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pcmh.ahrq.gov/sites/default/files/attachments/using-implementation-research-brief.pdf
March 01, 2013 - that they are dynamic
settings that co-evolve with the PCMH as it is implemented. … Inner setting describes the practice that is adopting the PCMH model. … Individuals involved refers to the practice staff in the PCMH context. … These staff will both
implement the PCMH and be affected by the changes. … Advantages
Implementation research carries many advantages for PCMH evaluators.
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pcmh.ahrq.gov/page/early-evidence-patient-centered-medical-home/
February 01, 2012 - The PCMH is a promising innovation, and the model is rapidly evolving. … In other words, the modern PCMH is a very young model. … The challenges to conducting strong evaluations are not unique to the PCMH. … to the ongoing learning on PCMH effectiveness. … The recent release from AHRQ of the PCMH-Consumer Assessment of Healthcare Providers and Systems (PCMH-CAHPS
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pcmh.ahrq.gov/page/anthropological-approaches-uncovering-unexpected-insights-about-implementation-and-outcomes
March 01, 2013 - The series is designed to expand the toolbox of methods used to evaluate and refine PCMH models. … PCMH models emphasize patient-centered, comprehensive, coordinated, accessible care, and a systematic … These qualitative methods enable PCMH evaluators to place themselves intimately within the PCMH context … Here we discuss some of the advantages of using anthropological methods in the PCMH context. … Qualitative evaluation of a payment-linked patient-centered medical home (PCMH) pilot.
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pcmh.ahrq.gov/sites/default/files/attachments/UsingPragmatic_032513comp.pdf
March 01, 2013 - The series is
designed to expand the toolbox of methods used to evaluate and refine PCMH models. … In the PCMH context, PCMH interventions must be financially feasible and possible for practices to
adopt … In the PCMH context, a PCT would test a PCMH intervention on all patients in a practice. … Advantages
Below we describe two main advantages to using PCTs when evaluating PCMH models. … comprehensive PCTs, which will ultimately
strengthen the evidence base on PCMH approaches.
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pcmh.ahrq.gov/page/mixed-methods-integrating-quantitative-and-qualitative-data-collection-and-analysis-while
March 01, 2013 - under contract, with input from other nationally recognized thought leaders in research methods and PCMH … The series is designed to expand the toolbox of methods used to evaluate and refine PCMH models. … PCMH models emphasize patient-centered, comprehensive, coordinated, accessible care, and a systematic … The multiple phases all address a common objective of assessing and refining PCMH models. … These five research designs apply mixed methods approaches to evaluations of PCMH models.
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pcmh.ahrq.gov/sites/default/files/attachments/Strategies%20to%20Ensure%20HITECH%20Supports%20the%20PCMH.pdf
February 01, 2011 - The PCMH is a promising model of care that aims to 5. … Adoption of the PCMH model calls for fundamental
2. … all, facets of the PCMH model. … PCMH model.
3. … ONC’s REC practices’ adoption of the PCMH model.
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pcmh.ahrq.gov/sites/default/files/attachments/ExpandingtheToolkit_031513comp.pdf
March 01, 2013 - Methods to Study and Refine Patient-
Centered Medical Home Models
The patient-centered medical home (PCMH … infrastructure will equip evaluators across the country to provide information that will
help shape PCMH … Our interest in improving methods for studying PCMH models and other practice-level innovations
began … , providers, and researchers had concerns about the adequacy
of traditional methods for evaluating PCMH … PCTs
test PCMH models in typical practices and on typical
patients; evaluate a comprehensive set of
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pcmh.ahrq.gov/sites/default/files/attachments/logic-model-brief.pdf
March 01, 2013 - In this brief, we discuss how logic models can guide evaluations of PCMH models. … We use
the AHRQ definition of the PCMH to specify the PCMH components, which include comprehensive … The logic model depicts selected activities related to each of the PCMH components. … Basic PCMH Logic Model
Below we discuss several uses of logic models. … Defining the PCMH.
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pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-table-2
June 01, 2010 - In a patient-centered medical home (PCMH), an interdisciplinary team guides care in a continuous, accessible … The PCMH "knows" its patients and provides care that is whole-person oriented and consistent with patients … The PCMH takes responsibility for coordinating its patients’ health care across care settings and services … Similar
Payment
Payment recognizes the added value provided to patients who have a PCMH. … Does not mention payment
Communication and Trust
The PCMH fosters an environment of
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pcmh.ahrq.gov/sites/default/files/attachments/anthropological-approaches-brief.pdf
March 01, 2013 - This brief focuses on using anthropological approaches to evaluate patient-centered medical home
(PCMH … The series is
designed to expand the toolbox of methods used to evaluate and refine PCMH models. … PCMH models emphasize patient-centered, comprehensive, coordinated, accessible care, and a
systematic … These qualitative methods enable PCMH evaluators to place themselves intimately
within the PCMH context … Qualitative evaluation of a
payment-linked patient-centered medical home (PCMH) pilot.
