PCMH Vs Ambulatory Care

Running Head: PATIENT-CENTERED MEDICAL HOME VS AMBULATORY CARE 1

Patient-Centered Medical Home vs. Ambulatory Care

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PATIENT-CENTERED MEDICAL HOME VS AMBULATORY CARE 2

Patient-Centered Medical Home vs. Ambulatory Care

In the recent past, questions have arisen about the best medical procedures, which are

best suited for patients across the United States of America. It is in this quest that various

stakeholders in the healthcare system have come up with voluntary measures in a bid to fulfill

the health needs of the Americans in the best way forward. These stakeholders have worked

tirelessly in making the healthcare system to be most accessible to patients while providing the

most reliable healthcare cost efficiently as well as that, which addresses the needs of the patient

in a manner that can be best described as tailor-made for patients' needs (Chung et al., 2015).

In Patient-Centered Medical Home, the patient's treatment mode is usually coordinated in

a manner that they can easily comprehend and only happens with their consent (Bleser et al.,

2014). Further, the primary healthcare worker is in charge of the provision of care to the patient,

and it may vary from the place and time that it is offered. In so saying, it is to say that the model

borders on the patient's needs most flexible and conveniently such as the healthcare workers

work toward maintaining the health of their patients' at the latter's convenience (Jarvis et al.,

2015).Ambulatory healthcare model is defined by a system, which does not necessarily lead to a

patient's overnight stay at a hospital. It should not be misinterpreted to mean that it is not

provided in a hospital or healthcare system. However, the healthcare system as stipulated in this

model is also flexible in that it allows for options as to whether the need to visit or not to visit a

healthcare facility is existent (Howard et al., 2016).

Further, into the discussion, ambulatory healthcare is divided into these four categories:

Wellness care being the "normal" visit to the doctor. It is mainly involved in the checking up the

patient's body for maintenance or as a run-up activity for management of illnesses. Similarly, it is

used in checking conditions that the patient may have suffered from times before the visit,

PATIENT-CENTERED MEDICAL HOME VS AMBULATORY CARE 3

treatment including the administration of procedures such as getting medical injections or

receiving a surgery, which does not call for admission to the hospital overnight. There is the

aspect of Diagnosis. This is the testing of blood samples or the conducting of other tests, which

are meant to determine or ascertain the presence of an illness or conditions. The diagnostic

services range from lab tests and the utilization of rays such as X-rays and MRIs to monitor the

patient's condition (Chung et al., 2015).Lastly, there is Rehabilitation entailing procedures which

come as a follow-up procedure because of recovery or the attempt of so for a permanent

condition such as monitoring the progress of a former alcoholic or an abuser of narcotics.

Similarities between the Two Models

In both of the two models, there is an intricate relationship between the patient and their

healthcare worker or physician. Looking at PCMH, the provision of care is directed at acting to

the convenience of the patient. In so saying, the general requirement of healthcare is revised. The

conventional care sees the patient always making visits to the healthcare visits (Bleser et al.,

2014), but in the mentioned model, it is a reversal of roles as it is the physician who makes the

visits to the patient's locality under the latter's availability. On the other hand, looking at the

ambulatory model of healthcare provision, there is a special relationship between the patient and

the provider. More often than not, facilities dedicate a specific physician to review particular

patients as spelled out by their appointment needs. Further, both systems have proved to be

highly cost-efficient. Inpatient bills are excessively high as compared to the two models of

provision of healthcare (Howard et al., 2016).

In PCMH, the facilities which are used are for the convenience of the patient thus any

charges which may be levied as a subsequence of health facilities utilization are depleted. In

ambulatory care, there is the elimination of expenses which come as a result of staying overnight

PATIENT-CENTERED MEDICAL HOME VS AMBULATORY CARE 4

in a healthcare facility where more bills such as admission fee and nutrition fees are also charged

against patients. In the recent past, the economy and overall running of things have been a hectic

issue for most individuals in the United States of America (Jarvis et al., 2015). This has resulted

in people opting to save as much time as they can work. Unless very necessary, many do not see

the need of staying for days in a hospital bed; the time they would be working. There has been a

change in the structure of healthcare services demand and the two models have the aspect of

displaying this change most appropriately.

Differences between the Two Models

In PCMH, the provision of healthcare is provided at premises chosen by the patient while

in ambulatory model care is only offered in hospitals. There is an emphasis on quality and

delivery of services in the PCMH model while the same aspect is not noted in detail under the

ambulatory model of provision of healthcare. The payments, which are remitted under the

PCMH model, take cognizance of the addition of value while the same is not observed under the

ambulatory care model.

Payment Methods

Under the model, which is mentioned above, there are several categories of fees as

discussed: Supplemental fees which are paid for the delivery of service to a patient, Service

codes whereby in this form of payment, there are interval payments paid directly into providers'

accounts. Boosts are fees paid for the fulfillment of delivery using a specific criterion. As for the

Payment methods for ambulatory health care Capitation is the mode of payment whereby the

provider receives a preset rate of payment for services offered. Fee for service happens where

there is reimbursement of specific services provided to the patient at a stipulated rate.P4p rates

PATIENT-CENTERED MEDICAL HOME VS AMBULATORY CARE 5

are paid in recognition of the performance of providers as per set minimums and as a result of

results on patients.

Preference

The PCMH model is better suited to fit patients' needs. In this model, there is an

elaborate bid to provide the best form of care to patients; more importantly at their convenience.

It should be noted that the patient-physician relationship is of great importance and this is just

what PCMH entails. Although versed with some challenges, it is in equal measure that the

achievement of success will match the problems and come up with a way of handling them

efficiently (Howard et al., 2016).

In conclusion, the provision of healthcare in the USA is well positioned in high gear

toward best practice in a bid to streamline operations and deliver accessible and adequate

healthcare to the people. However, the stakeholders need to work in earnest for highlighting of

various weaknesses, which continue haunting the sector for a healthy nation.

PATIENT-CENTERED MEDICAL HOME VS AMBULATORY CARE 6

References

Bleser, W. K. et al. (2014). Strategies for Achieving Whole-Practice Engagement and Buy-in to

the Patient-Centered Medical Home. Annals of Family Medicine, 12(1), 37-45.

Chung, J. E. et al. (2015). Convenient Ambulatory Care -- Promise, Pitfalls, and Policy. M. B.

Hamel (Ed.) The New England Journal of Medicine, 373(4), 382-388.

Howard, H. A., Malouin, R., & Callow-Rucker, M. (2016). Care managers and knowledge shift

in primary care patient-centered medical home transformation. Human Organization, 75(1),

10-20.

Jarvis A., Perry R., Smith D., Terry R. & Peters S. (2015). General practitioners, beliefs about

the clinical utility of complementary and alternative medicine. Primary Health Care Research

& Development, 16, 246-253.

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