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Oncology Providers, Clinicians and Health Systems

The Oncology Patient Centered Medical Home can differentiate your oncology care for patients, payers, and referring physicians. Your practice or health care system will realize the value of OPCMH both in the delivery of care and in your business model. In this era of value based health care, OPCMH is a model for your organization.

Using this model, you can
  • Transform your practice or program
  • Create efficiencies in your workflow
  • Enhance the patient experience 
  • Create value for payers
  • Develop measurable outcomes
  • Lower costs

Learn more about OPCMH and what it means to referring physicians.

To view or download “Building the Oncology Medical Home, Parts I and II “ by John Sprandio and Susan Tofani, click here.

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A New Value Proposition for Providers of Care

OPCMH is the answer to the call for value and the demonstration of results.  The OPCMH model is leading the way in health care reform.

Value is defined as both quality and cost—and results from:
  • Incorporation of high reliability principles into the process of care
  • Defining and reducing unnecessary utilization
  • Data transparency and accountability
  • A rapid learning system

Understanding and implementing these new values allows practices, systems and payers to provide improved care through a proven better business model.

Proven Methods for Providers and Payer Relations

OPCMH is a proven methodology to enhance interactions among patients, care providers and between payers and providers.  OPCMH can serve as:

  • An oncology “plug in” to PCMH or PCMH Neighbor to bridge the gap between specialist and primary care providers
  • A PCMH bridge with ACOs, clinically integrated networks and other structural entities
  • A platform for pricing oncology bundled or episode of care pay arrangements
  • A sustainable business model for community or institutionally based practices—without the need for a third party vendor
  • A framework for the improvement of cancer care delivery by all oncology care providers

The Impact of OPCMH:  Demonstrated Outcomes—Quantifiable Results

OPCMH is not a theory. It is a model that has been fully implemented, tested, and validated.  Even with increased patient volume, Dr. Sprandio’s practice, CMOH, has demonstrated significant reductions in patient emergency room visits and hospital stays.

  • 29% increase in CMOH patient volume since 2009—with the same number of physicians and a decrease in office staff
  • 51% drop in emergency room visits
  • 68% drop in in-patient admissions
  • 95% adherence to NCCN Guidelines for first line therapy

OPCMH:  The Journey Towards Performance Excellence

The Cancer Service Line plays a critical role within a health care system—through its programmatic offerings for patients as well as financial performance for the organization. To maximize performance—from patient experience to “accountable care”—many organizations are on the performance excellence journey.

OPCMH builds upon the NCQA framework of patient centered care delivery and coordination, serving as a model for performance excellence through:

  • Use of evidence based guidelines, care plans and processes
  • Standardization to reduce errors and create efficiencies
  • Lean principles to streamline systems and workflow
  • Documentation in structured fields to enable measurement and accountability
  • Patient and workforce engagement
  • Continuous improvement