title: The Inflammatory Bowel Disease Specialty Medical Home: A New Model of Patient-centered Care.
abstract: New models of health care have emerged over the past decade. Accountable care organizations and patient-centered medical homes are designed to improve the patient experience, enhance health care quality, and decrease cost. These models have been developed in the primary care domain and have yet to be tested in specialty care. Certain chronic diseases require principal care by a specialist or health care team. The specialty medical home would provide patient-centered care for specific populations of patients whose health care derives from a single chronic disease. This article defines the parameters for a specialty medical home and provides a specific payer-provider experience for the comprehensive care of an inflammatory bowel disease population.
authors.affiliation: *Total Care-IBD, Inflammatory Bowel Disease Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;†Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;‡Specialty Medical Homes, UPMC Health Plan, Pittsburgh, Pennsylvania;§Clinical Affairs and Quality Performance, UPMC Health Plan, Pittsburgh, Pennsylvania;¶Medical Affairs, UPMC Health Plan, Pittsburgh, Pennsylvania;**Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;††Medical Management, UPMC Health Plan, Pittsburgh, Pennsylvania; and‡‡Total Care-IBD, Visceral Inflammation and Pain Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
authors.forename: Miguel D
authors.initials: MD
authors.lastname: Regueiro
authors.forename: Sandra E
authors.initials: SE
authors.lastname: McAnallen
authors.forename: Julia B
authors.initials: JB
authors.lastname: Greer
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Perkins
authors.forename: S
authors.initials: S
authors.lastname: Ramalingam
authors.forename: Eva
authors.initials: E
authors.lastname: Szigethy
mesh_terms: D000328:Adult; D001007:Anxiety / Q000209:etiology / Q000628:therapy; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D003863:Depression / Q000209:etiology / Q000628:therapy; D005260:Female; D005762:Gastroenterology; D018166:Health Care Reform; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000191:economics / Q000523:psychology / Q000628:therapy*; D018529:Nutritional Support; D059408:Pain Management; D010348:Patient Care Team; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration*; D016730:Program Development; D012051:Reimbursement Mechanisms