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Expanding the Toolbox: Methods to Study and Refine Patient- Centered Medical Home Models | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, http://www.ahrq.gov/ … to achieving high quality, accessible, and efficient health care for all Americans, and that improving … Downloads Download PDF Version Our interest in improving methods for studying PCMH models and other … The topics cover both “evolutionary” ways to improve evaluations—by using traditional health services … Department of Health and Human Services. -
Primary Care Practice Facilitation Curriculum | PCMH Resource Center
, medical assistants and office staff with their efforts to transform the way primary care is delivered … Only through working together can we be successful at truly revitalizing primary care, and thereby improving … use data in their improvement and transformation efforts and, in most cases, should be completed sequentially … Dentistry; Alan Adelman , M.D., Department of Family and Community Medicine at Penn State College of … Department of Health and Human Services.https://pcmh.ahrq.gov/page/primary-care-practice-facilitation-curriculum - 26k - 2020-08-01 -
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … home (PCMH) model of primary care is effective in raising quality, reducing costs, and improving the … efforts to transform primary care delivery will pay off in improved quality, lower costs, and better … patient-centered orientation, comprehensive team-based care, coordinated care, superb access to care … The ICC for satisfaction, access to care, and quality process measures is relatively high. -
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, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Frameworks … to the local environment The Multilevel Change Model 17 Considering at least three levels of influence … (e.g., patient/family systems; health care micro system; and larger organization, community, or policy … The Expanded 20 Chronic Care Model 21 - 23 and the Health Literate Care Model 24 System design, information … of inter-organizational ties at the start of the intervention, centrality of the primary care agencies -
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? Appendix | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … the Medical Home The medical home model holds promise as a way to improve health care in America by transforming … their patients to providers and services in their communities. … care system, including specialty care, hospitals, home health care, and community services and supports … Superb access to care: The primary care medical home delivers accessible services with shorter waiting -
Tip Sheet: How a Practice Facilitator Can Support Your Practice | PCMH Resource Center
A practice’s QI efforts are an important component of efforts to improve the quality of the health care … practices in new and ongoing QI efforts. … A facilitator can tailor QI efforts to your practice and help implement them. … What Should You Look for in a Practice Facilitator? … Engaging in QI activities allows your primary care practice to work toward improved quality; better health -
Engaging Patients and Families in the Medical Home - Table 4 | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … and families engaged in their own care Communication and Information Sharing Learn about how the practice … to set self-care goals Get help with managing chronic illness Participate in activities to reduce health … and benefits of different options Decide jointly with the health care provider on a treatment Safety … a patient perspective of practice workflow Patients and families engaged in policy Serve on policy and -
Expanding the Toolbox: Methods to Study and Refine Patient- Centered Medical Home Models | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, http://www.ahrq.gov/ … It excels in uncovering unexpected insights by studying a topic in person, in situ, over time, and from … Green Cognitive task analysis (CTA) is a family of methods designed to reveal the thinking involved in … , and leverage the knowledge work—not just the physical work—of primary care staff and clinicians implementing … distill the best approaches to a PCMH in different settings. -
The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model | PCMH Resource Center
Half the interventions reported coordinating care with community-based services. Access to Care . … For example, improving access to care could lead to identification and management of ambulatory-care-sensitive … Conclusion and Next Steps The PCMH model is a promising approach to improving health care delivery, … Mercer Government Human Services Consulting. ACCESS cost savings—state fiscal year 2004 analysis. … State Implementation Grant (D70) for Improving Systems of Services for Children and Youth with Special -
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? Table 2 | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Quality; and David Meyers, Agency for Healthcare Research and Quality Table 2. … Average ICC reported in studies in our literature review Costs Hospitalizations Emergency Room Visits … Overall Satisfaction Access to Care Process Measures Source: Estimates compiled by authors. … Note: n denotes the number of studies that were included in the average for each cell. 0.026 (n=2) 0.023 -
Integrating Mental Health and Substance Use Services in the Patient-Centered Medical Home
(pdf file)
Efforts to improve access to and the quality of mental health treatment have led to the conclusion that … Efforts to integrate mental health services in the PCMH will face significant challenges imposed by … access to such services. … Improving access to geriatric mental health services: a randomized trial comparing treatment engagement … A common factors approach to improving the mental health capacity of pediatric primary care. -
The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care.
