The New Model
The new model is an integrated set of best practices. As described by the Future of Family Medicine (FFM) report, the new model of care proposes transformational redesign of both the work and the workplaces of family and primary practices in order to better serve the changing needs of patients, physicians, and practice teams.
The key concept that underpins the new model is the relationship-centered personal medical home for all patients, which serves as the focal point through which all individuals— regardless of age, gender, race, ethnicity, or socioeconomic status participate in their health care. The personal medical home includes a necessary and consistent set of acute, chronic, and preventive medical care services that are accessible, accountable, comprehensive, integrated, patient-centered, safe, scientifically valid, and satisfying to both patients and their physicians.
The new model also calls for broad deployment of continuously proven methodologies and technologies that improve diagnosis and enhance treatment and outcomes. It recognizes that improved practice management in the form of business plans and reimbursement models will be required to enable these transformed practices to thrive as personal medical homes, while informational resources will be necessary help patients make an informed choice in a personal medical home.
The new model has both a patient focus and a systems focus, and is comprised of 11 core components:
These elements are achieved through a number of practice innovations including the following:
The new model practice is...
• Traditional enough to reflect and sustain enduring principles and values.
• Familiar enough to be understandable.
• Bold enough to make real transformation a reality.
• Practical enough to be implemented in the immediate future.
—from a presentation entitled "The Once and Future Scope of Family Medicine" by Larry A. Green, MD
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