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www.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
March 01, 2017 - Magill and colleagues found that multiple PCMH elements involving coordination and team function (e.g … that care practices and processes implemented as part of PCMH transformation benefited patients with … The researchers determined that compared to what would be expected with no PCMH implementation, PCMH … rapidly in the PCMH clinics than the nonPCMH clinics. … model that encompassed 13 domains, also linked PCMH transformation and cost savings.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/outcomes.html
October 01, 2015 - Magill and colleagues found that multiple PCMH elements involving coordination and team function (e.g … that care practices and processes implemented as part of PCMH transformation benefited patients with … The researchers determined that compared to what would be expected with no PCMH implementation, PCMH … rapidly in the PCMH clinics than the nonPCMH clinics. … model that encompassed 13 domains, also linked PCMH transformation and cost savings.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/fetters.html
October 01, 2015 - Practices enrolled in the program worked to implement a PCMH model defined by BCBSM that encompassed … The domains, which addressed key PCMH elements identified by primary care physician organizations, were … that PCMH implementation scores were lower in practices with fewer than six physicians. … PCMH transformation offers benefits to insurers and providers alike. … Implementing a PCMH represents a significant investment of time and expense.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/appc.html
October 01, 2015 - Of the 17 States participating in Category C, 12 focused on PCMH models, three were focused on finding … Hence, we excluded the five States not working to implement PCMH models because those models and the … expected effects were sufficiently different from the PCMH approach that combining them would not have … However, the NET was able to work with some of the PCMH States to develop a comparison group when they … Of the 12 PCMH States, we excluded from our planned analysis the States that did not agree to recruit
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - prototype site and 19 non-PCMH sites. … Health care costs among PCMH patients were also significantly lower compared with non-PCMH patients, … prototype clinic and 19 non-PCMH clinics. … clinics after systemwide PCMH redesign. … clinic and non-PCMH control clinics.
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www.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
February 01, 2017 - prototype site and 19 non-PCMH sites. … Health care costs among PCMH patients were also significantly lower compared with non-PCMH patients, … prototype clinic and 19 non-PCMH clinics. … clinics after systemwide PCMH redesign. … clinic and non-PCMH control clinics.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/intro.html
October 01, 2015 - Outcomes Reported in Transforming Primary Care Studies
The patient-centered medical home (PCMH … 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 … 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
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-summaries.pdf
September 01, 2014 - PCMH-A Part 2:
Quality Improvement
Strategy
PCMH-A_QI_Performance
Measures (optional item)
Safety … PCMH-A Part 2:
Quality Improvement
Strategy
PCMH-A_QI_EHR (optional
item)
Safety Net Medical Home … PCMH-A Part 3:
Empanelment
PCMH-A_Empanelment_
registries (optional item)
Safety Net Medical Home … PCMH-A Part 5:
Evidence-Based Care
PCMH-A_Evidence_visits
(optional item)
Safety Net Medical Home … PCMH-A Part 5:
Evidence-Based Care
PCMH-A_Evidence_Care
plans (optional item)
Safety Net Medical
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www.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.
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/hudsonscholle.html
December 01, 2017 - Number and Type of Practices
This project included 249 primary care practices that achieved NCQA PCMH … (i.e., fewer than five physicians) that obtained Level 1 or Level 3 patient-centered medical home (PCMH … Nearly 70 percent of practices received financial incentives for PCMH transformation, and 80 percent … Case studies were conducted in six practices to gain more insight into PCMH strategies used by small … Physicians and staff reported that these were instrumental to PCMH transformation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-scholle.pdf
April 01, 2015 - i.e., fewer than
five physicians) that obtained Level 1 or Level 3 patient-
centered medical home (PCMH … Nearly 70 percent of practices
received financial incentives for PCMH transformation, and
80 percent … Case studies were conducted in six practices to gain more insight into PCMH strategies used by small … Challenges to Transformation
Time and resources were the biggest barriers to PCMH transformation. … Physicians and staff reported that these were
instrumental to PCMH transformation.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
April 01, 2015 - The
collaborative aimed for practicewide implementation of the PCMH
model and focused on improving … pursue PCMH recognition. … • Formal QI structures helped drive PCMH
transformation. … • Family participation was a lead driver of PCMH transformation. … pursue PCMH recognition.
