District of Columbia

Due to its location, primary care practices in the District of Columbia are significantly impacted by medical home programs in neighboring states and federal programs (VA, Military, OPM, etc.). The DC Primary Care Association (DCPCA) is helping federally qualified health centers (FQHC's) in DC move to a PCMH model of care. The DCPCA Quality and Improvement and Operations Program utilizes models from HRSA-BPHC’s Health Disparities Collaboratives and the National Committee for Quality Assurance (NCQA) including the Planned Care and Improvement Models, to guide training and support activities. The Planned Care Model is a population-based model incorporating evidence-based medicine to develop and sustain system changes, while the Improvement Model is a quality methodology for small-scale, rapid-cycle improvements. Through the strategic integration of these models, DCPCA’s Quality Improvement (QI) team is able to support a variety of initiatives focused on issues of high volume, high risk and/or problem-prone areas for the District’s FQHCs and Community Health Centers.

Additionally, DCPCA helps member health centers leverage health information technology to improve the delivery of primary care by following the patient-centered medical home (PCMH) principles and guidelines, which aim to increase quality, improve health outcomes, and manage costs. The principles of PCMH call for a team approach to primary care and aim for systems change through the coordinated implementation of both the Care and Improvement Models for quality methodology. 

Currently there are no formal medical home programs in the DC Medicaid program, although they have been awarded a CMS health homes planning grant.

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
No
Private Payer Program: 
Yes
State Facts: 
Population:
650,700
Uninsured Population:
8%
Total Medicaid Spending FY 2012: 
$2.1 Billion 
Overweight/Obese Adults:
51.9%
Poor Mental Health among Adults: 
38.3%
2014 Medicaid Expansion: 
Yes 

Facilitating PCMH Recognition

2014-02-19 08:30 to 2014-02-20 12:30

More than 6,000 NCQA-Recognized Patient-Centered Medical Homes practices and over 32,000 recognized clinicians have proved the strong relevance of the 2011 PCMH Standards. The 2011 standards are more patient-centered with a significant emphasis on the planning, managing and coordinating care for patients.

About the Program
Announcement Type: 
Seminar

Veterans Health Administration - Patient Aligned Care Team (PACT)

The VA’s Veterans Health Administration (VHA) operates one of the largest integrated health delivery systems in the United States, delivering comprehensive care to approximately five million Veterans. VA’s PCMH Patient initiative includes a care team model that incorporates multidisciplinary clinical and support staff who deliver all primary care and coordinate the remainder of patients’ needs, including specialty care. To optimize workflow and enhance continuity of care, staff are organized into “teamlets” that provide care to an assigned panel of about 1,200 patients.

U.S. Air Force Family Health Operations PCMH

To improve Air Force primary care and achieve better health outcomes for our patients, the Air Force implemented the Family Health Initiative (FHI) in 2009, which is a team-based, patient-centered approach building to the Patient-Centered Medical Home (PCMH) concept established by the American Academy of Family Physicians. In 2011 the Air Force had implemented PCMH at 23 of its MTFs and ultimately will expand it to all facilities. 

U.S. Navy Medical Home Port

To implement PCMH principles, the Bureau of Medicine and Surgery (BUMED) formally developed its PCMH model Medical Home Port (MHP) and is in the process of implementing MHP across its enterprise. Medical Home Port helps provide primary care in a way that best meets the needs of Navy Medicine’s beneficiaries. The Medical Home Port team ensures that care is all-inclusive and integrated with all other care provided within the healthcare system.

U.S. Army Community Based Medical Homes

In the Community Based Medical Home, the healthcare team develops a comprehensive care plan as soon as the patient enrolls and then proactively engages the patient as a partner in care. This face-to-face encounter build trust, improves communication, and lays the groundwork for providing continuous care. As part of the Army's commitment to improved access, the Community Based Medical Homes offer a broader range of access options: group visits, enhanced telephone communication and web-based communication.

Capital Clinical Integrated Network (CCIN) - Mary's Center for Maternal Child Care

In July 2012, Mary's Center for Maternal Child Care in Washington, D.C. was awarded a three-year, $14.9M grant from the Center for Medicare and Medicaid Innovation.  Through this funding, the Capital Clinical Integrated Network (CCIN) was created to to improve care for high-utilizing chronically ill Medicaid recipients in the D.C. area, including those who rely on emergency room visits for primary health care.

Patient-Centered Outcomes Research Institute (PCORI) Programs

PCORI solicits applications for proposals for patient-centered comparative clinical effectiveness research (CER) based on their National Priorities for Research and Research Agenda. Each priority represents a line of inquiry that addresses unmet needs of patients, caregivers, clinicians and other healthcare system stakeholders in making personalized healthcare decisions across a wide range of conditions and treatments.

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