-
pcmh.ahrq.gov/page/cognitive-task-analysis-methods-improve-patient-centered-medical-home-models-understanding-and
March 01, 2013 - The series is designed to expand the toolbox of methods used to evaluate and refine PCMH models. … in a PCMH organizes the practice to deliver patient care. … PCMH Application Implementing PCMH functions in a practice requires improving clinical and organizational … PCMH Application One of the cornerstones of a PCMH is to improve patient care by developing more effective … Helps uncover the thinking and decisionmaking involved in PCMH models.
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pcmh.ahrq.gov/page/expanding-toolbox-methods-study-and-refine-patient-centered-medical-home-models-0
March 01, 2013 - leverage the knowledge work—not just the physical work—of primary care staff and clinicians implementing PCMH … orthogonal designs can compare the effectiveness of different ways of deploying each component of a PCMH … Peikes, Winnie Wang, and Jeffrey Smith Formative evaluations provide ongoing, concrete feedback to PCMH … randomized, controlled trials that better meet the needs of decisionmakers regarding adoption of a PCMH … PCTs test PCMH models in typical practices and on typical patients; evaluate a comprehensive set of quality
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - AHRQ PCMH Model
AHRQ defines a PCMH as having
the following five attributes:
1. … The researchers
determined that compared to what would be expected with no PCMH implementation, PCMH … One practice
attained Level 3
NCQA PCMH
recognition; one
practice
attained PCMH
recognition from … Recognized as
a NCQA PCMH
Level 3 in 2010. … In
2009, PCMH
recognition was
allowed to
lapse.
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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-24-care-model.pdf
September 01, 2015 - Understand how the Care Model and PCMH relate. … National Committee for Quality Assurance (NCQA) video on the PCMH. … What are the core elements of the PCMH?
3. … What is the relationship between the Care Model and the PCMH?
4. … Defining the PCMH. Patient Centered Medical Home
Resource Center.
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pcmh.ahrq.gov/page/patient-centered-medical-home-decisionmaker-brief-improving-evaluations-medical-home
September 01, 2011 - Key Points
By following these recommendations, future studies of the PCMH can generate high-quality … Recognize that the PCMH is a practice-level intervention and account for clustering. … Recognize that the PCMH is a practice-level intervention. … Include as many PCMH practices as possible. … Smaller PCMH interventions should still be evaluated, however.
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pcmh.ahrq.gov/page/necessary-not-sufficient-hitech-act-and-health-information-technology%E2%80%99s-potential-build-medical
June 01, 2010 - Medical home principles, technological capabilities for supporting the PCMH model, required health IT … Medical home principles by HITECH Programs and other legislation that could enable the PCMH model
Table … Potential unintended consequences of the HITECH Act and their relation to the PCMH Model
Table 5. … It does not assess whether the PCMH or health IT can improve quality and reduce costs. … But as noted, health IT is just one potential enabler of the PCMH model.
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pcmh.ahrq.gov/sites/default/files/attachments/MixedMethods_032513comp.pdf
March 01, 2013 - The series is designed
to expand the toolbox of methods used to evaluate and refine PCMH models. … PCMH
models emphasize patient-centered, comprehensive, coordinated, accessible care, and a systematic … This brief focuses on the potential uses of this methodology for PCMH research as well as on specific … The
multiple phases all address a common objective of assessing and refining PCMH models. … These five research designs apply mixed methods approaches to evaluations of PCMH models.
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pcmh.ahrq.gov/sites/default/files/attachments/Integrating%20Mental%20Health%20and%20Substance%20Use%20Treatment%20in%20the%20PCMH.pdf
June 01, 2010 - Even though adoption of the PCMH has the
potential to enhance delivery of mental health treatment in … and
supporting ongoing quality improvement as a core PCMH activity. … Many PCMH demonstration projects have been initiated across the United States. … Why should mental health problems be priorities for the PCMH?
2. … 1
Why Should Mental Health Problems Be Priorities
for the PCMH?
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pcmh.ahrq.gov/sites/default/files/attachments/Qualis_020413comp.pdf
January 01, 2013 - Facilitators support
practices in patient-centered medical home (PCMH) transformation by translating … Qualis Health partnered
with MacColl to provide PCMH content expertise. … Working with Qualis Health allowed MacColl to
extend the Chronic Care Model to PCMH transformation and … To support facilitators in guiding practices through PCMH transformation,
the Qualis Health/MacColl … Qualis Health analyzes
PCMH-A data shares it with practices and their facilitators.
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pcmh.ahrq.gov/sites/default/files/attachments/Vermont_020413comp.pdf
January 01, 2013 - To date, 85 practices have received PCMH
recognition from NCQA. … and the requirements of NCQA’s PCMH recognition process. … Active improvement work and preparation for PCMH recognition. … scoring and prepare the
application for submission to NCQA for PCMH recognition. … Once a practice attains PCMH recognition, it must maintain this and
reapply every 3 years.