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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
    April 01, 2015 - care practices implement the National Committee for Quality Assurance patient-centered medical home (PCMH … Approaches to PCMH transformation varied across the 25 practices. … All of the practices achieved National Committee for Quality Assurance PCMH recognition in the first … Other features distinguishing these practices included strong leadership and a shared PCMH vision; … • For many providers, PCMH transformation required adjusting their “mental model” of primary care
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight08.pdf
    September 08, 2015 - • The financial advantages of PCMH recognition may change as broader State policies change. … The Highlight describes what motivated the States and SBHCs to adopt the PCMH approach, actions they … SBHCs improve quality by incorporating many PCMH features into their daily operations. … A commitment to high quality and quality improvement is one feature of a PCMH. … Patient Centered Medical Home Resource Center, Defining the PCMH. http://pcmh. ahrq.gov/page/defining-pcmh
  3. ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/intro.html
    October 01, 2015 - Although a number of definitions exist, efforts to transform into a PCMH go beyond quality improvement … The Agency for Healthcare Research and Quality (AHRQ) defines a PCMH as having the following five attributes … information about how AHRQ defines these attributes is available at: http://pcmh.ahrq.gov/page/defining-pcmh … AHRQ PCMH Model AHRQ defines a PCMH as having the following five attributes: Comprehensive care … These studies were all retrospective evaluations of successfully implemented or ongoing PCMH transformation
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-tai-seale.pdf
    April 01, 2015 - Palo Alto Medical Foundation began implementing components of the patient-centered medical home (PCMH … Implementing the PCMH principles was seen by organizational leadership and staff as consistent with … However, seeking recognition as a PCMH was prompted incidentally by a one-time incentive from a local … In 2009, the Palo Alto Medical Foundation allowed PCMH recognition to lapse. … Utilization • Patients at clinics with the highest level of NCQA PCMH recognition used fewer services
  5. ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
    October 01, 2015 - Approaches to PCMH transformation varied across the 25 practices. … All of the practices achieved National Committee for Quality Assurance PCMH recognition in the first … Patient Satisfaction Most providers and staff believed that their patients were not aware of the PCMH … Care managers and expanded roles for medical assistants were critical elements of PCMH transformation … For many providers, PCMH transformation required adjusting their "mental model" of primary care.
  6. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/adult-eng-cg30-pcmh.pdf
    October 30, 2020 - Items Version: 3.0 Population: Adult Language: English Notes • Patient-Centered Medical Home (PCMH … This version of the Clinician & Group Survey includes the 3.0 version of PCMH items. … PCMH items have been incorporated into the core items; for easy identification, they are highlighted … File name: adult-eng-cg30-PCMH-2352a.docx Last updated: October 30, 2020 https://www.ahrq.gov/cahps … f%5B0%5D=survey%3A14140 mailto:cahps1@westat.com CAHPS Clinician & Group Adult Survey 3.0 with PCMH
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13supp.pdf
    June 01, 2015 - PDSA cycles Quality measurement and reporting support Financial incentives AK 3 36 1 PCMH … sustainability and spread 3 3 3 3 3 FL 13–20 per collaborative, over three collaboratives 18 2 PCMH … developmental and autism screening, optional lead and anemia screening, oral health and healthy weight, PCMH … of URIs, otitis media, and sinusitis; parent education in use of antibiotics 3 3 3 3 WV 10 36 1 PCMH … and youth with special health care needs IT: Information technology LC: Learning collaborative PCMH
  8. ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/calman.html
    October 01, 2015 - PCMH transformation began shortly after the network implemented a systemwide integrated electronic health … Results of Transformation Efforts Some PCMH elements, including decision supports, the patient portal … The EHR, implemented in 2002, was integral to PCMH transformation, as it allowed the network to more … Improving patient care was the primary motivator for PCMH transformation among these FQHCs. … Similarities between the PCMH model and the network's established family-centered approach to patient
  9. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-illinois-state-snapshot.pdf
    January 01, 2018 - The State— • Hosted a structured PCMH asthma learning collaborative. … • Helping practices implement the patient-centered medical home (PCMH) model and improving access … The State also trained the 15 practices in the PCMH asthma learning collaborative, other practices, … health records to support and track medical home improvements, practices that participated in the PCMH … • Developed a toolkit to help practices become recognized as a PCMH.
  10. ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/tai-seale.html
    April 01, 2015 - Implementing the PCMH principles was seen by organizational leadership and staff as consistent with the … However, seeking recognition as a PCMH was prompted incidentally by a one-time incentive from a local … In 2009, the Palo Alto Medical Foundation allowed PCMH recognition to lapse. … Utilization Patients at clinics with the highest level of NCQA PCMH recognition used fewer services … There is a potential disconnect between PCMH transformation and NCQA recognition, which is costly to
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
    July 22, 2015 - Defining the PCMH. Agency for Healthcare Research and Quality. … Medicaid offered PCMH incentives. … increased improvement in PCMH-related care processes. … PCMH recognition was not the focus of participating practices. … Multipayer PCMH initiative included several health plans.
