Patient-Centered Medical Home™ 2011 standards emphasize enhanced care through patient-clinician partnership

Updated: The National Committee for Quality Assurance (NCQA) today announced that 5 more Riverside Medical Group (RMG) practices have received recognition from the Patient-Centered Medical Home (PCMH) 2011 program for using evidence-based, patient-centered processes that focus on highly coordinated care and long-term participative relationships. That brings the total to date to 27 practices. Riverside has a goal for all 35 primary care practices to have this recognition by the end of 2014.

“The NCQA's Patient-Centered Medical Home is an innovative program for improving primary care by organizing care around patients,” said Charles Frazier MD, Vice President Clinical Informatics, Riverside Health System. “We are very proud of the practices that received this recognition and look forward to our other practices joining the ranks,” Frazier continued.

The patient-centered medical home is a model of care emphasizing care coordination and communication to transform primary care into "what patients want it to be."Research shows that medical homes can lead to higher quality and lower costs, and improve patients' and providers' reported experiences of care.The PCMH identifies practices that promote partnerships between individual patients and their personal clinicians, instead of treating patient care as the sum of several episodic office visits.Each patient's care is tended to by clinician-led care teams, who provide for all the patient's health care needs and coordinate treatments across the health care system.Medical home clinicians demonstrate the benchmarks of patient-centered care, including open scheduling, expanded hours and appropriate use of proven health information systems.

"The patient-centered medical home raises the bar in defining high-quality care by emphasizing access, health information technology and partnerships between clinicians and patients," said NCQA President Margaret E. O'Kane."PCMH Recognition shows that the practices have the tools, systems and resources to provide their patients with the right care at the right time."

To receive recognition, which is valid for three years, the Riverside practicesdemonstrated the ability to meet the program's key elements embodying characteristics of the medical home.The standards are aligned with the joint principles of the Patient-Centered Medical Home established with the American College of Physicians, the Academy of Family Physicians, the American Academy of Pediatrics and the American Osteopathic Association.

All Riverside practices met the following key program components:

  • Written standards for patient access and continuity of care
  • Use of patient feedback materials
  • Appropriate use of charting tools to track patients and organize clinical information
  • Responsive care management techniques with an emphasis on preventive care for individual patients and for the entire patient population
  • Adaptation to patient's cultural and linguistic needs
  • Use of information technology for prescriptions, test and referral tracking and coordination with other health care providers
  • Use of evidence-based guidelines to treat chronic conditions
  • Measurement and reporting of clinical and service performance

RMG practices that have received recognition as Patient-Centered Medical Homes include: