In 1967 the american academy of pediatrics aap

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In 1967, The American Academy of Pediatrics (AAP) introduced the term “medical home” to describe primary care that is accessible, family-centered, coordinated, comprehensive, continuous, compassionate, and culturally effective. In 2003, NCQA launched Physician Practice Connections, a PCMH precursor program. In 2007, leading primary care associations released Joint PCMH Principles. In 2008, NCQA launched the first PCMH Recognition program, with updates to raise the bar in 2011 and 2014. NCQA’s PCMH program is the largest, with over 34,600 clinicians at 6,800 sites – about 10 percent of all primary care clinicians. (NCQA, 2014) For patients with certain chronic conditions, specialists serve as primary care providers for extended periods of time. This creates better ways for information to flow effectively among primary care providers and specialist is critical for care coordination and ultimately reducing the amount of duplicative care. In 2013, NCQA launched the Patient-Centered Specialty Practice
6 (PCSP) program to recognize specialists that use systems and processes needed to support patient-centered care, including strong communication with other providers. (NCQA, 2014) This ultimately focuses on reducing the gap in care coordination for patients with chronic illnesses. The medical home encompasses five functions and attributes in regards to why this initiative was put in place. Which are: comprehensive care, patient-centered based, coordinated care, accessible services, and quality and safety. Comprehensive care is designed to meet the majority of a patient’s physical and mental health care needs through a team based approach. Patient centered care is implementing primary care that is oriented towards the whole person. For example, this can be achieved by partnering with patients and families to understand their culture, unique needs, values, and preferences of care. Coordinated care is patient care across all elements of the health care system, such as specialty care, home health care, community services, and hospitals. This entails working efficiently when in need of transitions. Accessible services seeks to make primary care accessible through minimizing wait times, enhanced office hours, and patient access to provides after hours through alternative methods such as email or telephone. Quality and safety is the commitment to providing safe, high-quality care through clinical decision-support tools, evidence based care, shared decision making, performance measurements, and population health management. (NCQA, 2014) PCMHs are often supported by sponsors or initiatives with financial incentives for participation. The majority of funding comes from within the organization. There are some government grants that have been developed to help struggling organizations with funding when trying to work towards the PCMH goals. One of the grants available is the Patient Centered Medical Home Facility Improvement Grant Program, which provides capital funding to existing section 330 Health Center grantees to address facility modifications that need to improve or

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