The patient-centered medical neighborhood is a coordinated system involving all providers that deliver care efficiently and effectively. A stronger partnership between primary care practices and specialty care is essential to this model. Just as many medical home pilots focused on diabetes as an initial target disease, diabetes lends itself well to defining the optimal medical neighborhood given its high cost, prevalence, complexity, and need for coordination of multiple specialty services. Using diabetes as an example, this session will highlight specific mechanisms to better link the medical neighborhood to achieve the Triple Aim with recommendations that are translatable to other chronic diseases.
Robert A. Gabbay, MD, PhD, has 35 years of clinical and research experience and is Chief Medical Officer and Senior Vice President at Joslin Diabetes Center. His research focuses on improving primary care health care delivery to enhance diabetes outcomes and patients’ experiences.
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