(pdf file)
Superb access to care that meets patients’ needs and in their own care, 2) quality improvement in the … engagement in health caredifferent treatment options; discuss with a health care should be based on … of patients and families in patient care and improvement efforts in a variety of ways, including quality … Federal and State efforts to promote reward practices for implementing and maintaining meaningful use … At the Federal and State incentivizing practices to actively involve patients include levels, increased -
Contact Us | PCMH Resource Center
The National Resource Center is supported by HRSA (Health Resources and Services Administration, AHRQ … ’s sister agency within the Federal Department of Health and Human Services). … organizations that offer PCMH accreditation or certification at https://medicalhomeinfo.aap.org/national-state-initiatives … How do I identify primary care practices in my state/area that are PCMHs? … Learn more about health centers and find sites in your area at: https://findahealthcenter.hrsa.gov/ .https://pcmh.ahrq.gov/contact - 3k - 2020-08-01 -
Early Evidence on the Patient-Centered Medical Home | PCMH Resource Center
Evaluations of three interventions (Improving Mood–Promoting Access to Collaborative Treatment for Late-Life … back to top References and Included Studies AcademyHealth State Health Research and Policy Interest … Primary care: America's health in a new era. … Mercer Government Human Services Consulting. ACCESS cost savings – state fiscal year 2004 analysis. … Value in health: key information for policymakers to assess efforts to improve quality while reducinghttps://pcmh.ahrq.gov/page/early-evidence-patient-centered-medical-home/ - 70k - 2020-08-01 -
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? Table 3 | PCMH Resource Center
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? … October 2011 AHRQ Publication No. 11-0100-EF Prepared For: Agency for Healthcare Research and Quality … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Quality; and David Meyers, Agency for Healthcare Research and Quality Table 3. … Note: n denotes the number of studies that were included in the average for each cell. -
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? Table 1 | PCMH Resource Center
Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Quality; and David Meyers, Agency for Healthcare Research and Quality Table 1. … Average coefficient of variation (CV) for continuous variables from studies in our literature review … Note: n denotes the number of studies that were included in the average for each cell. -
Fuzzy-Set Qualitative Comparative Analysis: A Configurational Comparative Method to Identify Multiple Pathways to Improve Patient-Centered Medical Home Models | PCMH Resource Center
Consequently, QCA is a radically different approach to studying health services interventions such as … beginning to gain traction in the health services literature. … These findings suggest that improving provider-patient communication in practices serving at-risk populations … csQCA also has been used to study a variety of health care topics. … trusts in the National Health Service (Byrne, 2011), reasons for differential progress on addressing -
The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model. Appendix | PCMH Resource Center
care, hospitals, home health care, and community services and supports. … Evaluation Selection The review team conducted a broad search to identify English-language studies in … For example, in an intervention aimed at improving depression care, examining satisfaction with depression … hospital discharge plan, and links patients to social services No changes in access to care Case manager … access to community services Telephone access to GCN Evidence-based guidelines, embedded in Guided -
The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model. Table 17 | PCMH Resource Center
hospital discharge plan, and links patients to social services No changes in access to care Case manager … Social Services, and the health department. … between care sites 24-hour telephone access to consulting nurse, same-day appointments, online services … access to community services Telephone access to GCN Evidence-based guidelines, embedded in Guided … ; a local parent of a child with special health care needs consults to the practice Individualized health -
Engaging Patients and Families in the Medical Home
(pdf file)
care practices and the health care system overall should be expected to invest in efforts to engage … • Collects data on race, ethnicity, sex, primary language, and language services for each patient … health and language needs of patients in the practice … Federal and State efforts to promote meaningful use of Health IT provide important opportunities to … a pool of parents to participate in policymaking at the local or State level.