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www.healthcare411.ahrq.gov/policymakers/chipra/statesummaries/vt-spotlight.html
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 from … Almost all practices, however, plan to update their PCMH recognition—which is required for continued
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-west-virginia-state-snapshot.pdf
January 01, 2018 - practices in rural and suburban
areas to implement components of the patient-centered
medical home (PCMH … The State contracted with a consulting firm to
teach the practices about the PCMH model and to provide … Healthcare Providers and
Systems Clinician & Group Survey—Patient Centered
Medical Home (CG-CAHPS-PCMH … However,
practices indicated that the lack of payment for both
care coordination and PCMH recognition … For more information, visit http://www.ahrq.gov/cahps/surveys-
guidance/item-sets/PCMH/index.html and
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
January 01, 2018 - First, the State hired facilitators to support
the practices in implementing the features of a PCMH; … Second, the State used a
learning collaborative model to educate the practices about
the PCMH and to … Healthcare Providers and Systems
Clinician & Group Survey—Patient Centered Medical
Home (CG-CAHPS-PCMH … For more information on CG-CAHPS-PCMH, visit http://www.ahrq.
gov/cahps/surveys-guidance/item-sets/PCMH … the lessons learned from the CHIPRA quality
demonstration to other State programs, including a new PCMH
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/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.
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www.healthcare411.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/reid.html
October 01, 2015 - Results of Transformation Efforts
National Committee for Quality Assurance Level 3 PCMH recognition … 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 … Provider and Staff Satisfaction
Providers and staff found the PCMH to be the "right work," and work … Providers and staff found PCMH transformation to be the "right work," and work satisfaction and burnout
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www.healthcare411.ahrq.gov/ncepcr/reports/cost-guide/background.html
February 01, 2017 - The models include the patient-centered medical home (PCMH), a model of care that aims to transform the … delivery of comprehensive primary care to children, adolescents, and adults. 1-3 The focus of the PCMH … Adoption of PCMH-type models by primary care practices is incentivized through Federal, State, and insurance … A number of local, State, and national PCMH recognition and accreditation programs are available. … However, it is believed that over time the adoption of a PCMH-type delivery system can help sustain lower
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 2013 - 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. … blueshieldca.com
Fuzzy Set Qualitative Comparative Analysis (fsQCA):
Application to PCMH Research … For example, the fuzzy set of practices with NCQA PCMH certification may look like:
PCMH Certification … Membership in the Set “PCMH”
NCQA Level 3 Fully in the set: membership = 1.0
NCQA Level 2 More in
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www.healthcare411.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appb.html
October 01, 2015 - practices that increased the proportion of patients achieving the target value in the first year of PCMH … 80 mm Hg
LDL cholesterol ≤100 mg/dL
Diabetes:
2.1% increase (p<0.001) in the proportion of PCMH … clinics in which all patients achieved all target diabetes measures (optimal care)
24.6% of patients in PCMH … which all patients achieved all target cardiovascular measures (optimal care)
41.6% of patients in PCMH … cholesterol <100 mg/dL
Percent of patients achieving the target values increased slightly following PCMH
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www.healthcare411.ahrq.gov/ncepcr/reports/grants-transform/health-outcomes-reported.html
March 01, 2017 - practices that increased the proportion of patients achieving the target value in the first year of PCMH … 80 mm Hg
LDL cholesterol ≤100 mg/dL
Diabetes:
2.1% increase (p<0.001) in the proportion of PCMH … in which all patients achieved all target diabetes measures (optimal care).
24.6% of patients in PCMH … which all patients achieved all target cardiovascular measures (optimal care).
41.6% of patients in PCMH … cholesterol <100 mg/dL
Percent of patients achieving the target values increased slightly following PCMH
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www.healthcare411.ahrq.gov/ncepcr/reports/cost-guide/collection-tools2.html
February 01, 2017 - This tool was based on NCQA 2011 PCMH recognition criteria to assess the line item costs to practices … associated with activities to sustain PCMH services. … The tool includes three worksheets: Costs, Personnel, and PCMH Functions. … various staff positions (e.g., nurse, clinical care manager) and hours worked per month to deliver PCMH … service.
