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www.qualitymeasures.ahrq.gov/ncepcr/reports/grants-transform/executive-summary.html
March 01, 2017 - Transformation is an ongoing process, and does not end with PCMH recognition. … For these practices, embracing the changes necessary to become a PCMH was a relatively easy process. … Fee-for-service reimbursement strategies do not cover PCMH-related costs, such as an expanded health … Access: Two studies found that patient access improved after PCMH transformation. … Quality: Studies found that PCMH implementation increased continuity as well as comprehensiveness of
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www.qualitymeasures.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.qualitymeasures.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.
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www.qualitymeasures.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.
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www.qualitymeasures.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.
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www.qualitymeasures.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. … transformation, comparing clinics that did and did not ultimately achieve PCMH recognition. … This approach is appropriate to assess the costs of PCMH transformation efforts for most clinics. … The definition of the PCMH has evolved and will likely continue to do so.
-
www.qualitymeasures.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. … transformation, comparing clinics that did and did not ultimately achieve PCMH recognition. … This approach is appropriate to assess the costs of PCMH transformation efforts for most clinics. … The definition of the PCMH has evolved and will likely continue to do so.
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www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/hudsonscholle.html
December 01, 2017 - 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. … Lessons Learned and Implications for Others
The path to PCMH transformation varied across practices … Physicians and staff reported that these were instrumental to PCMH transformation.
-
www.qualitymeasures.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.
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www.qualitymeasures.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
March 01, 2017 - 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.
-
www.qualitymeasures.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.qualitymeasures.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.
-
www.qualitymeasures.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, … Access
Patients reported increased access to primary care services and same-day appointments after PCMH … Utilization
Before PCMH implementation, overall emergency care use was increasing. … Emergency care use declined significantly during and after PCMH implementation before stabilizing in
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www.qualitymeasures.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…
-
www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/berry.html
April 01, 2015 - 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. … Small practices can achieve important aspects of the PCMH model by using a combination of formal and … informal strategies to enact PCMH-like functions.
-
www.qualitymeasures.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.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/cooley.html
August 01, 2018 - One practice attained Level 3 PCMH recognition from the National Committee for Quality Assurance and … one practice attained PCMH recognition from a State program; the remaining 10 practices opted not to … pursue PCMH recognition. … Formal QI structures helped drive PCMH transformation. … Family participation was a lead driver of PCMH transformation.
-
www.qualitymeasures.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.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/guide.html
October 01, 2015 - It is also important to consider, and report, whether PCMH certification was sought and what level and … Attribution of costs to PCMH transformation can be challenging. … or new staff hired to implement PCMH-specific aspects of care (e.g., care coordinators). … Was PCMH certification sought, and at what level? … The definition of a PCMH has evolved and will likely continue to do so.
-
www.qualitymeasures.ahrq.gov/ncepcr/reports/cost-guide/practical-guide.html
February 01, 2017 - It is also important to consider, and report, whether PCMH certification was sought and what level and … Attribution of costs to PCMH transformation can be challenging. … or new staff hired to implement PCMH-specific aspects of care (e.g., care coordinators). … Was PCMH certification sought, and at what level? … The definition of a PCMH has evolved and will likely continue to do so.