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Guidelines for medical home demonstrations released by major physician groups
Date:4/28/2009

o have joined together to develop and advance the patient-centered medical home (PCMH).

The guidelines contain 16 recommendations that should be part of any project that is testing the PCMH model of care, the groups say. They include recommendations about who should collaborate on the projects; how they should choose practices to participate; what kind of support should be provided to participating practices; how participating practices should be reimbursed; and what each project should to do to analyze and distribute their results.

Under all of the recommendation areas there are specific guidelines that together form the key components necessary to thoroughly and effectively test elements of the PCMH model of care. Specifically, the guidelines state that any project must ensure that the leaders of local primary care professional organizations have been briefed on the project and given the opportunity to provide input.

The guidelines also specify that any project should use the National Committee for Quality Assurance (NCQA) Physician Practice Connections (PPC)-PCMH tool, or a similar consensus-based recognition process, to qualify practices for participation. The new document calls for all demonstration projects to include additional reimbursement for participating practices to adequately compensate for the increased physician and administrative staff time necessary to provide care under the PCMH model. And, it calls for projects to broadly and publically disseminate their results after the data have been gathered and analyzed.

"We believe that these new guidelines are necessary to help define what constitutes an adequate test of the patient-centered medical home model," said Joseph W. Stubbs, MD, FACP, president of the American College of Physicians. "We now have a road map for demonstration projects and a way to determine whether the design of any project is consistent with these guidelines adopted by our medical societies and the Patie
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Contact: David Kinsman
dkinsman@acponline.org
202-261-4554
American College of Physicians
Source:Eurekalert

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