Chronic Care Model and the Patient-Centered Medical Home Model

ChronicCare Model and the Patient-Centered Medical Home Model


ChronicCare Model and the Patient-Centered Medical Home Model

Healthcare providers persistently search for better approaches to enhancequality of healthcare while overseeing constrained assets.Utilization management ensures that health care is effectively andefficiently delivered to patients. There are various healthcaremodels that transform health care delivery. A health care model is aframework used to improve the health of a community. It uses amultidimensional approach to provide evidence based solutions tocomplex health problems. This essay analyzes, compares, and contraststhe Chronic Care Model (CCM) and the Patient-Centered Medical HomeModel (PCHM). It emphasizes on the elements of these models and thestructuring of each to achieve optimal patient health at the lowestcost.

TheCCM was developed in response to the increasing burden of chronicdiseases. The model is made up of six elements that represent theareas of improvement when dealing with chronic conditions. Theseelements are healthcare organization, community resources,self-management support, delivery system design, decision support,and clinical information systems(Fiandt,2006).

ThePCHM, on the other hand, aims at transforming the organization anddelivery of primary healthcare. It advocates for accessibility,efficiency and integration of primary healthcare services to childrenand adults(Stangeet al., 2010).The model has five elements which are comprehensive care,patient-centered care, coordinated care, accessible services, andquality and safety. These elements are used to improve primaryhealthcare delivery to communities.

Bothmodels aim at improving care by incorporating the patient, healthcareprovider and, the healthcare delivery system. They emphasize the needfor shared decision making to ensure collaboration of the differentplayers in health. According to the models, the care provided to thepatient should be safe. The models are also centered on the premiseof continuous quality improvement of that care provided to thepatients. They emphasize on the need for ongoing research to provideevidence based solutions that improve the quality of care. Finally,both models have a self-care concept where the patient is empoweredto take control over his/her health (Baxter&amp Nash, 2012).

Despitethe many similarities, the models have major differences. CCMprovides guidelines on the management of chronic conditions whilePCMH is centered on primary healthcare. Therefore, CCM uses diseaseoriented approach while PCMH is preventative in nature. The CCM isapplicable in patients with chronic diseases. PCMH tries to preventthe chronic diseases from occurring through early screening andtimely interventions. PCMH also uses information from CCM to plan itsactivities and identify priority health problems affecting people andincorporate them in the plan of care(Baxter&amp Nash, 2012).

Themost significant elements of these models that ensure high qualitygoals are met include the implementation of continuous qualityimprovement strategies. The CCM uses clinical information systemsdata to determine where to focus on improving interventions whichpromote better health outcomes (Meulepas,2007).The PCMH quality and safety element demonstrates a commitment to theprovision of quality healthcare services and evidence based medicine.The element also entails performance measurement and collectingquality and safety to be used for policy decision making (Stangeet al., 2010).These actions enhance the overall quality and safety of healthcare.

Themodels should be structured in a way that they place patients asactive participants in their own health. A multidisciplinary teamshould be used in both models to coordinate all aspects of thepatient care, whether preventive, curative, or rehabilitative. Themodels should also utilize information from each other to come upwith evidence based solutions to problems. The health organizationshould monitor the quality and improve service delivery accordingly.The models should ensure accessibility of care to all patients aswell.

Inconclusion, the CCM and PCMH models are used to improve quality ofcare and safety. Both models advocate for continuous qualityimprovement and use of information to devise evidence based solutionsto health problems. Therefore, their application in the healthcaresector would reform the healthcare delivery system and improve thequality of care given to patients.


Baxter,L., &amp Nash, D. (2012). Implementing the Patient-Centered MedicalHome Model for Chronic Disease Care in Small Medical Practices:Practice Group Characteristics and Physician Understanding. AmericanJournal of Medical Quality,28(2),113-119.

Fiandt,K. (2006). TheChronic Care Model.Medscape.Retrieved 12 October 2015, from

Meulepas,M. (2007). Evaluationof a chronic care model for primary care.[S.l.: s.n.].

Stange,K., Nutting, P., Miller, W., JaÃn, C., Crabtree, B., Flocke, S., &ampGill, J. (2010). Defining and Measuring the Patient-Centered MedicalHome. JGEN INTERN MED,25(6),601-612.