By Ms. Rebecca Shinneman (Army Medicine)December 16, 2013
On 10 December 2013, Army Regional Medical Commands (RMC) briefed Army Medicine Senior Leaders on the implementation status of Patient Centered Medical Home (PCMH). Since the last brief in August 2013, significant progress has been accomplished with 17 additional practices reaching Army PCMH status, bringing the total to 80 practices caring for 843K enrolled beneficiaries (an increase of 200K). Currently, 61 percent of our beneficiaries are enrolled to NCQA recognized practices. Soldier Centered Medical Home (SCMH) implementation is also rapidly progressing with 12 practices coming on-line by end of December 2013.
Each RMC had an opportunity to brief on the current implementation status, "get green" plans and current performance. The three implementation criteria include: 1) readiness assessment scores 2) successful staff assistance visits (SAV) and 3) Level 2 or above NCQA recognition. Readiness assessment score reflects the level of staffing, training, and equipping based on a 10-item checklist for PCMHs and a 17-item list for SCMHs.
Southern Region Medical Command (SRMC) leads MEDCOM in HEDIS and patient satisfaction, Northern Regional Medical Command (NRMC) in enrollment capacity and staff satisfaction, and European Regional Medical Command (ERMC) leads in ER utilization and Primary Care Manager (PCM) continuity. Western Regional Medical Command (WRMC) is developing a PCMH dashboard and Pacific Regional Medical Command (PRMC) is piloting for the Military Healthcare System (MHS) the model for the medical neighborhood.
The highlight of the quarterly briefing was the selection of the top best practices in each RMC. The following practices were identified as best in their region for 2013: ERMC: Illesheim; NRMC: Kirk AHC; SRMC: Screaming Eagle CBMH; WRMC McChord Family Medicine-Pediatrics; PRMC: Schofield Barracks Family Medicine. Illesheim Clinic knows where their patients are, provide follow-up and patients at the Illesheim Clinic would rather see their PCMH team than go out to the network. The Kirk Army Health Clinic has a strong leadership team which has increased enrollment and the team has patient centered focus. The McChord Clinic is a joint facility serving both Air Force and Army benefeciaries. The leadership at the McChord Clinic makes things happen and have have embraced best practices from both the Air Force and the Army. The Screaming Eagle Community Based Medical Home was the first medical home to open in the AMEDD on 29 December 2010. The Secreaming Eagle team embraces technology and has showcased secure messaging. Schofield Barracks Family Medicine is leading the way with the medical neighborhood pilot and has many best practices that other clinics across the region has adopted. The top Best Practice for 1st Quarter FY 2014 will be announced soon.
The next regional update will be provided in March 2014. Army PCMH is the hub of our System for Health, integrating and synchronizing initiatives across the Army to fulfill the Army Medicine 2020 vision of strengthening the health of our Nation by improving the health of our Army.