The Patient-Centered Medical Home and Associations With Health Care Quality and Utilization

2016 ◽  
Vol 164 (6) ◽  
pp. 395 ◽  
Author(s):  
Lisa M. Kern ◽  
Alison Edwards ◽  
Rainu Kaushal
Keyword(s):  
Health Care ◽  
Medical Home ◽  
Health Care Quality ◽  
Care Quality ◽  
Patient Centered Medical Home ◽  
Patient Centered

Impact of the Cincinnati Aligning Forces for Quality Multi-Payer Patient Centered Medical Home Pilot on Health Care Quality, Utilization, and Costs

2016 ◽  
Vol 73 (5) ◽  
pp. 532-545 ◽  
Author(s):  
Meredith B. Rosenthal ◽  
Shehnaz Alidina ◽  
Mark W. Friedberg ◽  
Sara J. Singer ◽  
Diana Eastman ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Home ◽  
Health Care Quality ◽  
Care Quality ◽  
Patient Centered Medical Home ◽  
Patient Centered

Patient-Centered, Integrated Health Care Quality Measures Could Improve Health Literacy, Language Access, and Cultural Competence

2019 ◽  
Author(s):  
Ignatius Bau ◽  
Robert A. Logan ◽  
Christopher Dezii ◽  
Bernard Rosof ◽  
Alicia Fernandez ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Literacy ◽  
Cultural Competence ◽  
Health Care Quality ◽  
Care Quality ◽  
National Committee ◽  
Patient Centered ◽  
Organizational System ◽  
Language Access

The authors of this paper recommend the integration of health care quality improvement measures for health literacy, language access, and cultural competence. The paper also notes the importance of patient-centered and equity-based institutional performance assessments or monitoring systems. The authors support the continued use of specific measures such as assessing organizational system responses to health literacy or the actual availability of needed language access services such as qualified interpreters as part of overall efforts to maintain quality and accountability. Moreover, this paper is informed by previous recommendations from a commissioned paper provided by the National Committee for Quality Assurance (NCQA) to the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. In the commissioned paper, NCQA explained that health literacy, language access, and cultural competence measures are siloed and need to generate results that enhance patient care improvements. The authors suggest that the integration of health literacy, language access, and cultural competence measures will provide for institutional assessment across multiple dimensions of patient vulnerabilities. With such integration, health care organizations and providers will be able to cultivate the tools needed to identify opportunities for quality improvement as well as adapt care to meet diverse patients’ complex needs. Similarly, this paper reinforces the importance of providing more “measures that matter” within clinical settings.

scholarly journals Crossing the Patient-Centered Divide: Transforming Health Care Quality Through Enhanced Faculty Development

2011 ◽  
Vol 86 (4) ◽  
pp. 445-452 ◽  
Author(s):  
Richard M. Frankel ◽  
Florence Eddins-Folensbee ◽  
Thomas S. Inui
Keyword(s):  
Health Care ◽  
Faculty Development ◽  
Health Care Quality ◽  
Care Quality ◽  
Patient Centered

scholarly journals The Experience of Latina Mothers of Children and Youth With Special Health Care Needs: A Qualitative Study

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985139 ◽  
Author(s):  
Nicola Brodie ◽  
Bruce Bernstein ◽  
Francis McNesby ◽  
Renee Turchi
Keyword(s):  
Health Care ◽  
Medical Home ◽  
Special Health Care Needs ◽  
Children And Youth ◽  
Patient Centered Medical Home ◽  
Health Care Needs ◽  
Care Needs ◽  
Patient Centered ◽  
Special Health Care ◽  
Special Health

Children and youth with special health care needs (CYSHCN) comprise a growing proportion of the pediatric population; the patient- and family-centered medical home provides a comprehensive model for caring for these patients. Given the limited literature available as well as extreme patient vulnerability, we sought to understand the experience of Latino parents in caring for their CYSHCN within our patient-centered medical home in an urban neighborhood in North Philadelphia. A convenience sample of 14 mothers or grandmothers of CYSHCN participated in semistructured interviews, which were analyzed using a thematic, constant comparative approach to identify common themes. Themes identified included “Waiting,” “Communication/Trust,” “All-Consuming Requirements of Care/Sacrifice,” and “Fate/Faith/Blessings.” These themes corresponded with identified goals of the patient-centered medical home. Our findings suggest that the principles of the patient-centered medical home can be applied in unique ways to caring for this unique patient population.

scholarly journals Attributes of Effective Nurse Care Managers in Patient-Centered Medical Home

2012 ◽  
Author(s):  
Susan Corner
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Medical Home ◽  
Care Management ◽  
Improve Patient Care ◽  
The United States ◽  
Small Sample ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Nurse Care

<p>The burden of chronic disease on our medical system and on society is substantial and adds to the difficulty of managing ever-increasing amounts of patient information as care becomes more complex. It has placed the quality of health care in the United States (US) under scrutiny because of medical errors, lack of coordination, patient frustration and poor outcomes. In response to the many challenges, the Patient-Centered Medical Home (PCMH) model of care was developed and is designed to increase the value of our health care and to improve the experience for the patient. The role of the Nurse Care Manager (NCM) in PCMH to help patients with chronic disease is relatively new, but results in the literature are promising.</p> <p>In this evaluation study, the literature on effective NCM interventions and attributes is reviewed and summarized. In addition, a small sample of NCMs was interviewed to determine the specific attributes and interventions used by NCMs in PCMH. NCMs are effective in assisting patients in managing chronic disease, engaging and activating the patient, transition of care management, and using electronic medical records (EMR) to track patient outcomes. Collaboration with other clinicians, evidence-based and advanced protocol interventions, advanced education and training, and understanding the social and environmental context of the patient were all found to improve patient care. The findings from the literature as well as the interviews explore the components of effective nurse care management and the challenges for the NCM as the role evolves.</p>

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