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/driscoll.html
April 01, 2015 - The following year, SCF introduced the SCF Nuka System of Care, a patient-centered medical home (PCMH … The model emphasized three key PCMH elements: enhanced access, team-based care and care coordination, … Utilization
Before PCMH implementation, overall emergency care use was increasing. … Emergency care use declined significantly during and after PCMH implementation before stabilizing in … patients who were interviewed, 67 percent described an improved doctor-patient relationship following PCMH
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p7-bell.html
May 01, 2024 - Main Objective: To better understand the impact of where a patient lives on their use of a PCMH instead … enrollment and examine proximity to a PCMH versus a hospital for children with pre-existing ADHD (2,959 … team found that low rates of uninsured and low poverty rates are the most consistent indicators of PCMH … . 2 This evidence suggests that the distance between patients and PCMHs plays a role in PCMH use—at … This finding may also help to explain disappointing results in prior PCMH research studies that lacked
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_cg_cahps_chartbook.pdf
January 01, 2014 - Comparison of 12/6-month Adult/PCMH Top-Box Scores By Provider Type ....... 6
Table 1-7. … /6-month
Adult/PCMH
Combined
12/6-month
Child/PCMH
Combined
Number of Respondents 457,418 28,925 … Adult and
Adult
PCMH
Combined
Child
Child
PCMH … and the 12/6-month Child/PCMH combined survey. … Decisions (PCMH)
12/6-month Child/PCMH 2.0 Combined
Core Results*
Getting Timely Appointments
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/berry.html
April 01, 2015 - s Primary Care Information Project implemented several elements of a patient-centered medical home (PCMH … The practices implemented elements of the PCMH using existing resources, reflecting their small size … Forty-seven of the practices applied for National Committee for Quality Assurance PCMH recognition and … resources in innovative ways to implement key PCMH elements. … informal strategies to enact PCMH-like functions.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-driscoll.pdf
April 01, 2015 - The following year,
SCF introduced the SCF Nuka System of Care, a patient-centered
medical home (PCMH … The model
emphasized three key PCMH elements: enhanced access, team-
based care and care coordination … Utilization:
• Before PCMH implementation, overall emergency care use was increasing. … Emergency care use
declined significantly during and after PCMH implementation before stabilizing in … • Hospitalization rates for all patients, including those with diabetes, were stable before PCMH
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/cooley.html
August 01, 2018 - Quality & Safety
Overview of Transformation Efforts
Patient-centered medical home (PCMH … The collaborative aimed for practicewide implementation of the PCMH model and focused on improving the … pursue PCMH recognition. … Formal QI structures helped drive PCMH transformation. … Family participation was a lead driver of PCMH transformation.
-
www.ahrq.gov/ncepcr/reports/cost-guide/synthesis-report.html
February 01, 2017 - Most PCMH transformation efforts studied by AHRQ Estimating Costs grantees took between 2 and 4 years … Added revenue through PCMH incentive payments. … Some organizations received technical assistance through their participation in a PCMH demonstration … transformation, comparing clinics that did and did not ultimately achieve PCMH recognition. … The definition of the PCMH has evolved and will likely continue to do so.
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/report.html
October 01, 2015 - Most PCMH transformation efforts studied by AHRQ Estimating Costs grantees took between 2 and 4 years … Added revenue through PCMH incentive payments. … Some organizations received technical assistance through their participation in a PCMH demonstration … transformation, comparing clinics that did and did not ultimately achieve PCMH recognition. … The definition of the PCMH has evolved and will likely continue to do so.