Ohio

A strategic priority for the Ohio Department of Health (ODH) is to increase the expansion of the Patient-Centered Medical Home (PCMH) throughout Ohio. The ODH is leading a statewide expansion of the PCMH in order to 1) control costs and ensure healthcare in Ohio is affordable, 2) improve health outcomes and 3) enhance the patient experience. The Patient Centered Medical Home Education Pilot Project was authorized by HB 198 of the 128th Ohio General Assembly. ODH’s first major step in implementing this pilot program was the establishment of the Ohio Patient-Centered Primary Care Collaborative (OPCPCC). The OPCPCC is a coalition of primary care providers, insurers, employers, consumer advocates, government officials and public health professionals who came together to support a more effective and efficient model of healthcare delivery in Ohio. Care in a PCMH is foundational to all of Ohio's health improvement initiatives including the Comprehensive Primary Care (CPC) initiative, State Innovation grant, dual eligibles program, and health homes program. 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
Yes
CPCi: 
Yes
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
11,477,300
Uninsured Population:
13%
Total Medicaid Spending FY 2013: 
$16.8 Billion 
Overweight/Obese Adults:
65.1%
Poor Mental Health among Adults: 
32.2%
Medicaid Expansion: 
Yes 
CPC+: 
CPC+

Ohio Medicaid To Launch Patient-Centered Medical Homes In 2016

Ohio is preparing to launch the second component of its cross-payer health system reform project, a statewide patient-centered medical home (PCMH) model, in 2016. By December 2018, the Ohio Office of Health Transformation (OHT) anticipates that at least 80% of the state’s 11.5 million population across all payers including Medicaid, will be participating in a PCMH for primary care services.

UnitedHealthcare Patient-Centered Medical Home Program- Ohio

UnitedHealthcare currently operates 13 medical home programs in 10 states for the commercially insured population  These programs include more than 2,000 participating physicians and 300,000 members. 

House Bill 198, 128th General Assembly

The bill authorized the Patient Centered Medical Home Education Pilot Project.

In Ohio, Value-Based Care Takes Center Stage

Mercy Health CIO says that in a shifting healthcare landscape, “it’s all about the data”

When the Cincinnati-based Mercy Health—the largest  health  system  in  Ohio  and one of  the largest in the U.S.—partnered  with the Cleveland-based  Explorys in 2011 for its cloud-based  platform, the idea was to manage  populations,  engage  patients,  and  meet  patient-centered medical home (PCMH) and accountable care organization (ACO) goals. 

News Author: 
Rajiv Leventhal

Coordinating All Resources Effectively (CARE) - Ohio

Children’s National Health System has been named a recipient of a Center for Medicare & Medicaid Innovation (CMMI) award to improve health care delivery for children with complex medical needs.  The grant, aimed at advancing care coordination models, was awarded to the Children’s Hospital Association (CHA) and 10 pediatric hospital partners.

How Mercy Health Is Improving Patient and Population Health

Nurturing the Patient Centered Medical Home

By leveraging care coordination technology, we can focus on raising up the health of our entire community versus just working with one patient at a time. It gives us an opportunity to take some of the stress off both patients and care coordinators by replacing some of the in-person follow-ups with electronic communications.

News Author: 
Jasmine Pennic

Using Electronic Medical Records to Target Care

2014-09-18 12:00 to 13:00

The MetroHealth System is harnessing the power of Electronic Medical Records (EMRs) to enhance care, decrease costs, and improve health outcomes for their patients. MetroHealth is a health system with 17 locations based in Cleveland, Ohio and is affiliated with Case Western Reserve University. Using EMR data, MetroHealth carefully selected 28,000 patients for their Care Plus program, giving them Medicaid coverage, coordinating their care, providing personalized follow-up from nurses, and tracking the outcomes.

Announcement Type: 

Obamacare transforms medical industry

Toledo’s health systems moving toward patient-centered model

Most agree that the Affordable Care Act, commonly known as Obamacare, has fundamentally changed the health insurance landscape in the United States, but the health-care law is also quietly causing a sea change in the way hospitals and doctors treat patients and do business. “The entire industry is really doing a paradigm shift,” said Terri Thompson, vice president of population health for ProMedica.

News Author: 
Marlene Harris-Taylor

Comprehensive Primary Health Care Offered Now to More Ohioans

The Ohio Department of Health (ODH) announced today that Ohio now has more than 500 nationally recognized patient-centered medical home (PCMH) practices delivering primary health care services across the state. The PCMH care model is one that facilitates partnerships between individual patients and their personal healthcare providers. In collaboration with its partners, ODH continues to promote statewide expansion of PCMHs in order to enhance access to primary care, improve health outcomes, enhance the patient experience and to ensure healthcare in Ohio is affordable. 

Humana medical home program - Central Ohio Primary Care

This program is offered to practices that are either patient-centered medical home (PCMH) certified or in the certification process. These practices must meet HEDIS and clinical initiative targets and have made progress addressing some of the requirements necessary to transform their practice in order to become successful population health managers. For example PCMH program participants have implemented electronic medical records and likely use electronic prescribing systems. Additionally, they have made other infrastructure changes, including the use of a care coordinator in the practice.

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