Patient-centered primary care is at the core of Better Health Partnership’s work. It also is the centerpiece of the transformative changes underway in health care delivery and payment across Ohio.

More than 1,000 primary care providers across 65 practices in 16 health systems are Better Health members, and nearly all have earned recognition by national accrediting organizations for implementing Patient-Center Medical Homes (PCMH). About 70 percent of adults in Cuyahoga County with diabetes, heart failure and high blood pressure are cared for by providers in our member practices.

Better Health has built a trusted community dedicated to transparency and shared learning. Our innovative programs, coaching services, quality measurement and other initiatives combine to advance patient-centered, coordinated care, which evidence shows delivers better care, better health and lower costs.

Our provider members are committed to measuring and publicly reporting their achievement on nationally endorsed and locally vetted standards of quality of care and outcomes.

Our Data Center collects and analyzes practices’ quality data, which also are used to identify potential best practices that others can replicate. Better Health verifies and translates successful interventions, then disseminates them to speed improvement across the community.

Leading Practice Transformation

Better Health leads regional efforts to optimize practices’ investment in adoption of the evidence-based Patient Centered Medical Home model and prepare for value-based payment.

Creating Population Health Strategies

We lead efforts to identify and document population health strategies among our member providers’ populations and share them to help other practices improve.

Our collaborative efforts get results. A few highlights from our January 2015 report:
  • Nearly 29,000 more people at Better Health practices have their high blood pressure under control compared to 2009.

  • 97 percent of patients with moderate or serious heart failure meet Better Health standards for appropriate care.

  • Better Health partners' achievement on key diabetes and blood pressure measures top national health plan averages.

Patient-Centered Medical Home

The evidence-based PCMH delivery model features proactive and coordinated care for patients rather than just episodic treatments for illnesses. High-performing practices that implement the model provide a "home base" for patients and coordinate all aspects of each patient’s health, including care provided by specialists.

Better Health expertise and experience have supported primary care practices across northeast Ohio in successful adoption of the PCMH model and in achieving PCMH recognition from national accrediting organizations. Expansion of the Patient-Centered Medical Home throughout Ohio is a strategic priority of Ohio’s Office of Health Information and the Ohio Department of Health.

New value-based payment models are critical to optimize the PCMH model’s impact on care, outcomes and cost. The predominant fee-for-service payment system pays for physician visits but does not pay for proactive patient outreach or care coordination, key components that have proven their worth.

Better Health assists providers, employers and insurance companies in developing partnerships that support value-based payment mechanisms that are needed to drive high-quality care delivery and reduce the total cost of care.

What is a Patient Centered Medical Home?

  • Patient-centered: Supports patients in learning to manage and organize their own care at the level they choose and ensures that patients and families are partners in developing care plans.
  • Comprehensive: A health care team is accountable for a patient's physical and mental health care needs, including prevention and wellness, acute care, and chronic care.
  • Coordinated: Ensures organization of care across the broad health care system, including specialty care, hospitals, home health care and community services and supports.
  • Accessible: Provides services with shorter waiting times, expanded visit hours, 24/7 electronic or telephone access and alternative communication modes through health IT.
  • Committed to quality and safety: Engages in continuous quality improvement through use of health IT and other tools.