Pathways to Medical Home Recognition: A Qualitative Comparative Analysis of the PCMH Transformation Process.

ABSTRACT: OBJECTIVE:To understand the process of practice transformation by identifying pathways for attaining patient-centered medical home (PCMH) recognition. DATA SOURCES/STUDY SETTING:The CMS Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration was designed to help FQHCs achieve NCQA Level 3 PCMH recognition and improve patient outcomes. We used a stratified random sample of 20 (out of 503) participating sites for this analysis. STUDY DESIGN:We developed a conceptual model of structural, cultural, and implementation factors affecting PCMH transformation based on literature and initial qualitative interview themes. We then used conventional cross-case analysis, followed by qualitative comparative analysis (QCA), a cross-case method based on Boolean logic algorithm

SUBMITTER: Mendel P 

PROVIDER: S-EPMC6051988 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature