Services and Expertise

The HIV Medical Homes Resource Center (MHRC)

The François-Xavier Bagnoud (FXB) Center within the Rutgers School of Nursing and the University of California, San Francisco, Department of Family and Community Medicine, Center for Excellence in Primary Care (UCSF/CEPC) have collaborated to form the HIV Medical Homes Resource Center (HIV-MHRC), a Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) funded national training and technical assistance cooperative agreement. Building upon existing strengths of Ryan White HIV/AIDS Program grantees the HIV-MHRC provides an important resource to strengthen primary care for People Living with HIV/AIDS and to improve health care access and outcomes for a population of adults and children at significant risk for health disparities.

Overall Goals of the HIV-Medical Home Resource Center (MHRC)

The overarching goal of the HIV-MHRC is to provide training, technical assistance and resources that support Ryan White HIV/AIDS Program grantees in understanding, developing and successfully applying to become recognized Patient-Centered Medical Homes (PCMH). The HIV-MHRC provides support to Ryan White grantees and service providers to:

  • Understand concepts behind PCMH and their relationship to the HIV model of care
  • Learn the requirements for recognition/certification as a PCMH and successfully become recognized/certified medical homes
  • Increase capacity to implement PCMH principles in practice settings

What is a Patient-Centered Medical Home (PCMH)?

A Patient-Centered Medical Home (PCMH) provides comprehensive care and assumes accountability for managing a patient’s physical and mental healthcare needs, including prevention, wellness, acute and chronic care. Care is coordinated across all elements of the healthcare system through effective communication at each juncture. Enhanced access to care is promoted through shorter waiting times for care needs, expanded office hours, around the clock telephone and electronic access and is committed to quality and safety. Specific characteristics of the PCMH are team based care led by a personal physician or other eligible clinician, physician/clinician directed practice, whole person orientation through the provision of primary health care, integrated/coordinated care, quality and safety, enhanced patient access, and payment to reflect the added value to patients.

What are the Benefits of Becoming a PCMH in HIV?

Skills gained as a Ryan White grantee can support PCMH recognition, e.g. developing and implementing a quality management plan, using evidence-based practice, and care teams. Additionally becoming a PCMH:

  • Positions HIV clinics to take advantage of financial incentives and/or bonuses offered by health plans
  • Offers superior value to purchasers & consumers (meets nationally recognized standards for high quality care)
  • Provides a foundation to Accountable Care Organizations (medical neighborhood)

The Patient Centered Medical Home and the Affordable Care Act:

  • The PCMH is widely considered the model of healthcare for the future. It is the dominant model currently proposed to redesign our healthcare system. 
  • Passage of the Affordable Care Act of 2010 (ACA) laid a foundation for unprecedented support of primary care, placing it at the core of a health care system that seeks to achieve the Triple Aim: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. The PCMH is thought of as the model that can help us to address these three dimensions.

  • Beth Hurley, MPH

    Program Manager
    François-Xavier Bagnoud Center
    hurleybb@sn.rutgers.edu

HIV Medical Homes Research Center

What You Can Do to Get Started

The HIV-MHRC has been working with interested and ready Ryan White clinics since 2011. We have held regional strategic planning meeting with clinics throughout the US, developed a website resource repository, webinars on a number of topics, and working 1:1 with clinics and through a virtual learning community.  The HIV-MHRC provides levels of ongoing TA and consultation for varying learning needs:




 

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