scholarly journals Use of CAHPS® patient experience survey data as part of a patient-centered medical home quality improvement initiative

2015 ◽  
pp. 41
Author(s):  
Ron Hays ◽  
Denise Quigley ◽  
Peter Mendel ◽  
Zachary Predmore ◽  
Alex Y. Chen
Keyword(s):  
Quality Improvement ◽  
Survey Data ◽  
Patient Experience ◽  
Medical Home ◽  
Quality Improvement Initiative ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Experience Survey

Description of pharmacist-led quality improvement huddles in the patient-centered medical home model

2018 ◽  
Vol 58 (6) ◽  
pp. 667-672.e2 ◽  
Author(s):  
Trisha Wells ◽  
Stuart Rockafellow ◽  
Marcy Holler ◽  
Antoinette B. Coe ◽  
Anne Yoo ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Medical Home Model

scholarly journals Effects of Patient-centered Medical Home Transformation on Child Patient Experience

2016 ◽  
Vol 29 (1) ◽  
pp. 60-68 ◽  
Author(s):  
V. S. Harder ◽  
J. Krulewitz ◽  
C. Jones ◽  
R. C. Wasserman ◽  
J. S. Shaw
Keyword(s):  
Patient Experience ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Child Patient

scholarly journals Practice Leaders Report Targeting Several Types of Changes in Care Experienced by Patients During Patient-Centered Medical Home Transformation

2020 ◽  
Vol 7 (6) ◽  
pp. 1509-1518
Author(s):  
Denise D Quigley ◽  
Nabeel Qureshi ◽  
Luma Al- Masarweh ◽  
Ron D Hays
Keyword(s):  
Primary Care ◽  
Health Education ◽  
Patient Experience ◽  
Medical Home ◽  
Chronic Condition ◽  
Care Management ◽  
Care Quality ◽  
Care Practice ◽  
Patient Centered Medical Home ◽  
Patient Centered

Patient-centered medical home (PCMH) has spurred primary care reform and improvements in patient care quality. Very little is known about the differences practices implement during PCMH transformation. We examined 105 primary care practice leader experiences during PCMH transformation, asking in semi-structured interviews about the changes they targeted. We used content analysis to classify these PCMH changes and examined how they aligned with what is measured on PCMH-recommended patient experience surveys. During PMCH transformation, practices most commonly targeted changes in care coordination (30%), access to care (25%), and provider communication (24%). Reported areas of PCMH transformation were measured by Clinician & Group Consumer Assessment of Healthcare Providers and Systems (CAHPS), PCMH CAHPS, or supplemental CAHPS survey items, including team-based care (35%), providing more services on site (28%), care management (22%), patient-centered culture (18%), and chronic condition health education (13%). Many PCMH changes are captured by CAHPS patient experience items; some are not. For some uncaptured areas, patients are not the best source of information. To provide practice leaders information they need for PCMH transformation, CAHPS items need to measure care management to support medical and chronic conditions, and chronic condition health education.

Survey Shows That Fewer Than A Third Of Patient-Centered Medical Home Practices Engage Patients In Quality Improvement

2013 ◽  
Vol 32 (2) ◽  
pp. 368-375 ◽  
Author(s):  
Esther Han ◽  
Sarah Hudson Scholle ◽  
Suzanne Morton ◽  
Christine Bechtel ◽  
Rodger Kessler
Keyword(s):  
Quality Improvement ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered

Patient experience at the time of practice transformation into Patient-Centered Medical Homes

2013 ◽  
Vol 1 (2) ◽  
pp. 290 ◽  
Author(s):  
Lisa Kern ◽  
Rina Dhopeshwarker ◽  
Alison Edwards ◽  
Rainu Kaushal
Keyword(s):  
Primary Care ◽  
Patient Experience ◽  
Medical Home ◽  
Primary Care Physicians ◽  
New York State ◽  
Patient Centered Medical Home ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Processes Of Care ◽  
Patients Experience

Purpose: The Patient-Centered Medical Home (PCMH) is a model of primary care that is being promoted for its potential ability to improve patient-centeredness, improve quality and decrease costs. The effect of the PCMH on patient experience is not clear, with some reports suggesting that patient experience may worsen during transformation. We sought to measure patient experience at the time practices transform into PCMHs.Methods: We conducted a cross-sectional survey of 419 adult patients who were cared for by 85 primary care physicians across 12 practices in the Hudson Valley region of New York State. We measured patient experience, using the 35 questions in the Clinician & Group – Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) – Adult Primary Care Questionnnaire (plus 14 additional questions drawn from other survey instruments) and compared the results to national CG-CAHPS benchmarks.Results: Patients’ experience overall was fairly positive, with 79% giving their doctors a ranking of 9 or 10 on a 10-point scale, with 10 being the highest. Patients’ experience in this sample was significantly more positive than the national benchmark on each of 6 subscales (p ≤ 0.05).  Patients were generally most satisfied with individual face-to-face encounters with their physicians and somewhat less satisfied with processes of care (such as receiving results from a test or receiving follow-up after discharge from the hospital).Conclusions: This study suggests that medical home transformation does not adversely impact patient experience and identifies organizational processes of care that could potentially be improved with the patient-centered medical home.

Data-driven quality improvement in an oncology patient-centered medical home.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 54-54
Author(s):  
John David Sprandio ◽  
Maureen Lowry ◽  
Brian Flounders ◽  
Susan Higman Tofani
Keyword(s):  
Quality Improvement ◽  
Medical Home ◽  
Learning System ◽  
Data Driven ◽  
Physician Education ◽  
Patient Centered Medical Home ◽  
Telephone Triage ◽  
Time Data ◽  
Patient Centered ◽  
Oncology Patient

54 Background: In a 2012 abstract, Data driven transformation for an Oncology Patient-Centered Medical Home, Consultants in Medical Oncology (CMOH) demonstrated that standardized processes and enhanced IT capabilities (IRIS software app) provided a rapid learning system for the practice. Iris aggregated data became the basis for Quality Improvement Projects (QIPs) allowing CMOH to continue to improve in quality and cost measures. Deviation from performance trend is readily identifiable, providing operational direction. Methods: A review of 2012 data identified an increase in the rate of hospitalizations, initiating a QIP. We identified inconsistent processes in Telephone Triage Symptom Management at one of the three practice locations. It was determined that symptom calls in the early to mid afternoon were being directed to the ER, and a higher percentage of these evaluations resulted in admissions. Steps to restructure roles and internal processes and reinforced training followed, resulting in improvement. Results: After analysis of site specific performance, we centralized Telephone Triage services to reduce variability in execution. We addressed staffing issues, streamlined nursing and physician education around Triage related processes, revised algorithms, and improved education materials to enhance patient engagement. This resulted in resetting our trend in ER utilization and admissions, increasing the number of calls into the telephone triage service, increasing the percentage of symptoms managed at home and decreasing the number of office visits within 24 hours. Conclusions: Aggregated real-time data provides the tools to rapidly identify opportunities for improvement and conduct QIPs to enhance the quality and value of delivered services. Supportive software apps like Iris are foundational for practice transformation to future value-based cancer care models. [Table: see text]

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