| The American Academy of Pediatrics (AAP) | | | | · Enhanced access to care: Open scheduling, |
| introduced the concept of the medical home in | | | | expanded hours and new options for |
| 1967, with an intention to provide a central | | | | communication between patients, their personal |
| location for archiving a child's medical record. | | | | physician, and practice staff improves access to |
| Recognition of the current crisis in access to | | | | care. |
| primary care, quality, cost, and patient experience | | | | Benefits |
| of care lead the AAP expanded the medical home | | | | · Better health outcomes can be achieved, |
| concept to include operational characteristics like | | | | higher patient experience, and more efficient use |
| accessible, continuous, comprehensive, | | | | of resources. |
| family-centered, coordinated, compassionate, and | | | | · The PCMH allows patients free choice of |
| culturally effective care in 2002. The patient | | | | physician, providing prompt appointments, reducing |
| centered medical home is a model of care setting | | | | waiting times, and delivering care based on the |
| that provides room for collaboration between | | | | best evidence on clinical effectiveness, |
| patients, and their personal physicians, and | | | | empowering patients to partner with their |
| sometimes the patient's family. Health information | | | | personal physicians on decision-making. |
| technology other means is used to assure that | | | | · The PCMH would use health information |
| patients get appropriate care when and where | | | | systems to provide data and reminder prompts |
| they need and want it in a culturally and | | | | such that all patients receive needed services |
| linguistically appropriate manner. | | | | · Commonwealth Fund reports that a medical |
| Principles | | | | home eliminates racial and ethnic discrimination in |
| · Physician lead health care: Each patient has a | | | | access and quality for insured persons. A medical |
| personal physician lead a team that is responsible | | | | home improves accessibility to healthcare need |
| to provide continuous and comprehensive patient | | | | and routine preventive screenings specially in |
| care | | | | adults with chronic conditions |
| · Patient centered care: the personal physician is | | | | · By providing comprehensive and continuous |
| responsible for either providing or appropriately | | | | care it reduces complication associated with |
| arranging with other providers for the patient's | | | | chronic diseases like diabetes, congestive heart |
| entire personal health needs that includes care for | | | | failure, and asthma that leads to fewer avoidable |
| all stages of life | | | | hospitalizations and costs associated with it. |
| · Coordinated care: all elements of the complex | | | | Conclusion |
| health care system and the patient's community | | | | Health care provided in patient-centered medical |
| collaborate and coordinate the health care | | | | home results better outcomes, reduced rate of |
| · Application of health care technologies: | | | | death, reduced preventable hospital admissions for |
| Information technology, health information | | | | patients with chronic diseases, efficient utilization |
| exchange and other means are used to assure | | | | of resources, improved patient compliance with |
| that patients get is provided timely care | | | | the prescribed treatment, and reduced health care |
| · Quality and safety: Medical home assures | | | | cost. |
| quality and safety of the healthcare | | | | |