Spectrum Health Physician Practices Named Patient-Centered Medical Homes

Twenty-three Physician Offices Earn Designation

Twenty-three Spectrum Health Medical Group and mmpc physician practices have been named Patient-Centered Medical Homes (PCMH) by Blue Cross Blue Shield of Michigan. The physician offices of mmpc joined Spectrum Health in 2009.

The following offices have earned this designation:

Spectrum Health Medical Group
Family Medicine in Sparta
Campustowne Family Medicine
Gaslight Family Medicine
Kentwood Family Medicine
Rockford Family Medicine
Kalamazoo Internal Medicine
South Pavilion Internal Medicine
Alpine Internal Medicine and Pediatrics
Rivertown Internal Medicine and Pediatrics
Summit Park Internal medicine and Pediatrics
West Pavilion Family Medicine
West Pavilion Internal Medicine

mmpc – a member of Spectrum Health
Century Lane Pediatrics
Coopersville Family Medicine
Grand Rapids Family Medicine
Grand Haven Family Medicine
Grand Haven Internal Medicine
4100 Internal Medicine
4069 Internal Medicine
Grand Rapids Internal Medicine and Pediatrics
Grandville Internal Medicine
Holland South Internal Medicine
1300 Internal Medicine

In the Patient-Centered Medical Home, primary care physicians (pediatricians, internists and family practice doctors) lead care teams that bring intensive focus to their patients’ individual health goals and needs. The care teams work with patients to keep them healthy and monitor their care on an ongoing basis. PCMH teams coordinate patient health care using registries to track patient conditions.

Preliminary data shows that PCMH-designated doctors are succeeding in managing their patients’ care to keep them healthy and prevent complications that require expensive medical services to treat. For example, a review of data shows that PCMH practices have a 2 percent lower rate of adult radiology usage than non-PCMH practices, and PCMH practices have a 2.6 percent lower rate of adult inpatient admissions than non-PCMH practices.

The Blue Cross Blue Shield of Michigan Patient-Centered Medical Home program uses a model that considers both process of care and performance to designate physicians. One-half of the designation score was based on the amount of PCMH capabilities the physician practices have in place – such as 24-hour telephone access, use of disease registries, and active care management. The other one-half of the designation score was based on quality and utilization measurements, such as emergency room visits, radiology and evidence-based care measures among their patients.

Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. For more company information, visit bcbsm.com.

The Spectrum Health Medical Group employs more than 90 physicians and mid-level providers, including nurse practitioners and physician assistants.

Spectrum Health is a not-for-profit health system in West Michigan that offers a full continuum of care through the Spectrum Health Hospital Group, a collection of eight hospitals and more than 140 service sites; the Spectrum Health Medical Group, mmpc® and West Michigan Heart—physician groups totaling more than 400 providers; and Priority Health, a health plan with nearly 580,000 members. Spectrum Health’s 16,000 employees, 1,500 medical staff members and 2,000 volunteers are committed to delivering the highest quality care. The organization provided $79.4 million in community benefit during its 2009 fiscal year. In 2010, Spectrum Health was named a Top 10 Health System by Thomson Reuters.