TY - JOUR
KW - Aged
KW - Female
KW - Humans
KW - Male
KW - Models, Organizational
KW - Organizational Case Studies
KW - Patient-Centered Care/organization & administration
KW - Primary Health Care/organization & administration
KW - Texas
AU - R. L. Phillips
AU - S. Bronnikov
AU - S. Petterson
AU - M. Cifuentes
AU - B. Teevan
AU - M. Dodoo
AU - W. D. Pace
AU - D. R. West
A1 - 
AB - We report a case study of a mature primary care-based accountable care organization that is both a health plan and a network of medical homes. Over 20 years, WellMed Inc (San Antonio, Texas) implemented many patient-centered services, experimenting to find which belong within clinics and which operate best as system functions. The adjusted mortality rate is half that of the state for people older than 65 years. Hospitalization and readmission rates and emergency department visits have not changed over time, but preventive services have improved. Phased implementation across the network makes it difficult to link improvements to specific processes but they seem to have improved outcomes collectively.
BT - The Journal of ambulatory care management
C5 - Medical Home
CP - 1
CY - United States
DO - 10.1097/JAC.0b013e3181ffc342
IS - 1
JF - The Journal of ambulatory care management
N2 - We report a case study of a mature primary care-based accountable care organization that is both a health plan and a network of medical homes. Over 20 years, WellMed Inc (San Antonio, Texas) implemented many patient-centered services, experimenting to find which belong within clinics and which operate best as system functions. The adjusted mortality rate is half that of the state for people older than 65 years. Hospitalization and readmission rates and emergency department visits have not changed over time, but preventive services have improved. Phased implementation across the network makes it difficult to link improvements to specific processes but they seem to have improved outcomes collectively.
PP - United States
PY - 2011
SN - 1550-3267; 0148-9917
SP - 67
EP - 77
EP - 
T1 - Case study of a primary care-based accountable care system approach to medical home transformation
T2 - The Journal of ambulatory care management
TI - Case study of a primary care-based accountable care system approach to medical home transformation
U1 - Medical Home
U2 - 21160354
U3 - 10.1097/JAC.0b013e3181ffc342
VL - 34
VO - 1550-3267; 0148-9917
Y1 - 2011
ER -