A. Referral tracking**
Standard 8: Performance Reporting and Improvement
A. Measures of performance
B. Patient experience data
C. Reporting to physicians
D. Setting goals and taking action
E. Reporting standardized measures
F. Electronic reporting to external entities
Standard 9: Advanced Electronic Communications
A. Availability of interactive website
B. Electronic patient identification
C. Electronic care management support
D. ACOs vs. PCMH Comparison (Yoder, 2010)
4
PCMH ACO
Personal physician, focus on patient-physician relationship (single practice)
Physician-led team
Whole person model of care, patient
and family-centered
Enhanced access to care
Care coordinated, integrated
Comprehensive, continuous care
Continuous improvement
Quality and safety, guide all care
individual/population
Payment supports patient-centered
care, and is value driven
Provider-led organization, multiple providers,
practices organized
Culture of teamwork among staff of practices
Complete and timely information about patients
and services they are receiving
N/A
Resources & support for patient education and self
management support
Coordinated relationships of PCP with specialists
and other providers
Manage full continuum of care for populations
Accountable for quality and safety for populations Technology and skills for population management Technology and skills for population management
and coordination of care
Ability to measure and report on quality
Accountable for overall costsInfrastructure and skills for management of
Infrastructure and skills for management of
financial risk
Leaders committed to improving value of health
care services
4 Ernie Yoder, M.D., vice president of Medical Education and Research for St. John Health, developed
this chart comparing the PCMH and ACO models for a July 2010 presentation to the Michigan
Association of Health Plans.