Patient Centered Medical Homes: RHIO déjà vu
Regional Health Information Organizations (RHIOs) gained limelight in 2004 when President Bush called for Electronic Health Records for every American by 2014. The primary objective of RHIOs was to create an interoperability and information sharing infrastructure so that 360 degree view or complete medical history of patient’s health records can be made available for healthcare decision making. The desired outcomes were improved quality of care, prevention of clinical errors, elimination of redundant tests or care, prevention of adverse reactions, better care coordination and reduction in healthcare costs. The concept of Patient Centered Medical Homes (PCMHs), also called Medical Homes, goes back to its introduction by the American Academy of Pediatrics in 1967. However this primary care model has gained popularity over last one year as President Obama rolled out healthcare reforms. Patient Centered Medical Home is a care model where primary care physician is responsible for complete care coordination of the patient. Primary care physician collaborates with other physicians and care organizations based on the care needs of the patient and also educate the patient on self-health management. PCMHs share the same goals as RHIOs in terms of improved quality of care, better care coordination, better clinical outcomes and reduced healthcare costs.
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