The impact of patient‐centered medical home certification on quality of care for patients with diabetes

2020 ◽  
Author(s):  
Caroline S. Carlin ◽  
Kevin Peterson ◽  
Leif I. Solberg
Keyword(s):  
Quality Of Care ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Patients With Diabetes ◽  
The Impact

The Patient-Centered Medical Home, Electronic Health Records, and Quality of Care

2014 ◽  
Vol 160 (11) ◽  
pp. 741 ◽  
Author(s):  
Lisa M. Kern ◽  
Alison Edwards ◽  
Rainu Kaushal
Keyword(s):  
Quality Of Care ◽  
Electronic Health Records ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Health Records ◽  
Electronic Health

Using Statewide Data on Health Care Quality to Assess the Effect of a Patient-Centered Medical Home Initiative on Quality of Care

2018 ◽  
Vol 21 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Nathan D. Shippee ◽  
Michael Finch ◽  
Douglas Wholey
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Medical Home ◽  
Health Care Quality ◽  
Care Quality ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Impact of a patient-centered medical home demonstration on quality of life and patient activation for older adults with complex needs in Singapore

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Grace Sum ◽  
Soon Hoe Ho ◽  
Zoe Zon Be Lim ◽  
Junxing Chay ◽  
Mimaika Luluina Ginting ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Home ◽  
Statistical Significance ◽  
Patient Activation ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Needs Satisfaction ◽  
The Impact ◽  
Eq Vas

Abstract Background The first Patient-Centered Medical Home (PCMH) demonstration in Singapore was launched in November 2016, which aimed to deliver integrated and patient-centered care for patients with bio-psycho-social needs. Implementation was guided by principles of comprehensiveness, coordinated care, shared decision-making, accessible services, and quality and safety. We aimed to investigate the impact of implementing the PCMH in primary care on quality of life (QoL) and patient activation. Methods The study design was a prospective single-arm pre-post study. We applied the 5-level EuroQol 5-dimension (EQ-5D-5L) and Visual Analog Scale (EQ VAS) instruments to assess health-related QoL. The CASP-19 tool was utilised to examine the degree that needs satisfaction was fulfilled in the domains of Control, Autonomy, Self-realisation, and Pleasure. The 13-item Patient Activation Measure (PAM-13) was used to evaluate knowledge, skills and confidence in management of conditions and ability to self-care. Multivariable linear regression models with random intercepts were applied to examine the impact of the PCMH intervention on outcome measures at 3 months and 6 months post-enrolment, compared to baseline. Results We analysed 165 study participants enrolled into the PCMH from November 2017 to April 2020, with mean age 77 years (SD: 9.9). Within-group pre-post (6 months) EQ-5D-5L Index (β= -0.01, p-value = 0.35) and EQ VAS score (β=-0.03, p-value = 0.99) had no change. Compared to baseline, there were improvements in CASP-19 total score at 3 months (β = 1.34, p-value = 0.05) and 6 months post-enrolment (β = 1.15, p-value = 0.08) that were marginally out of statistical significance. There was also a significant impact of the PCMH on the CASP-19 Pleasure domain (β = 0.62, p = 0.03) at 6 months post-enrolment, compared to baseline. We found improved patient activation from a 15.2 % reduction in the proportion of participants in lower PAM levels, and a 23.4 and 16.7 % rise in proportion for higher PAM levels 3 and 4, respectively, from 3 months to 6 months post-enrolment. Conclusions Preliminary demonstration of the PCMH model shows evidence of improved needs satisfaction and patient activation, with potential to have a greater impact after a longer intervention duration.

scholarly journals Effect of the Patient-Centered Medical Home on Racial Disparities in Quality of Care

2020 ◽  
Vol 35 (8) ◽  
pp. 2304-2313
Author(s):  
Karen E. Swietek ◽  
Bradley N. Gaynes ◽  
George L. Jackson ◽  
Morris Weinberger ◽  
Marisa Elena Domino
Keyword(s):  
Quality Of Care ◽  
Racial Disparities ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Associations of patient-centered medical home with quality of care, patient experience, and health expenditures

