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Providing Team-Based, Coordinated Care

Preventing unnecessary hospitalizations is a critical strategy for reducing cost of care while increasing the efficiency of health systems.

The Patient-Centered Medical Home (PCMH) is a team-based model of providing care in a coordinated, consistent and efficient way. This approach helps clinicians manage chronic health conditions in a more proactive fashion and access specialists thus reducing unnecessary emergency room visits and admissions.

MaineHealth has a goal that all member-owned primary care practices will attain PCMH Level III NCQA recognition by September 30, 2017. However, not all inpatient admissions can be avoided and once a patient has received inpatient treatment it is important to receive appropriate outpatient treatment to prevent readmission.

As part of the strategy to reduce readmissions, a key strategy is the use of the Transitions of Care Bundle for all patients being discharged. The bundle includes risk assessment, medication reconciliation, timely communication between hospital and outpatient providers and patient education.

HealthIndex-Hospitalizations-PCMH

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MaineHealth Health Index

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Latest News

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Crossroad Holdings will donate the facility to MaineHealth so it can be transformed into a clinic providing vaccinations to residents in Cumberland County and northern York County.
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Individuals age 70 and up who have an appointment will be the first to be vaccinated at MaineHealth’s Community Vaccination Clinic in Boothbay on Monday, January 25.
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Vaccinations for Maine residents 70 and older will begin in earnest today in Farmington and Brunswick with other MaineHealth locations getting under way over the course of the next week.
Memorial Preparing for Next Phase in COVID-19 Vaccinations
With the U.S. Centers for Disease Control announcing changes to vaccine deliveries to the states, both Maine and New Hampshire are adjusting plans to vaccinate residents.