcare stakeholders to communicate freely and work together, OPCPCC strives to:
- Enhance communication among providers, purchasers, and consumers
- Identify and disseminate best practices
- Increase the number of engaged patients, providers, employers & insurers
- Improve care, health, satisfaction and value
- Become a national leader in using a collaborative process to build a sustainable model
Better Health Director Randall D. Cebul, M.D. is a member of the OPCPCC Coordinating Council and chairs the Payment Reform Learning Center.