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首页> 外文期刊>Journal of public health management and practice: JPHMP >Creating a medical home in the San Francisco department of public health: establishing patient panels.
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Creating a medical home in the San Francisco department of public health: establishing patient panels.

机译：在旧金山公共卫生部门创建医疗之家：建立患者小组。

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Patients with a medical home tend to fare better. One of the first steps toward establishing a medical home is to create panels by designating a clinic responsible for each patient. In 2006, we defined active clinic panels (all patients assigned to a clinic and seen there for one or more outpatient medical visits during the past 2 years) for the San Francisco Department of Public Health's 13 community- and four public hospital-based primary care clinics and began automatically assigning previously unassigned patients to clinics based on utilization. In 2007, we created a Web-based user interface for managing panels from within the electronic medical record. Providers and medical directors can now view and verify their panels and link to patient demographic and utilization data. Through April 2008, 14 508 patients have been auto-assigned to a clinic; on average 320 patients were assigned monthly. A total of 82,637 primary care patients were on a clinic panel, and 73.6 percent of them were active. Patient demographics, panel size, and productivity vary considerably by clinic. By establishing active panels and providing Web-based access to panel data, we can systematically assign patients a clinical home; enable providers to manage their panels; accurately measure utilization, capacity, and productivity; assess patient characteristics; and generate clinical quality indicators based on an accurate denominator. These management tools will allow us to set policies and work toward our goal of establishing a medical home for San Franciscans who rely on publicly funded care.
机译：拥有医疗之家的病人的生活状况往往更好。建立医疗之家的第一步之一是通过指定一个负责每个患者的诊所来创建面板。在2006年，我们为旧金山公共卫生部的13个社区和四个以公立医院为基础的初级保健定义了活跃的诊所小组（所有患者均被分配到诊所，并在过去2年中到那里看过一次门诊）诊所，并开始根据使用情况自动将以前未分配的患者分配到诊所。在2007年，我们创建了一个基于Web的用户界面，用于管理电子病历中的面板。提供者和医疗主管现在可以查看和验证其面板，并链接到患者的人口统计和利用率数据。截至2008年4月，已有14508名患者被自动分配到诊所;平均每月分配320名患者。在临床小组中，共有82,637名初级保健患者参加了活动，其中73.6％处于活跃状态。患者的人口统计学，面板大小和生产率因诊所而异。通过建立活动面板并提供基于Web的面板数据访问权限，我们可以系统地为患者分配临床住所;使提供商能够管理其面板;准确衡量利用率，容量和生产率;评估患者特征;并根据准确的分母生成临床质量指标。这些管理工具将使我们能够制定政策并朝着为依靠公共资助的护理的旧金山居民建立医疗之家的目标努力。

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