Practicum Project Plan: Patient-Centered Medical Home As the focus of health care is moving beyond patient care received today, emphasizing the health of the patient across the continuum, there is a distinct shift from primary care to patient-centered care (PCC), promoting wellness, and maintaining chronic illness. The purposes of this paper is to describe my practicum project, titled “The Patient-Centered Medical Home”, provide a goal statement, and introduce the project objectives, accompanied by an evidencebased literature review supporting the identified problem, project methods and evaluations considering the professional-practice standards and guidelines related to this project. The methodology will address the details to accomplish the objectives, followed by a formative evaluation gauging the project’s procession and a summative evaluation of the project’s objectives as to how I will use the results, formulate findings, conclusions, and recommendations. A timeline will present significant stages in the project. Goal Statement The main goal of this practicum project is to assist in implementing the patient-centered medical home (PCMH) in a multispecialty medical, dental, and mental health Articles 16 and 28 Diagnostic and Treatment Center (New York State Department of Health [NYSDOH], 2012). The clinic is a division of a not-for-profit agency, providing educational, residential, day habilitation, vocational, and respite for infants, children, and adults with autism spectrum disorders (ASD) and developmental disabilities (DD). The overall goal of this project is to receive the National Committee for Quality Assurance (NCQA, 2011) recognition that distinguishes this diagnostic and treatment center as an innovative leader in the delivery of 87 quality, patient-centered care, as well as increased professional satisfaction, respectful of the autistic and developmentally challenged individuals served. Project Objectives With the support of the Board of Directors, the CEO and senior management, my project objective engages a culture of patient-centeredness that converges with the 2011 PCMH standards as evidenced by collecting and uploading the required data satisfying the NCQA Survey Tool for PCMH Recognition (NCQA, 2011). The Joint Principles of the PCMH, established by the American College of Physicians (ACP, 2011), formats the trajectory for meeting the project objectives and workflow design as illustrated in the methodology. These principles designate a personal physician and patient directed medical practice, underlining whole person orientated and coordinated care, emphasizing quality and safety, enhanced access to care, and reimbursement based on acknowledging the value of patient-centeredness (ACP, 2011). Literature Review In 1967, the American Academy of Pediatrics introduced a team approach for providing health care to the special needs pediatric population, establishing the Patient-Centered Medical Home concept (Savage, 2010). Following, in 2001, the Institute of Medicine’s (IOM) report, Crossing the Quality Chasm, identified patient-centeredness as one core value requiring improvement in health care delivery today (Jayadevappa & Chhatre, 2011). As a platform for health care reform, PCC responsibly integrates all aspects of health care services and eliminates fragmentation, concentrates and engages the patient and family, fostering a partnership with the 88 medical practitioner, encouraging self-management of one's personal health care (Pelzang, 2010). A division of an organization devoted to caring for autism spectrum disorders (ASD) and developmentally disabled (DD) individuals, the diagnostic and treatment center shares the mission statement, "to support children and adults with developmental disabilities in achieving a lifetime of growth through exceptional care and innovative, individualized service” (Developmental Disabilities Institute [DDI], 2012). Limited cognition and inability to advocate for oneself, the PCMH complements the mission statement and goals through the ability to provide comprehensive medical care, physical and mental health, tailored to meet the unique needs and challenges of the patient populations served, exercising dignity, and respect (Agency for Healthcare Research and Quality [AHRQ], 2012). Care coordination, in conjunction with, the electronic medical record (EHR), assists families and primary care practitioners (PCP) navigate and manage complex co-morbid conditions uncommonly associated with a rare congenital conditions which community health care practitioners are often unfamiliar with these unique needs presented within this vulnerable population (Rich, Lipson, Libersky, Peikes, & Parchman, 2012). Office visit summaries, personal health care access via patient portals, improved communication via e-mail, and improved after hours support reassures this vulnerable patient population and families. Golnik, Scal,
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