  12. ce.effectivehealthcare.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
    July 01, 2013 - Harrison, PhD Sponsored by AHRQ's Delivery System Initiative in partnership with the AHRQ PCMH program … Harrison, PhD Sponsored by AHRQ’s Delivery System Initiative in partnership with the AHRQ PCMH program … This AHRQ PCMH Research Methods Brief is posted on the AHRQ PCMH website. … For example, the fuzzy set of practices with NCQA PCMH certification may look like: PCMH Certification … In a study of 21 Level 3 PCMH clinics, low preventive service use (PSUTD) was found to be related to
  13. ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/index.html
    September 01, 2015 - The patient-centered medical home (PCMH) (also referred to as the primary care medical home, advanced … Many studies also estimated the costs of attaining and maintaining PCMH recognition. … The PCMH Model AHRQ’s PCMH model includes five critical functions: comprehensive, team-based care; … For additional information about the PCMH, visit: http://pcmh.ahrq.gov/ .
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-reid.pdf
    April 01, 2015 - Group Health Cooperative designed and implemented transformation to a patient-centered medical home (PCMH … Access • PCMH implementation resulted in substantial and sustained increases in electronic messaging … Utilization • Compared with what would be expected with no PCMH implementation, practices undergoing … • In general, patients had favorable responses to the PCMH changes, which were supported by small … Providers and staff found PCMH transformation to be the “right work,” and work satisfaction and
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-id-success-story.pdf
    April 01, 2015 - heavily from the North Carolina model—providing significant support for patient-centered medical home (PCMH … Medicaid agency, hospital association, and medical association—and a groundswell of support for the PCMH … in Idaho’s plan included its approach to regional collaboratives and training resources to support PCMH … Training for the regional collaborative staff will come from a PCMH consultant organization that will … Hopes are high that Idaho’s State Healthcare Innovation Plan will bring the PCMH to scale across the
  16. ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
    June 01, 2015 - PDSA cycles Quality measure ment and reporting support Financial incentives AK 3 36 1 PCMH … and spread ✓ ✓ ✓ ✓ ✓ FL 13–20 per collaborative, over three collaboratives 18 2 PCMH … over four collaboratives 9–12 3–4 Asthma, immunizations, adolescent depression, transitions, PCMH … media, and sinusitis; parent education in use of antibiotics ✓ ✓ ✓ ✓   WV 10 36 1 PCMH … Children and youth with special health care needs IT : Information technology LC : Learning collaborative PCMH
  17. Vt-Spotlight (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/vt-spotlight.pdf
    July 01, 2015 - initiative receive a variety of supports, including (1) assistance with patient- centered medical home (PCMH … payers support practices’ involvement in the Blueprint with enhanced payments based on the practices’ PCMH … • Helped practices obtain PCMH recognition. … Several practices indicated that the PCMH recognition process was burdensome and diverted resources … Almost all practices, however, plan to update their PCMH recognition—which is required for continued
  18. ce.effectivehealthcare.ahrq.gov/cpi/about/otherwebsites/pcmh.ahrq.gov/index.html
    August 01, 2013 - The primary care medical home, also referred to as the patient-centered medical home (PCMH), advanced … The PCMH Resource Center provides objective, evidence-based information to policymakers, researchers, … Products Searchable citations database; PCMH-focused white papers, decisionmaker briefs, and research … methods briefs; catalogue of Federal PCMH activities; care coordination measures atlas; practice facilitation … Audiences The PCMH Resource Center provides policymakers, researchers, and implementers with access
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
    September 01, 2014 - Practice Facilitator Training Two-day in-person training with experts in practice facilitation to learn PCMH … , and 12 months later Allowed practices to self-assess their level of “medical homeness” in eight PCMHPCMH Improvement Steady and sustained improvement across all practices in all eight PCMH-A content areas … Sales Yes No Missing 144 394 18 Provider Survey Demographics Involved with PA CCI Involved in Another PCMH … Sales Yes No Missing 107 418 31 Sales Yes No Missing 194 334 28 Provider Survey Results Plans to Be PCMH
  20. ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-id-success-story.html
    April 01, 2015 - heavily from the North Carolina model—providing significant support for patient-centered medical home (PCMH … Medicaid agency, hospital association, and medical association—and a groundswell of support for the PCMH … in Idaho’s plan included its approach to regional collaboratives and training resources to support PCMH … Training for the regional collaborative staff will come from a PCMH consultant organization that will … Hopes are high that Idaho’s State Healthcare Innovation Plan will bring the PCMH to scale across the

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