News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel

News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel
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Pioneering Oncology Group Earns Recognition as a Medical Home

Pathologists may be asked to do more consults by oncologists practicing in a medical home

Recently a pioneering oncology practice in Philadelphia was recognized by the National Committee for Quality Assurance (NCQA) as a medical home practice. Though the NCQA medical home program focuses on primary care, a few specialty practices have gained medical home recognition.

This is a milestone on the road to expanded use of the medical home care model. It is also an early warning to pathologists and clinical laboratory managers that other medical specialties may take steps to implement a medical home practice. It is believed that physicians practicing in this care model are likely to be more careful users of medical laboratory tests.

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Medical Home Concept Poised to be National Model, May Increase Utilization of Clinical Pathology Laboratory Testing

Medicare to do National Demonstration Project Involving Medical Homes

Medical home pilot projects are being closely watched by pathologists and clinical laboratory managers. This is a new model of patient-centered care which has important advocates among primary care practitioners. If the medical home concept catches on, it may require clinical laboratories to provide laboratory testing services in a different way.

In southeastern Pennsylvania, a medical-home pilot project is taking a “do-it-yourself” approach to managing chronic illnesses. This project is viewed by some as a precursor to a national model. The innovative program, which combines the Wagner Chronic Care Model with the patient-centered medical home concept, provides physicians with resources to improve patient–doctor communications. The pilot project is also designed to educate willing patients on how to self-manage their chronic illnesses.
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Cleveland Clinic and Microsoft Team up to Use Point-of-Care Testing in EMR Network

New care delivery model might emerge from collaboration between two partners

Guess which famous health provider is partnering with Microsoft (NASDAQ:MSFT) to encourage patients using home self-testing devices to regularly upload those data into an electronic medical record? It’s the Cleveland Clinic Health System. This project may point to a disruptive new model for laboratory testing.

It’s a pioneering arrangement. Microsoft’s HealthVault is interfaced with the eCleveland Clinic MyChart patient portal to create an interactive feature that collects data on from in-home medical devices used by patients with chronic conditions. The pilot project includes 460 patients with diabetes, congestive heart failure and hypertension. These patients use home blood pressure monitors, glucometers, and weight scales which are linked to the HealthVault platform personal health record (PHR) system.
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Expansion of Medical Home Concept Requires Response by Clinical Laboratories

Meet the concept of the medical home. It is a managed-care delivery model that charges physicians with coordinating overall care for patients with chronic illnesses. Since its’ inception just a few years ago, it has spread nationwide. Medical home demonstration projects now operate in 22 states. Two states, Rhode Island and North Dakota, have implemented statewide programs.

By design, the medical home is a patient-centered, integrated care model. An important goal is to create a strong, long-term relationship between the physician and the patient. It does this by replacing episodic care based on illness with proactive, coordinated care provided by a physician-led team.

In 2008, the National Committee for Quality Assurance (NCQA) introduced standards to determine if a medical practice operates as a Patient-Centered Medical Home (PCMH). These standards meet the definition of a medical home as defined by a consortium that includes the American Academy of Pediatrics, American College of Physicians, American Academy of Family Physicians and American Osteopathic Association.

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