TY - JOUR
T1 - Community oncology medical homes
T2 - Physician-driven change to improve patient care and reduce costs
AU - Waters, Teresa M.
AU - Webster, Jennifer A.
AU - Stevens, Laura A.
AU - Li, Tao
AU - Kaplan, Cameron M.
AU - Graetz, Ilana
AU - McAneny, Barbara L.
N1 - Publisher Copyright:
© 2015 by American Society of Clinical Oncology.
PY - 2015/11
Y1 - 2015/11
N2 - Although the patient-centered medical home is a well-established model of care for primary care providers, adoption by specialty providers has been relatively limited. Recently, there has been particular interest in developing specialty medical homes in medical oncology because of practice variation, care fragmentation, and high overall costs of care. In 2012, the Center for Medicare and Medicaid Innovation awarded Innovative Oncology Business Solutions a 3-year grant for their Community Oncology Medical Home (COME HOME) program to implement specialty medical homes in seven oncology practices across the country. We report our early experience and lessons learned. Through September 30, 2014, COME HOME has touched 16,353 unique patients through triage encounters, patient education visits, or application of clinical pathways. We describe the COME HOME model and implementation timeline, profile use of key services, and report patient satisfaction. Using feedback from practice sites, we highlight patient-centered innovations and overall lessons learned. COME HOME incorporates best practices care driven by triage and clinical pathways, team-based care, active disease management, enhanced access and care, as well as financial support for the medical home infrastructure. Information technology plays a central role, supporting both delivery of care and performance monitoring. Volume of service use has grown steadily over time, leveling out in second quarter 2014. The program currently averages 1,265 triage encounters, 440 extended hours visits, and 655 patient education encounters per month. COME HOME offers a patient-centered model of care to improve quality and continuity of care.
AB - Although the patient-centered medical home is a well-established model of care for primary care providers, adoption by specialty providers has been relatively limited. Recently, there has been particular interest in developing specialty medical homes in medical oncology because of practice variation, care fragmentation, and high overall costs of care. In 2012, the Center for Medicare and Medicaid Innovation awarded Innovative Oncology Business Solutions a 3-year grant for their Community Oncology Medical Home (COME HOME) program to implement specialty medical homes in seven oncology practices across the country. We report our early experience and lessons learned. Through September 30, 2014, COME HOME has touched 16,353 unique patients through triage encounters, patient education visits, or application of clinical pathways. We describe the COME HOME model and implementation timeline, profile use of key services, and report patient satisfaction. Using feedback from practice sites, we highlight patient-centered innovations and overall lessons learned. COME HOME incorporates best practices care driven by triage and clinical pathways, team-based care, active disease management, enhanced access and care, as well as financial support for the medical home infrastructure. Information technology plays a central role, supporting both delivery of care and performance monitoring. Volume of service use has grown steadily over time, leveling out in second quarter 2014. The program currently averages 1,265 triage encounters, 440 extended hours visits, and 655 patient education encounters per month. COME HOME offers a patient-centered model of care to improve quality and continuity of care.
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U2 - 10.1200/JOP.2015.005256
DO - 10.1200/JOP.2015.005256
M3 - Article
C2 - 26220931
AN - SCOPUS:84947273558
SN - 1554-7477
VL - 11
SP - 462
EP - 467
JO - Journal of Oncology Practice
JF - Journal of Oncology Practice
IS - 6
ER -