Practice Transformation Resources
Dramatic changes in health care are driving transformation in pediatric care. Public and private payors have tried new payment strategies—increasingly moving from fee-for-service to bundled payments or paying for value that is measured and reported in multiple ways. Although the specifics of future payment may be unclear, it seems certain that fee-for-service will no longer dominate as the main payment arrangement. Motivation for these changes in large part reflects demands to cut the growth in health care expenditures—to achieve the triple aim of better health, better quality, and lower cost.
The American Academy of Pediatrics has identified the following 3 priority areas for supporting members with practice transformation:
- Population Health and Community Integration—Support members to enhance practices for managing the health of populations of patients and expand the practice team to include families and a broader range of professional and services.
- Payment reform—Support members to successfully participate in and thrive in emerging value-based payment systems.
- Use of Technology—Support members to leverage technology, beyond EHRs, in providing quality care, empowering families and demonstrating value.
Below are some Alabama Chapter-AAP and AAP resources, which will continue to be updated to meet your needs.
Patient-Centered Medical Home
- Alabama Chapter-AAP Blueprint for Attaining NCQA Medical Home Recognition (PDF), revised 2014
- On-Demand Chapter Webinar: Blueprint for Attaining NCQA Medical Home Recognition, 2012
- Comprehensive Toolkit for Practices Interested in Learning More about PCMH
- Building Your Medical Home - An Introduction to Pediatric Primary Care Transformation
- Alabama Chapter-AAP Blueprint for Satelite Establishing Clinics in Underserved Areas (PDF), 2012
- Joint Principles of the Patient-Centered Medical Home
- AAP Section on Administration and Practice Management
- AAP Practice Transformation Resources
- Practice Management Online
- Pediatric Coding Newsletter
On October 1, 2015 all HIPAA covered entities will transition to the ICD-10-CM. Access resources to help your practice transition:
- Alabama Medicaid Agency's EHR Meaningful Use Incentive Program Updates
- Meaningful Use Overview, from the AAP's Child Health Informatics Center
- State Immunization Registry, ImmPRINT
- Alabama's One Health Record (Health Information Exchange)
Other Practice Management links
What is a Patient-Centered Medical Home?
The Patient-Centered Medical Home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults. The PCMH is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family.
Joint Principles of the PCMH
Physician-directed medical practice
Whole person orientation
Care is coordinated and/or integrated across all elements of the complex health care system
Quality and safety are hallmarks
Enhanced access to care is available
Payment appropriately recognizes the added value provided to patients who have a patient-centered medical home.