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• Module 8: Approaches to Quality Improvement (pdf file)
  
  Department of Health and Human Services. Suggested Citation Knox L, Brach C. … What experience have you had using a best practices approach to improving a process in a practice or … It can also be difficult in a practice where buy-in to improvement efforts is low. … to both your individual practices and to health care as a whole (Mold and Peterson, 2005; Mold and … Achieving “best practice” in health promotion: improving the fit between research and practice.
  https://pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-8-approaches-to-qi.pdf - 21k - 2021-01-16
• Engaging Patients and Families in the Medical Home | PCMH Resource Center
  
  care practices and the health care system overall should be expected to invest in efforts to engage … Self-Care Rationale and Evidence Supporting patients in improving their health is a key expectation … services (National Health Service, 2009). … Federal and State efforts to promote meaningful use of Health IT provide important opportunities to harness … support for national high-priority conditions, patient access to self-management tools, and access to
  https://pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home - 119k - 2021-01-16
• Engaging Primary Care Practices in Quality Improvement: Strategies for Practice Facilitators | PCMH Resource Center
  
  Department of Health and Human Services. … . 4 These additional experts represent a payer, a QI organization, a State Department of Health, and … at driving change efforts and building buy-in at many levels of the practice. … they are convinced the work is necessary for improving care delivery and the health of their patients … The MacColl Center for Health Care Innovation at the Group Health Research Institute and Qualis Health
  https://pcmh.ahrq.gov/page/engaging-primary-care-practices-quality-improvement-strategies-practice-facilitators - 79k - 2021-01-16
• Ensuring That Patient-Centered Medical Homes Effectively Serve Patients With Complex Health Needs | PCMH Resource Center
  
  Access to these publications is available on the AHRQ Web site at http://www.ahrq.gov . … ’s self-care efforts; and involvement of the patient in care plans. … In addition, patients with complex care needs frequently require social and mental health services and … by coordinating the medical care they deliver with a wide range of social and mental health services. … In an effort to lower total care costs, State Medicaid agencies, along with a few demonstration programs
  https://pcmh.ahrq.gov/page/ensuring-patient-centered-medical-homes-effectively-serve-patients-complex-health-needs - 14k - 2021-01-16
• Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms - Table 2 | PCMH Resource Center
  
  Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms June 2011 … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … and Care Coordination Among Clinicians (Primary Care Clinicians) Referring to good neighbors Appropriate … options Incorporating patient perspectives in the medical neighborhood Reforms to Promote High-Functioning … hospitalists to the role of primary care and the PCMH Community Tools and Resources (All) Use of pooled
  https://pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms-table-2 - 2k - 2021-01-16
• Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms - Table 3 | PCMH Resource Center
  
  Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms June 2011 … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Payment reforms to enhance incentives for a better functioning medical neighborhood Payment Reform How … and reductions in unnecessary, high-cost care, as well as improved preventive and chronic care Medicare … in care summaries) Bundled episodes payments of care Incentives to form teams of primary care clinicians
  https://pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms-table-3 - 2k - 2021-01-16
• Module 12: An Introduction to Assessing Practices: (pdf file)
  
  Department of Health and Human Services. Suggested Citation L Knox, C Brach. … Access Health Resources and Services Administration (HRSA) Uniform Data System (UDS) reports for Federally … can look at practice processes. … For example, in a practice interested in improving its lab reporting process, observation and document …  Feedback is timely, specific to team, and aimed at improving team performance  Information about
  https://pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-12-intro-to-assessing-practices.pdf - 34k - 2021-01-16
• Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms - Table 1 | PCMH Resource Center
  
  Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms June 2011 … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … or requirements for care coordination Lack of staff and time for investment in coordination (at the … practice and broader community levels) Limited PCC involvement in inpatient care Fragmented, diverse … Limited health IT infrastructure and interoperability Practice norms that encourage clinicians to act
  https://pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms-table-1 - 1k - 2021-01-16
• Engaging Patients and Families in the Medical Home - Appendix | PCMH Resource Center
  
  in multiple languages. … In addition, a conference for prospective health care homes included presentations by national and local … patients in mental health policymaking Substance Abuse and Mental Health Services’ call for care to … a pool of parents to participate in policymaking at the local or State level. … involvement in National Health Service (NHS), public health, and social care research.
  https://pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-appendix - 47k - 2021-01-16
• The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care | PCMH Resource Center
  
  Access to these publications is available on the AHRQ Web site at http://pcmh.ahrq.gov . … asking about patient preferences, and collaborating in decisions can improve a variety of health care … Federal and State efforts to promote meaningful use of health IT provide important opportunities to harness … These efforts to use health IT need to be built with input from patients. … improving health.
  https://pcmh.ahrq.gov/page/patient-centered-medical-home-strategies-put-patients-center-primary-care - 14k - 2021-01-16
• Evidence and Evaluation | PCMH Resource Center
  
  expand and refine understanding of the PCMH as a complex health care intervention and innovation. … be used at the outset of a study that can be used to compare the effectiveness of different ways of deploying … the medical neighborhood and in improving population health, as well as the health of individual patients … and improving team function and patient outcomes. … health services, there is a growing need for quality measures that are rigorous and appropriate to the
  https://pcmh.ahrq.gov/page/evidence-and-evaluation - 13k - 2021-01-16
• Quick-Start Guide: Engaging Primary Care Practices in Quality Improvement: Strategies for Practice Facilitators | PCMH Resource Center
  
  Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No … Area Health Education Center (AHEC), a State primary care association, or a Practice-Based Research … team as a subgroup of the QI team at the practice to ensure that the process is transparent to all practice … Ideally, you can look in the local community to partner clinicians and staff who have used successful … Emphasize broader changes in the health care field .
  https://pcmh.ahrq.gov/page/quick-start-guide-engaging-primary-care-practices-quality-improvement-strategies-practice - 14k - 2021-01-16
• Creating Patient-centered Team-based Primary Care | PCMH Resource Center
  
  Department of Health and Human Services. … ) as "...the provision of health services to individuals, families, and/or their communities by at least … partners in care; efforts to seek patient input to inform the organization and delivery of care, and … Primary Care: Balancing Health Needs, Services and Technology. … Results from a national scorecard on U.S. health system performance.
  https://pcmh.ahrq.gov/page/creating-patient-centered-team-based-primary-care - 66k - 2021-01-16
• All Papers, Briefs, and Other Resources on the PCMH | PCMH Resource Center
  
  ones, better deliver services to all patients, including those with the most complex health needs Improving … but distinct roles in redesigning and improving care delivery. … the medical neighborhood and in improving population health, as well as the health of individual patients … health services, there is a growing need for quality measures that are rigorous and appropriate to the … at improving primary care.
  https://pcmh.ahrq.gov/page/papers-briefs-and-resources - 18k - 2021-01-16
• Engaging Patients and Families in the Medical Home - Table 2 | PCMH Resource Center
  
  Collects data on race, ethnicity, sex, primary language, and language services for each patient and records … that information in a manner that can be reported and used to plan and respond to the health and language … Routinely undertakes efforts to identify and eliminate any disparities in the quality of care received … Aims to reduce disparities Access Enhanced access to care is available through systems such as open … The patient has ready access to care.
  https://pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-table-2 - 5k - 2021-01-16
• PCMH Resources for Practices and Practice Facilitators | PCMH Resource Center
  
  PCMH Resources for Practices and Practice Facilitators In an effort to create a high-quality health … practices in new and ongoing QI efforts. … care practices in meaningful and sustained QI efforts Training for practice facilitators. … facilitation program aimed at improving primary care. … health system, including specialty care, hospitals, home health care, and community services and supports
  https://pcmh.ahrq.gov/page/practices-and-practice-facilitators - 9k - 2021-01-16
• Patient-Centered Medical Home Decisionmaker Brief: Improving Evaluations of the Medical Home (pdf file)
  
  Primary care clinicians, health care systems, insurers, State governments, families, and communities … The PCMH model is a way of organizing and delivering primary health care that is patient- and family-centered … Rationale: Quality, cost, and experience reflect our national health care goals of better care, affordable … Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Prevention … Access to these publications is available on the AHRQ Web site at http://pcmh.ahrq.gov.
  https://pcmh.ahrq.gov/sites/default/files/attachments/Improving%20Evaluations%20of%20the%20Medical%20Home.pdf - 14k - 2021-01-16
• Mixed Methods: Integrating Quantitative and Qualitative Data Collection and Analysis While Studying Patient-Centered Medical Home Models | PCMH Resource Center
  
  Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, http://www.ahrq.gov/ … The PCMH is a primary care approach that aims to improve quality, cost, and patient and provider experience … A review of the evidence for the medical home for children with special health care needs. … Methodological reporting in qualitative, quantitative, and mixed methods health services research articles … A review of the evidence for the medical home for children with special health care needs.
  https://pcmh.ahrq.gov/page/mixed-methods-integrating-quantitative-and-qualitative-data-collection-and-analysis-while - 14k - 2021-01-16
• Contextual Factors: The Importance of Considering and Reporting on Context in Research on the Patient-Centered Medical Home | PCMH Resource Center
  
  Department of Health and Human Services. I. … In this regard, the PCMH is like health care and health. … include: national, State, local, and organizational policies community norms and resources health care … , health care system, practice, and patient groups is more likely to be relevant at the outset and transportable … A proposed ‘health literate care model’ would constitute a systems approach to improving patients’ engagement
  https://pcmh.ahrq.gov/page/contextual-factors-importance-considering-and-reporting-context-research-patient-centered - 39k - 2021-01-16
• Engaging Patients and Families in the Medical Home - Table 1 | PCMH Resource Center
  
  care The medical home model suggests a new structural relationship between patients and the health care … (Improving Chronic Illness Care, 2010) Program to help participants set and achieve incremental goals … Research Center, 2010) Project to test a tool embedded in electronic health record to promote health … There is little evidence about the effects of consumer involvement in health care decisions at the population … (National Health Service [NHS, 2009)) Consumer participation in planning and governance of the medical
  https://pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-table-1 - 12k - 2021-01-16