Question

how do physician group, nursing homes, community health services and care centers manage and use patient health information?

Answer 1

Ans) The definition and structure of a PCMH does not include a unique role for hospitals. While hospitals are not specifically referred to in Section 3502 of the Affordable Care Act, the
requirements for the creation of the care teams mentioned in the Act stipulate that the new
entities ―incorporate health care providers, patients, caregivers, and authorized representatives.
- In program design and oversight.‖ More importantly, delivery and payment reforms such as bundled payments and accountable care organizations will require collaboration between hospitals, physician groups, and other providers, thereby making the PCMH model a logical step for health care providers in the evolving care delivery and payment structure.

- Seven PCMH pilot and demonstration programs identified variations in population of focus, target conditions, type of financial incentives used, and practice-level
features such as the use of electronic health records. All of the PCMH programs utilized
the services of a dedicated, trained, non-physician care manager to coordinate patient care.
- The programs also provided expanded access to providers, including access outside of
provider‘s regular office hours. The practices involved in the seven PCMH programs also had
analytic tools that provided them with real-time data on their performance and patient status.
Finally, the programs also used effective incentive payments to encourage physicians to take on care coordinating responsibilities. An example of an incentive payment is additional per member per month payment.