2799-S - Medical home demonstration programs.

* §  2799-s. Medical home demonstration programs. 1. The commissioner,  in consultation with the New York state chapter of the American  College  of  Physicians  and primary care physicians, shall establish two medical  home demonstration programs, one to be located in the county  of  Nassau  and  the  second to be located in the county of Onondaga, the purpose of  which is to evaluate the effectiveness of the medical  home  concept  in  promoting health through both treatment of patients with chronic medical  conditions  and  providing  preventative  care and improving health care  delivery. A "medical home demonstration program", for purposes  of  this  article,  is  defined  as  a  program  that incorporates the delivery of  health care in a variety of settings based upon the needs of the patient  and the skills of a provider, and is  designed  to  furnish  continuous,  comprehensive  medical  care.  It  is  facilitated  through  an ongoing,  personal relationship between a patient and  his  or  her  primary  care  provider.    2.   In  approving  such  medical  home  demonstration  programs,  the  commissioner shall consider the following characteristics, including but  not limited to, the extent to which the program:    (a) uses  health  information  technology  and  other  innovations  to  support the management and coordination of care provided to patients;    (b) has established, where practical, effective referral relationships  between  the primary care provider and the major medical specialties and  ancillary services in the region;    (c) applies standards  for  access  to  care  and  communication  with  demonstration participants for whom it provides care;    (d)  has  the  ability  to  collect  and  maintain readily accessible,  clinically useful information on demonstration  participants  that  will  enable  the  program  to  comprehensively  and systematically treat such  participants;    (e) can implement evidence-based guidelines and apply such  guidelines  to  the  identified  needs  of individual participants and the programs'  patient population over time;    (f) assists in the early identification of health care needs; and    (g) provides ongoing primary care including care  for  acute,  chronic  and preventative needs.    4.  The  commissioner  is  authorized  and directed to promulgate such  rules and regulations as are necessary to implement  the  provisions  of  this article.    5.  The  department  shall  evaluate  the  programs'  effectiveness in  promoting health through improving health care delivery,  and  promoting  participants'  and physicians' satisfaction with the medical home model,  and shall issue a report of its  findings  and  recommendations  to  the  governor  and  legislature  on  or  before April thirtieth, two thousand  twelve.    * NB Repealed January 1, 2012