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www.healthcare411.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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-calman.pdf
April 01, 2015 - (FQHCs) in the
Institute for Family Health network implemented key patient-
centered medical home (PCMH … supporting networkwide
information technology (IT) enhancements, and securing grant
funds to support new PCMH … PCMH transformation began shortly after the network
implemented a systemwide integrated electronic health … • The EHR, implemented in 2002, was integral to PCMH transformation, as it allowed the network
to … Improving patient care
was the primary
motivator for PCMH
transformation among
these FQHCs.
-
www.healthcare411.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
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www.healthcare411.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
-
www.healthcare411.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
-
www.healthcare411.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
-
www.healthcare411.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.
-
www.healthcare411.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
-
www.healthcare411.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
-
www.healthcare411.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.
-
www.healthcare411.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
-
www.healthcare411.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.
-
www.healthcare411.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.healthcare411.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/ .
-
www.healthcare411.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
-
www.healthcare411.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
-
www.healthcare411.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
-
www.healthcare411.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
-
www.healthcare411.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
-
www.healthcare411.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