Community oncology medical homes: Physician-driven change to improve patient care and reduce costs

Teresa Waters, Jennifer A. Webster, Laura A. Stevens, Tao Li, Cameron Kaplan, Ilana Yonas, Barbara L. McAneny

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)462-467
Number of pages6
JournalJournal of Oncology Practice
Volume11
Issue number6
DOIs
StatePublished - Nov 1 2015

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Patient-Centered Care
Patient Care
Physicians
Costs and Cost Analysis
Triage
Critical Pathways
Patient Education
Financial Support
Continuity of Patient Care
Medical Oncology
Organized Financing
Quality of Health Care
Medicaid
Disease Management
Medicare
Patient Satisfaction
Practice Guidelines
Primary Health Care
Technology

All Science Journal Classification (ASJC) codes

  • Oncology
  • Oncology(nursing)
  • Health Policy

Cite this

Community oncology medical homes : Physician-driven change to improve patient care and reduce costs. / Waters, Teresa; Webster, Jennifer A.; Stevens, Laura A.; Li, Tao; Kaplan, Cameron; Yonas, Ilana; McAneny, Barbara L.

In: Journal of Oncology Practice, Vol. 11, No. 6, 01.11.2015, p. 462-467.

Research output: Contribution to journalArticle

Waters, Teresa ; Webster, Jennifer A. ; Stevens, Laura A. ; Li, Tao ; Kaplan, Cameron ; Yonas, Ilana ; McAneny, Barbara L. / Community oncology medical homes : Physician-driven change to improve patient care and reduce costs. In: Journal of Oncology Practice. 2015 ; Vol. 11, No. 6. pp. 462-467.
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