Combating Medical Homelessness: What Is the Role for Academic Medicine?

This event is sponsored by the Urban Institute and the Association of American Medical Colleges.

Listen to the event
Audio Recording

Wednesday, October 1, 2008
9:00-10:30 a.m. ET

Panelists:

Robert Berenson, M.D., senior fellow, Urban Institute
Cristina Boccuti, senior analyst, Medicare Payment Advisory Commission
Darrell Kirch, M.D., president and CEO, Association of American Medical Colleges
J. Lloyd Michener, M.D., chair, Department of Community and Family Medicine, Duke University Medical Center
Robert Reischauer, president, Urban Institute; member, Medicare Payment Advisory Commission (moderator)

The patient-centered medical home (PCMH), a concept that has taken on new momentum, is being promoted as a way to transform the U.S. health system. Proponents say it will improve care, the patient experience, and the trajectory of health care spending. Despite broad-based support, disagreements remain over how the medical home should be defined and implemented and what improvements in care should come first.

This forum will explore PCMHs from the perspective of academic medical centers (AMCs). These centers are on the front lines in further developing the medical home and training the needed staff. Dr. Robert Berenson will discuss the promise and challenges that come with medical homes, especially for AMCs. Dr. Darrell Kirch will explain how AMCs are advancing medical homes while training the next generation of doctors. Dr. Lloyd Michener will talk about an innovative PCMH program serving Durham, North Carolina. Cristina Boccuti will describe MedPAC’s views of the medical home and ways to test it before Medicare adopts the practice.

The panel will address such questions as
• What is the role of specialized, tertiary-care institutions in supporting the medical home?
• Can the medical home help revitalize the primary-care specialties of general internal medicine, family medicine, pediatrics, and geriatrics?
• Should specialists who care for patients with chronic conditions be at the center of medical homes?
• How can medical education and training better support “patient-centered” relationships?

Resources
- Bios 

Berenson:
- A House Is Not A Home: Keeping Patients At The Center Of Practice Redesign (link)
Boccuti:
- MedPAC’s Report to the Congress, June 2008; Chapter 2: Promoting the use of primary care (pdf)
Darrell Kirch:
-
The Medical Home: Position Statement (pdf)
- Help Wanted: More U.S. Doctors (pdf)
Michener:
-
Improving the health of the community: The past and future of Duke’s experience with community engagement (pdf)
- New models of care: Building medical homes in empowered communities: The past and future of Duke’s experience with community engagement (pdf)
- Just for Us: An Academic Medical Center-Community Partnership to Maintain the Health of a Frail Low-Income Senior Population (pdf)

- Duke Family Medicine Residency Program (link)
- Duke Department of Community and Family Medicine Master of Health Science in Clinical Leadership (link)
- Duke Department of Community and Family Medicine Certificate in Health Leadership (link)
- Clinical and Translational Science Awards (link)

At the Urban Institute
2100 M Street N.W., 5th Floor, Washington, D.C.

A light breakfast will be provided at 8:45 a.m. The forum begins promptly at 9:00.

 
 

Source: The Urban Institute, © 2009 | http://www.urban.org