Megan Tooley, Cardiovascular Roundtable
This week, the National Committee for Quality Assurance (NCQA) launched a recognition program that aims to extend its successful Patient-Centered Medical Home (PCMH) model beyond primary care to specialty practices. The new Patient-Centered Specialty Practice (PCSP) designation program provides clear guidelines for specialists looking to establish a role in patient-centered “medical neighborhoods,” and will recognize practices committed to providing team-based, coordinated care and enhancing communication with providers and patients across the continuum.
Specialists get a shot at patient-centered medical home model
While in the past cardiovascular service line leaders’ purview may have been limited to the inpatient stay, current market incentives require that CV administrators’ accountability extend well beyond discharge. This increased responsibility requires a concerted focus on successfully transitioning patients from an acute stay to the next care setting, whether a post acute care provider or returning to the personal physician.
Five steps for perfecting cardiovascular patient transitions
In light of payment innovation and readmission penalties emphasizing care across the continuum, Parkview Heart Institute has made a concerted effort to coordinate care for heart failure patients through a new, multidisciplinary project. The key aim is to reduce readmissions in a simple manner that can be replicated at other campuses and critical access hospitals. The initiative consists of three key phases: improving inpatient care and transitioning the patient post-discharge, optimizing the use of telemanagement to improve cross-continuum care, and working with primary care physicians to prevent care. The three phases are further described below.
Developing a multidisciplinary heart failure treatment model at Parkview Heart Institute