ABSTRACT
A long-time advocate for e-prescribing and providing patients with access to their records, Dr. Ken Adler knows that engaged, activated patients are the cornerstone of an effective Patient-Centered Medical Home (PCMH) model. He generally encourages patients to refill their prescriptions through community pharmacies because that way his office does not need to touch the prescription unless there are no refills left. Refills that need authorizations can be sent from the pharmacy to the clinic electronically and processed as a part of his workflow. In the PCMH pilot, Dr. Adler is paid three ways: fee for service, a monthly capitation fee, and a bonus based on meeting quality metrics. Practicing in this way has made him aware of how inefficient it is to bring patients into the office for all care, but he notes that there are no clear metrics yet about how to “right size” care.
