TY - JOUR
KW - Accreditation/standards
KW - Chronic Disease/therapy
KW - Community Mental Health Services/standards
KW - Continuity of Patient Care/standards
KW - Cooperative Behavior
KW - Evidence-Based Practice/standards
KW - Health Behavior
KW - Health Services Accessibility/standards
KW - Humans
KW - Patient-Centered Care/standards
KW - Program Evaluation/standards/statistics & numerical data
KW - Quality Assurance, Health Care/standards/statistics & numerical data
KW - Quality Improvement/standards
KW - Reference Standards
KW - Self Care/standards
AU - E. R. Vanderlip
AU - J. M. Cerimele
AU - M. Monroe-Devita
A1 - 
AB - OBJECTIVE This study compared program measures of assertive community treatment (ACT) with standards of accreditation for the patient-centered medical home (PCMH) to determine whether there were similarities in the infrastructure of the two methods of service delivery and whether high-fidelity ACT teams would qualify for medical home accreditation. METHODS The authors compared National Committee for Quality Assurance PCMH standards with two ACT fidelity measures (the Dartmouth Assertive Community Treatment Scale and the Tool for Measurement of Assertive Community Treatment [TMACT]) and with national ACT program standards. RESULTS PCMH standards pertaining to enhanced access and continuity, management of care, and self-care support demonstrated strong overlap across ACT measures. Standards for identification and management of populations, care coordination and follow-up, and quality improvement demonstrated less overlap. The TMACT and the program standards had sufficient overlap to score in the range of a level 1 PCMH, but no ACT measure sufficiently detailed methods of population-based screening and tracking of referrals to satisfy "must-pass" elements of the standards. CONCLUSIONS ACT measures and medical home standards had significant overlap in innate infrastructure. ACT teams following the program standards or undergoing TMACT fidelity review could have the necessary infrastructure to serve as medical homes if they were properly equipped to supervise general medical care and administer activities to improve management of chronic diseases.
BT - Psychiatric services (Washington, D.C.)
C5 - Measures; Medical Home
CP - 11
CY - United States
DO - 10.1176/appi.ps.201200469
IS - 11
JF - Psychiatric services (Washington, D.C.)
N2 - OBJECTIVE This study compared program measures of assertive community treatment (ACT) with standards of accreditation for the patient-centered medical home (PCMH) to determine whether there were similarities in the infrastructure of the two methods of service delivery and whether high-fidelity ACT teams would qualify for medical home accreditation. METHODS The authors compared National Committee for Quality Assurance PCMH standards with two ACT fidelity measures (the Dartmouth Assertive Community Treatment Scale and the Tool for Measurement of Assertive Community Treatment [TMACT]) and with national ACT program standards. RESULTS PCMH standards pertaining to enhanced access and continuity, management of care, and self-care support demonstrated strong overlap across ACT measures. Standards for identification and management of populations, care coordination and follow-up, and quality improvement demonstrated less overlap. The TMACT and the program standards had sufficient overlap to score in the range of a level 1 PCMH, but no ACT measure sufficiently detailed methods of population-based screening and tracking of referrals to satisfy "must-pass" elements of the standards. CONCLUSIONS ACT measures and medical home standards had significant overlap in innate infrastructure. ACT teams following the program standards or undergoing TMACT fidelity review could have the necessary infrastructure to serve as medical homes if they were properly equipped to supervise general medical care and administer activities to improve management of chronic diseases.
PP - United States
PY - 2013
SN - 1557-9700; 1075-2730
SP - 1127
EP - 1133
EP - 
T1 - A comparison of assertive community treatment fidelity measures and patient-centered medical home standards
T2 - Psychiatric services (Washington, D.C.)
TI - A comparison of assertive community treatment fidelity measures and patient-centered medical home standards
U1 - Measures; Medical Home
U2 - 23820753
U3 - 10.1176/appi.ps.201200469
VL - 64
VO - 1557-9700; 1075-2730
Y1 - 2013
ER -