Michigan Health Centers Making Great Strides in Transitioning into Patient-Centered Medical Homes

The U.S. health care system has historically operated in pieces and parts, rather than as a coordinated whole. It rewards quantity over quality, encourages physicians to provide more highly paid specialty care rather than primary care, and consumes more than 17% of the nation’s gross domestic product (the value of all the goods and services produced in the U.S.). Today, Americans spend more than $2 trillion per year on health care services, which is about one and half times more than is spent on health care in every other developed country; yet, many American communities have high rates of infant mortality, and according the Centers for Disease Control and Prevention, 7 out of 10 deaths among Americans each year are from chronic diseases such as heart disease, cancer, stroke, and diabetes.

In an effort to improve the U.S. health care system and ensure all patients receive comprehensive, coordinated care, many health care providers and practices have launched major initiatives to adopt the Patient-Centered Medical Home (PCMH) principles:

  • Each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous, and comprehensive care
  • The personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients
  • The personal physician is responsible for providing for all of the patient’s health care needs or appropriately arranging care with other qualified professionals throughout all stages of life
  • Care is coordinated and/or integrated across all elements of the complex health care system (e.g. specialty care, hospitals, home health agencies) and the patient’s community (e.g. family, public and private community-based services)
  • Quality and safety are hallmarks of the PCMH
  • Enhanced access to care is available through open scheduling, expanded hours, and new ways for patients, their personal physician, and practice staff to communicate
  • Payment appropriately recognizes the added value provided to patients who have a PCMH

Since the PCMH model has demonstrated to reduce cost and improve quality of care, the Health Resources and Services Administration (HRSA) set incremental goals in 2011 for all of America’s Health Centers to adopt the PCMH principles. The 2013 goal is for 25% of all Health Centers to achieve PCMH recognition; in 2014, the goal is 40% of all Health Centers.

“Achieving Patient-Centered Medical Home (PCMH) recognition demonstrates that a Health Center has achieved the highest standard in health care today,” said Mazhar Shaik, MD, MBA, Chief Clinical Officer at Michigan Primary Care Association (MPCA). “These standards require dedication to quality care, improved health outcomes, and a commitment to patient-centered services.”

The success of Michigan Health Centers in adopting the PCMH model reaches every part of the state – from metro Detroit, to the Lansing capital region, to northern Michigan and the Upper Peninsula. By focusing on the delivery of high-quality, efficient health care, Michigan Health Centers are positioning themselves as leaders in a movement that will one day become the status quo. MPCA is championing these initiatives by working in collaboration with staff teams at Michigan Health Centers to assist them in achieving PCMH recognition. Over the past year, the number of Michigan Health Centers having earned HRSA-approved PCMH recognition rose from two in 2012 to 11 in 2013. This represents one-third of Michigan Health Centers earning PCMH recognition from a HRSA approved agency (National Committee for Quality Assurance, The Joint Commission, the Accreditation Association of Ambulatory Health Care), meaning Michigan Health Centers have gone above and beyond the 2013 goal set by HRSA. Additionally, Michigan Health Centers benefit from the Blue Cross Blue Shield of Michigan PCMH recognition, in which 11 Michigan Health Centers have earned recognition.

“Health Centers have always provided patient-centered services, but the PCMH process has required staff and boards to update and document their processes to meet the current and future health care demands,” said Lynda Meade, MPA, Director of Clinical Services at MPCA. “We applaud the progress that has been made. With plenty of teamwork, Michigan Health Centers have been very successful in transforming to PCMH, resulting in a comprehensive, efficient, and high-quality model of care.”

Congratulations to the following Michigan Health Centers on receiving PCMH recognition from the National Committee on Quality Assurance (NCQA):

  • Advantage Health Centers – Detroit, MI
  • Baldwin Family Health Care – Baldwin, MI
  • Center for Family Health – Jackson, MI
  • Covenant Community Care – Detroit, MI
  • East Jordan Family Health Center – Greater Traverse City, MI Area
  • Family Health Center, Inc. – Kalamazoo, MI
  • Health Delivery, Inc. – Greater Saginaw/Midland, MI area
  • Ingham Community Health Centers – Lansing Capital Region
  • MidMichigan Community Health Services –Houghton Lake, MI
  • Muskegon Family Care
  • Thunder Bay Community Health Service – Hillman, MI

Congratulations to the following Michigan Health Centers on receiving PCMH recognition from the Joint Commission:

  • Bay Mills Health Center – Brimley, MI
  • Hamilton Community Health Network – Flint, MI
  • Sterling Area Health Center – Sterling, MI

Congratulations to the following Michigan Health Centers on receiving PCMH recognition from the Accreditation Association of Ambulatory Health Care (AAAHC):

  • Baldwin Family Health Care – Baldwin, MI
  • Cherry Street Health Services – Greater Grand Rapids, MI area

Congratulations to the following Michigan Health Centers on receiving PCMH recognition from Blue Cross Blue Shield of Michigan:

  • Alcona Health Centers – Alcona, MI
  • Baldwin Family Health Care – Baldwin, MI
  • Center for Family Health – Jackson, MI
  • Cherry Street Health Services – Greater Grand Rapids, MI area
  • East Jordan Family Health Center – Greater Traverse City, MI area
  • Hackley Community Care Center – Muskegon, MI
  • Health Delivery, Inc. – Greater Saginaw/Midland, MI area
  • MidMichigan Community Health Services – Houghton Lake, MI
  • Sterling Area Health Center – Sterling, MI
  • Thunder Bay Community Health Service – Hillman, MI
  • Upper Great Lakes Family Health Center – Michigan’s Upper Peninsula

For more information about PCMH recognition, please visit MPCA’s online Patient-Centered Medical Home resource center.

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