IBM Healthcare and Life Sciences
To support your business objectives
IBM and the Medical Home
Advancing Medical Home Initiatives
Today the Patient Centered Primary
Care Collaborative (PCPCC) —a
coalition of more than 300 major
employers, consumer groups, patient
quality organizations, health plans,
labor unions, hospitals, physician
organizations and many others—has
joined together to develop and
advance the concept of the patient
centered medical home. The PCPCC
along with most healthcare
organizations, and federal and state
government agencies, realizes
healthcare has to change. It has
become a national imperative to reduce
the costs of healthcare, to increase
access to care for all citizens, and to
improve the quality of care. The PCPCC
believes the patient centered medical
home model of care delivery will
improve individual health, control costs
and sustain the viability of the U.S.
healthcare delivery system.
A Leader in Promoting Transformation
through the Patient Centered Medical
Home
As the founding member of the PCPCC,
IBM has been working with healthcare
organizations around the world to help
improve quality and lower costs in
healthcare. IBM has consulted with
healthcare systems in hundreds of
countries and understands the impact
of these systems on the health, well-
ness and productivity of employees
in those countries. Based upon its
experience as both a healthcare
solutions provider and as a major
employer challenged to provide
healthcare programs for hundreds of
thousands of employees and their
dependents, it has become clear that
change is necessary; change in the
core elements of care delivery, change
in incentives to support doctors provid-
ing a comprehensive approach to care,
and change in the systems supporting
care delivery professionals.
IBM is actively engaged in collabora-
tive efforts with other employers to
promote the medical home delivery
model in various regional and state
initiatives, and is actively working with
policy and legislative bodies to create
the changes needed to generate a
sustainable model of care. Along with
healthcare industry and government
policy leaders, IBM believes that the
patient centered medical home model
can enable the transformation required.
The patient centered medical home
model is defined by several core
concepts:
• A primary care physician-led
care team, where each patient
has a personal relationship with a
primary care physician who provides
continuous and comprehensive care.
The physician guides care, with a
whole person orientation, throughout
the full spectrum of care need
• Quality, Safety and enhanced access
are hallmarks
• A proactive focus on chronic disease
management, prevention and wellness
rather a reactive, episodic focus
on healthcare
• A technology and information
infrastructure that supports
collaboration and sharing of
information among care team members
and with the individual

Reference
Geisinger Health System, which services
a major portion of the rural Pennsylvania
population, was one of the first health-
care organizations in the US to implement
an electronic health record (EHR), which
is a first step towards a Medical Home
model. In continuing with their leading
use of technology in healthcare,
Geisinger has created the Clinical
Decision Intelligence System (CDIS).
CDIS is built on an IBM Balanced
Configuration Unit (BCU) environment
and provides for the consolidation of data
and its analysis. This system is becoming
increasingly important in meeting the
needs of quality of care reporting,
research, clinical decision-making and
most of all, in improving the outcomes for
their patients with diseases such as
diabetes. Geisinger is integrating
real-time clinical, financial, operational,
claims, genomic and other medical
information in a massive storehouse of
intelligence, which are steps towards a
medical home model of care. This system
will assist their physicians in improving
patient outcomes, delivering more
personalized care and making smarter
decisions because they can easily access
and share critical patient information.
Such a patient-centered system is one
that is instrumented so that outcomes and
results can be measured, sensed and
seen… interconnected with all informa-
tion linked so that clinical care teams can
access the same integrated information
to deliver, safer, more effective, more
efficient care at a lower cost…and
intelligent in helping to deliver insights that
create new value for patients and citizens
at large to make better, more informed
lifestyle choices.
What is IBM’s Solution?
IBM has developed a process
approach that supports the implemen-
tation of the medical home model.
The Patient Centered Collaborative
Care (Pc3) solution components are
designed to support: the implementa-
tion and monitoring of collaborative
care programs; integration of patient
information to provide a longitudinal
health record; collaboration among the
care team members as well as with the
individual; and the metrics, reports,
clinical guidelines and health analytics
© Copyright IBM Corporation 2009
designed to support the delivery of
care. This new process approach,
supported by the underlying technology,
can improve an individual’s access to
their care team and empower them to
engage in managing their own health
needs. IBM brings together electronic
health records and personal health
records with a solution that provides
insights of successful practices, access
to evidence-based medicine protocols,
and disease and condition dashboards
to support better outcomes.
IBM offers deep experience integrating
solutions that create a patient centered
medical home environment in a
practice, a clinic, a hospital, and at the
national and country level. Our highly
skilled consultants can provide
guidance to identify the optimal starting
point to meet the transformational
priorities of your enterprise and keep
phased implementations on track to
meet expectations. IBM’s deep
experience and understanding of both
healthcare and government industries
fosters better collaboration to support
the transformation of healthcare on
every level.
For more information
To learn more about IBM solutions visit:
ibm.com/healthcare
IBM Corporation
Software Group
Route 100
Somers, NY 10589
U.S.A.
Produced in the United States of America
03-09
IBM, the IBM logo are trademarks of
International Business Machines Corporation in
the United States, other countries or both.
Other company, product and service names
may be trademarks or service marks of others.
HLS03017-USEN-00