Medical Home Improves Patient Quality of Care

2007 ◽  
Vol 38 (9) ◽  
pp. 73
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Author(s):  
Karen E. Swietek ◽  
Marisa Elena Domino ◽  
Lexie R. Grove ◽  
Chris Beadles ◽  
Alan R. Ellis ◽  
...  

PEDIATRICS ◽  
2000 ◽  
Vol 105 (5) ◽  
pp. 1020-1028 ◽  
Author(s):  
A. Kempe ◽  
B. Beaty ◽  
B. P. Englund ◽  
R. J. Roark ◽  
N. Hester ◽  
...  

2020 ◽  
Vol 35 (8) ◽  
pp. 2304-2313
Author(s):  
Karen E. Swietek ◽  
Bradley N. Gaynes ◽  
George L. Jackson ◽  
Morris Weinberger ◽  
Marisa Elena Domino

2017 ◽  
Vol 177 (9) ◽  
pp. 1334 ◽  
Author(s):  
G. Greg Peterson ◽  
Kristin Lowe Geonnotti ◽  
Lauren Hula ◽  
Timothy Day ◽  
Laura Blue ◽  
...  

2019 ◽  
Vol 6 ◽  
pp. 2333794X1987727
Author(s):  
Rabia Noor ◽  
Melinda Becker ◽  
Yaslam Balfaqih ◽  
Susan Flesher

The objective of this project was to present educational modules to pediatric residents and to assess if the modules improved residents’ understanding of the patient- and family-centered medical home model. Eighteen residents participated in 3 separate training sessions taught by fellow residents, which covered a total of 5 modules. Pretests and posttests were administered for each module. All modules showed improved scores from pretest to posttest, but only one module showed statistically significant improvement. The modules also incorporated discussion sessions that led to clinical practice change. These results revealed that resident-administered education using predeveloped modules can be effective in increasing knowledge related to the medical home model and in changing resident clinical practice.


2015 ◽  
Vol 7 (2) ◽  
pp. 247-252 ◽  
Author(s):  
Marietta Angelotti ◽  
Kathryn Bliss ◽  
Dana Schiffman ◽  
Erin Weaver ◽  
Laura Graham ◽  
...  

Abstract Background Training in patient-centered medical home (PCMH) settings may prepare new physicians to measure quality of care, manage the health of populations, work in teams, and include cost information in decision making. Transforming resident clinics to PCMHs requires funding for additional staff, electronic health records, training, and other resources not typically available to residency programs. Objective Describe how a 1115 Medicaid waiver was used to transform the majority of primary care training sites in New York State to the PCMH model and improve the quality of care provided. Methods The 2013–2014 Hospital Medical Home Program provided awards to 60 hospitals and 118 affiliated residency programs (training more than 5000 residents) to transform outpatient sites into PCMHs and provide high-quality, coordinated care. Site visits, coaching calls, resident surveys, data reporting, and feedback were used to promote and monitor change in resident continuity and quality of care. Descriptive analyses measured improvements in these areas. Results A total of 156 participating outpatient sites (100%) received PCMH recognition. All sites enhanced resident education using PCMH principles through patient empanelment, development of quality dashboards, and transforming resident scheduling and training. Clinical quality outcomes showed improvement across the demonstration, including better performance on colorectal and breast cancer screening rates (rate increases of 13%, P ≤ .001, and 11%, P = .011, respectively). Conclusions A 1115 Medicaid waiver is a viable mechanism for states to transform residency clinics to reflect new primary care models. The PCMH transformation of 156 sites led to improvements in resident continuity and clinical outcomes.


Medicine ◽  
2021 ◽  
Vol 100 (21) ◽  
pp. e26119
Author(s):  
Zhigang Xie ◽  
Sandhya Yadav ◽  
Samantha A. Larson ◽  
Arch G. Mainous ◽  
Young-Rock Hong

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