New York State Patient-Centered Medical Home (NYS PCMH) is an operations model for primary care practices. Its ultimate goal is to move practices toward achieving the triple aim of healthcare:
- Improving the patient experience;
- Improving population health; and
- Reducing per capita costs.
NYS PCMH achieves this through a series of concepts that utilize evidence-based strategies for achieving improved healthcare outcomes.
A National Committee for Quality Assurance (NCQA) recognition program, the NYS PCMH model of transformation is a partnership between NCQA and the New York State Department of Health (DOH). This partnership merges the NCQA PCMH 2017 model of transformation with the DOH Advanced Primary Care (APC) model. Rather than having an “alphabet soup” of transformation options for practices, New York State has chosen to align its transformation initiative with this well-respected nationwide program.
Many New York State primary care practices already have PCMH 2014 recognition and may be pursuing the PCMH 2017 standards or those of the APC program. Effective April 1, 2018, there will be one exclusive PCMH model for New York State: NYS PCMH. If you were previously enrolled in another program, you will now have to complete the requirements established in the NYS PCMH model to achieve or sustain recognition.
Please visit NCQA’s website to find NYS PCMH standards and guidelines.
The NYS PCMH model of care focuses on improving patient care through activities such as:
- Coordinating patient care among specialists and hospitals;
- Using technology for patients to access their own healthcare;
- Ensuring patients with chronic diseases are managing their conditions effectively; and
- Expanding patient access to methods of communication with their healthcare providers.
Practices that engage in patient-centered care see consistent results that demonstrate the time and effort invested largely yields improved quality of care, patient experiences, care coordination, access to care, and quality outcomes.
New York State offers free technical assistance to practices pursuing NYS PCMH through the State Innovation Model (SIM) grant, and encourages primary care practices to enroll with technical assistance vendors, such as HANYS, that can help provide guidance through this transformation.
If you are part of a primary care practice in New York State, we encourage you to contact us to discuss the potential for change at your practice.