PCMH SUSTAINABILITY BEST PRACTICES TOOLKIT
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In a standard definition, sustainability is the “ability to be maintained at a certain rate or level.” In the health care setting, sustainability is the process of perpetuating services and programming by integrating quality improvement and proactive efforts into your operations to meet your patients’ needs.
Sustainability is described as: “when new ways of working and improved outcomes become the norm.” So not only have the process and outcome changed; but also, the thinking and attitudes behind them are fundamentally altered, and the systems surrounding them are transformed as well.
To sum it up, sustainability means holding the gains you have made and evolving as required, affirming that you are not going back to the “old ways!”
There are two types of sustainability:
Typically, organizations link sustainability exclusively to funding; however, it is important to take a broader approach and think of it as the process of developing highly effective programming along with the funding to support it.
When you meet the needs of your patients and community and develop the internal capacity to deliver effective programming, your practice becomes more attractive to patients, other stakeholders, and potential funders.
Stop 2: What is Sustainability?
The 10 Building Blocks of High-Performing Primary Care
This article discusses each of the building blocks in detail.
Building Blocks of Primary Care Assessment (BBPCA)
This self-assessment is designed to help you determine your practice’s readiness for change using the 10 building blocks as a guideline. It is recommended that you form a multidisciplinary team (management, clinicians, front office staff, patients, etc.) and ask each person to complete the assessment. Then, meet as a group and discuss your answers.
Review the resources. Then, return to your Notebook to answer questions, take notes, and record your thoughts.
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What does sustainability look like? Click here for more information.
When you think about PCMH transformation sustainability, several questions may come to mind:
The answers to these questions require deliberate planning from the outset and thinking beyond the improvement (or recognition/certification) period.
Another question is: “Why should we maintain our PCMH status?”
To answer this question, we look to the triple aim of health care, which is:
The PCMH is designed specifically to meet these goals and improve our health care system.
Additionally, many payers have set up payment tiers that reinforce the need for the medical home. Clinics with recognition receive higher payment reimbursements.
The PCMH and the tenants of sustainability are linked by continuous quality improvement (CQI) efforts and value-based payments. BOTH CQI and value-based payments are needed to effectively sustain your PCMH transformation!
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