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www.ahrq.gov/ncepcr/funding/grants/transform/profiles/cooley.html
March 01, 2017 - Overview of Transformation Efforts
Patient-centered medical home (PCMH) transformation was studied … 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.
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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
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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/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.
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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.
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www.ahrq.gov/workingforquality/priorities-in-action/ahrq-patient-centered-medical-home-resource-center.html
March 01, 2017 - AHRQ's Patient-Centered Medical Home Resource Center
The Patient-Centered Medical Home (PCMH) model … a large and growing community, the Agency for Healthcare Research and Quality (AHRQ) envisions the PCMH … Summary of Activities:
In order to facilitate widespread PCMH transformation, AHRQ established the … PCMH Resource Center to give researchers and health policy makers the information they need. … The Web site defines the PCMH and provides a series of in-depth white papers, focused policy briefs,
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www.ahrq.gov/ncepcr/funding/grants/transform/profiles/rittenhouse.html
March 01, 2017 - New Orleans area began to rebuild the health care system based on the patient-centered medical home (PCMH … processes before Hurricane Katrina, before funding for PCMH transformation became available. … measures, and each achieved NCQA recognition as a PCMH. … Two of the five clinics showed greater overall success, as measured by an overall PCMH score, as well … as higher scores on specific PCMH measures of improved access, coordination, and quality and safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-berry.pdf
April 01, 2015 - Primary
Care Information Project implemented several elements of a patient-
centered medical home (PCMH … The Primary Care Information Project
facilitated PCMH transformation by assisting the practices in … The practices implemented elements of the PCMH using existing
resources, reflecting their small size … resources in innovative ways to implement key PCMH elements. … and informal strategies to enact
PCMH-like functions.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/rittenhouse.html
October 01, 2015 - New Orleans area began to rebuild the health care system based on the patient-centered medical home (PCMH … processes before Hurricane Katrina, before funding for PCMH transformation became available. … measures, and each achieved NCQA recognition as a PCMH. … Two of the five clinics showed greater overall success, as measured by an overall PCMH score, as well … as higher scores on specific PCMH measures of improved access, coordination, and quality and safety
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/tab1.html
October 01, 2015 - Incentives and PCMH recognition
Participating Medicaid managed care organizations offered PCMH incentives … 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.
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www.ahrq.gov/ncepcr/reports/grants-impact/model-summary.html
February 01, 2017 - Incentives and PCMH recognition
Participating Medicaid managed care organizations offered PCMH incentives … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
July 01, 2014 - Composite 12-Month
Adult/PCMH
Combined
12-Month
Child/PCMH
Combined
Access (Getting Timely … Adult
4-point
Adult PCMH 4-
point
Child
4-point
Child PCMH
4-point
116,444
(410)
82,594 … Decisions (PCMH)
12-Month Child/PCMH 2.0 Combined
Core Results*
• Getting Timely Appointments … 2.0 Combined Core Results 15
12-month Adult PCMH 2.0 Supplemental Composites 23
12-month Child/PCMH … PCMH 2.0 Supplemental Composites
12-month Child/PCMH 2.0 Combined Core Results
12-month Child/PCMH
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-rittenhouse.pdf
April 01, 2015 - Orleans area
began to rebuild the health care system based on the patient-
centered medical home (PCMH … processes before Hurricane Katrina, before funding for PCMH
transformation became available. … measures, and each achieved NCQA recognition as a PCMH. … Two of the five clinics showed greater overall success, as measured by an overall PCMH score, as well … as
higher scores on specific PCMH measures of improved access, coordination, and quality and safety
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_cg_cahps_chartbook.pdf
January 01, 2013 - COMPARATIVE RESULTS BY SURVEY VERSION 13
12-month Adult/PCMH 2.0 Combined Core Results ............ … Composite 12-Month
Adult/PCMH
Combined
12-Month
Child/PCMH
Combined
Access (Getting Timely … Adult
4-point
Adult PCMH 4-
point
Child
4-point
Child PCMH
4-point
116,444
(410)
82,594 … Decisions (PCMH)
12-Month Child/PCMH 2.0 Combined
Core Results*
• Getting Timely Appointments … PCMH 2.0 Supplemental Composites
12-month Child/PCMH 2.0 Combined Core Results
12-month Child/PCMH
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
July 31, 2015 - • Was PCMH certification sought, and at what level? … All
26 clinics achieved Level 3
NCQA PCMH recognition. … The PCMH Cost
Dimensions Tool was used to
estimate costs. … associated with activities to sustain PCMH services. … service.
2011 NCQA PCMH
Resources and Systems unique to mature PCMH 2011 Level III practices (i.e
-
www.ahrq.gov/ncepcr/funding/grants/cost/profiles/yarnoff.html
February 01, 2017 - This study will estimate the direct costs of each practice’s inputs to attain PCMH certification, including … Location
United States
Costs Estimated
Direct costs of PCMH certification, including:
Labor. … report only the costs of the transformation effort itself, not the ongoing costs of maintaining the PCMH … and for policymakers weighing the costs and benefits of promoting PCMH transformation. … "Understanding the costs of practice transformation can help practices to decide whether to seek PCMH
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www.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
-
www.ahrq.gov/ncepcr/funding/grants/transform/findings/key-characteristics.html
March 01, 2017 - fewer physicians, two thirds were solo practices
New York City
Neil Calman, MD; A Study of the PCMH … EHR implementation occurred in parallel with PCMH transformation. … One practice attained Level 3 NCQA PCMH recognition; one practice attained PCMH recognition from a State … 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/synthesis-report/appa.html
October 01, 2015 - Neil Calman, MD; A Study of the PCMH: Lessons From a New York State Community Health Center Network … EHR implementation occurred in parallel with PCMH transformation. … One practice attained Level 3 NCQA PCMH recognition; one practice attained PCMH recognition from a State … Recognized as a NCQA PCMH Level 3 in 2010. … In 2009, PCMH recognition was allowed to lapse.