tag:blogger.com,1999:blog-2020989200831574035.post3680575938803458661..comments2023-12-13T01:47:38.575-05:00Comments on The New Life of e-Patient Dave: Patient-Centered Primary Caree-Patient Davehttp://www.blogger.com/profile/11608258246509102466noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-2020989200831574035.post-703126396599216322009-07-12T15:16:55.921-04:002009-07-12T15:16:55.921-04:00Dave
The PCMH framework and principles as describe...Dave<br />The PCMH framework and principles as described by Grundy are wonderful and I give them my full support.<br />The problem is the gap between those principles and the unfortunate choice of the NCQA's PPC-PCMH(tm) tool as a yardstick to measure the success of PCMH projects.<br />The yardstick is broken, therefore the processes using that yardstick are likely to result in flawed material and not live up to the principles.<br /><br />As an example: PCMH stands for Patient-Centered Medical Home. The Joint Principles talk about comprehensive, whole-person care from a personal physician.<br /><br />Good data show us that patients can accurately report on these critical qualities in practice, that patient-reported data are meaningful, that patient-reported data can help practices improve their processes, and once improved will achieve better results for same said patients.<br /><br />How much does the NCQA value patient input? 3% of the score comes from the patient experience.<br /><br />The discordance is very unfortunate as the current medical home projects - almost ALL of them - are using the current version (so don't be swayed by NCQA's promises to fix this in future versions).<br /><br />I'm concerned that this whole first generation of medical home projects are likely to achieve little meaningful improvement given the lack of patient experience as the keystone to the arch of quality.<br /><br />Gordon MooreL Gordon Moore MDhttp://idealmedicalpractices.typepad.com/ideal_medical_practices/noreply@blogger.com