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  1. #1
    bdrews
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    Default Your PCMH Implementation Experience

    Hello All,

    As you may be aware, our newest division, DOCS CPR, is currently developing a PCMH toolkit to help you achieve up to level III NCQA recognition. At this stage, it appears that the kit will most likely consist of several components including but not limited to a webinar series, personal consulting time, web-based tutorials, and membership to a secure online support area.

    Because continuing development of our PCMH solutions will be highly dependent upon demand, it is important that the demand and available resources in the current market are defined....In our immediate location, it appears that much of the funding available for PCMH initiatives is bound until federal programs are expanded. We realize that adoption may be slowed in such cases due to lack of initial capital...

    Does this appear to be the case in your location as well? If so, would this prevent you from beginning the recognition process? In certain situations, payers and care organizations are sponsoring practices to cover the initial costs associated with transformation to the model. However, the extent of this sponsorship has not been fully determined.

    If any of you have personally achieved NCQA recognition, or have adopted some version of the PCMH model, would you be willing to share some information about this or other aspects of your experience?

    All comments, feedback, and/or suggestions are welcome. We thank you in advance for your assistance,

    Brenna

  2. #2
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    Default

    Oregon had been doing their own Patient Centered Primary Care Home program for almost 2 years now, with a goal of having 100% of Medicaid clients and 75% of all Oregonians receiving care at a PCPCH by 2015. The program is very flexible and provides many pathways to achieving a particular level of recognition. The are payments available to recognized practices for high-risk Medicaid patients but the 2-year funding program will expire in September 2013. There is no cost to join the program, but if practices have spent the money on NCQA the PCPCH program recognizes that and only requires a few additional activities. At least 2 commercial carriers in the state offer at least small incentive payments as well to recognized practices for the additional effort that is required to serve patients at this level. The program is currently proposing doubling the criteria to achieve each of 3 levels of recognition. http://www.oregon.gov/oha/ohpr/Pages...pch/index.aspx

  3. #3
    bdrews
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    Default

    Thanks for your feedback! It's truly a shame that the funding for this program ends so soon.

    During our research, we have found that initial implementation costs for PCMH can be quite high. Obviously, the PCMH model will eventually pay for itself, but this may take longer than some are willing to wait. Do you think Oregon will still achieve its goals with fewer incentives and more requirements?

  4. #4
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    Has anyone implemented this recently? PCMH 2014? How many people were working on this and how long did it take?

 

 

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