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Rheumatology and the Patient-Centered Home

J. Timothy Harrington, MD, and Eric D. Newman, MD  |  Issue: July 2010  |  July 1, 2010

The momentum already gained in support of the Medical Home requires that rheumatologists and the ACR become advocates for subspecialty leadership in chronic disease care.37 We believe strongly that we put our patients and our specialty at risk if we do nothing, ignore the current health policy direction, continue to deliver healthcare as has been done for the past 100 years, are not proactively working with our colleagues in primary care to define our role, and do not contribute substantially to redesigning how chronic disease care is implemented. The recently approved ACR Position Statement on the Medical Home is an important first step in the right direction.7

Dr. Harrington is professor in the division of rheumatology at the University of Wisconsin School of Medicine and Public Health in Madison. Dr. Newman is director of the department of rheumatology and vice-chair of the division of medicine at Geisinger Health System in Danville, Pa.

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References

  1. Patient Centered Primary Care Collaborative. Joint principles of the patient centered medical home. Available at www.pcpcc.net/node/14. Published February 2007. Accessed June 18, 2010.
  2. Bodenheimer T, Chen E, Bennett HD. Confronting the growing burden of chronic disease: Can the U.S. healthcare workforce do the job? Health Aff (Millwood). 2009;28:64-74.
  3. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83:457-502.
  4. Goodman DC, Grumbach K. Does having more physicians lead to better health system performance? JAMA. 2008;299:335-337.
  5. Welch WP, Miller ME, Welch HG, Fisher ES, Wennberg JE. Geographic variation in expenditures for physicians’ services in the United States. N Engl J Med. 1993;328:621-627.
  6. Macinko J, Starfield B, Shi L. Quantifying the health benefits of primary care physician supply in the United States. Int J Health Serv. 2007;37:111-126.
  7. American College of Rheumatology. Position statement: The patient centered medical home. Available at www.rheumatology.org/practice/clinical/position. Published February 2010. Accessed June 18, 2010.
  8. Sidorov JE. The patient-centered medical home for chronic illness: Is it ready for prime time? Health Aff (Millwood). 2008;27:1231-1234.
  9. Carrier E, Gourevitch MN, Shah NR. Medical homes: challenges in translating theory into practice. Med Care. 2009;47:714-722.
  10. Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7:254-260.
  11. Rittenhouse DR, Shortell SM. The patient-centered medical home: Will it stand the test of health reform? JAMA. 2009; 301:2038-2040.
  12. Harrington JT, Newman ED. Redesigning the care of rheumatic diseases at the practice and system levels. Part 1: Practice level process improvement (Redesign 101). Clin Exp Rheumatol. 2007;25:S55-S63.
  13. 13. Newman E, Harrington JT. Redesigning the care of rheumatic diseases at the practice and system levels. Part 2: System level process improvement (Redesign 201). Clin Exp Rheumatol. 2007;25:S64-S68.
  14. Institute of Medicine (U.S.). Committee on Quality of Healthcare in America. Crossing the quality chasm: A new health system for the 21st century. Washington, D.C.: National Academy Press; 2001.
  15. American College of Physicians. The Advanced Medical Home: A patient-centered, physician-guided model of healthcare. Available at www.acponline.org/advocacy/where_we_stand/policy/adv_med.pdf. Published January 2006. Accessed June 18, 2010.
  16. 16. Harrington JT, Walsh MB. Pre-appointment management of new patient referrals in rheumatology: A key strategy for improving healthcare delivery. Arthritis Rheum. 2001;45:295-300.
  17. MacLean CH, Louie R, Leake B, et al. Quality of care for patients with rheumatoid arthritis. JAMA. 2000;284:984-992.
  18. Emery P, Breedveld FC, Dougados M, Kalden JR, Schiff MH, Smolen JS. Early referral recommendation for newly diagnosed rheumatoid arthritis: Evidence based development of a clinical guide. Ann Rheum Dis. 2002;61:290-297.
  19. Graydon SL, Thompson AE. Triage of referrals to an outpatient rheumatology clinic: Analysis of referral information and triage. J Rheumatol. 2008;35:1378-1383.
