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Week 7 Discussion: The Patient Centered Medical Home Model

Week 7 Discussion: The Patient Centered Medical Home Model

Week 7 Discussion: The Patient Centered Medical Home Model

Step 1: The patient-centered medical home (PCMH) model, also known as a health home, is a health care delivery model designed to improve access to care, increase quality, and reduce costs.  Familiarize yourself with the PCMH model. Use these websites or research them on your own.

· The Medical Home Model of Care Links to an external site.

· How the Affordable Care Act Will Strengthen the Nation’s Primary Care Foundation Links to an external site.

· Health Policy Gateway_PCMH Links to an external site.

Step 2: For this discussion, select one of the health care delivery settings discussed in the assigned reading (e.g. home health/hospice, long term care, the VA system, retail/nursing clinics, community health centers) and consider ways in which the setting could incorporate aspects of the PCMH model.  Specifically address access, quality, and cost. Finally, discuss the nurse’s role in advocating for these changes. If possible, share your own experiences and example of this model (or related principles).

Step 3: Read other students’ posts and respond to at least two of them by Friday at 11:59 pm MT.

Cite any sources in 7th. ed APA format.

Select Reply to join the discussion.  See rubric for grading details. You can find this by clicking the three dots to the top right of this thread.

Response Posts: In your responses to your classmates, contribute to the discussion with your own original professional opinions or interpretation of the course materials. Peer Responses do not require research for this course, so you do not need to include a reference and citation. If you choose to include research, APA formatting points will not be deducted for errors

Week 7 Discussion: The Patient-Centered Medical Home Model

The Patient-Centered Medical Home (PCMH) model represents a paradigm shift in healthcare delivery, emphasizing comprehensive, coordinated, and patient-centered care. It aims to improve access to care, enhance quality, and reduce costs by fostering a collaborative approach among healthcare providers and engaging patients in their own care.


For this discussion, I will focus on the integration of aspects of the PCMH model in the home health/hospice setting. Home health and hospice care play crucial roles in supporting patients with chronic illnesses or those requiring end-of-life care in the comfort of their homes. Incorporating PCMH principles into these settings can further optimize care delivery.


Access to care in home health/hospice settings can be enhanced by promoting timely and efficient communication among interdisciplinary team members, including nurses, physicians, social workers, therapists, and caregivers. Utilizing telehealth technologies for virtual consultations and remote monitoring can facilitate ongoing assessment and management, thereby reducing the need for unnecessary hospital visits.


Quality of care can be improved by implementing care coordination mechanisms within the home health/hospice team. This involves developing individualized care plans, establishing clear lines of communication, and ensuring seamless transitions between different levels of care. Emphasizing patient education and empowerment can also enhance self-management skills and promote better health outcomes.


Cost-effectiveness can be achieved through proactive management of chronic conditions and prevention of hospital readmissions. By focusing on preventive measures, such as medication management, wound care, and fall prevention strategies, home health/hospice agencies can reduce the overall healthcare expenditure while improving patient satisfaction and outcomes.


The nurse’s role in advocating for these changes is pivotal. Nurses serve as frontline caregivers in home health/hospice settings, providing direct patient care, conducting assessments, and coordinating services. Nurses can advocate for the adoption of PCMH principles by actively participating in interdisciplinary team meetings, advocating for resources and support, and promoting patient-centered care practices. Additionally, nurses can engage patients and caregivers in shared decision-making processes, empowering them to actively participate in their care plans and promoting continuity of care beyond the clinical setting.


In my own experience, I have witnessed the benefits of incorporating PCMH principles into home health care. By focusing on holistic care, effective communication, and patient engagement, we were able to improve patient outcomes, enhance satisfaction, and reduce unnecessary healthcare utilization, ultimately leading to more cost-effective and patient-centered care delivery.

Week 7 Discussion: The Patient-Centered Medical Home Model 


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