• Primary care is in crisis
• Only 2 percent of graduating medical students plan to work in primary care internal medicine
• Primary care doctors often do not have the infrastructure, support or time to effectively coordinate care and manage chronic disease

• Our patients – Many cannot find a primary care physician
• Who is going to make sure parents and children get the preventive care they need most?
• Who else is going to coordinate care for people with multiple chronic diseases?

• A continuous relationship with a personal physician caring for the whole person
• Using a registry to track patients and make sure they get all the care they need
• Blended payment with extra payment and personnel to coordinate care

• Patients -because they want a doctor that knows them well that they can access easily. Some know that having a doctor to coordinate your care can prevent errors and save your life
• Physicians practicing good medicine -because they want to get paid for doing what patients need most
• Employers and insurers -because they know it can reduce costs from preventable emergency room use and hospitalizations

• Some practices are beginning to get paid to participate in Medical Home demonstration projects with selected insurers
• A multi-payer demonstration project is being considered

• See if your practice is ready to be recognized as a medical home.
• Go to www.transformed.com/MHIQ/welcome.cfm and take TransforMed's free on-line Medical Home IQ test to find our what it takes to get there.

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