Practices and changes associated with patient-centered medical home transformation.

ABSTRACT:

Objectives

Knowing which patient-centered medical home (PCMH) care delivery changes and quality improvement (QI) practices further PCMH implementation is essential.

Study design

We used the 2008-2017 National Committee of Quality Assurance (NCQA) PCMH directory of 15,188 primary care practices that received Level 1, 2, or 3 NCQA PCMH recognition to construct a stratified national sample of 105 practices engaged in PCMH transformation. We examined their QI practices and PCMH changes associated with PCMH transformation.

Methods

We derived QI practice and PCMH change variables from semistructured interviews. Practice leaders completed the PCMH Assessment (PCMH-A) measuring the practice's degree of PCMH implementation, which is a proxy for patient-centeredness. Controllin

SUBMITTER: Quigley DD 

PROVIDER: S-EPMC9839358 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature