Document Detail

The patient-centered medical home: this primary care model offers RNs new practice—and reimbursement—opportunities.
MedLine Citation:
PMID:  23190675     Owner:  NLM     Status:  MEDLINE    
The passage of the Patient Protection and Affordable Care Act (ACA) of 2010 has helped reshape primary care by funding the development of care approaches that better integrate and coordinate services, such as the patient-centered medical home (PCMH). Primary care practices that adopt this model offer the comprehensive, patient-centered care that is especially needed by those who are chronically ill. In a significant change from traditional reimbursement policies, the ACA offers incentives and resources that allow for care coordinators-who are typically nurses-to be recognized and paid for their efforts.This article discusses the guiding principles of the PCMH model, nurse care coordination, reimbursement and implementation, cost-effectiveness and quality improvement, and the need for greater nurse advocacy. Finally, the experience of a care coordinator in a rural PCMH in Maine is presented.
Susan Henderson; Catherine O Princell; Sharon D Martin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of nursing     Volume:  112     ISSN:  1538-7488     ISO Abbreviation:  Am J Nurs     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-29     Completed Date:  2013-02-04     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0372646     Medline TA:  Am J Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  54-9     Citation Subset:  AIM; IM; N    
Saint Joseph's College of Maine, Standish, USA.
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MeSH Terms
Cost-Benefit Analysis
Health Plan Implementation
Models, Organizational
Nurse's Role*
Nursing Care / organization & administration
Patient-Centered Care / organization & administration*
Quality Improvement
Reimbursement, Incentive
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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