![Page 1: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/1.jpg)
Patient Centered Medical Homeand
The Medical Neighborhood
Daniel Maher, MD, MPH, FACPCAPT, MC, USN
Director of Medical ServicesNaval Medical Center San Diego
6 October 2011
![Page 2: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/2.jpg)
Disclaimer: The views expressed in this article are those of the author and do
not necessarily reflect the official policy or position of the Department of the
Navy, Department of Defense, or the United States Government
![Page 3: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/3.jpg)
Objectives
• Describe the ‘big picture’ • Identify the #1 goal of the Medical Home Port• Recognize what policymakers are saying
about Medical Homes• Explore ideas for linking Medical Homes with
the Medical Neighborhood
![Page 4: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/4.jpg)
![Page 5: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/5.jpg)
![Page 6: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/6.jpg)
![Page 7: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/7.jpg)
![Page 8: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/8.jpg)
![Page 9: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/9.jpg)
![Page 10: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/10.jpg)
Medical Motel 6
To
Home Sweet Medical Home
To
The Medical Mansion
![Page 11: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/11.jpg)
Step Back and Remember
A simple concept:
“Encourage patients to become active participants in their own health, work with them to keep them well and out of the hospital and emergency room, and guide them through the system when they need care.”
(Healthcare Executive, Mar/Apr 2011, p27)
![Page 12: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/12.jpg)
The View from the top
http://www.youtube.com/watch?v=-yGS7jxgyVk
http://www.youtube.com/watch?v=tlJBZQZJe-w&feature=related
http://www.youtube.com/watch?v=g3eNW_CmG1o
http://www.bethesda.med.navy.mil/MedicalHome/MHVideo.aspx
http://www.navy.mil/swf/mmu/mmplyr.asp?id=16037
http://www.emmisolutions.com/medicalhome/acp/english.html
![Page 13: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/13.jpg)
![Page 14: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/14.jpg)
![Page 15: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/15.jpg)
![Page 16: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/16.jpg)
The Metrics
• ED utilization• Hospitalization rates• Specialty care utilization• PCM and Team Continuity• Same Day access to care• Patient satisfaction• Staff satisfaction• COST aka PMPM
![Page 17: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/17.jpg)
PMPMPer member per month = the cost of providing
care for your enrolled panel of patients
Cost of care directly related to utilization
(ED, Hospitalization, Specialty)
Bottom line – decrease the cost of care while improving the quality of care
![Page 18: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/18.jpg)
The Med Home Team
TRUST- “Trust no one, verify everything”
- “Show me the data”
- “I’ll do it myself”
- “It’s faster if I handle it all myself”
![Page 19: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/19.jpg)
Building Trust
- Are you still asking about, ordering, documenting health maintenance services?
- Does your MA or Corpsman copy forward the PMH and Med list for you?
- Do you know all the support staff on your team by name?
- Do you meet with your team on some regular basis to discuss the health issues of your enrolled panel of patients?
- Does your team have a physician leader who actually leads the team in improving the care of your enrolled panel?
![Page 20: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/20.jpg)
The Medical Mansion
![Page 21: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/21.jpg)
A simple vision:
“Encourage patients to become active participants in their own health, work with them to keep them well and out of the hospital and emergency room, and guide them through the system when they need care.”
(Healthcare Executive, Mar/Apr 2011, p27)
![Page 22: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/22.jpg)
The Medical Neighborhood
![Page 23: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/23.jpg)
![Page 24: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/24.jpg)
The Medical Neighborhood
![Page 25: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/25.jpg)
In Conclusion• The Medical Home is complex – perhaps overwhelming
• Step back and focus on a simple concept of the Medical Home
• The Medical Home is marketed as the answer to the rising cost of care
• For Navy Medicine the PMPM is cost of care
• Link the Medical Home with your local Medical Neighborhood
![Page 26: Patient Centered Medical Home and The Medical Neighborhood Daniel Maher, MD, MPH, FACP CAPT, MC, USN Director of Medical Services Naval Medical Center](https://reader036.vdocuments.mx/reader036/viewer/2022062516/56649d8c5503460f94a743bb/html5/thumbnails/26.jpg)
QUESTIONS