Oncology patient-centered medical home and accountable cancer care

Correspondence to: John D. Sprandio, MD, Consultants in Medical Oncology and Hematology, PC, 2100 Keystone Avenue, Suite 502, MOB, Drexel Hill, PA 19026; telephone: 610622-3818; fax: 610-622-6407; e-mail: jsprandio @cmoh.org. M edical oncologists are playing an ever-expanding role in the de livery of cancer care. The current and future challenges they face in their efforts to deliver effective, efficient, and appropriate cancer care are broad, and solutions to the rising costs of cancer care continue to be sought. The patient-centered medical home (PCMH) model has emerged as a partial solution to the fragmented delivery of primary healthcare. In many instances, the delivery of cancer care is also fragmented—fraught with deficiencies in communication, coordination, and accountability. The oncology PCMH (OPCMH) model of cancer care may potentially serve as a practice framework for oncologists. The OPCMH model attempts to promote a value-based agenda that facilitates physician accountability, encourage clinical integration between like-minded medical oncology groups, enhance communication and coordination of care with primary care PCMH models, and collaborate with payers while maintaining a focus on patient needs and evidence-based care. Oncology patient-centered medical home and accountable cancer care