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Psychiatric Services 2013; doi: 10.1176/appi.ps.6412News2
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Copyright © 2013 by the American Psychiatric Association

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PCPCC primer for physicians and practices: As primary care physicians and other providers struggle to create patient-centered medical home (PCMH) practices, learn about medical neighborhoods, and become adept at using electronic health records, they may appreciate a new report that illustrates how those three activities work together to benefit patients. Managing Populations, Maximizing Technology: Population Health Management in the Medical Neighborhood, which was released in October by the Patient-Centered Primary Care Collaborative (PCPCC), was written for providers who may be suffering from “initiative fatigue.” The report is designed as a primer “on what can be done now, what can be done in the future and what they can build toward.” A population health approach—where stakeholders calculate the health outcomes of a group of individuals—requires collaboration among patients, physicians, insurance companies, the government, the private sector and local communities. The PCMH sits at the center of the model and is surrounded by the larger and more inclusive medical neighborhood. And health information technology (IT) is the foundation of it all. The report recommends ten specific health IT tools and strategies that can help achieve population health management in the medical neighborhood. The ten tools are electronic health records, patient registries, health information exchange, risk stratification, automated outreach, referral tracking, patient portals, telemedicine, remote patient monitoring, and advanced population analytics. The report includes three case studies in population management, including a group of pediatric practices in Winston-Salem, North Carolina; a community health center in New York City; and a multispecialty group practice in Richmond, Virginia. The 23-page report is available on the PCPCC Web site at www.pcpcc.org/resource/managing-populations-maximizing-technology.

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