Literature Collection

521

The National Association of Social Workers' commentary on "Joint principles: Integrating behavioral health care into the patient-centered medical home".

Type: Journal Article

Authors: Tracy Robinson Whitaker

Year: 2014

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522

The Patient Centered Medical Home as Curricular Model: Perceived Impact of the "Education-Centered Medical Home"

Type: Journal Article

Year: 2013

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523

The Patient Centered Medical Home: Mental Models and Practice Culture Driving the Transformation Process

Type: Journal Article

Authors: P. F. Cronholm, J. A. Shea, R. M. Werner, M. Miller-Day, J. Tufano, B. F. Crabtree, R. Gabbay

Year: 2013

Abstract: BACKGROUND: The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. The PCMH model is a departure from more traditional models of healthcare delivery and requires significant transformation to be realized. OBJECTIVE: To describe factors shaping mental models and practice culture driving the PCMH transformation process in a large multi-payer PCMH demonstration project. DESIGN: Individual interviews were conducted at 17 primary care practices in South Eastern Pennsylvania. PARTICIPANTS: A total of 118 individual interviews were conducted with clinicians (N = 47), patient educators (N = 4), office administrators (N = 12), medical assistants (N = 26), front office staff (N = 7), nurses (N = 4), care managers (N = 11), social workers (N = 4), and other stakeholders (N = 3). A multi-disciplinary research team used a grounded theory approach to develop the key constructs describing factors shaping successful practice transformation. KEY RESULTS: Three central themes emerged from the data related to changes in practice culture and mental models necessary for PCMH practice transformation: 1) shifting practice perspectives towards proactive, population-oriented care based in practice-patient partnerships; 2) creating a culture of self-examination; and 3) challenges to developing new roles within the practice through distribution of responsibilities and team-based care. The most tension in shifting the required mental models was displayed between clinician and medical assistant participants, revealing significant barriers towards moving away from clinician-centric care. CONCLUSIONS: Key factors driving the PCMH transformation process require shifting mental models at the individual level and culture change at the practice level. Transformation is based upon structural and process changes that support orientation of practice mental models towards perceptions of population health, self-assessment, and the development of shared decision-making. Staff buy-in to the new roles and responsibilities driving PCMH transformation was described as central to making sustainable change at the practice level; however, key barriers related to clinician autonomy appeared to interfere with the formation of team-based care.

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524

The Patient-Centered Health Home: Transformation to excellence in practice

Type: Journal Article

Authors: Bryan Sims

Year: 2011

Publication Place: United States

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525

The Patient-Centered Medical Home

Type: Journal Article

Authors: Susan Henderson, Catherine O. Princell, Sharon D. Martin

Year: 2012

Publication Place: United States

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526

The Patient-Centered Medical Home and Patient Experience

Type: Journal Article

Authors: Grant R. Martsolf, Jeffrey A. Alexander, Yunfeng Shi, Lawrence P. Casalino, Diane R. Rittenhouse, Dennis P. Scanlon, Stephen M. Shortell

Year: 2012

Publication Place: United Kingdom

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527

The patient-centered medical home and why it matters to health educators

Type: Journal Article

Authors: Jodi Summers Holtrop, Timothy R. Jordan

Year: 2010

Publication Place: US: Sage Publications

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528

The patient-centered medical home model: healthcare services utilization and cost for non-elderly adults with mental illness

Type: Journal Article

Authors: J. J. Bowdoin, R. Rodriguez-Monguio, E. Puleo, D. Keller, J. Roche

Year: 2018

Publication Place: England

Abstract: BACKGROUND: The patient-centered medical home (PCMH) model is designed to improve health outcomes while containing the cost of care. However, the evidence is inconclusive. AIMS: The aim of this study was to examine the associations between receipt of care consistent with the PCMH and healthcare services utilization and expenditures for non-elderly adults with mental illness in the USA. METHOD: A surveillance study was conducted using self-reported data for 6908 non-elderly adults with mental illness participating in the 2007-2012 Medical Expenditure Panel Survey. Healthcare services utilization and expenditures were compared for study participants who received care consistent with the PCMH, participants with a non-PCMH usual source of care (USC), and participants without a USC. RESULTS: Differences in utilization and expenditures between participants who received care consistent with the PCMH and participants who had a non-PCMH USC were not statistically significant for any healthcare services category. CONCLUSIONS: Receipt of care consistent with the PCMH was not significantly associated with differences in healthcare services utilization or expenditures compared to having a non-PCMH USC. Research assessing whether the PCMH is cost-effective for non-elderly adults with mental illness is needed.

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529

The patient-centered medical home neighbor: A primary care physician's view

Type: Journal Article

Authors: C. A. Sinsky

Year: 2011

Publication Place: United States

Abstract: The American College of Physicians' position paper on the patient-centered medical home neighbor (PCMH-N) extends the work of the patient-centered medical home (PCMH) as a means of improving the delivery of health care. Recognizing that the PCMH does not exist in isolation, the PCMH-N concept outlines expectations for comanagement, communication, and care coordination and broadens responsibility for safe, effective, and efficient care beyond primary care to include physicians of all specialties. As such, it is a fitting follow-up to the PCMH and moves further down the road toward improved care for complex patients. Yet, there is more work to be done. Truly transforming the U.S. health care system around personalized medical homes embedded in highly functional medical neighborhoods will require better staffing models; more robust electronic information tools; aligned incentives for quality and efficiency within payment and regulatory policies; and a culture of greater engagement of patients, their families, and communities.

