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Patient Centered Medical Home (PCMH)
Interprofessional EducationM. David Stockton, MD, MPHProfessorDepartment of Family MedicineUT Graduate School of MedicineSept. 4, 2013
DefinitionsInterprofessional education(also known as inter-professional education or IPE) refers to occasions when students from two or more professions in health and social care learn together during all or part of theirprofessional trainingwith the object of cultivating collaborative practice[1]for providing client- orpatient-centeredhealth care.
Goals of IPETo meet the globalhealth workforcechallengeTo scale-up and build more flexible health workforcesTo enable local health needs to be met efficiently and effectively while maximizing resourcesAs a means of reducing medical errors and improving the health care system
The Changing Face of Interprofessional Collaboration
Solo PracticeSewanee 1987
Hospital Rounding Teams
Patient Centered Medical Home (PCMH)Team-based health care delivery model including physicians, NPs, PAs, nurses, assistants, staffMay include pharmacist, social workers, psychologist
Future of Family Medicine ProjectSite for patients to receive acute, chronic, and preventive services
Services Should Be:AccessibilityAccountabilityComprehensiveIntegratedPatient-centeredSafeScientifically validSatisfyingPatients and providers
ComponentsPractice OrganizationQuality CarePatient Centered CareHealth Information Technology
Quality CareEstablish performance measuresUpdated problem listIntensive management of high risk patientsMedication reconciliationEvaluate care transition process
Patient-Centered CareSame day appointmentsLinguistically and culturally appropriate servicesCreate care plansConsider home monitoring for chronic conditionsConduct group visits
Health Information Technologies
Proper Infrastructure EHRConnection to medical neighborhoodProactive Health ManagementEvidence based data collection
Practice OrganizationOptimizing Coding and billing proceduresEstablished PCMH leadership teamProvide Staff education and trainingUtilize team based care to meet overall patient needsHealth coach and care coordination functions
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