Health Care Delivery Systems

Module 3: Patient-Centered Medical Home, Ambulatory Care, Community Health Centers, Complementary and Alternative Medicine, and Mental Health

PART 1 – DO FIRST

******Discussion

Payment methods for Patient-Centered Medical Homes

Discussion Topic

1. What kind of payment method is more suitable for reimbursing PCMH? Please justify your answer.

2. Research confirms that medical homes can lead to higher quality and lower costs, and can improve patient and provider experiences of care. Is this a reality or not? Validate your answer with examples.

3. How is this program implemented?

PART 2 – DO NEXT

*******Module 3 – Case

PATIENT-CENTERED MEDICAL HOME, AMBULATORY CARE, COMMUNITY HEALTH CENTERS, COMPLEMENTARY AND ALTERNATIVE MEDICINE, AND MENTAL HEALTH

Assignment Expectations

Please view these short videos:

Patient-Centered Medical Home Video https://www.youtube.com/watch?v=CvroxEpoyNY

What is an HMO and How Does it Work? https://www.youtube.com/watch?v=Q3oRDVNELfc

Having completed the assigned reading, you should now have a basic understanding of the concept of the Patient Centered Medical Home, Ambulatory Care, Community Health Centers, Complementary and Alternative Medicine, or Mental Health.

For the Module 3 Case Assignment, conduct additional research as needed and prepare a 4- to 6-page paper to address the following questions:

1. Discuss the difference or similarities between any two of the above models.
2. Discuss the payment system for each of them.
3. Why would one choose one over the other?

PART 3 – DO LAST
*********Module 3 – SLP

PATIENT-CENTERED MEDICAL HOME, AMBULATORY CARE, COMMUNITY HEALTH CENTERS, COMPLEMENTARY AND ALTERNATIVE MEDICINE, AND MENTAL HEALTH

SLP Assignment Expectations

Please view these videos:

What is a Community Health Center? https://www.youtube.com/watch?v=kPLpNWO5uGs

What is Public Health?

https://www.youtube.com/watch?v=oy1CAMObRzc

Ambulatory Care Center Design

https://www.youtube.com/watch?v=Cz5MxxvHMss

What’s a Community Health Center?

https://www.youtube.com/watch?v=fLTbgCetJfM

For the Module 3 SLP, conduct some preliminary research on a Patient Centered Medical Home, Ambulatory Care, Community Health Centers, Complementary and Alternative Medicine, or Mental Health facility in your state. Write a 4- to 5-page paper answering the following questions:

1. Which populations (e.g., adults, children, or older adults) and what conditions/diseases are targeted?
2. Who are the participating payers?
3. What type of insurance product (e.g., HMO or PPO) do the participating payers include?
4. Who are the participating providers? (List only the type of providers, such as hospitals or community health centers.).
5. How are the participating providers reimbursed?