Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? Table 1 | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Average coefficient of variation (CV) for continuous variables from studies in our literature review … Note: n denotes the number of studies that were included in the average for each cell.
Engaging Patients and Families in the Medical Home | PCMH Resource Center
care have been reported in some studies. … In addition, we identify, from our literature review and input from key informants, key themes that affect … care have been reported in some studies. … A review of literature about involving people affected by cancer in research, policy and planning and … Concluding the review of patient and public involvement.
Creating Patient-centered Team-based Primary Care | PCMH Resource Center
of the literature, expert input, and interviews, we propose a conceptual "blueprint" that shows the … Doctor-patient communication: a review of the literature. Soc Sci Med 1995;40(7):903-918. … Interpersonal continuity of care and care outcomes: a critical review. … Interpersonal continuity of care and patient satisfaction: a critical review. … Continuity of care: a multidisciplinary review. BMJ 2003;327(7425):1219-1221.
Cognitive Task Analysis: Methods to Improve Patient-Centered Medical Home Models by Understanding and Leveraging its Knowledge Work | PCMH Resource Center
The existence of a large, practical, applied body of CTA literature and respected consultants with portfolios … Organizational routines: a review of the literature. … Metaphor no more: a 15-year review of the team mental model construct. … State-of-the-art review of cognitive task analysis techniques. … State-of-the-art review of cognitive task analysis techniques.
Engaging Patients and Families in the Medical Home - Table 4 | PCMH Resource Center
Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … different options Decide jointly with the health care provider on a treatment Safety Review medical … family advisory councils or other regular meetings Provide feedback through surveys Help in development of … patient materials Participate in focus groups Do “walk-through” to give staff a patient perspective of … for various private and public initiatives Gather input from other consumers Participate in design of
5 Key Functions of the Medical Home | PCMH Resource Center
of all health literacy levels. … It also reviews the evidence base for these activities, and offers examples of existing efforts as well … effectiveness of care coordination. … health information technology (IT) for quality improvement (QI) in primary care, discusses exemplary cases … It also reviews the evidence base for these activities, and offers examples of existing efforts as well
Using Implementation Research to Guide Adaptation, Implementation, and Dissemination of Patient-Centered Medical Home Models | PCMH Resource Center
The CFIR builds on the seminal review by Greenhalgh et al. (2004) of factors that can promote or hinder … Implementation matters: a review of research on the influence of implementation on program outcomes and … Implementation Research: A Synthesis of the Literature. … Diffusion of innovations in service organizations: systematic review and recommendations. … Diabetes prevention research: a systematic review of external validity in lifestyle interventions.
All Papers, Briefs, and Other Resources on the PCMH | PCMH Resource Center
This study systematically reviews the early evidence on effectiveness of the PCMH. … ( PDF Version — 368KB)
Evaluations of the medical home should account for clustering of patients within … It also reviews the evidence base for these activities, and offers examples of existing efforts as well … a framework for understanding measurement of integrated care; providing a list of existing measures … As a part of this learning community, AHRQ hosted a series of webinars on practice facilitation, all
Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions - Appendix | PCMH Resource Center
Practice types or specialities
Of the 25 practices, 10 are FQHCs; the other 15 include academic practices … Networks collect claims and patient outcome data (through chart review). … In the past, CHP has tried to pay PCPs $25 per month or $125 per care plan review for CM. … N/A
MN runs a separate P4P system to pay PCPs that meet or exceed quality measures reported by the statewide … The outcomes of implementing patient centered medical home interventions: a review of the evidence on
Engaging Patients and Families in the Medical Home - Table 1 | PCMH Resource Center
that incorporates shared decisionmaking through a patient compact (Casale et al., 2007) Decisionmaking Review … of decisions. … of decisions. … systems for shared decisionmaking with a reminder system for clinicians and patients (Chueh, 2008) Safety Review … Even in these cases, success in sustaining patient/family participation is variable.
