Making a Medical Home for IBD Patients

Curr Gastroenterol Rep. 2017 May;19(5):20. doi: 10.1007/s11894-017-0561-1.

Abstract

Purpose of review: The transformation from fee for service to fee for value requires structural changes to the way gastroenterologists manage patients with inflammatory bowel disease (IBD). A team-based approach using technology to engage patients is necessary for success. The Patient-Centered Medical Home (PCMH) represents a unique model that brings together these essential features. This paper describes how the PCMH model has been successfully applied to the management of patients with IBD.

Recent findings: A review of the literature and three examples of IBD PCMH initiatives are presented in this document: they demonstrate how outcomes can be improved under the PCMH model. Population health and value-based payments will mold and shape how we can position our GI practices. The specialty medical home is an ideal way to begin this transition.

Keywords: Inflammatory bowel disease (IBD); Patient engagement; Patient-Centered Medical Home (PCMH); Value-based payments.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care, Integrated / organization & administration
  • Humans
  • Inflammatory Bowel Diseases / therapy*
  • Models, Organizational
  • Patient Care Team / organization & administration
  • Patient-Centered Care / organization & administration*