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卫生服务管理实习生担任以患者为中心的医疗之家认证的实践促进者:东卡罗来纳大学 - 阿巴拉契亚州立大学倡议。

Health Service Management Interns Serve as Practice Facilitators for Patient-Centered Medical Home Recognition: East Carolina University-Appalachian State University Initiative.

作者信息

Sasnett Bonita, Watkins R W, Ferlazzo Marianne

机构信息

Author Affiliations: Health Services and Information Management, College of Allied Health, East Carolina University, Greenville (Dr Sasnett); Community Care of Western North Carolina, Raleigh (Dr Watkins); and PCMH Practicum, PCMH Consulting, Inc, Vilas (Ms Ferlazzo), North Carolina.

出版信息

Health Care Manag (Frederick). 2017 Jan/Mar;36(1):96-103. doi: 10.1097/HCM.0000000000000145.

Abstract

East Carolina University College of Allied Health Science's Department of Health Services Management program is partnering with Community Care of North Carolina and Access East to transform medical practices and educate students on the Patient-Centered Medical Home (PCMH) model of health care delivery. Why now? The Affordable Care Act (2010) and other health care reform changes brought to the forefront the need to focus on improving the quality of care while lowering the overall cost of care. This article describes the first year of implementation of a PCMH initiative where students in a health services management internship program act as facilitators to assist practices in the PCMH recognition process. Lessons learned were the importance of provider and staff endorsement of the PCMH model. In addition, educational needs, time constraints, electronic health record training, understanding practice workflow, and understanding of the National Committee on Quality Assurance PCMH standards were important aspects of the prerequisite knowledge necessary for success. This article compares the ECU Practicum in Primary Care and the Appalachian State University Practicum in Primary Care to build a best practice model based upon the commonalities and uniqueness of each of the individual university programs and their practice sites.

摘要

东卡罗来纳大学联合健康科学学院卫生服务管理系的项目正在与北卡罗来纳社区护理组织和东部通道合作,以转变医疗实践,并就以患者为中心的医疗之家(PCMH)医疗服务模式对学生进行教育。为什么是现在呢?《平价医疗法案》(2010年)以及其他医疗改革将关注提高医疗质量同时降低总体医疗成本的必要性推到了前沿。本文描述了一项PCMH倡议实施的第一年情况,在该倡议中,卫生服务管理实习项目的学生充当促进者,协助医疗机构进行PCMH认证过程。吸取的经验教训包括医疗服务提供者和工作人员对PCMH模式认可的重要性。此外,教育需求、时间限制、电子健康记录培训、对实践工作流程的理解以及对国家质量保证委员会PCMH标准的理解,都是成功所需必备知识的重要方面。本文比较了东卡罗来纳大学初级保健实习项目和阿巴拉契亚州立大学初级保健实习项目,以便基于各所大学项目及其实践地点的共性和独特性构建一个最佳实践模式。

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