IBM and the Medical Home

Advancing Medical Home Initiatives

Today the Patient Centered Primary

Care Collaborative (PCPCC)—a

coalition of more than 300 major

employers, consumer groups, patient

quality organizations, health plans,

labor unions, hospitals, physician

organizations and many others—has

joined together to develop and

advance the concept of the patient

centered medical home. The PCPCC

along with most healthcare

organizations, and federal and state

government agencies, realizes

healthcare has to change. It has

become a national imperative to reduce

the costs of healthcare, to increase

access to care for all citizens, and to

improve the quality of care. The PCPCC

believes the patient centered medical

home model of care delivery will

improve individual health, control costs

and sustain the viability of the U.S.

healthcare delivery system.

IBM Healthcare and Life SciencesTo support your business objectives

A Leader in Promoting Transformation

through the Patient Centered Medical

Home

As the founding member of the PCPCC,

IBM has been working with healthcare

organizations around the world to help

improve quality and lower costs in

healthcare. IBM has consulted with

healthcare systems in hundreds of

countries and understands the impact

of these systems on the health, well-

ness and productivity of employees

in those countries. Based upon its

experience as both a healthcare

solutions provider and as a major

employer challenged to provide

healthcare programs for hundreds of

thousands of employees and their

dependents, it has become clear that

change is necessary; change in the

core elements of care delivery, change

in incentives to support doctors provid-

ing a comprehensive approach to care,

and change in the systems supporting

care delivery professionals.

IBM is actively engaged in collabora-

tive efforts with other employers to

promote the medical home delivery

model in various regional and state

initiatives, and is actively working with

policy and legislative bodies to create

the changes needed to generate a

sustainable model of care. Along with

healthcare industry and government

policy leaders, IBM believes that the

patient centered medical home model

can enable the transformation required.

The patient centered medical home

model is defined by several core

concepts:

• Aprimarycarephysician-led

careteam,whereeachpatient

hasapersonalrelationshipwitha

primarycarephysicianwhoprovides

continuousandcomprehensivecare.

Thephysicianguidescare,witha

wholepersonorientation,throughout

thefullspectrumofcareneed

• Quality,Safetyandenhancedaccess

arehallmarks

• Aproactivefocusonchronicdisease

management,preventionandwellness

ratherareactive,episodicfocus

onhealthcare

• Atechnologyandinformation

infrastructurethatsupports

collaborationandsharingof

informationamongcareteammembers

andwiththeindividual

HLS03017-USEN-00

Such a patient-centered system is one

that is instrumented so that outcomes and

results can be measured, sensed and

seen… interconnected with all informa-

tion linked so that clinical care teams can

access the same integrated information

to deliver, safer, more effective, more

efficient care at a lower cost…and

intelligent in helping to deliver insights that

create new value for patients and citizens

at large to make better, more informed

lifestyle choices.

What is IBM’s Solution?

IBM has developed a process

approach that supports the implemen-

tation of the medical home model.

The Patient Centered Collaborative

Care (Pc3) solution components are

designed to support: the implementa-

tion and monitoring of collaborative

care programs; integration of patient

information to provide a longitudinal

health record; collaboration among the

care team members as well as with the

individual; and the metrics, reports,

clinical guidelines and health analytics

designed to support the delivery of

care. This new process approach,

supported by the underlying technology,

can improve an individual’s access to

their care team and empower them to

engage in managing their own health

needs. IBM brings together electronic

health records and personal health

records with a solution that provides

insights of successful practices, access

to evidence-based medicine protocols,

and disease and condition dashboards

to support better outcomes.

© Copyright IBM Corporation 2009

IBM Corporation Software Group Route 100 Somers, NY 10589 U.S.A.

Produced in the United States of America 03-09

IBM, the IBM logo are trademarks of International Business Machines Corporation in the United States, other countries or both.

Other company, product and service names may be trademarks or service marks of others.

IBM offers deep experience integrating

solutions that create a patient centered

medical home environment in a

practice, a clinic, a hospital, and at the

national and country level. Our highly

skilled consultants can provide

guidance to identify the optimal starting

point to meet the transformational

priorities of your enterprise and keep

phased implementations on track to

meet expectations. IBM’s deep

experience and understanding of both

healthcare and government industries

fosters better collaboration to support

the transformation of healthcare on

every level.

For more information

To learn more about IBM solutions visit:

ibm.com/healthcare

Reference

Geisinger Health System, which services

a major portion of the rural Pennsylvania

population, was one of the first health-

care organizations in the US to implement

an electronic health record (EHR), which

is a first step towards a Medical Home

model. In continuing with their leading

use of technology in healthcare,

Geisinger has created the Clinical

Decision Intelligence System (CDIS).

CDIS is built on an IBM Balanced

Configuration Unit (BCU) environment

and provides for the consolidation of data

and its analysis. This system is becoming

increasingly important in meeting the

needs of quality of care reporting,

research, clinical decision-making and

most of all, in improving the outcomes for

their patients with diseases such as

diabetes. Geisinger is integrating

real-time clinical, financial, operational,

claims, genomic and other medical

information in a massive storehouse of

intelligence, which are steps towards a

medical home model of care. This system

will assist their physicians in improving

patient outcomes, delivering more

personalized care and making smarter

decisions because they can easily access

and share critical patient information.