Models of Care
Comparison and Contrast
The patient-centered Medical Home Model emanated after discourses among various professionals in different medical groupings. After several discussions between physicians in these myriad groups, the model came into practice in 2007. This consensus advanced the principles in the home medical model developed in 2006. The professional bodies are advocating for the advanced study of the notions tendered on the foundation of the principles of care model. To the PCMH model, a clear elaboration of the term “medical home” is needed. A medical home serves as primary care that bears the features of accessibility, family-centeredness, comprehensiveness, and effectiveness (Gabbay, Bailit, Mauger, Wagner, & Siminerio, 2011).
The Chronic Care Model (CCM) came about more than a decade ago and, currently, it is widely used to improve ambulatory care. Guided by clinical care quality creative, the model finds application in America, surrounding regions, and other parts of the world. Accumulated evidence shows that CCM is an integral framework that can guide practice redesign. The principle of the model is that quality care for chronic illnesses should include system support and guidance; the local resources; system for delivery; autonomous support; information system; and decision support. Moreover, CCM stands as a robust tool that can ensure cost effectiveness in ambulatory care (Coleman, Austin, Brach, & Wagner, 2009). Hence, applying CCM leads to enhanced health outcomes and patient care. The Patient Centered Medical Model incorporates the CCM, and it serves as the most suitable model for implementation of quality care in myriad health care organizations in the United States.
Elements of effectiveness
The Chronic Care Model’s six elements make it be a model of choice that can enable the attainment of safety and quality in care. These factors include health system support and guidance, the local resources, the model for delivery, autonomous support, decision support, and management information system. These elements function hand in hand with each other to develop productive interactions between proactive, prepared team and an activated, informed patient. Research shows that high-performing practices work best when they integrate myriad elements of the model. Incorporating CCM in the healthcare setup ought to consider making appropriate changes to elucidate who should bear the implementation cost and the parties to enjoy the benefits of enhanced care (Coleman et al., 2009).
On the other hand, there are various elements in the patient-centered home medical model aimed at ensuring safety and quality in health care. The first element is that the model labors to ensure continuous healing relations. The model considers the family as an essential part of the caring team, and the family’s beliefs and values are taken into consideration when making important decisions. Another element of the patient-centered medical home model is the diligent attention to specifics regarding follow-up health care appointments and referrals to healthcare specialists. The model endeavors to make regular screening and checkup procedures enhance the overall health outcomes and prevent complications. The model seeks to be profitable by ensuring thorough testing activities (Gabbay et al., 2011).
The first model, PCMH, requires many structural reforms to ensure that it is viable in the future and continues to improve medical costs at favorable prices. The model requires many payment changes to ensure that the discrepancies in the current system are minimized, and quality care is delivered to patients. The model also requires additional participation of patients to ensure that health care services address the needs of patients adequately. The PCMH also needs professional support to minimize the existing hurdles and sustain smooth running. As for CCM, it will be essential to align the model to care systems, decision support tools, and patient registries. In addition, CCM could also benefit from team-based care and community involvement (American Diabetes Association, 2015). Incorporating the above structural changes in the two models will inevitably lead to better and quality health care, and it is sure the way to go as far as the two models are concerned.
American Diabetes Association. (2015). Strategies for Improving Care. Diabetes Care, 38(Supplement 1), S5–S7. http://doi.org/10.2337/dc15-S004
Coleman, K., Austin, B. T., Brach, C., & Wagner, E. H. (2009). Evidence On The Chronic Care Model In The New Millennium. Health Affairs, 28(1), 75–85.
Mauger, D. T., Bailit, M. H., Wagner, E. H., Gabbay, R. A., & Siminerio, L. (2011). Multipayer patient-centered medical home implementation guided by the chronic care model. Joint Commission Resources, 37(6), 265–273.