In concept, patient-centered medical homes will improve patient care, improve patients’ health status and lower the costs of patient care through more efficient use of healthcare resources. But whether concept becomes reality is highly dependent on a number of factors, and ongoing research by experts on the PCMH model is identifying those factors for physicians, patients and payers.

Among the success factors are unlimited patient access to physicians and patient-centered clinical information systems, according to McKesson’s David Nace, M.D. The systems must be able to collect patient-specific information from all settings and pool it together in one place for the patient-care team to use in real-time at the point of care with patients.

David Nace

About the author

Dr. David Nace is vice president and medical director at McKesson Health Solutions. He is a nationally recognized leader with expertise in health care technology, health care reform and the patient-centered medical home.

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Mike Barrett 2 years ago

Based on the concept that you have described patient centered medical home looks like a hospital or medical system focused approach to medical care. I do not see a data sharing ability among privately owned practices that is in place today that would fit this model. I can predict resistance on the part of private physicians to hospital groups who are building the new information systems. These hospital groups, out of their own self-interest, will want to dominate the doctor-patient relationships, making the physicians a sort of serf to their systems. I don't know how the independent physician is going to get paid in this system. He is going to be accountable for outcomes but I doubt that he will be fairly compensated.

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