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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/funding/grants/transform/profiles/fetters.html
March 01, 2017 - 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/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/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/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/professionals/systems/primary-care/pcp-costs/huang-costs.html
May 01, 2015 - The costs of maintaining the PCMH transformation will be estimated over a 24-month period following the … Aim 2: Compare the costs of PCMH transformation and maintenance by type of practice. … Administrative cost calculations will take into consideration overall PCMH staffing costs; purchases … from PCMH implementation. … Indirect costs and benefits estimated will include costs and benefits related to the PCMH that might
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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/professionals/systems/primary-care/pcp-costs/huang-costs.pdf
May 01, 2015 - The
costs of maintaining the PCMH transformation will be estimated over a 24-month period following … Aim 2: Compare the costs of PCMH transformation and maintenance by type of practice. … Administrative cost calculations will
take into consideration overall PCMH staffing costs; purchases … goods; health information technology
functions tied to PCMH implementation; and additional revenue … streams from PCMH implementation.
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www.ahrq.gov/ncepcr/funding/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/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/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/sites/default/files/wysiwyg/professionals/systems/primary-care/pcp-costs/fishman-costs.pdf
May 01, 2015 - After testing a prototype PCMH in one
clinic, Group Health extended PCMH transformation to all of its … Additionally, all 26 clinics achieved
Level 3 PCMH recognition by the National Committee for Quality … and indirect costs actually incurred by Group Health to
design, develop, implement, and refine the PCMH … Direct
costs include personnel (e.g., nurse salaries) and physical resources used for PCMH activities … model
Change in health care costs
attributable to PCMH
transformation
Estimating the Cost
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/pcp-costs/martsolf2-costs.pdf
May 01, 2015 - care of patients
with chronic diseases through implementation of the patient-
centered medical home (PCMH … Practices that achieved PCMH recognition by
the National Committee for Quality Assurance (NCQA) also … The extent of PCMH transformation varied across practices. … Aim 2: Describe the costs associated with PCMH transformation across practices with varied levels
of … Costs estimated include one-time and ongoing direct costs associated with PCMH transformation.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl_pcmh-items_cg-cahps-adult-survey_2357-2a.docx
March 11, 2016 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Patient-Centered Medical Home
Population Version: Adult
Supplemental Patient-Centered Medical Home Items for the CAHPS® Clinician & Group Survey 3.0
Population Version: Adult
Language: English
Read about the Patient-Centered Medical Home Item Set.
Users o…
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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/pcp-costs/meenan2-costs.pdf
May 01, 2015 - practices that provide
primary care to its members to implement a patient-centered
medical home (PCMH … identification, categorization, and quantification of the direct
and indirect costs of successful PCMH … Information from the reports was used to develop an initial model of the PCMH
implementation process … The model conceptualized PCMH implementation as a series of nine activities
that have been identified … Interviewees also considered many PCMH implementation activities to be part of their regular activity
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www.ahrq.gov/professionals/systems/primary-care/pcp-costs/halladay-costs.html
May 01, 2015 - practices and determined that 25 (33%) achieved 2008 National Committee for Quality Assurance (NCQA) PCMH … The aim of the current study is to estimate the costs associated with achieving NCQA PCMH recognition … Location
North Carolina
Costs Estimated
Incremental costs of PCMH transformation and achieving … NCQA PCMH recognition, including:
Costs by phase of PCMH transformation (development, implementation … The practices also provided documents, such as the application for PCMH recognition and NCQA scoring
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www.ahrq.gov/ncepcr/funding/grants/cost/profiles/halladay.html
February 01, 2017 - practices and determined that 25 (33%) achieved 2008 National Committee for Quality Assurance (NCQA) PCMH … The aim of the current study is to estimate the costs associated with achieving NCQA PCMH recognition … Location
North Carolina
Costs Estimated
Incremental costs of PCMH transformation and achieving … NCQA PCMH recognition, including:
Costs by phase of PCMH transformation (development, implementation … Costs of applying for PCMH recognition.
Total costs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/pcp-costs/halladay-costs.pdf
May 01, 2015 - The aim of the current study is to estimate the costs associated with
achieving NCQA PCMH recognition … Costs estimated include total costs for each practice, costs for each phase of
PCMH transformation ( … Location
North Carolina
Costs Estimated
Incremental costs of PCMH
transformation and achieving … NCQA
PCMH recognition, including:
• Costs by phase of PCMH
transformation (development,
implementation … , maintenance)
• Costs per full-time provider
• Costs of applying for PCMH
recognition
• Total