The Patient-Centered Medical Home and Health 2.0: Beyond the Bricks
Slide Presentation from the AHRQ 2009 Conference
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The Patient-Centered Medical Home and Health 2.0 Beyond the Bricks
Jane Sarasohn-Kahn, MA, MHSA
THINK-Health and Health Populi blog
AHRQ 2009 Conference, Bethesda, MD
September 15, 2009
Roadmap - PCMH & Health 2.0
Beyond the Bricks
- Setting the context: What are PCMH and H2.0? What's driving them? Where are we 'today?'
- A view from Dr. Jason Mitchell, AAFP
- A view from Dr. Michael Barr, ACP
- Reactions from the panelists
- Questions, answers, prospects for moving Beyond the Bricks
Total U.S. Health Spending in 2007
= $2.2 trillion
Source: Chronic Disease Overview, Centers for Disease Control and Prevention.
Available at: http://www.cdc.gov/nccdphp/overview.htm accessed July 21, 2009.
"In our country, patients are the most under-
utilized resource, and they have the most at stake.
They want to be involved and they can be involved.
Their participation will lead to better medical
outcomes at lower costs with dramatically higher
Charles Safran, M.D., President, American Medical Informatics Association
From his testimony before the Subcommittee on Health of the House Committee on Ways and Means
"It Stresses Me Out Too Much To Think About Health Care and Costs"
Source: CIGNA, learn4yourhealth survey, conducted July 2009, published September 2009
% of Americans
Why We Don't Get Preventive Care in the U.S.
Source: Fixing Health Care: What Women Want, AAFP survey, May 2008
Americans' Health-Responses to the Economic Downturn
In the past 12 months, have you or another family member living in your household.because of the COST?
Source: Kaiser Family Foundation Health Tracking Poll, August 2009
The Patient-Centered Medical Home
- "An approach to providing comprehensive primary care that facilitates partnerships between individual patients, their personal physicians, and the patient's family"
- It started with kids in 1967: first introduced by American Academy of Pediatrics in 1967, expanded in 1992 and 2002.
Source: American Academy of Family Physicians, American Academy of Pediatrics, American College of
Physicians, and American Osteopathic Association. Joint principles of the patient-centered medical home, 2007.
The Patient-Centered Medical Home
- Enhance access
- Build on consumer-driven health and patient satisfaction
- Activate patient engagement and whole-person care
- Rationalize and coordinate health care processes and utilization
- Improve outcomes.
- "The use of social software and IT-based tools to promote collaboration between patients, their caregivers, medical professionals, and other stakeholders in health." 1
- "New concept of health care wherein all the constituents (patients, physicians, providers, and payers) focus on health care value (outcomes/price) and use competition at the medical condition level over the full cycle of care as the catalyst for improving the safety, efficiency, and quality of health care." 2
Source: 1Wisdom of Patients, Jane Sarasohn-Kahn, California HealthCare Foundation, 2009. 2Scott Shreeve, The Enabling Technologies and Reform Initiatives for Next Generation Health Care, 2007.
- Ubiquitous Internet connectivity among health citizens
- Universal adoption of mobile phones and é use of smart phones
- > access to health information online
- > social networking online overall; health has followed other consumer verticals
- > consumer-directed care: >OOP costs drive engagement
- > "DIY" care (esp. in recession - remember KFF tracking poll data).
Patients See Conversations with Docs Will Become More Important Along with Personal and Health Expert Channels
Health companies' Web sites
TV News coverage
Articles in magazines
Web sites for specific brands of medication
Films or documentaries
Online message boards, forums or newsgroups
Articles in newspapers
Radio news coverage
Social networking websites
Corporate and product advertising
Web-based video sharing sites
Net becoming more important
Net becoming less important
Source: Edelman Health Engagement Barometer, October 2008.
Accessed at http://www.engageinhealth.com/docs/Edel_HealthBarometer_R13c.pdf
The promise of moving beyond the institution for health care
- Achieving optimal health outcomes is a team sport; patient as engaged player
- Enabling technologies are in place: broadband, mobile (mHealth), Internet
- Local markets forging ahead.pioneers.
- Innovating payment: Kaiser, Geisinger, etc.
- Innovating care delivery: Center for Connected Health Cleveland Clinic
- The emergence of participatory health care.
- Let's listen.
Jane Sarasohn-Kahn, MA (Econ.), MHSA
Health Economist and Management Consultant