Create medical homes

Wikis > Community-based Health Levers WIKI > Create medical homes

Ensure that more patients go to PCPs, rather than specialists or hospitals, for their routine care and as their first stop for non-urgent episodic care.  Medical homes need electronic medical records and perhaps decision-support systems for more effective referrals.

Consequences: Has the potential to reduce the cost of routine visits and non-urgent episodic care and to reduce the number of referrals and admissions generated by non-urgent episodic visits.  Also, decision support for PCPs should reduce their susceptibility to the allure of costly new hospital service offerings.  However, more patients means more demand on PCPs, creating the possibility (unless averted through other means) of a PCP shortage for some population segments.