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Industry attitudes toward PCMH panel size have changed. Early adopters of the medical home tended to believe that they had to reduce per-provider panel size as part of the practice transformation process to hit key PCMH goals such as:
- Giving physicians and teams with enough time to complete transformation work
- Improving quality of care (by enabling physicians to spend more time with each patient)
- Ensuring the sustainability of clinician workload in the long term
Today, even though all these goals remain in force, PCMH transformations typically do not include panel size reductions. This blog post, the first in a new series on panel size data and trends, examines the evolution in perceptions of the PCMH model's ability to support sustainable growth.
PCMH panel size trends: Introducing a new data series
Three key trends in PCMH staff model innovation are standing out from analysis of the Medical Home Project's benchmarking data:
This post is the second in a three-part series. Today, we will explore systems' use of centralized care management platforms—putting staff, expertise and systems into a network-level or corporate-level entity that extends support to physician practice sites, without their having to add all their own care management staff and functions.
The rise of centralized care management platforms
A key marker for an effective patient-centered medical home (PCMH) is the extent to which population management activities become a central part of day-to-day workflow. Advisory Board research finds that today’s medical homes are engaged in significantly more population-management activity than non-medical home primary care practices.
PCMHs distinguished by population management activity