PCMH Resources for Researchers | PCMH Resource Center
PCMH Research Methods Series A series of briefs to "expand the toolbox" of evaluation methods … ( PDF Version — 368KB)
Evaluations of the medical home should account for clustering of patients within … It also reviews the evidence base for these activities, and offers examples of existing efforts as well … a framework for understanding measurement of integrated care; providing a list of existing measures … develops and supports the use of a comprehensive and evolving family of standardized surveys that ask
The Logic Model: The Foundation to Implement, Study, and Refine Patient-Centered Medical Home Models | PCMH Resource Center
Below we discuss several uses of logic models. … of the scheduled visit to review the patient’s record and order needed tests? … In cases like these, the evaluator may consider developing one overarching model that shows the key components … Requires mid-course review. … It is important for implementers and evaluators alike to regularly review and update logic models to
Statistical Process Control:Possible Uses to Monitor and Evaluate Patient-Centered Medical Home Models | PCMH Resource Center
The lower portion of the figure shows hypothetical examples of special cause variation. … A review of the literature between 1990 and 2004 showed SPC had been used to analyze 97 different variables … This sample size issue makes other kinds of evaluation challenging because of a lack of statistical power … Application of statistical process control in healthcare improvement: systematic review. … Application of statistical process control in healthcare improvement: systematic review.
Expanding the Toolbox: Methods to Study and Refine Patient- Centered Medical Home Models | PCMH Resource Center
Research 1 , and David Meyers and Janice Genevro of AHRQ. … improving methods for studying PCMH models and other practice-level innovations began when we conducted a review … Overview of Briefs
The table lists the topics and authors of the briefs, provides summaries of the content … The table below lists the topics and authors of the briefs, provides summaries of the content, and indicates … Department of Health and Human Services.
Mixed Methods: Integrating Quantitative and Qualitative Data Collection and Analysis While Studying Patient-Centered Medical Home Models | PCMH Resource Center
(University of Nebraska, Lincoln). … The literature details their procedures, illustrates the flow of activities through the use of shorthand … in which a qualitative subsample is embedded within a larger quantitative sample, can be useful in cases … A review of the evidence for the medical home for children with special health care needs. … A review of the evidence for the medical home for children with special health care needs.
Integrating Mental Health Treatment Into the Patient Centered Medical Home | PCMH Resource Center
In many if not most cases of severe symptoms, the optimal mechanisms for providing integrated care consistent … In addition to academic research studies and formal demonstration programs, ongoing experimentation and … care between the time symptoms were first reported and the time a diagnosis was made and would thus … Making sense of a complex intervention: systematic review and metaregression. … a systematic review.
Tip Sheet: How a Practice Facilitator Can Support Your Practice | PCMH Resource Center
assesses performance, plans changes in areas where improvements are warranted, monitors the effects of … A practice’s QI efforts are an important component of efforts to improve the quality of the health care … delivery systems, and other organizations are supporting QI initiatives to improve the performance of … If you get patients involved in QI, it is hard not to fix things—and many of the fixes are easy. … Here are a few ways you can provide it:
Review your practice’s values and goals with your facilitator
Primary Care Practice Facilitation Curriculum | PCMH Resource Center
calls and numerous requests for reviews of the content. … In those cases where modules build explicitly on learning from other modules, the instructor’s guides … use data in their improvement and transformation efforts and, in most cases, should be completed sequentially … In these cases, the learners may choose modules tailored to their specific needs. … Network Contributing Author: Cindy Brach , M.P.P., Agency for Healthcare Research & Quality
Module 16: Academic
The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care | PCMH Resource Center
of the other in this new model of care. … Shared decisionmaking is a formal process in which patients review evidence-based decision aids to understand … Summaries of evidence and examples of innovative approaches to patient engagement are available in the … Decisionmakers could fund the development of survey instruments and the use of low-cost or shared data … Endnotes
American Academy of Family Physicians, American Academy of Pediatrics, American College of
Patient-Centered Medical Home Decisionmaker Brief: Improving Evaluations of the Medical Home | PCMH Resource Center
values of the outcome measures of interest. … of intervention. … Rationale: For evaluations of the medical home, the number of practices rather than the number of patients … number of values (for example, whether a patient received a specific service or whether a patient reported … In practice: Evaluations can save money by collecting survey and chart review data on a sample of the