TY - JOUR
KW - Attitude of Health Personnel
KW - Delivery of Health Care -- organization & administration
KW - Health Care Reform
KW - Health Services Needs and Demand
KW - Humans
KW - Leadership
KW - Models, Organizational
KW - Organizational Innovation
KW - Patient-Centered Care -- organization & administration
KW - Primary Health Care -- organization & administration
KW - Professional Competence
KW - Quality of Health Care
KW - Staff Development
AU - C. J. Homer
AU - R. J. Baron
A1 - 
AB - Becoming a medical home is a radical change, requiring both a new mental model for primary care and the skills and resources to accomplish it. Although numerous reports indicate practice change is feasible--particularly with technical support and either insulation from or alignment with financial incentives--sustained transformation appears difficult. We identified the following critical success factors: leadership, financial resources, personal and organizational relationships, engagement with patients and families, competence in management, improvement methods and coaching, health information technology properly applied, care coordination support, and staff development. Each factor raises researchable questions about what policies can facilitate achieving success so that transformation becomes mainstream rather than the province of the innovative few.
BT - J Gen Intern Med
C5 - Education & Workforce; Financing & Sustainability; Healthcare Policy; Medical Home
CP - 6
CY - United States
DO - 10.1007/s11606-010-1260-x
IS - 6
JF - J Gen Intern Med
N2 - Becoming a medical home is a radical change, requiring both a new mental model for primary care and the skills and resources to accomplish it. Although numerous reports indicate practice change is feasible--particularly with technical support and either insulation from or alignment with financial incentives--sustained transformation appears difficult. We identified the following critical success factors: leadership, financial resources, personal and organizational relationships, engagement with patients and families, competence in management, improvement methods and coaching, health information technology properly applied, care coordination support, and staff development. Each factor raises researchable questions about what policies can facilitate achieving success so that transformation becomes mainstream rather than the province of the innovative few.
PP - United States
PY - 2010
SN - 0884-8734 (Print); 1525-1497 (Electronic)
SP - 625
EP - 629
EP - 
T1 - How to scale up primary care transformation: What we know and what we need to know?
T2 - J Gen Intern Med
TI - How to scale up primary care transformation: What we know and what we need to know?
U1 - Education & Workforce; Financing & Sustainability; Healthcare Policy; Medical Home
U2 - 20467912
U3 - 10.1007/s11606-010-1260-x
VL - 25
VO - 0884-8734 (Print); 1525-1497 (Electronic)
Y1 - 2010
ER -