Characteristics Associated with Patient-Centered Medical Home Capability in Health Centers: A Cross-Sectional Analysis

Gao, Yue; Nocon, Robert S.; Gunter, Kathryn E.; Sharma, Ravi; Ngo‐Metzger, Quyen; Casalino, Lawrence P.; Chin, Marshall H.

doi:10.1007/s11606-016-3729-8

Cited by 15 publications

(10 citation statements)

References 29 publications

(46 reference statements)

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“…States for over a decade (10). The PCMH concept is based on restructuring patient care; enhancing patient experience of care, improving efficiency and use of information technology, thereby improving health outcomes and ultimately, reducing emergency room visits, hospital admissions and overall health care costs (11)(12)(13)). The PCMH model has been described more recently, in relation to ten "building blocks" that characterise high-performing primary care, with foundational elements of engaged leadership, data-driven improvement, empanelment (linking patients to a care team), and team-based care (14).…”

Section: Patient-centred Medical Home (Pcmh) Models Of Care Have Beenmentioning

confidence: 99%

Implementation of a patient centred medical home (PCMH) initiative in general practices in New South Wales, Australia

Metusela

Dijkmans-Hadley

Mullan

et al. 2020

Preprint

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Background With an ageing population and an increase in chronic disease burden in Australia, Patient Centred Medical Home (PCMH) models of care have been identified as potential options for primary care reform and improving health care outcomes. Adoption of PCMH models are not well described outside of North America. We examined the experiences of seven general practices in an Australian setting that implemented projects aligned with PCMH values and goals supported by their local Primary Health Network (PHN). Method Qualitative and quantitative data were collected over a twelve month period, including semi-structured interviews, participant observation, and practice data to present a detailed examination of a subject of study; the implementation of PCMH projects in seven general practices. We conducted 49 interviews with general practitioners, practice managers, practice nurses and PHN staff. Framework analysis deploying the domains of a logic model was used to synthesis and analyse the data. Findings Facilitators in implementing successful, sustainable change included the capacity and willingness of practices to undertake change; whole of practice engagement with a shared vision towards PCMH change; engaged leadership; training and support; and structures and processes required to provide team-based, data driven care. Barriers to implementation included change fatigue, challenges of continued engaged leadership and insufficient time to implement PCMH change. Conclusion Our study examined the experiences of implementing PCMH initiatives in Australian general practice setting, describing facilitators and barriers to PCMH change. Our findings provide guidance for PHNs and practices within Australia, as well as general practice settings internationally, that are interested in undertaking similar quality improvement projects.

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Section: Patient-centred Medical Home (Pcmh) Models Of Care Have Beenmentioning

confidence: 99%

Implementation of a patient centred medical home (PCMH) initiative in general practices in New South Wales, Australia

Metusela

Dijkmans-Hadley

Mullan

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…As a result, practices without EHRs are far less likely to achieve high levels of PCMH capabilities. 50 Even practices with EHRs may struggle to use them to exchange information and improve patient care. Practices that begin PCMH transformation with new EHRs often spend the first year or more learning how to use their new EHRs rather than undertaking other workflow-oriented changes.…”

Section: Optimizing Use Of Electronic Health Recordsmentioning

confidence: 99%

Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities

Timbie¹,

Mahmud²,

Buttorff³

et al. 2018

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This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.

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“…Site size, measured by number of staff or patients, has been linked to increased structural capacity and readiness for PCMH transformation (Friedberg et al 2009). Urban/rural location is an important characteristic for FQHCs, because sites typically face differential access to hospitals and specialists, transportation, and other issues affecting care coordination (Bolin et al 2011;Gao et al 2016).…”

Section: Pcmh Cultural Contextmentioning

confidence: 99%

Pathways to Medical Home Recognition: A Qualitative Comparative Analysis of the PCMH Transformation Process

Mendel

Chen

Green

et al. 2017

Health Services Research

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Characteristics Associated with Patient-Centered Medical Home Capability in Health Centers: A Cross-Sectional Analysis

Cited by 15 publications

References 29 publications

Implementation of a patient centred medical home (PCMH) initiative in general practices in New South Wales, Australia

Implementation of a patient centred medical home (PCMH) initiative in general practices in New South Wales, Australia

Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities

Pathways to Medical Home Recognition: A Qualitative Comparative Analysis of the PCMH Transformation Process

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