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Medicine Grand Rounds - Building a Subspecialty Medical Home and Neighborhood: It Takes a Village

Dr. Regueiro discusses the structure of a subspecialty medical home and the importance of a team-based and patient centered visit. He stresses the importance of providing comprehensive care that addresses patients’ highest priority problems and engages each team member at the right time to reduce unplanned ED visits and hospitalizations for patients with high utilization of services. He cites the use of virtual and phone visits with patients, being attentive to psycho-social care and pain management, and working closely with insurers as predictors for a successful implementation and the eventual scale up of this innovative concept for delivering value based care.

Activity Details

Start Date:   June 14, 2019
End Date:  June 14, 2021

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
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  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

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  • Miguel Regueiro, MD
    Chair, Department of Gastroenterology, Hepatology & Nutrition
    The Pier C. and Renee A. Borra Family Endowed Chair in Gastroenterology and Hepatology
    Vice Chair, Digestive Disease and Surgery Institute
    Professor of Medicine, Lerner College of Medicine
    Cleveland Clinic, Cleveland, OH

    Miguel Regueiro earned his bachelor’s degree at the University of Pennsylvania, his medical degree at Drexel (Hahnemann) University and completed his internal medicine internship, residency, and clinical and research fellowship training in gastroenterology at Harvard Medical School’s Beth Israel Hospital.

    Prior to his position at the Cleveland Clinic, Dr. Regueiro was Professor of Medicine and Clinical and Translational Science at the University of Pittsburgh School of Medicine. There he served as the IBD Clinical Medical Director, Senior Medical Lead of Specialty Medical Homes.

    Dr. Regueiro’s main clinical and research interest is Inflammatory Bowel Diseases (IBD) with a focus on the natural course of these diseases and postoperative prevention of Crohn’s disease.  Recently, he has been involved in transformative medicine initiatives and developing new models of healthcare, including the first-of-its kind specialty medical home and neighborhood for IBD.
Learning Outcome

Participants will be able to discuss the current and future concept of a patient-centered, subspecialty medical home as a new model of care and how this differs from the traditional IBD center of excellence.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Building a Subspecialty Medical Home and Neighborhood: It Takes a Village (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. The speaker role has been resolved by validating the activity content through independent peer review by Kelly Kieffer, MD. All conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Allurion. 

* Miguel Regueiro, MD ~ has research support from Abbvie, Janssen, Takeda; unrestricted educational grants from Abbvie, Janssen, UCB, Pfizer, Takeda, Salix and Shire; is on Advisory Boards for and is Consultant for Abbvie, Janssen, UCB, Takeda, Pfizer, Miraca Labs, Amgen, Celgene and Seres.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
12 Registered Users