Medicine ◽  
2021 ◽  
Vol 100 (21) ◽  
pp. e26119
Author(s):  
Zhigang Xie ◽  
Sandhya Yadav ◽  
Samantha A. Larson ◽  
Arch G. Mainous ◽  
Young-Rock Hong
Keyword(s):  
Quality Of Care ◽  
Patient Experience ◽  
Medical Home ◽  
Health Expenditures ◽  
Care Patient ◽  
Patient Centered Medical Home ◽  
Patient Centered

The Impact of Comprehensive Pre-visit Preparation on Patient Engagement and Quality of Care in a Population of Underserved Patients with Diabetes: Evidence from the Care Management Medical Home Center Model

2016 ◽  
Vol 19 (3) ◽  
pp. 171-177 ◽  
Author(s):  
Julie Rivo ◽  
Timothy F. Page ◽  
Alejandro Arrieta ◽  
St. Anthony Amofah ◽  
Shelia McCann ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Patient Engagement ◽  
Medical Home ◽  
Care Management ◽  
Underserved Patients ◽  
Patients With Diabetes ◽  
The Impact

The Association of Patient-centered Medical Home Designation With Quality of Care of HRSA-funded Health Centers

Medical Care ◽  
2018 ◽  
Vol 56 (2) ◽  
pp. 130-138 ◽  
Author(s):  
Ruwei Hu ◽  
Leiyu Shi ◽  
Alek Sripipatana ◽  
Hailun Liang ◽  
Ravi Sharma ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Home ◽  
Health Centers ◽  
Patient Centered Medical Home ◽  
Patient Centered

Quality of Care and Preventive Screening Use in the CareFirst Patient-Centered Medical Home Program

2019 ◽  
Vol 41 (6) ◽  
pp. 339-349
Author(s):  
Iwona M. Kicinger ◽  
Alison Cuellar ◽  
Lorens A. Helmchen ◽  
Gilbert Gimm ◽  
Jay Want ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Preventive Screening ◽  
Home Program

scholarly journals Patient-Centered Medical Home Knowledge and Attitudes of Residents and Faculty: Certification Is Just the First Step

2015 ◽  
Vol 7 (4) ◽  
pp. 580-588 ◽  
Author(s):  
Fadya El Rayess ◽  
Roberta Goldman ◽  
Christopher Furey ◽  
Rabin Chandran ◽  
Arnold R. Goldberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Situated Learning ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Individual Interviews ◽  
Knowledge And Attitudes ◽  
Positive Attitudes ◽  
Level 3 ◽  
The Impact

ABSTRACT Background The patient-centered medical home (PCMH) is an accepted framework for delivering high-quality primary care, prompting many residencies to transform their practices into PCMHs. Few studies have assessed the impact of these changes on residents' and faculty members' PCMH attitudes, knowledge, and skills. The family medicine program at Brown University achieved Level 3 PCMH accreditation in 2010, with training relying primarily on situated learning through immersion in PCMH practice, supplemented by didactics and a few focused clinical activities. Objective To assess PCMH knowledge and attitudes after Level 3 PCMH accreditation and to identify additional educational needs. Methods We used a qualitative approach, with semistructured, individual interviews with 12 of the program's 13 postgraduate year 3 residents and 17 of 19 core faculty. Questions assessed PCMH knowledge, attitudes, and preparedness for practicing, teaching, and leading within a PCMH. Interviews were analyzed using the immersion/crystallization method. Results Residents and faculty generally had positive attitudes toward PCMH. However, many expressed concerns that they lacked specific PCMH knowledge, and felt inadequately prepared to implement PCMH principles into their future practice or teaching. Some exceptions were faculty and resident leaders who were actively involved in the PCMH transformation. Barriers included lack of time and central roles in PCMH activities. Conclusions Practicing in a certified PCMH training program, with passive PCMH roles and supplemental didactics, appears inadequate in preparing residents and faculty for practice or teaching in a PCMH. Purposeful curricular design and evaluation, with faculty development, may be needed to prepare the future leaders of primary care.

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