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Patient Centered Care

General Internal Medicine's Patient-Centered Initiatives

Updated April 25, 2017

CPC+: Historic Public-Private Patient Care Partnership

The Division of General Internal Medicine is participating in a historic public-private partnership to strengthen primary care. The Comprehensive Primary Care Plus (CPC+) initiative provides primary care practices with additional resources to improve care coordination. General Internal Medicine is one of more than 2,900 primary care practices nationwide participating in CPC+, a partnership between payer partners from the Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, commercial health plans, self-insured businesses, and primary care providers. This partnership is designed to provide improved access to quality health care at lower costs.

The Patient-Centered Medical Home Model of Care

Since 2011, all Division of General Internal Medicine primary care practices have been recognized by the National Committee for Quality Assurance (NCQA) as Patient-Centered Medical Homes (PCMH).  In fact, we were one of the first PCMHs in Columbus.

So, just what is a PCMH?  A patient-centered medical home is a model of care that prioritizes care coordination and communication.  We look at our clinics and our services from the perspective of the patient and ask “what is most important to our patients and how would they want their primary care clinic designed?”  We are constantly looking for ways to improve our operations and be more patient-centered by focusing on improving access, quality and the overall patient experience.

As a result of the high level of commitment that all of our existing sites have demonstrated to the PCMH model of care, all six have achieved Level 3 recognition, the highest level of recognition given by the NCQA. These new certifications will last until May of 2019. In addition, our newest site at Upper Arlington has applied for the same recognition.

Click here to learn more about NCQA’s Patient-Centered Medical Home Recognition program.

PCMH Standards

Enhanced Access and Continuity
Provide enhanced access to a physician directed healthcare team for both routine and urgent needs and offer electronic access during and after regular office hours.

Team-Based Care
Provide continuity of care using culturally and linguistically appropriate services through a team based approach.

Population Health Management
Utilize a comprehensive health assessment, evidence based medicine and clinical decision-support tools to manage the health of the entire population.

Plan and Manage Care
Systematically identify individual patients and plans and manage and coordinate care based on need.

Track and Coordinate Care
Track and follow-up on all lab and imaging results and important referrals; proactively manage the coordination and transitions of care following hospitalization or acute rehab.

Measure and Improve Performance
Utilize performance data to identify opportunities for continuous quality improvement, efficiency and the patient experience.