  20. Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001; 344:363-370.
  21. Harrington JT, Dopf CA, Chalgren CS. Implementing guidelines for interdisciplinary care of low back pain: A critical role for pre-appointment management of specialty referrals. Jt Comm J Qual Improv. 2001;27:651-663.
  22. Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: Effect of interactive communication between collaborating primary care physicians and specialists. Ann Intern Med. 2010;152: 247-258.
  23. Dell R, Greene D, Schelkun SR, Williams K. Osteoporosis disease management: The role of the orthopaedic surgeon. J Bone Joint Surg Am. 2008;90:188-194.
  24. Harrington J, Lease J. Primary care compared to system-based coordination of post-fracture osteoporosis care. Arthritis Rheum. 2010: in press.
  25. Deal CL, Hooker R, Harrington T, et al. The United States rheumatology workforce: Supply and demand, 2005-2025. Arthritis Rheum. 2007;56:722-729.
  26. Maternal and Child Health Bureau. Recommendations for improving access to pediatric subspecialty care through the medical home. Available at www.mchb.hrsa.gov. Published December 2008. Accessed June 18, 2010.
  27. Gawande A. The cost conundrum. The New Yorker. 2009. June 1:36-44.
  28. McLellan AR, Gallacher SJ, Fraser M, McQuillian C. The fracture liaison service: Success of a program for the evaluation and management of patients with osteoporotic fracture. Osteoporos Int. 2003;14:1028-1034.
  29. Bogoch ER, Elliot-Gibson V, Beaton DE, Jamal SA, Josse RG, Murray TM. Effective initiation of osteoporosis diagnosis and treatment for patients with a fragility fracture in an orthopaedic environment. J Bone Joint Surg Am. 2006;88:25-34.
  30. Harrington JT, Barash HL, Day S, Lease J. Redesigning the care of fragility fracture patients to improve osteoporosis management: A healthcare improvement project. Arthritis Rheum. 2005;53:198-204.
  31. Newman ED, Ayoub WT, Starkey RH, Diehl JM, Wood GC. Osteoporosis disease management in a rural healthcare population: Hip fracture reduction and reduced costs in postmenopausal women after 5 years. Osteoporos Int. 2003;14:146-151.
  32. Newman ED, Matzko CK, Olenginski TP, et al. Glucocorticoid-Induced Osteoporosis Program: A novel, comprehensive, and highly successful care program with improved outcomes at 1 year. Osteoporos Int. 2006;17:1428-1434.
  33. Shortell SM, Casalino LP. Healthcare reform requires accountable care systems. JAMA. 2008;300:95-97.
  34. Fisher ES, McClellan MB, Bertko J, et al. Fostering accountable healthcare: Moving forward in Medicare. Health Aff (Millwood). 2009;28:w219-w231.
  35. Mechanic D. Replicating high-quality medical care organizations. JAMA. 2010;303:555-556.
  36. Fisher ES. Building a medical neighborhood for the medical home. N Engl J Med. 2008; 359:1202-1205.
  37. Harrington JT. A view of our future: The case for redesigning rheumatology practice. Arthritis Rheum. 2003;49:716-719.
  38. Fisher ES, Bynum JP, Skinner JS. Slowing the growth of healthcare costs—lessons from regional variation. N Engl J Med. 2009;360:849-852.
  39. Porter ME, Teisberg EO. Redefining healthcare: Creating value-based competition on results. Boston, Mass: Harvard Business School Press; 2006.
  40. Berwick DM. Disseminating innovations in healthcare. JAMA. 2003;289:1969-1975.
  41. Phillips LS, Twombly JG. It’s time to overcome clinical inertia. Ann Intern Med. 2008;148:783-785.
  42. Berwick DM. The science of improvement. JAMA. 2008;299:1182-1184.
  43. Harrington J, Newman E. Streamlining rheumatology practice. Int J Clin Rheumatol. 2010;5:177-185.
  44. Maddison P, Jones J, Breslin A, et al. Improved access and targeting of musculoskeletal services in northwest Wales: Targeted early access to musculoskeletal services (TEAMS) programme. BMJ. 2004; 329:1325-1327.
  45. Newman ED, Harrington TM, Olenginski TP, Perruquet JL, McKinley K. “The rheumatologist can see you now”: Successful implementation of an advanced access model in a rheumatology practice. Arthritis Rheum. 2004;51:253-257.

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Filed under:Practice Support Tagged with:Centers for Medicare & Medicaid Services (CMS)Chronic disease managementMedical HomePrimary Care Physician

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