Dataset Information

Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities.

ABSTRACT:

Objective

To determine the proportion of physician practices in the United States that currently meets medical home criteria.

Data source/study setting

2007 and 2008 National Ambulatory Medical Care Survey.

Study design

We mapped survey items to the National Committee on Quality Assurance's (NCQA's) medical home standards. After awarding points for each "passed" element, we calculated a practice's infrastructure score, dividing its cumulative total by the number of available points. We identified practices that would be recognized as a medical home (Level 1 [25-49 percent], Level 2 [50-74 percent], or Level 3 [infrastructure score ≥75 percent]) and examined characteristics associated with NCQA recognition.

Results

Forty-six percent (95 percent confidence interval [CI], 42.5-50.2) of all practices lack sufficient medical home infrastructure. While 72.3 percent (95 percent CI, 64.0-80.7 percent) of multi-specialty groups would achieve recognition, only 49.8 percent (95 percent CI, 45.2-54.5 percent) of solo/partnership practices meet NCQA standards. Although better prepared than specialists, 40 percent of primary care practices would not qualify as a medical home under present criteria.

Conclusion

Almost half of all practices fail to meet NCQA standards for medical home recognition.

SUBMITTER: Hollingsworth JM

PROVIDER: S-EPMC3393004 | biostudies-literature | 2012 Feb

REPOSITORIES: biostudies-literature

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Publications

Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities.

Hollingsworth John M JM Saint Sanjay S Sakshaug Joseph W JW Hayward Rodney A RA Zhang Lingling L Miller David C DC

Health services research 20111018 1 Pt 2

<h4>Objective</h4>To determine the proportion of physician practices in the United States that currently meets medical home criteria.<h4>Data source/study setting</h4>2007 and 2008 National Ambulatory Medical Care Survey.<h4>Study design</h4>We mapped survey items to the National Committee on Quality Assurance's (NCQA's) medical home standards. After awarding points for each "passed" element, we calculated a practice's infrastructure score, dividing its cumulative total by the number of availabl ...[more]

PMID: 22091559

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Dataset Information

Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities.

Objective

Data source/study setting

Study design

Results

Conclusion

Publications

Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities.

Similar Datasets

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