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530

The patient-centered medical home neighbor: A subspecialty physician's view

Type: Journal Article

Authors: H. F. Yee

Year: 2011

Publication Place: United States

Abstract: To achieve the benefits of the patient-centered medical home (PCMH) model, the American College of Physicians has issued a policy paper addressing the relationship between specialist and subspecialist physicians and PCMH practices. This paper represents a significant step toward improving care coordination and quality by demonstrating that this model is supported by numerous specialties and subspecialties, recognizing the importance of building a strong medical neighborhood, and providing a framework that will foster improvements in care at the interface of PCMHs and PCMH neighbors (PCMH-Ns). Construction of a well-functioning medical neighborhood will, however, require some refinements. First, the proposed interaction typology between PCMHs and PCMH-Ns must be expanded to include innovative forms of interaction that do not depend on traditional office visits, but for which there are clear incentives. Second, the recommended care coordination agreements must be better standardized for the sake of practicality. Finally, genuine dialogue between PCMH and PCMH-N practices needs to be realized.

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531

The Patient-Centered Medical Home: A Future Standard for American Health Care?

Type: Journal Article

Authors: David B. Klein, Miriam J. Laugesen, Nan Liu

Year: 2013

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532

The patient-centered medical home: A review of recent research.

Type: Journal Article

Authors: Timothy Hoff, Wendy Weller, Matthew DePuccio

Year: 2012

Publication Place: US

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533

The Patient-Centered Medical Home: An Ethical Analysis of Principles and Practice

Type: Journal Article

Authors: Clarence H. Braddock III, Lois Snyder, Richard L. Neubauer, Gary S. Fischer, For the American College of Physicians Ethics

Year: 2012

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534

The Patient-centered Medical Home: An Evaluation of a Single Private Payer Demonstration in New Jersey.

Type: Journal Article

Authors: Rachel M. Werner, Mark Duggan, Katia Duey, Jingsan Zhu, Elizabeth A. Stuart

Year: 2013

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535

The patient-centered medical home: How to advance patient care through technology

Type: Journal Article

Authors: J. Stape

Year: 2010

Publication Place: United States

Abstract: The process of applying for National Committee for Quality Assurance recognition as a Physician Practice Connections--Patient-Centered Medical Home (PPC-PCMH) can enrich even those practices already solidly committed to providing patient-centric care based on evidence-based medical guidelines. The goal is to leverage information technology to transform both operational and patient care procedures. But even with robust technology, PCMH certification requires team commitment and an unremitting big-picture focus. This article provides an in-depth case study that shows how one groundbreaking Arizona practice used technology to reach the pinnacle of PCMH certification--and continues to use it to improve the quality of patient care.

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536

The patient-centered medical home: Unprecedented workforce growth potential for professional psychology

Type: Journal Article

Authors: Abbie O. Beacham, Carissa Kinman, Josette G. Harris, Kevin S. Masters

Year: 2012

Publication Place: United States

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537

The patient-centered medical home: What we need to know more about

Type: Journal Article

Authors: Timothy Hoff

Year: 2010

Publication Place: US: Sage Publications

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538

The Patient-Centered Medical Home's Impact on Cost & Quality: An Annual Update of the Evidence, 2012-2013

Type: Report

Authors: M. Nielsen, J. N. Olayiwola, P. Grundy, K. Grumback

Year: 2014

Publication Place: Washington, DC

Abstract: This annual report highlights recently published clinical, quality, and financial outcomes of patient-centered medical home (PCMH) initiatives from across the United States. Profiling a showcase of PCMH initiatives, this report focuses on studies released between August 2012 and December 2013 and identifies where they are happening, who is leading them, and highlights the outcomes they are achieving. In addition to the results from these 21 most recent studies, the report includes a summary of PCMH initiatives taking place throughout the US since 2009, which can be found in Appendix A, reflecting 54 different studies organized by state and location. Although the evidence is early from an academic perspective, and this report does not represent a formal peer-reviewed meta-analysis of the literature, the expanding body of research provided here suggests that when fully transformed primary care practices have embraced the PCMH model of care, we find a number of consistent, positive outcomes.A summary of key points from this year's report include: 1.PCMH studies continue to demonstrate impressive improvements across a broad range of categories including: cost, utilization, population health, prevention, access to care, and patient satisfaction, while a gap still exists in reporting impact on clinician satisfaction. 2.The PCMH continues to play a role in strengthening the larger health care system, specifically Accountable Care Organizations and the emerging medical neighborhood model. 3.Significant payment reforms are incorporating the PCMH and its key attributes. The findings are indeed encouraging and the evidence base for the model continues to build at a rapid pace. While we need to be cautious about over-promising what the PCMH alone can deliver, our review of the recent literature affirmatively shows improvements across a number of categories. Our review also suggests some gaps in the evidence and ways to improve future PCMH studies. More robust analyses regarding how PCMH's function, transform and improve outcomes for all patients and their families are critical to the long-term success of primary care, as well as helping the US to achieve much needed, broad-based delivery reform.

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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539

The Patient-Centered Medical Home's Impact on Cost and Quality 2013-2014

Type: Report

Authors: M. Nielsen, A. Gibson, L. Buelt, P. Grundy, K. Grumbach

Year: 2015

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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540

The patient-centred medical home in the USA

Type: Journal Article

Authors: T. Epperly

Year: 2011

Publication Place: England

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