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Cognitive Task Analysis: Methods to Improve Patient-Centered Medical Home Models by Understanding and Leveraging its Knowledge Work | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, http://www.ahrq.gov/ … (gpotwo@albany.edu, University at Albany, State University of New York) and Lee A. … Advantages Macrocognition is rarely studied in health services research or addressed in practical primary … and operating room teams in major health care systems (Crandall and Grome, 2010; Crandall, Klein, and … Concept mapping: an introduction to structured conceptualization in health care. -
Statistical Process Control:Possible Uses to Monitor and Evaluate Patient-Centered Medical Home Models | PCMH Resource Center
There are several SPC tools that can be applied to the evaluation of PCMH and other health services and … care Continue to track the variable and look for Special Cause Variation Figure 1. … intended to improve care; (2) SPC was a useful tool for health care management, most commonly in deciding … more in their own care decisions, improving communication among managers and clinicians, and improving … inform policy at the patient, clinician, practice, health care system, local, State, and national levels -
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 - 2021-01-16 -
Formative Evaluation: Fostering Real-Time Adaptions and Refinements to Improve the Effectiveness of Patient-Centered Medical Home Interventions | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, http://www.ahrq.gov/ … Suppose that a quality improvement intervention allows patients at a primary care practice to obtain … other complex health services interventions. … Developing a national dissemination plan for collaborative care for depression: QUERI series. … Fostering implementation of health services research findings into practice: a consolidated framework -
Using Implementation Research to Guide Adaptation, Implementation, and Dissemination of Patient-Centered Medical Home Models | PCMH Resource Center
In traditional medical or health services research, studies testing the efficacy and effectiveness of … care, patient-centeredness, coordinated care, accessible care, and a commitment to providing safe, high … Fostering implementation of health services research findings into practice: a consolidated framework … The quality of health care delivered to adults in the United States. … Fostering implementation of health services research findings into practice: a consolidated framework -
The Logic Model: The Foundation to Implement, 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/ … , patient-centeredness, coordinated care, accessible care, and a commitment to providing safe, high quality … and assess whether the intervention has a reasonable chance of improving desired outcomes. … Presentation at National Medical Home Summit; 2011 Mar 14; Philadelphia (PA). www.ehcca.com/presentations … a Logic Model” section in the Resources at the end of this document. -
Search Methodology and Inclusion Criteria | PCMH Resource Center
The Ovid and EBSCO search engines were used to search within several social science, health services, … ,” and “patient aligned care team,” and focus on (1) the medical home, (2) a component of the medical … Published in high-impact health services and medical journals (ISI Web of Science Influence Score of … These tags include the following: Patient Centered Care Comprehensive Care Care Coordination Access … to Care System Approach to Quality and Safety Health Information Technology (Health IT) Cost andhttps://pcmh.ahrq.gov/page/search-methodology-and-inclusion-criteria - 3k - 2021-01-16 -
Engaging Patients and Families in the Medical Home - Table 3 | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … and integration of care Access to care Superb access to care Patient engagement in care Information … Health care practitioners listen to and honor patient and family perspectives and choices. … Patients and families are encouraged and supported in participating in care and decisionmaking at the … Patients, families, health care practitioners, and health care leaders collaborate in policy and program -
Engaging Patients and Families in the Medical Home - Table 5 | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Communicate with you Give you time to ask questions, and answer them in a way you understand. … Ask them to explain it in a different way. … Support you in caring for yourself Make sure you leave the office with a clear idea of how to care for … Help you set goals for your care, and help you meet your goals one step at a time. -
Anthropological Approaches: Uncovering Unexpected Insights About the Implementation and Outcomes of Patient-Centered Medical Home Models | PCMH Resource Center
descriptions within a rapidly evolving health care system. … , and on health care delivery, quality of care, patient experience, and other outcomes. … , and patient access; (2) evolving processes for team-based care delivery and care coordination; (3) … Use of Anthropological/Qualitative Methods in Health Services Research Bradley EH, Curry LA, Devers … Culture and meaning in health services research: a practical field guide. -
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/ … 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. -
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. -
Engaging-Practices-In-Qi-Exec-Summary
(pdf file)
effort to create a high-quality health care system in the United States, many payers, providers, delivery … QI organizations, regional extension centers, professional societies and payers, and health care organizations … support primary care practices in undertaking QI efforts. … Section 1 provides a conceptual background and framework for how to engage primary care practices in … Section 1 provides a conceptual background and framework for how to engage primary care prac... -
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 -
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 -
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 -
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