Projects

Coming Home: The Patient-Centered Medical-Dental Home in Primary Care Training

Project Overview

Insight worked with the Health Resources and Services Administration’s (HRSA) Advisory Committee on Training and Primary Care Medicine and Dentistry (ACTPCMD) to develop a Congressional Report on the potential utilization and application of Primary Care Medical-Dental Homes (PCM-DH) and corresponding recommendations on how Title VII programs can influence and support their development. Since 1998, ACTPCMD has advised Congress and the Secretary of the U.S. Department of Health and Human Services (HHS) on issues under the domain of Title VII, Section 747 programs, including the undergraduateand graduate-level training of primary care providers; the recruitment of underrepresented minorities and disadvantaged populations; and the provision of quality health care to underserved communities.

“Coming Home: The Patient-Centered Medical-Dental Home in Primary Care Training,” the ACTPCMD’s Seventh Report to Congress, addressed how the PCM-DH model can serve as a critical tool in meeting the burgeoning national needs with respect to disease prevention and chronic disease treatment, health disparities and access to care, and in improving overall quality of care. Through presentations, white papers, and direct research, ACTPCMD focused on the current health care environment including issues of chronic illness, uninsured populations, health disparities, health care costs, and health outcomes. The report then addressed the PCM-DH model, including an analysis of the empirical data, cost effectiveness, and planned pilot studies and challenges and barriers to their implementation. The report concluded by illustrating how Title VII, Section 747 could utilize this model to prepare the primary care training workforce to meet the needs of the Nation.

ACTPCMD made 9 recommendations for the Federal Title VII, Section 747 programs to support primary care training and to prepare training programs to educate clinicians to practice in these medical and dental homes. These recommendations included guidelines for training, curricula development, leadership, pilot education programs, infrastructure, vulnerable and at-risk populations, infrastructure, coordination of medical and dental education, and the authority and funding for PCM-DH programs.

Core Activities

Literature Reviews and Environmental Scans; Policy Analysis and Assessment; Stakeholder Engagement and Coordination of Advisory Committees and Technical Expert Panels; Report Development and Presentation

Products

The final report is entitled “Coming Home: The Patient-Centered Medical-Dental Home in Primary Care Training” (December 2008) and is available at http://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/seventhreport.pdf.