Working toward real-time data: The community oncology medical home

Insight Article - July 29, 2019

Population Health

Electronic Health Records

Patient Care Technology

The first grant that Barbara L. McAneny, MD, FASCO, MACP, chief executive officer, New Mexico Cancer Center (NMCC), ever applied for, she got: $19.8 million from the Center for Medicare & Medicaid Innovation (CMMI) to expand a model for an oncology medical home that was pioneered in Albuquerque, N.M.

Discussing the role of care models and data on July 15 in Denver, McAneny introduced the model — the Community Oncology Medical Home, or COME HOME — through the story of Larry, an octogenarian pancreatic cancer patient who had hopes of traveling out to Las Vegas in the near future but was faced with a possible hospital admission.

In another setting, Larry may have had an expensive ambulance ride to the emergency department, which would lead to a wait, a code status inquiry, a query on smoking, a check of A1c and a variety of other quality measures that didn’t help his main concern: an infection that turned out to be septic shock.

Luckily, Larry was being cared for by NMCC, leading to a much different outcome: They pulled up the triage pathways that account for early warning signs, figured out what Larry’s issues were, had him come in and cultured him for infection and started a first dose of antibiotics, along with a high-resolution CT scan for his lungs.

By the time that the hospital had a bed available for Larry, he was up and alert and begging to not be admitted to the hospital so he could still make his trip to Vegas.

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