2023 Together - PH334 - UCLA Kidney Medical Home: A Model for Specialty Value-Based Care
The UCLA Health Kidney Medical Home applies a medical home model to specialty care to achieve the goals of value-based care. This model incorporates team-based care in which nurses, social workers and care coordinators work alongside physicians to support patients, curb unnecessary utilization, enhance quality and improve the patient experience. This whole-person model screens patients for depression; engages patients in their own care through patient activation; and offers patient education, shared decision-making and remote patient monitoring. The kidney medical home is enabled by technology, including use of artificial intelligence to identify patients at risk and electronic modules for patient engagement.
Target Audience
- Healthcare Quality Professionals
- Nurses
- Pharmacists
- Pharmacy Technicians
- Physicians
- Other Healthcare Professionals
Learning Objectives
- Develop population health governance and leadership engagement to manage high-cost clinical conditions such as chronic kidney disease.
- Apply a specialty medical home value-based care model to manage cost, quality and patient experience.
- Describe innovative technology, complex care management and team-based care to enhance clinical outcomes.
Sarah Meshkat, MHA, Director, Population Health, UCLA Health, Los Angeles, Calif.
Elizabeth Ann Jaureguy, RN, MSN, FNP, Director, Ambulatory Care Management, UCLA Health, Westwood, Calif.
Credit Types
Interprofessional Continuing Education (IPCE)
This activity was planned by, and for, the healthcare team, and learners will receive .50 Interprofessional Continuing Education (IPCE) credits for learning and change.
Available Credit
- 0.50 ACPE Pharmacist
- 0.50 ACPE Pharmacy Technician
- 0.50 AMA PRA Category 1 Credit™
- 0.50 ANCC
- 0.50 CPHQ – Certified Professional Healthcare Quality
- 0.50 General CE - Attendance
- 0.50 Interprofessional Continuing Education (IPCE)