National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) Recognition Is Suboptimal Even Among Innovative Primary Care Practices

Hahn, Karissa A.; Gonzalez, Martha M.; Etz, Rebecca; Crabtree, Benjamin F.

doi:10.3122/jabfm.2014.03.130267

Cited by 22 publications

(6 citation statements)

References 3 publications

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“…21,27,28 Such transformation relies, in part, on the shifting of mental models and the creative reimagining of practice roles. 15,29,30 Our data suggest that these innovative practices recognize that developing new terminology around those roles can facilitate and deepen that process.…”

Section: Resultsmentioning

confidence: 99%

Maximizing the Patient-Centered Medical Home (PCMH) by Choosing Words Wisely

Howard

Etz

Crocker

et al. 2016

The Journal of the American Board of Family Medicine

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Background: Culture is transmitted through language and reflects a group's values, yet much of the current language used to describe the new patient-centered medical home (PCMH) is a carryover from the traditional, physician-centric model of care. This language creates a subtle yet powerful force that can perpetuate the status quo, despite transformation efforts. This article describes new terminology that some innovative primary care practices are using to support the transformational culture of the PCMH.Methods: Data come from the Agency for Healthcare Research and Quality-funded Working Conference for PCMH Innovation 2013, which convened 10 innovative practices and interdisciplinary content experts to discuss innovative practice redesign. Session and interview transcripts were analyzed using a grounded theory approach to identify patterns and explore their significance.Results: Language innovations are used by 5 practices. Carefully selected terms facilitate creative reimagining of traditional roles and spaces through connotations that highlight practice goals. Participants felt that the language used was important for reinforcing substantive changes.

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Section: Resultsmentioning

confidence: 99%

Maximizing the Patient-Centered Medical Home (PCMH) by Choosing Words Wisely

Howard

Etz

Crocker

et al. 2016

The Journal of the American Board of Family Medicine

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“…The most widely used recognition for what constitutes a PCMH is the process established by the National Committee for Quality Assurance (NCQA). [8][9][10][11] Minnesota was one of the first states to implement its own vol-untary certification process for primary care practices in 2010, based on demonstration that a practice met 5 standards (criteria) after thorough review 12 : (1) continuous access and communications with patients and family; (2) an electronically searchable registry to identify care gaps and manage services; (3) care coordination for patient-and family-centered care; (4) care plans that involve patients with chronic or complex conditions; and (5) continuous improvement in patient satisfaction, outcomes, and cost-effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Differences in Diabetes Care With and Without Certification as a Medical Home

et al. 2020

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PURPOSE The purpose of this study was to assess whether primary care practices certified as medical homes differ in having the practice systems required for that designation and in attaining favorable outcomes for their patients with diabetes, and whether those systems are associated with better diabetes outcomes.METHODS We undertook a cross-sectional observational study, Understanding Infrastructure Transformation Effects on Diabetes (UNITED), of 586 Minnesota adult primary care practices, comparing those that were certified vs uncertified as medical homes in 2017, with analyses supplemented by previously published studies of these practices. We collected survey information about the presence of medical home practice systems for diabetes care and obtained 6 standardized measures of diabetes care collected yearly from all Minnesota practices. RESULTSOf 416 practices completing questionnaires (71% of all practices, 92% of participating practices), 394 had data on diabetes care measures. Uncertified practices (39%) were more likely than certified practices to be rural, but their patient populations were similar. Certified practices had more medical home practice systems (79.2% vs 74.9%, P =.01) and were more likely to meet a composite measure of optimal diabetes care (46.8% vs 43.2%, P <.001). A 1-SD increase in presence of practice systems was associated with a 1.4% higher probability of meeting that measure (P <.001).CONCLUSIONS Practices certified as medical homes have more practice systems and higher performance on diabetes care than uncertified practices, but there is extensive overlap, and any differences may reflect self-selection for certification.

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“…Their resources have included better access methods, prevention approaches, and evidence-based strategies for providing integrated care. 4,5 Similar to the PCMH model, the Community-Oriented Primary Care (COPC) model is capturing interest among a new generation of physicians and medical students who aim to improve health outcomes at a population level. The care team associated with this model puts considerable emphasis on defining the population group and locating the community partners to expand primary care access in community settings.…”

Section: Introductionmentioning

confidence: 99%

Community-Based Participatory Research in Action: The Patient-Centered Medical Home and Neighborhood

Williams-Livingston

Akintobi

Banerjee

2020

J Prim Care Community Health

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Background: The Morehouse School of Medicine Patient Centered Medical Home and Neighborhood Project was developed to implement a community-based participatory research driven, integrated patient-centered medical home and neighborhood (PCMH) pilot intervention. The purpose of the PCMHN was to develop a care coordination program for underserved, high-risk patients with multiple morbidities served by the Morehouse Healthcare Comprehensive Family Health Clinic. Measures: A community needs assessment, patient surveys and provider interviews were administered. Results: Among a panel of 367 high-risk patients and potential participants, 93 participated in the intervention and 42 patients completed the intervention. The patients self-reported increased utilization of community support, increased satisfaction with health care options, and increased self-care management ability. Conclusion: The results were largely attributable to the efforts of community health workers and targeted community engagement. Lessons learned from implementation and integration of a community-based participatory approach will be used to train clinicians and small practices on how to affect change using a care coordination model for underserved, high-risk patients emphasizing CBPR.

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National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) Recognition Is Suboptimal Even Among Innovative Primary Care Practices

Cited by 22 publications

References 3 publications

Maximizing the Patient-Centered Medical Home (PCMH) by Choosing Words Wisely

Maximizing the Patient-Centered Medical Home (PCMH) by Choosing Words Wisely

Differences in Diabetes Care With and Without Certification as a Medical Home

Community-Based Participatory Research in Action: The Patient-Centered Medical Home and Neighborhood

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