Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Introduction and History of Modern Health Care in the U.S.
Lecture:Core Values and Paradigm Shifts in U.S. Health Care
Slide content:Paradigm Shifts in Medicine: Individual to Team-Based Care - 2 Patient Centered Medical Home Introduced by the American Academy of Pediatrics in 1967 Endorsed by numerous organizations Features include Personal physician Physician-directed medical care Care is coordinated Emphasis on quality and safety Enhanced access to care 9
Slide notes:As the paradigm shifts from individual care to team-based care, the concept of the patient-centered medical home has gained traction. This is a term introduced by the American Academy of Pediatrics in 1967, that is now endorsed by multiple organizations, including the American Academy of Family Physicians, or the AAFP , the American College of Physicians, or the ACP and the American Osteopathic Association, or the AOA. Features of the patient-centered medical home include a personal physician. This implies that each patient has an ongoing medical relationship with a personal physician who is trained to provide continuous and comprehensive care. The patient-centered medical home is characterized by physician-directed medical care. The personal physician leads a team of individuals who collectively take responsibility for the care of the patient. In this model, care is coordinated and may be integrated across all elements of the complex health care system. There is an emphasis on quality and safety, and enhanced access to care is available through systems such as open scheduling, expanded hours, and new options for communication between patients, physicians, and members of the interdisciplinary team. 9