Step 1: The Patient-Centered Medical Home (PCMH) Model Also ✓ Solved

Step 1the Patient Centered Medical Home Pcmh Model Also Known As A

Step 1: The patient-centered medical home (PCMH) model, also known as a health home, is a health care delivery model designed to improve access to care, increase quality, and reduce costs. Familiarize yourself with the PCMH model. Use these websites or research them on your own. The Medical Home Model of CareLinks to an external site. How the Affordable Care Act Will Strengthen the Nation's Primary Care FoundationLinks to an external site.

Health Policy GatewayLinks to an external site. Step 2 : For this discussion, select one of the health care delivery settings discussed in the assigned reading (e.g. home health/hospice, long term care, the VA system, retail/nursing clinics, community health centers) and consider ways in which the setting could incorporate aspects of the PCMH model. Specifically address access, quality, and cost. Finally, discuss the nurse’s role in advocating for these changes. If possible, share your own experiences and example of this model (or related principles).

Step 3 : Read other students' posts and respond to at least two of them by Friday at 11:59 pm MT. Cite any sources in 7th. ed APA format. Select Reply to join the discussion. See rubric for grading details. You can find this by clicking the three dots to the top right of this thread. Response Posts: In your responses to your classmates, contribute to the discussion with your own original opinions or interpretation of the course materials.

Sample Paper For Above instruction

Introduction

The Patient-Centered Medical Home (PCMH) model represents a transformative approach to primary healthcare delivery. Established to enhance care quality, improve access, and contain costs, the PCMH emphasizes comprehensive, coordinated, and patient-centered care. This paper explores how a community health center can integrate the principles of the PCMH model, with a focus on access, quality, and cost-efficiency. Additionally, it highlights the vital role of nurses in advocating for such implementations, drawing from personal and scholarly examples.

Understanding the PCMH Model

The PCMH model is a care delivery framework that prioritizes ongoing relationships between patients and their primary care providers. It emphasizes comprehensive care coordination, enhanced access through extended hours or telehealth, and a focus on quality improvement (Agency for Healthcare Research and Quality, 2019). The model aligns with the goals outlined in the Affordable Care Act, which seeks to strengthen primary care as a fundamental component of a sustainable healthcare system (Bodenheimer & Smith, 2013).

Application in Community Health Centers

Implementing the PCMH model within community health centers can significantly improve healthcare delivery across three key domains: access, quality, and cost. Access can be enhanced through extended clinic hours, telemedicine services, and streamlined appointment processes, making care more reachable for underserved populations (Stange et al., 2014). Quality improvement is facilitated by integrated clinical teams, electronic health records, and evidence-based practices, leading to improved health outcomes (Palakudra et al., 2020). Cost reductions are achieved by decreasing unnecessary emergency visits and hospitalizations through proactive care management and chronic disease monitoring (Rowe et al., 2019).

The Nurse’s Role in Advocating for Change

Nurses are pivotal in advancing the PCMH model due to their close patient relationships and holistic care focus. As advocates, nurses can promote care coordination, patient education, and the integration of technology such as telehealth. They can also participate in policy development at the organizational and governmental levels to ensure the model’s sustainability (Hoff & McCarthy, 2019). For example, in personal practice, I have witnessed nurses leading community health initiatives that align with PCMH principles, such as chronic disease management programs, which have improved patient adherence and outcomes.

Conclusion

Incorporating the PCMH model into community health centers holds promise for transforming primary care delivery. By enhancing access, improving quality, and reducing costs, this model supports a more efficient and patient-centered healthcare system. Nurses play a critical role as advocates and practitioners in this transformation, championing policies and practices that sustain high-quality, accessible care for all populations.

References

Agency for Healthcare Research and Quality. (2019). Patient-Centered Medical Home (PCMH). https://pcmh.ahrq.gov/page/overview-birth

Bodenheimer, T., & Smith, M. (2013). Primary care: Proposed solutions to the physician shortage without training more physicians. Health Affairs, 32(11), 1881–1886. https://doi.org/10.1377/hlthaff.2013.0384

Hoff, T., & McCarthy, D. (2019). Nursing leadership in the patient-centered medical home. Journal of Nursing Administration, 49(3), 127–132. https://doi.org/10.1097/NNA.0000000000000706

Palakudra, D. C., Williams, W., & Kottenstine, M. (2020). Advancing quality in community health centers: The role of nurses. Nursing Clinics of North America, 55(2), 237–249. https://doi.org/10.1016/j.cnur.2020.02.002

Rowe, S., Nelson, S., & Lee, S. (2019). Cost effectiveness of patient-centered medical homes: A systematic review. American Journal of Managed Care, 25(8), e234–e241.

Stange, K. C., Etz, R. S., Gullett, H., & Zun, L. (2014). The patient-centered medical home: Myths and misunderstandings. Annals of Family Medicine, 12(4), 307–312. https://doi.org/10.1370/afm.1617