2011 NCQA PCMH
Resources and Systems unique to mature PCMH 2011 Level III practices (i.e
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www.healthcare411.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/spread.html
October 01, 2015 - Montana
Montana built upon existing State efforts to help practices achieve NCQA PCMH recognition, … Montana introduced and advocated for legislation to promote PCMH through provisions to allow multiple … These regional centers developed a toolkit for PCMH implementation and piloted it with three practices … Louis, Columbia, and elsewhere, as well as a statewide PCMH initiative. … They have also worked to help advance conversations about PCMH and population health management with
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/coordinating-care-in-the-medical-neighborhood-white-paper.pdf
June 01, 2011 - improved quality of care (leading to better health), and reduced costs.2
Many of the goals of the PCMH … Specifically, the paper addresses (1) key components of the medical neighborhood and how the PCMH is … Within the PCMH, the primary clinician caring for the patient
may be a physician, nurse practitioner, … Systematizing care coordination approaches within the PCMH. … with activities led jointly by hospitals, the PCMH, relevant specialists, and other clinicians.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
September 01, 2015 - What is a Primary Care Medical Home (PCMH)? What is an Accountable Care Organization
(ACO)? … One of the most
prominent new models is the patient-centered medical home (PCMH), which is built on … AHRQ defines the PCMH (see
http://www.pcmh.ahrq.gov/page/defining-pcmh), as encompassing five primary … In some
PCMH initiatives, primary care practices may be tasked with achieving PCMH recognition or
accreditation … These PCMH pilots, demonstrations, and initiatives take various approaches to
payment reform.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-medical-home-academyhealth.pdf
December 12, 2015 - Pediatric Patient-Centered Medical
Home (PCMH)
American Academy of Pediatrics defines a pediatric … pediatric primary care practice participation
in a learning collaborative (LC) designed to develop
PCMH … follows end of LC – but this was in
the evaluation plan we committed to for CHIPRA
Evaluation
• PCMH … LC participation doesn’t necessarily lead to
development of PCMH characteristics
• LC participants … Funding Acknowledgment
Technical Assistance Acknowledgment
Pediatric Patient-Centered Medical Home (PCMH
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www.healthcare411.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar03/logicmodelsl.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 … Dana is the lead author of the brief on Logic Models in AHRQ’s PCMH research methods series. … Slide 3 The Logic Model: A Foundation to Implement, Study, and Refine Patient-Centered Medical Home (PCMH … Harrison, PhD Sponsored by AHRQ’s Delivery System Initiative in partnership with the AHRQ PCMH program
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www.healthcare411.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
January 01, 2014 - 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. … Refine complex interventions: Patient-Centered Medical Home (PCMH) Interventions: Multiple components … For more information about the AHRQ PCMH Research Methods briefs, please visit: http://www.pcmh.ahrq.gov
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www.healthcare411.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/overview.html
October 01, 2015 - statewide quality improvement initiative in North Carolina, 3 while a third study investigated the PCMH … transformation efforts of 249 small practices across the country that had achieved PCMH recognition … by the TPC investigators also differed in terms of the types of changes they made toward becoming a PCMH … what types of changes were implemented by the practices being studied and mapped these to the five PCMH … we found that almost all of the practices implemented changes related to at least four of the five PCMH
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www.healthcare411.ahrq.gov/ncepcr/reports/grants-transform/overview.html
March 01, 2017 - statewide quality improvement initiative in North Carolina, 3 while a third study investigated the PCMH … transformation efforts of 249 small practices across the country that had achieved PCMH recognition … by the TPC investigators also differed in terms of the types of changes they made toward becoming a PCMH … what types of changes were implemented by the practices being studied and mapped these to the five PCMH … we found that almost all of the practices implemented changes related to at least four of the five PCMH
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - in quality measure reporting infrastructure Quality reporting Not sustained
Fielding the CAHPS-CG PCMH … Survey Quality reporting Sustained
Learning collaboratives Learning collaboratives Sustained
PCMH … Demonstration staff shared knowledge gained from (1)
fielding the CAHPS-CG PCMH survey (which was tested … in the grant activities), (2) operating learning collaboratives, and (3) providing
practices with PCMH … Hence, the state refers to the survey as a hybrid CAHPS-PCMH.
3
Maryland
Maryland used its
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.pdf
August 01, 2012 - on Quality Assurance (NCQA) 2008 Physicians Practice Connections-
Patient Centered Medical Home (PPC-PCMH … Completion of the survey and necessary
documentation takes an estimated 40-80 hours.2 The 2011 NCQA PCMH … /pcdc-pcmh-resources/PCDC-PCMH/ncqa-2011-medical-home.html.
4 Cooley WC, McAllister JW, Sherrieb K … /pcdc-pcmh-resources/PCDC-PCMH/ncqa-2011-medical-home.html�
http://www.pcdc.org/resources/patient-centered-medical-home … /pcdc-pcmh/pcdc-pcmh-resources/PCDC-PCMH/ncqa-2011-medical-home.html�
http://www.medicalhomeimprovement.org