PATIENT-CENTERED HEALTHCARE HOMES

Also known as the patient-centered medical home, the Person-Centered Healthcare Home is a relatively new model gaining momentum throughout the country for its potential to advance both quality health care and cost-effectiveness. In 2007, several medical associations issued the Joint Principles of Patient-Centered Medical Homes which set forth standards governing these entities, including: on-going client relationship with a personal physician; physician-directed multi-disciplinary team to provide services; whole person orientation; coordinated care; outcomes-oriented and evidenced-based treatment; enhanced access to treatment; and reimbursement commensurate with the services offered. In 2008, The Commonwealth Fund, in concert with other organizations, initiated a five-year demonstration project to help primary care safety net sites become high-performing patient-centered medical homes.

Additional information can be found at the Mathematica Policy Center, at the NCQA Patient-Centered Medical Home and the Patient Centered Medical Home Resource Center websites. Missouri's Primary Care Practice Health Homes website provides descriptions, flow charts, MOU's and other valuable information. The Integrated Care Resource Center provides technical assistance to state Medicaid agencies that seek to amend their Medicaid plan to implement Health Homes for chronic conditions. Their library contains much useful information health home design and implementation.

Listed below are just a few of the myriad papers and reports centering on healthcare homes:

"State Multi-Payer Medical Home Initiatives and Medicare's Advanced Primary Care Demonstration", State Health Policy Briefing, February, 2010
"America Awakens to the Patient Centered Medical Home", Paul Grundy et al., Medical Home News, Vol 1, #10, October, 2009
"Initial Lessons from the First National Demonstration Project on Practice Transformation to a Patient Centered Medical Home", Paul Nutting MD et al., Ann Fam Med, 2009
"Health Coverage in the Safety Net: How California's Coverage Initiative is Providing a Medical Home to Low Income Uninsured Adults in Ten Counties, Interim Findings", Nadereh Pourat et al., UCLA Policy Brief, June, 2009
"Summary of National Demonstration Projects and Recommendations for the Patient Centered Medical Home", Benjamin Crabtree, Ph.D, et al., Ann Fam Med, Vol 8, 2010
"Strategies to Improve Care Management for Beneficiaries with Complex Needs", Alice Lind, Center for Health Strategies, June 2009
"Cliff Notes to Emerging Outcomes from Demonstration Projects of Patient-Centered Medical Homes and the Transformation of Primary Care", annotated by Justis and Wall, Washington Patient Centered Medical Home Collaborative, January, 2010
"Payment Options and Learning Collaborative Work in Support of Primary Care Medical Homes", Washington State Health Care Authority, December, 2008
"Standards and Measures for Patient Centered Primary Care Homes, Office for Oregon Health Policy and Research", February, 2010
"Maine Patient Centered Medical Home Pilot Update", January, 2009
"Medical Home Gains Traction on [California's] North Coast", California Healthline, July, 2010
"Outcomes of Implementing Patient Centered Medical Home Interventions: A Review of Evidence from Prospective Evaluation Studies in the United States", Kevin Grumbach and Paul Grundy, UCSF Center for Excellence in Primary Care, November, 2010
"Patient Centered Medical Home, Building Evidence and Momentum; A Compilation of PCMH Pilot and Demonstration Projects", Patient Centered Primary Care Collaborative, 2008
"How Medical Homes Can Advance Health Equity", California Pan-Ethnic Health Network, November, 2010
SAMHSA's Powerpoint defining healthcare home concepts
How Are Health Homes Different From Patient Centered-Medical Homes? (chart)
A description of the patient-centered medical home model at all Veterans Health Administration sites, referred to as Patient Aligned Care Teams (PACT)
"Better to Best: Value-Driving Elements of the Patient-Centered Medical Home and Accountable Care Organizations", 2011, Health2Resources
"Recommended Core Measures for Evaluating the Patient-Centered Medical Homes: Cost, Unitlization, and Clinical Quality" the Commonwealth Foundation, May, 2012

INTEGRATING MENTAL HEALTH INTO THE HEALTHCARE HOME / BEHAVIORAL HEALTH ORGANIZATIONS

The Excellence in Mental Health Act (S. 2257), legislation introduced in March, 2012 in Congress, would provide federal recognition and support for community behavioral health organizations that meet the criteria to become Federally Qualified Community Behavioral Health Centers.
Missouri's Community Mental Health Center Health Homes
"Early Evidence on the Patient-Centered Medical Home", Agency for Healthcare Research and Quality, February, 2012 "Integrating Mental Health Treatment into the Patient-Centered Medical Home", prepared for the Healthcare Research and Quality Dept., U.S. Dept. of Health and Human Services, July, 2010
"Behavioral Health/Primary Care Integration and the Person Centered Healthcare Home", Barbara Mauer, March, 2009
"A New Kind of Homelessness for Individuals with Serious Mental Illness? The Need for a 'Mental Health Home'" by Thomas Smith et al., Psychiatric Services, April 2009
"Designing Medical Homes to Meet Mental Health Needs", Campaign for Mental Health Reform
"Medical Homes and the Integration of Mental Health", Bazelon Center for Mental Health Law
"Serving the Needs of Medicaid Enrollees with Integrated Behavioral Health Services in Safety Net Primary Care Settings", National Association of State Medicaid Directors, April, 2008
"Specialty Care Medical Homes for People with Severe, Persistent Mental Disorders", V. Alakeson et al., Health Affairs, 29, 2010
"Behavioral Health/Primary Care Integration and the Person Centered Healthcare Home", National Council for Community Behavioral Healthcare, 2009
"The Primary Care, Mental Health and Substance Use Disorder Provider Readiness Assessment", prepared by Dale Jarvis for IBHP and CiMH, 2011
"The Case for Treating the Whole Person in the Age of Health Care Reform: Lessons Learned from the Integrated Behavioral Health Project", 2011
Health Homes and Primary Care / Behavioral Health Integration, SAMHSA's resource website
"Mental Health and Substance Use Provider Readiness Assessment: What is Needed to Succeed in the New Healthcare Ecosystem", prepared by Dale Jarvis for the National Council, 2011
BHOs of Today, BHOs Of Tomorrow: Influencing The Behavioral Health Carve-Out Models
"Behavioral Health Homes for People with Mental Health and Substance Abuse Conditions: The Core Clinical Features", SAMHSA-HRSA Center for Integrated Health Solutions, 2012