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Medical Home IT Is on the Team
"The medical home is really a “team sport” as it engages patients, physicians and the staff, says Lurye. For example, in the Elmhurst diabetes management template, a color-coded classification indicates which tasks are the staff ’s responsibility, such as checking vital signs, inquiry about smoking cessation and referrals. The physicians’ tasks are indicated in a different color. “This classification diminishes ambiguity about responsibility, and helps to ensure efficient patient care,” he says.
“The medical home will likely be a key ingredient of accountable care organizations [ACOs],” Lurye predicts. “The current menu of pay-for-performance incentives will transform into some type of bundled tripartite payment. The medical home may foster reimbursement for care coordination activities, fee-for-service [models] that promote access and productivity, and incentives reserved for meeting quality and patient satisfactions goals.”